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Question
Janice is a 54-year old woman who has been referred to outpatient services after relapsing. She had previously been abstinent from crack cocaine and alcohol for 20 years; however, after the death of her mother and partner, she began to drink again. Initially, she was able to manage her alcohol use but it quickly escalated from "a drink or two" after work to a bottle of vodka every two days and a drink in the morning to "calm her nerves" before work. She has not returned to the use of crack but is still drinking daily and there is alcohol on her breath during this initial visit.
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