Your patient is visiting you after missing both his appointments last week. You ask him to submit a urine sample, and he refuses.

1) As the substance use professional working with him, what would you say to him? What is the best way to handle this situation?

During your discussion, your patient confides to you that he relapsed a few days ago and hasnt been able to remain sober since.

2) What would you tell your patient at this point?