Substance Abuse

"Tobacco use and excessive alcohol consumption have been shown to increase the risk of chronic diseases and death. Treatments often take time, different approaches, and many attempts. Patience and support are an important part of changing habits of hazardous substances."

IN THE PAST 12 MONTHS (Tobacco/Alcohol/other drugs)

Have you used drugs other than those required for medical reasons?

Yes

No

Do you abuse more than one at a time?

Yes

No

Can you always stop using whenever you want?

Yes

No

Have you had "blackouts" or "flashbacks" as a result of substance use?

Yes

No

Have you ever felt bad or guilty about your consumption of these?

Yes

No

Does your spouse (or parents) ever complain about your use?

Yes

No

Have you neglected your family due to use?

Yes

No

Have you participated in illegal activities to obtain these substances?

Yes

No

Have you ever experienced withdrawal symptoms (felt sick) when you stopped using it?

Yes

No

Have you had medical problems as a result of substance use (for example, memory loss, hepatitis, seizures, bleeding, etc.)?

Yes

No

If you answered yes to 1 or 2 of the questions above, you should receive counseling.

If you answered yes from 3 to 5, you probably meet the DSM-5 criteria for a substance use disorder and should participate in (at a minimum) an intensive outpatient program.

If you answered yes to the questions 6 to 8 times, your drug problem is significant and requires intensive hospital treatment.

If you answered yes to the 9 or 10 questions above, your problem is classified as serious and requires immediate clinical intervention.