The last factor of a biopsychosocial approach is to examine and identify an individual’s psychological struggles. From my observation, my brother struggles with low self-esteem, mood swings, anxiety, impulsive thoughts, and depression. For these psychological elements plays a role in his mood, personality and behavior with alcohol. My brother has admitted that alcohol helps him cope with his racing thoughts, insomnia, irritability/anger, shame/guilt and negative thoughts about himself. Without alcohol, he is distant and avoids talking to others. He has often stated that it is difficult for him to talk with people when he is sober, for alcohol is his “liquid courage”. Therefore, my brother uses alcohol as a way to cope with his mental health
