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54 year old female presents for follow-up for hypertension treatment. She previously saw a different provider for 10 years in your clinic, and now her care is transferred to you after her doctor's retirement. Per records, hypertension has been difficult to manage despite numerous medication trials. Previous doctor's notes "regular drinker, needs AA" but no other details. Presents now for regular follow-up for hypertension, but with new complaint of feeling depressed and having abdominal pain. It becomes clear that abdominal pain is likely gastritis from alcohol. She admits that drinking has gotten "out of hand" and she "needs to go to AA." First episode of depression lasted 3 months, started before alcohol problems, then during 2nd episode she began drinking more which allowed her to "numb" her emotions. Patient tried to cut back a few times, but her spouse is a "moderate" drinker who keeps alcohol in the house. Does patient need a brief intervention or a referral to treatment?
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