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om participating in these illegal activities. I initially thought that "oppositional defiant disorder" may be a more appropriate diagnosis, but the negative, defiant, and hostile aspects are not really present. "Kurt seems defiant only in order to obtainthe alcohol or drugs he wants. This attitude doesn't carry over into other aspects of his life.TreatmentI recommend continued AODA group therapy, but also think individual talk therapy would benefit. I feel that the substance abuse is a symptom of an underlying problem, probably the result of the stressors at home. He may alsobe experiencing some mild depression and suffer from low self-esteem. ...

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