system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today with his mom for checkup.  He used to live in the city.  He used to go to college down in the city.  He got addicted to drugs.  He decided it would be a good idea to get away from the "bad crowd" and come up and live with his mom.  He has a history of doing heroin.  He was injecting into his vein.  He was seeing a physician in the city.  They were prescribing methadone for some time.  He says that did help.  He was on 10 mg of methadone.  He was on it for three to four months.  He tried to wean down on the methadone a couple of different times, but failed.  He has been intermittently using heroin.  He says one of the big problems is that he lives in a household full of drug users and he could not get away from it.  All that changed now that he is living with his mom.  The last time he did heroin was about seven to eight days ago.  He has not had any methadone in about a week either.  He is coming in today specifically requesting methadone.  He also admits to being depressed.  He is sad a lot and down.  He does not have much energy.  He does not have the enthusiasm.  He denies any suicidal or homicidal ideations at the present time.  I questioned him on the symptoms of bipolar disorder and he does not seem to have those symptoms.  His past medical history is significant for no medical problems.  Surgical history, he voluntarily donated his left kidney.  Family and social history were reviewed per the nursing notes.  His allergies are no known drug allergies.  Medications, he takes no medications regularly.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Hello, I'm here for my appointment.

assistant: Good afternoon, sir. Is this your mother?

user: Good afternoon, doctor. Yes, this is my mom.

assistant: Great, please, give me some background information on your history.

user: Well, I used to live here in the city when I went to college, but I wanted to get away from a bad crowd, so I came back to live with my mom.

assistant: What do you mean, bad crowd?

user: Well, I got addicted to drugs out there, and I used to inject heroin.

assistant: Did you see a doctor for this addiction?

user: Yeah, I saw another doctor in the city.

assistant: How did they treat you at that time?

user: They prescribed me methadone for a while.

assistant: Did that help at all?

user: Honestly, no, it didn't help at all.

assistant: Do you remember the dosage that you were given?

user: Um, it was ten M G.

assistant: How long did you take methadone for?

user: Um, it was for three or four months.

assistant: Did you ever try to decrease your dosage?

user: Yeah, um, I tried to wean off it for a while, but I was never really successful.

assistant: Have you been using heroin since?

user: Um, yeah, I've been using it occasionally.

assistant: Were you roommates at school using drugs?

user: Yeah, so it's hard to get away from the stuff, it was all over the house. Well, he can now, especially because he lives with me.

assistant: Good, when was the last time you used heroin?

user: Um, it's been about eight days now.

assistant: Good, congratulations. When was the last time you had methadone?

user: Um, it's been about a week for that now, too. Am I able to get more today?

assistant: We can discuss that. Have you had any feelings of depression recently?

user: Yeah, I feel down and sad a lot.

assistant: What about your energy?

user: I really don't have much.

assistant: What about your enthusiasm for the foods or activities you enjoy?

user: He hasn't had much enthusiasm for anything, either.

assistant: Are you having any suicidal or homicidal thoughts or actions at this time?

user: No, nothing like that, doctor.

assistant: Good, what about delusions, hallucinations, or disorganized thoughts or behaviors?

user: No, nothing like that either, doctor.

assistant: Do you have any medical conditions in the past that I should know about?

user: No, not that I know of. No, he hasn't been treated for anything before, doctor.

assistant: You completed your family and social history earlier with the nurses, is there anything you want to add to that?

user: No, everything there is complete.

assistant: Do you have any allergies?

user: No, I don't have any.

assistant: Good, and do you take any medications right now?

user: No, doctor. I don't take anything.

assistant: Have you had any surgeries in the past?

user: I voluntarily donated my left kidney.