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Addiction Self Assessment

Which drugs are you currently using?

Cocaine	Speed	Alcohol	Xanax
Hydrocodone	Oxycotin	Valium	Heroin
Opiates	Vicodin	Methadone	Lortab

Do you currently use prescription or street drugs?

Are you taking prescription pain pills?

Do you take more medication than prescribed?

Do you have more than one prescription from the same or different physicians?

Do you obtain drugs from the streets?

Have you been using drugs more than 30 days?

Have you tried to stop using and couldn't stay drug free?

Are you pregnant? If Yes, seek counsel if you have any doubts or concerns about addiction.

Have you ever received treatment for any addiction?

Have you ever been arrested for a drug related activity?

If you answer "No" to the first two addiction self assessment questions, chances are you are not chemically dependent. If you answered "Yes" to any of the other questions it is recommended that you get a professional addiction assessment for possible substance abuse or drug addiction problem.

The results of this self assessment are not conclusive; these are only indicators. If you have questions about addiction, please call (214) 328-4848 or submit the form below for a free consultation. One of our counselors will be happy to answer your questions.

We respect your privacy and never sell or rent your E-mail address.

The Shame Test

Please read each statement. Choose the term which best describes your response.

Always-1 Very Often-2 Often-3 Sometimes-4 Seldom-5 Very Seldom-6 Never-7

I often think about past failures or experiences of rejection.

There are certain things about my past which I can't recall without experiencing strong painful emotions.

I seem to make the same mistakes over and over again.

There are certain aspects of my character I want to change, but I don't believe I can ever be successful.

I feel inferior or inadequate.

I don't like the way I look.

I am generally disgusted with myself.

I believe that certain experiences in my life have ruined me.

I see myself as being an immoral person.

I think I have lost the opportunity or the ability to have a complete and wonderful life.

Please add up the numbers you placed in the boxes. If your score is 10-36 please seriously consider some counseling. If your score is 37-46 you may find that counseling will benefit you, especially in making decisions. If your score is 47-70 you have done well in addressing the shame that plagues so many.

Dr. Candace McDaniel
8021 East R.L. Thornton Fwy, Suite A
Dallas, Texas 75228

Call (214) 328-4848 or for more information