Theory The ego-orientated intervention theory holds that the subject scenario will improve if his/her self-esteem and ego, as well as self-concept, are bolstered. The DSM-IV (American Psychiatric Association 1994) outlines that substance abuse is a maladaptive pattern of substance use the results in clinically significant impairment or distress, as manifested by one or more of the items outlined below;   * Failure to meet major social role obligations at work, school, or even in domestic precincts   * Engaging in physically dangerous activities, substance-related legal problems, and perpetual substance use regardless of its evident negative personal and interpersonal effects. Kendall RE (1983) notes that substance because may or maybe without psychological dependence. There has been a paradigmatic and perspective shift from the view of substance abuse and a negative evil and sinful conduct into more proactivist approaches that seek to understand the dynamism of the problem and find feasible solutions to it. Application Health and social work practitioners who have made use of the mental health model in close relation to the Ego-Orientated approach in dealing with the problem of an addiction normally regard substance abuse as part of the efforts to implement means of self-medication. This abuse of substance has also been viewed by many practitioners as an expression of a way of handling entrenched personal predicaments. This has made psychodynamically inclined practitioners shift from attacking the abuse problem directly and rather adopt a holistic and far-reaching approach in the understanding that the former will would result in the diminishing of the victim’s self-esteem and ego The other perspective is grounded on the learning model that holds alcohol and substances abuse as emanating from maladaptive, conditioning and the acquisition of new behavior. The thrust reinforces the support for individuals to gain control over their substance abuse predicament either via abstinence or regulated use of drugs or alcohol. The dilemma on this dimension is presented by the question that, will controlled substance use be realistic or it will imminently lead to abuse? Practice The core tenet and perspective on the subject of substance abuse-related social therapy dwells on that the problem has to be placed within the broader precincts of the factors that characterize the environment of the affected individual. The practical application of the model has in several social therapy cases employed in the thrust of bolstering subjects’ morale and self-concepts. I also noticed in my experiential cases that the enunciation of a client’s positive environments and personal attributes sin the aim to salvage their esteem and embolden their self-concept identifies with conceptual tenets of the ego-centered social therapy approach. The external factors that can also be used to map a framework that constitutes the source of an individual‘s problems culminating in and from substance abuse can be social like poverty, unemployment, etc. In practice, this perspective has also been used when problems of such nature facing individuals are contextualized within broader socio-cultural and sometimes political factors. This perspective argues for the interv