In this task, you are given a sentence in the Spanish language. Your task is to translate the Spanish sentence into the English language.

Input: Consider Input: La presencia de un trastorno mental y el uso patológico de sustancias tóxicas

Output: The presence of a mental disorder and the pathological use of toxic substances


Input: Consider Input: El principal factor de crecimiento autocrino para la mayoría de linfocitos T tras el reconocimiento del antígeno es

Output: The main autocrine growth factor for most T lymphocytes after antigen recognition is


Input: Consider Input: ¿Cuál es el enfoque que propone el modelo de relación entre terapeuta y cliente como de experto a experto?


Output: What is the approach proposed by the relationship model between therapist and client as expert to expert ?