Alcohol & Substance Abuse · Lesson 4 · ~9 min

Do You Have an Issue with Substance Abuse?

A hand touching the still surface of a golden pool at sunrise, sending out gentle ripples — a moment of honest self-reflection.
An honest look at yourself.

The hardest and most useful question in this whole course. You don't have to answer it for anyone else — just, honestly, for yourself. Below is a real screening tool used by health professionals worldwide. Take it privately.

Two promises before you start
1. It's private. Everything happens on this page. Nothing is saved or sent anywhere — closing the page erases it.
2. It's a screen, not a diagnosis. A screener flags "worth a closer look." Only a qualified professional can diagnose a substance use disorder.1

The AUDIT — an alcohol self-check

The AUDIT (Alcohol Use Disorders Identification Test) was built by the World Health Organization and is one of the most trusted screeners there is.2 Answer each question for the past year, as honestly as you can — honesty here only helps you.

What about other drugs?

The AUDIT is for alcohol. For other substances, the matching tool is the DAST-10 (Drug Abuse Screening Test) — 10 quick yes/no questions about the past year.3 You can find it via the link in the sources below.

The one idea to keep
A number on a screener isn't a label on you — it's a flag. A high score says "look closer and get support," not "you are broken." What you do next is the part that matters.

Support & help lines

Emergency — overdose or immediate danger
Call 911.
In crisis — thoughts of suicide
Call or text 988.
Free, confidential support — 24/7
Call 1-800-662-HELP (4357), the Substance Abuse and Mental Health Services Administration helpline. Prefer text? Text your ZIP code to 435748 (HELP4U).
Help near you — an anonymous treatment locator
findtreatment.gov

Sources

  1. DSM-5 substance use disorder criteria — NCBI Bookshelf, SAMHSA/NIH (diagnosis is clinical; screeners are not diagnostic).
  2. AUDIT (Alcohol Use Disorders Identification Test) — WHO, SAMHSA-hosted. Scoring bands per the WHO AUDIT manual.
  3. DAST-10 (Drug Abuse Screening Test) — NY OASAS / SBIRT.
  4. "Rethinking Drinking" — NIAAA, NIH (interactive tools to gauge your own drinking).
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