Substance Abuse and Drug Addiction Self Assessment

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.

How Do You See Yourself?

An individual's view of themselves is the best way of determining whether shame inhibits productive interaction between yourself and others.

Please check the boxes below to answer YES to the following questions below:

My shame is associated with my experience of:

        Abandonment

        Loss of trust

        Regrets

        Lack of success

I feel my relationships are always in jeopardy

I often think about my past failures

I keep making the same mistakes over and over

I am generally disgusted with myself

I feel certain experiences have ruined my life

I perceive myself as an inferior person

If things don't go as planned I blame someone else

I often experience feelings of emptiness

My experiences of shame dominate my memory and I have problems resulting in great periods of depression.

If you've answered "yes" to (3) three or more of these self-inventory questions it is recommended that you get a professional assessment for a possible shame related dysfunction.

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

Call (214) 328-4848 or for more information

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