Pain Discovery
Understanding what's broken. Open-ended questions that invite full stories rather than yes/no answers.
What Works
- Open-ended questions that invite full stories
- Specific follow-ups that show you're tracking (not just checking boxes)
- Non-judgmental language choices ("struggling with" beats "addicted to")
- Let them finishβdon't interrupt to redirect
Opening Pain Question
"What's going on with you?"
Frequency: 7-8 uses
Why it works: Completely open-ended; not accusatory
Impact: Caller opens up about multiple issues (bipolar, PTSD, paranoia, substance use)
Context: After you've confirmed caller type and basic logistics
"What substance have you been struggling with?"
Frequency: 8 uses
Why it works: "Struggling with" = empathetic, not judgmental
Impact: Caller answers directly without defensiveness
Creates non-judgmental tone; caller is MORE forthcoming
Follow-Up Discovery
"And what do you drink normally? Is it like vodka or beer or..."
Why it works: Trails off with "or" so caller completes the thought
Outcome: Caller volunteered drinking pattern and escalation
"What's going on with him exactly?"
Context: Loved-one discovery when they give vague opening
Impact: Gets full situation (court order, substance, need for sober living)
Power: Open-ended follow-up forces specificity
When to Use Each
- Start with "What's going on?" after self-identification
- If they give vague answer, follow with "What substance have you been struggling with?"
- For loved-ones: "What's going on with him/her exactly?"
- Use trailing "or..." to invite specific details
Discovery Flow Example
Agent: "What's going on with you?"
Caller: "I've been having some problems..."
Agent: "Okay. What substance have you been struggling with?"
Caller: "Mostly drinking."
Agent: "Gotcha. And what do you drink normally? Is it like vodka or beer or..."
Caller: "Vodka. About a bottle a day. It started with wine but..."
What NOT to Say
| Avoid | Say Instead |
|---|---|
| "What's your drug of choice?" | "What substance have you been struggling with?" |
| "How bad is it?" | "What's going on with you?" |
| "Are you an alcoholic?" | "How long has the drinking been a concern?" |
| "Do you need detox?" | "Tell me about what a typical day looks like." |