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Conditions we treat

Substance Use Disorder

Substance use disorder is a medical condition in which use of alcohol or drugs continues despite causing problems with health, relationships, work or daily life.

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What it can look like

  • Using more, or for longer, than intended
  • Wanting to cut down but not being able to
  • Cravings or strong urges to use
  • Problems at work, school or home because of use
  • Needing more to get the same effect, or withdrawal symptoms

Only a qualified clinician can make a diagnosis. Many of these experiences overlap with other conditions.

How we help

We treat substance use alongside the mental health conditions that often go with it, without judgment. Care may include medication, therapy and coordination with other services when more support is needed.

All care at EKM Psychiatry is delivered by secure telehealth across New York.

Self-check questionnaire

AUDIT-C alcohol use questionnaire

Private: your answers stay on your own device. They are scored in your browser and are never sent to EKM Psychiatry or saved. This is a screening tool, not a diagnosis.

These questions are about your use of alcohol.

1. How often do you have a drink containing alcohol?
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
3. How often do you have six or more drinks on one occasion?

AUDIT-C (Bush et al., 1998; cut-offs Bradley et al., 2007), from the WHO AUDIT (Babor et al., 2001). Free for clinical use.

Self-check questionnaire

DAST-10 drug use questionnaire

Private: your answers stay on your own device. They are scored in your browser and are never sent to EKM Psychiatry or saved. This is a screening tool, not a diagnosis.

These questions refer to the past 12 months. “Drug use” means prescription or over-the-counter drugs used in excess of the directions, and any non-medical use of drugs. It does not include alcohol.

1. Have you used drugs other than those required for medical reasons?
2. Do you abuse more than one drug at a time?
3. Are you always able to stop using drugs when you want to?
4. Have you had “blackouts” or “flashbacks” as a result of drug use?
5. Do you ever feel bad or guilty about your drug use?
6. Does your spouse (or parents) ever complain about your involvement with drugs?
7. Have you neglected your family because of your use of drugs?
8. Have you engaged in illegal activities in order to obtain drugs?
9. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
10. Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding)?

DAST-10: Skinner HA. The Drug Abuse Screening Test. Addict Behav 1982;7(4):363-71. Free for clinical use with attribution.

Ready to begin?

We’re here to help.

Call (518) 703-6840 or send us a secure message to get started.

Schedule today Send us a message

If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.

Other conditions we treat