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Case Study: Joe R.

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Joe R.’s current substance abuse and mental perpetuates the presenting problem. The substance abuse interferes with his ability to do day to day activities such as going to school, making connection and developing into a healthy person. Substance abuse is known to inhibit the brain therefore stunting normal development in social and emotional areas. When he has a “hang over” he struggles with getting out of bed to go to school because he feels quite unwell.
Joe’s depression furthermore affects areas in his life that can cause difficulties that perpetuate the problem, for example, feeling lethargic, tired and fatigued makes it difficult for Joe to get out of bed. The feelings of hopelessness and helplessness prevent him from see how school

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