Are you struggling with substance use?

Some Examples of substance use

  • Opiates/Heroin/Fentanyl

    Have you found that you need to use larger amounts of opioids to achieve the same effect, or do you experience diminished effects when using the same amount?

    Do you experience withdrawal symptoms when not using opioids, or do you use opioids to avoid these symptoms?

    Have you taken opioids in larger amounts or over a longer period than you intended?

    Do you have a persistent desire to cut down on your opioid use, or have you made unsuccessful attempts to control your use?

    Do you spend a lot of time obtaining, using, or recovering from the effects of opioids?

    Have you failed to fulfill major responsibilities at work, school, or home because of your opioid use?

    Do you continue to use opioids despite having social or interpersonal problems caused or worsened by your use?

    Have you given up or reduced important activities in your life (such as social, occupational, or recreational activities) because of your opioid use?

    Do you use opioids in situations where it is physically dangerous?

    Do you experience strong cravings or urges to use opioids?

  • Alcohol

    C: Have you ever felt you should Cut down on your drinking?

    A: Have people Annoyed you by criticizing your drinking?

    G: Have you ever felt bad or Guilty about your drinking?

    E: Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye-opener)?

    Have you experienced liver problems, like fatty liver or cirrhosis, from drinking alcohol?

    Have you noticed any heart issues, such as high blood pressure, related to your alcohol use?

    Have you had any memory loss or trouble thinking clearly because of drinking?

    Have you experienced stomach pain due to alcohol?

    Have you had issues with hormone levels, such as infertility or sexual problems?

    Have you been told that your alcohol use increases your risk of certain types of cancer?

  • Stimulants/Cocaine/Meth

    Do you often find yourself using more than you intended or for longer periods than you planned?

    Have you experienced cravings or urges to use cocaine, stimulants, or meth that you find difficult to control?

    Have you neglected responsibilities at work, school, or home because of your use of these substances?

    Have you continued to use despite experiencing problems in relationships due to your substance use?

    Have you ever engaged in risky behaviors (like driving or using in unsafe situations) while under the influence?

    Have you ever felt your tolerance increasing, needing to use more to achieve the desired effect?

    Have you ever been diagnosed with any heart problems (e.g., arrhythmias, heart disease)?

    Have you ever experienced symptoms such as chest pain, shortness of breath, or palpitations?

    Have you ever had a stroke or experienced any symptoms like sudden weakness, difficulty speaking, or vision changes?

Are you struggling with THC/Marijuana use?

  1. Have you experienced any memory problems or difficulty concentrating that you think might be related to THC use?

  2. Have you felt anxious or paranoid after using THC, or noticed these feelings becoming more common over time?

  3. Have you found that you rely on THC to relax or cope with stress?

  4. Have you experienced changes in your motivation or interest in activities you used to enjoy since using THC?

  5. Have you had trouble sleeping or experienced changes in your sleep patterns because of your THC use?

  6. Have you noticed any respiratory issues, like coughing or wheezing, from smoking marijuana?

  7. Have you felt dependent on THC or found it difficult to stop using it?

  8. Have you experienced any mood swings or emotional issues related to your THC use?

  9. Have you had any problems with your relationships or responsibilities due to your THC use?

  10. Have you been informed that using THC could increase your risk for certain mental health issues, like depression or psychosis?

Are you addicted to benzodiazepines likes Xanax, Valium, Klonopin?

  1. Have you experienced memory problems or forgetfulness that you think might be related to using benzodiazepines?

  2. Have you felt more anxious or depressed since you started using benzodiazepines?

  3. Have you noticed that you rely on benzodiazepines to help you relax or cope with stress?

  4. Have you had trouble concentrating or focusing on tasks since using benzodiazepines?

  5. Have you experienced any physical symptoms, like dizziness or tiredness, from taking benzodiazepines?

  6. Have you found it difficult to stop using benzodiazepines or felt dependent on them?

  7. Have you experienced withdrawal symptoms when you try to stop taking benzodiazepines?

  8. Have you had any problems with your relationships or responsibilities because of your benzodiazepine use?

  9. Have you noticed any changes in your mood or emotional state related to benzodiazepine use?

  10. Have you been told that using benzodiazepines for a long time can increase the risk of falls or accidents or seizures?