[Verified Answer]: Clark is a 42-year-old Caucasian- Hispanic…

Clark is a 42-year-old Caucasian- Hispanic biracial male. He uses pronouns he, him, and his. He presents to the outpatient primary care office at the request of a follow-up by another provider in the office who only completes initial appointments. This follow-up was requested for secondary diagnosis with concerns for substance use disorder and depression. On initial screening at his primary care visit he endorsed that he drank 4x/week and that his consumption often was three 40 oz beers. Additionally, he endorses drinking six or more drinks in social situations at a minimum of 2x/ month. He endorses mood changes that started 4-6 weeks ago. He has had increased sadness and irritability since hurting his back at a barbeque. He endorses he was intoxicated and fell, twisting his back. He rates his pain at a 3/10 daily and occasionally a 6/10 if he moves anything heavy. Since the injury, he has missed work several days, has been placed on light duty and therefore has lost compensation. He works in the construction industry and notes “I have very few options when I can’t carry the shingles up the ladder or twist and turn all day; so I try to work a few days then I’m down for a couple and have to take time off again.”