What is the most accurate statement regarding Sandra, who has a history of cocaine abuse and depression?

The most accurate statement regarding Sandra's situation is that she likely uses cocaine to cope with depression, indicating a dual diagnosis. This reflects a common pattern in individuals who experience both substance use disorders and mental health issues, such as depression. People with depression may seek out stimulants like cocaine to alleviate their low mood and increase energy temporarily. However, this can lead to a harmful cycle where the substance abuse exacerbates the underlying mental health issues, creating a dual diagnosis scenario.

Understanding dual diagnosis is essential in addiction treatment, as it highlights the interconnectedness of mental health and substance use disorders. Addressing both conditions concurrently is crucial for effective treatment and recovery. While other statements may touch upon elements of her situation, recognizing the interplay between her cocaine use and depression captures the complexity of her condition most accurately.

The other options, while relevant to aspects of substance use and mental health, do not specifically address the relationship that indicates a dual diagnosis. This connection helps to form a more comprehensive understanding of her needs for treatment and support.