It may help to get an independent perspective from someone you trust and who knows you well. You can start by discussing your substance use with your primary doctor, or ask for a referral to a specialist in drug addiction, such as a licensed alcohol and drug counselor, or a psychiatrist or psychologist. Take a relative or friend along.
What you can do
To prepare for your appointment:
- Be honest about your drug use. When you have a drug-use problem, it can be easy to downplay or underestimate how much you use and your level of dependence. To get an accurate idea of which treatment may help, be honest with your doctor or other mental health provider.
- Make a list of all medications, vitamins or other supplements that you're taking and the dosages. Tell the doctor about any legal or illegal drugs you're using.
- Prepare questions to ask your doctor.
Basic questions to ask your doctor include:
- What's the best approach to my drug problem?
- Should I see a psychiatrist or other mental health provider?
- Will I need to go to the hospital or spend time as an inpatient or outpatient at a recovery clinic?
- Are there any brochures or other printed material that I can have? What websites do you recommend?
- What are the alternatives to the primary approach that you're suggesting?
Don't hesitate to ask questions anytime during your appointment.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Be ready to answer them to reserve time to go over any points you want to focus on. Your doctor may ask:
Dec. 05, 2014
- What drugs do you use?
- When did your drug use first start?
- How often do you use drugs?
- When you take a drug, how much do you use?
- Do you ever feel that you might have a problem with drugs?
- Have you tried to quit on your own? What happened when you did?
- If you tried to quit, did you have withdrawal symptoms?
- Have any family members criticized your drug use?
- Are you ready to get the treatment needed for your drug problem?
- Family checkup: Positive parenting prevents drug abuse. National Institute on Drug Abuse. http://www.drugabuse.gov/family-checkup. Accessed Aug. 19, 2014.
- Weaver MF, et al. Substance use disorder: Principles for recognition and assessment in general medical care. http://www.uptodate.com/home. Accessed Aug. 19, 2014.
- Substance-related and addictive disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Aug. 19, 2014.
- Information about NA. Narcotics Anonymous. http://www.na.org/?ID=ResourcesforProfessionals-content. Accessed Aug. 19, 2014.
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- Drug facts: Understanding drug abuse and addiction. National Institute on Drug Abuse. http://www.drugabuse.gov/publications/drugfacts/understanding-drug-abuse-addiction. Accessed Aug. 19, 2014.
- Akram Y, et al. Family-based interventions for substance misuse: A systemic review of systematic reviews — Protocol. Systematic Reviews. 2014;3:90.
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- Principles of drug addiction treatment: A research-based guide. National Institute on Drug Abuse. http://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment. Accessed Aug. 19, 2014.
- Alcohol and drug addiction happens in the best of families. Substance Abuse and Mental Health Services Administration. http://store.samhsa.gov/product/Alcohol-and-Drug-Addiction-Happens-in-the-Best-of-Families/SMA12-4159. Accessed Aug. 19, 2014.
- Intervention — Tips and guidelines. National Council on Alcoholism and Drug Dependence Inc. http://www.ncadd.org/index.php/for-friends-and-family/intervention. Accessed Aug. 19, 2014.
- Karpyak VM (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 27, 2014.
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- Synthetic drug threats. National Conference of State Legislatures. http://www.ncsl.org/research/civil-and-criminal-justice/synthetic-drug-threats.aspx. Accessed Sept. 19, 2014.
- DrugFacts: Spice ("Synthetic marijuana"). National Institute on Drug Abuse. http://www.drugabuse.gov/publications/drugfacts/spice-synthetic-marijuana. Accessed Sept. 19, 2014.
- DrugFacts: Synthetic cathinones ("Bath salts"). National Institute on Drug Abuse. http://www.drugabuse.gov/publications/drugfacts/synthetic-cathinones-bath-salts. Accessed Sept. 19, 2014.
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