Addiction to substance that results in the failure to fulfill major obligations (e.g. work, family).

Common features include:

  • Prioritisation of substance use over obligations
  • Substance use in situations that may be physically dangerous
  • Legal issues related to substance abuse

Tips for management:

  • Ensure you treat the patient with respect
  • Respond to the person not the person’s diagnosis or label
  • Be patient, but set clear boundaries about acceptable and unacceptable behaviour if required

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