Raymond Xavier, a divorced $29-$year$-$old semi$-$employed landscaper, presented to a private psychiatrist with a complaint that his life was in a downward spiral. At the time of the appointment, he had been without a permanent home for over $6$ months. He had lived in various places, including his car and friends' homes.$$ For one month prior to presentation, he'd been living in a tent in the woods. He had called his parents on his recent birthday, and they had offered to pay for substance abuse treatment as long as they could pay directly. What is the risky use