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Check for Substance Use Disorder Symptoms

Take this brief quiz to see if you may have a problem with alcohol or other drug use, and if proven treatment like CBT for Substance Use Disorders may help you.

Use this brief screening tool to see if Cognitive Behavioral Therapy for Substance Use Disorders may be helpful to you. The questions that follow are about your use of alcohol and other drugs. Your responses to these questions will be anonymous, and no information will be collected, saved, or sent over the Internet. Mark the response that best fits you. Answer the questions in terms of your experiences in the past 6 months.

About these questions

The questions you will be asked come from the "Simple Screening Instrument for Substance Abuse," or "SSI-SA," questionnaire for short. This is a proven tool for screening for alcohol and other drug use problems. This questionnaire does not provide a diagnosis. Only a health care or mental health care provider can diagnose an alcohol or other drug use condition.

During the last 6 months…

Have you used alcohol or other drugs? (Such as wine, beer, hard liquor, pot, coke, heroin or other opiates, uppers, downers, hallucinogens, or inhalants)

During the last 6 months…

Have you felt that you use too much alcohol or other drugs?

During the last 6 months…

Have you tried to cut down or quit drinking or using alcohol or other drugs?

During the last 6 months…

Have you gone to anyone for help because of your drinking or drug use? (Such as Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, counselors, or a treatment program.)

During the last 6 months…

Have you had any health problems? For example, have you:
  • Had blackouts or other periods of memory loss?
  • Injured your head after drinking or using drugs?
  • Had convulsions, delirium tremens ("DTs")?
  • Had hepatitis or other liver problems?
  • Felt sick, shaky, or depressed when you stopped?
  • Felt "coke bugs" or a crawling feeling under the skin after you stopped using drugs?
  • Been injured after drinking or using?
  • Used needles to shoot drugs?

During the last 6 months…

Has drinking or other drug use caused problems between you and your family or friends?

During the last 6 months…

Has your drinking or other drug use caused problems at school or at work?

During the last 6 months…

Have you been arrested or had other legal problems? (Such as bouncing bad checks, driving while intoxicated, theft, or drug possession.)

During the last 6 months…

Have you lost your temper or gotten into arguments or fights while drinking or using other drugs?

During the last 6 months…

Are you needing to drink or use drugs more and more to get the effect you want?

During the last 6 months…

Do you spend a lot of time thinking about or trying to get alcohol or other drugs?

During the last 6 months…

When drinking or using drugs, are you more likely to do something you wouldn't normally do, such as break rules, break the law, sell things that are important to you, or have unprotected sex with someone?

During the last 6 months…

Do you feel bad or guilty about your drinking or drug use?

The next questions are about your lifetime experiences.

Have you ever had a drinking or other drug problem?

The next questions are about your lifetime experiences.

Have any of your family members ever had a drinking or drug problem?

The next questions are about your lifetime experiences.

Do you feel that you have a drinking or drug problem now?

Summary of Your Results

Your responses suggest that you may have some problems related to alcohol or other drugs and that you may benefit from treatment like Cognitive Behavioral Therapy for Substance Use Disorders. Learn more about this proven treatment that has helped many people, including Vets. To find treatment or learn more about your options, visit the Find Treatment section of this website, or visit your health care provider. To learn about treatment resources for other mental health conditions, visit the Additional Resources section of this website.

You report having few problems related to alcohol or other drugs. However, you still may wish to learn more about Cognitive Behavioral Therapy for Substance Use Disorders, which has helped many Vets. To speak with a trained professional about your options, visit the Find Treatment section of this website, or visit your health care provider. To learn about other resources, or about resources for other mental health conditions, visit the Additional Resources section of this website.

You report having very few, if any, problems related to alcohol or other drugs. You may not feel the need for treatment at this time. However, you still may wish to learn more about Cognitive Behavioral Therapy for Substance Use Disorders, which has helped many Vets. To learn about other resources, or about resources for other mental health conditions, visit the Additional Resources section of this website.

If you are in crisis or are in need of immediate help:

If you feel at any time that you might be in danger of harming yourself or someone else or you would like to speak with someone immediately, please know that there are people who care and ready to help right away. There are several options for support right now:

  1. Call the Veterans and Military Crisis Line at 988 and Press 1.
  2. Text the Veterans and Military Crisis Line at 838255.
  3. Chat confidentially online with a Veterans and Military Crisis Line counselor.
  4. Call 911 or go to the nearest hospital emergency room.
Next: Find Treatment

Your privacy is very important. No information that you provide will be kept or stored.

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Questions or problems? Contact Rocky Mountain MIRECC.

 

Contact Information

Colorado

Rocky Mountain Regional VAMC (RMR VAMC)
1700 N Wheeling St, BLDG A2
Aurora, CO 80045
303-399-8020
RockyMountainMIRECC@va.gov

Utah

VA Salt Lake City Health Care System
500 Foothill DR
Salt Lake City, UT 84148
801-582-1565 ext 2835

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