Drug or alcohol abuse begins when the user

Drug or alcohol abuse begins when the user makes the conscious decision to use drugs or alcohol.

Explanation:

The excess of alcohol and the use of mind-altering drugs called psychoactive substances (SPAs) have been going on for thousands of years and most likely will follow the whole history of mankind. Whether for cultural or religious reasons, for recreation or as a way of coping with problems, for transgressing or transcending, as a means of socialization or for isolation, man has always been related to drugs and alcohol.

This abuse is highly destructive to the user and everyone around them. This is because in addition to health problems, this abuse promotes psychological and social problems, leaving the user in a deplorable state. Drug or alcohol abuse begins when the user makes a conscious decision to use drugs or alcohol and ends up losing control.

answer; all of the above;