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Case Study: Lloyd is a 23 year old single male who chose to move to Dallas, Texas instead of going to college. He has been working as a plumber's assistant for the last couple of years and will soon get his union membership. However, he has to pass a drug test which has brought him to treatment at your agency presently. "Then I could bid on city jobs and make a very comfortable living." As it is, he makes pretty good money when jobs are around. During lean times he works on cars and motorcycles on the side. He reports an active social life with his friends and all of them do some type of drug or another. Lloyd prefers to smoke or shoot methamphetamine and has done so for 5 years. He reports that he prefers to inject meth but many of his veins have collapsed leaving few options. Lloyd says he doesn't do any other drugs but has tried them all. Occasionally he will drink some Scotch but lately his stomach has been really giving him trouble. Sometimes it will feel like multiple stab wounds in my gut that go on for hours. It really has me scared. He's seen his doctor and she prescribed some Demerol and an antacid. He's pretty sure it's related to his drug use. Lloyd tells you quite frankly that when he gets too bad and too sick from the drugs he'll take himself out. "Hey, I think of suicide from time to time. If it gets really bad? I mean."
Qeustions: In thinking about Lloyd's case, please answer the following questions:
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