<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been struggling with drug abuse for a while now and its really affecting my life. I also feel like my self-esteem has been really low lately.  <response>: Based on what youre telling me, it seems like you may be struggling with opioid abuse, which can lead to low self-esteem and other negative consequences. Its important that we address this issue as soon as possible. 