Question 1: evidence of substance abuse disorder
According to DSM-IV TR for substance abuse and substance dependence, the patient has to show a maladaptive pattern of substance misuse which leads to clinical distress or impairment. The patient has to show recurrent use of substance which leads to his or her failure to accomplish most responsibilities at home or at work. The patient can also show recurrent use of substance even in physically hazardous circumstances. Despite having consistent interpersonal or social problems that are a result of or are exacerbated by the use of substance, the patient shows continued use of substance. From the above criteria, Steve in the ...