Suzanne has come by the free “drop-in” counseling clinic where you work to get some

information and advice. Suzanne is a 22-year-old single woman who has been living with her boyfriend
Jack in Manhattan’s lower east side for the last four years. She and Jack have been heroin
addicts for as many years.
When Suzanne was 10 years old, her father, whom she says was a very heavy drinker, left her
mom and the kids and never came back. At 14 she started drinking and smoking marijuana. At 16
she had dropped out of high school and at 18 she moved in with Jack. He introduced her to heroin.
She reports using about a 1/2 gram of heroin per day just to be able to function and feel
comfortable. In order to pay for the heroin and pay the rent on their apartment, Jack doesn’t work,
instead, she works the streets at night. She usually drinks four or five beers each night before going
out to work. If she can’t score enough heroin, she will try to score either some Valium?