Ask James if you can get a better sense of what is happening

You tell him "There are a number of things we think about when behavior changes in teenagers. Things like normal teenage angst, depression, anxiety, & of course substance use." You then ask more...

"In order to help provide you with the best information, I'm going to ask you some questions about all of these areas. Would you mind answering a few questions to make sure we are using our time well?"

You decide to use the CRAFFT questions as a screening tool.

Other resources: