Alex is a 28-year-old man, who is single and resides with his elderly parents. Alex describes having problematic alcohol and other drug use, and that he moved back in with his parents 6 months ago when a 4-year relationship broke down. Alex states that his parents have asked him to move out due to his substance use, and that he believes this was also the cause of his relationship breakdown. Alex expresses that he wants to change his behaviour, but that he has tried in the past and is fearful that he won’t be able to make changes in his life