What is the primary focus of counseling in the scenario involving Kia and her substance use disorder?

The primary focus of counseling in a scenario involving Kia and her substance use disorder would indeed center around addressing cultural conflicts that affect her decision-making. This focus recognizes the complex interplay between an individual's cultural background and their behavior, especially in the context of substance use and recovery. Counselors often need to understand how cultural norms and values shape a person's choices and perspectives.

In Kia's case, supporting her in navigating these cultural conflicts can help her gain insight into how those influences contribute to her substance use disorder and her overall well-being. This approach allows for a more holistic understanding of her issues, thus helping her make informed decisions that align with her values and circumstances.

While compliance with parental expectations, acceptance of an arranged marriage, or supporting her fiancé might seem relevant, these aspects may sideline Kia's own needs and preferences. Focusing on her cultural conflicts allows for a more supportive and empowering therapeutic environment where Kia can explore her identity, choices, and the impact of cultural pressures on her substance use.