I think it’s probably the 3rd answer it gives the patient an opportunity to add more detail
Answer:
Either an alcohol or drug use problem or a mental health issue may come first. If you have a mental health issue, you may use alcohol or drugs to try to feel better. Or a substance use problem may lead to mental health symptoms such as depression, anxiety, or rage. For some individuals a substance use problem and mental health issue start at the same time, triggered by the same factor; for others they start separately.
Explanation:
They will start seperatly
The health triangle is said to be a measure of our mental, physical and social health. It shows that the three triangle elements are related and connected to each other. Therefore, all three sides of the triangle must be balanced in order to attain real health. If one side of the triangle is given too much emphasis or not enough emphasis, the other sides will change or become different. So this will lead to an imbalance and problems will develop, like diseases and other ailments.