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- [Instructor] In order to understand substance abuse disorders, we first have to understand why people start using substances in the first place, and there seem to be four main reasons. The first is that substances feel good. They can elevate someones mood or induce euphoria, and these are things that people like. The second reason is that sometimes people take certain drugs to calm them down. So they can help people find relief from things like anxiety and pain. Substances can also provide some kind of enhancement. So someone might take substances to help them concentrate better at work or to increase alertness, so they can stay up all night studying. And lastly, substances can be involved in important social functions, things like peer bonding and other types of social facilitation, or even peer pressure. And so these four things can help us understand why people start using substances, but we also want to know why they keep using substances. And we can think about that question as