Chief Complaint: The patient presents for evaluation and management of substance abuse.  History of Present Illness: The patient is a 20-year-old male who reports using marijuana over the past [du1 1 year. The patient describes escalating use, resulting in negative impacts on his academic performance, relationships, and physical health. He reports using the substance to cope with stress and to achieve a sense of euphoria. The patient acknowledges a loss of control over his use and has attempted to cut down without success. 

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