Chief Complaint: The patient presents for evaluation and management of substance abuse. History of Present Illness: The patient is a 20-year-old male who reports using marijuana over the past [du1 1 year. The patient describes escalating use, resulting in negative impacts on his academic performance, relationships, and physical health. He reports using the substance to cope with stress and to achieve a sense of euphoria. The patient acknowledges a loss of control over his use and has attempted to cut down without success.
Psychotherapy Application
1 8 Client: Mariana Alvarez Age: 29 Gender: Female Culture: Mexican-American, first-generation college graduate. Location: Austin, Texas Scenario: Moved to a new place (a tech company) recently; is experiencing anxiety, isolation, and conflict of identity due to the relocation. I. Case Presentation The interviewee is a 29-year-old Mexican-American female, Mariana