Calling “Bullshit!” Replying To Terminal Uniqueness

Lovingly confronting substance abuse denial

Our patients, friends or family members may sometimes lie to themselves about their destructive or dangerous behaviors. For instance, while drinking heavily, they might say “I don’t have a drinking problem! Other people who pick up DUI’s or spend the night in detox are alcoholics, not me…”

It can be challenging to find a loving, authentic response to such statements. I recently chatted with Stephen Pfleiderer, founder of San Francisco Intervention, about calling out this kind of self-deceit. That is, calling our patients or loved ones out of their fictions about themselves and into the reality of their [and our own] living and dying.


About Daniel Mintie

Daniel Mintie is an adjunct professor at Georgetown University's School Of Medicine. He has a private practice in Taos New Mexico, USA and teaches cognitive-behavioral therapy at universities and training centers worldwide.

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