Europe has the highest proprotion of drinkers worldwide and experiences the largest burden of alcohol harms.  Sometimes this is obvious, but often its subtle and disproportionately affects deprived populations.  It’s up to us to bring the topic of alcohol into the consultation and how we do this is a nuanced part of our craft. Some GPs will have a natural ability, but the rest of us can improve.Outline the alcohol harms that present in GP – the obvious and hidden. Explore what effective conversations about alcohol could look like Explain some physiology and psychology of addiction Introduce concept of relational injury Highlight importance of signposting with conviction to recovery resources Discuss how to hold the hope when patients feel helpless Exposure to recoveryIntroduction from our context – GP in Scotland, the alcohol harms we see in daily practice. Structured technique to draw out from participants: — the alcohol-related harms in their own practice (obvious and hidden) — positive and negative experiences of talking about alcohol Presentation on physiology and psychology of addiciton, what trauma-informed, patient led conversations could look like. Structured sharing from participants:  –What recovery resources exist in their communities — Examples of recovery or harm reduction in their patients Conclude with exposure to recovery to engender hope.Highlight hidden harms that alcohol causes in our patients and ourselves. Explore what a GP can realistically offer – our role in identifiying alcohol harm, linking alcohol to presenting complaints, skillfil conversation, reducing healthcare stigma, communicating the physiology and psychology of addiciton,  signpost to recovery resources with conviciton, holding hope.   Exposure to what a trauma-informed, patient led conversation about alcohol could look like Sharing of participant experience  Exposure to recoveryHow we talk to patients matters. It influences their agency to recognise and change unhealthy drinking behaviour and their perception of healthcare stigma. In Scotland, one in five patients we see every day drink harmful levels of alcohol. But we are not alone as Europe bears the highest worlwide burden of alcohol related harm.  We hope prompt insights that could make a difference to participants' next clinic.