Assessment > Psychiatric Interview > Alcohol Use & Drug Use

Alcohol Use & Drug Use

  • Alcohol, cigarettes and all illicit or over the counter drugs.

  • Current and past use. Document past use chronologically for each substance.

  • Assess dependence - Strong desire to take the drug, difficulties in controlling its use, persisting in its use despite harmful consequence, a higher priority given to drug use than to other activities and obligations, increased tolerance and a physical withdrawal state.

  • Alcohol - Calculate units in one sitting and for one week. CAGE questions (cut down, annoyed, guilty or eye opener), how much, when, type of alcohol. Specifically ask about withdrawal seizures and vitamin supplementation.

  • Cigarettes - 1 pack= 20 cigarettes, pack years are calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked.

  • For each drug - features of dependence; specifically ask physical health and social consequences (relationships, finances, police etc.).

  • Method of administration, if IV consider blood borne diseases.

  • Previous treatments for addiction, psychological as well as medication, including detox/inpatient detoxifications.

  • Periods of abstinence.

  • Motivation to reduce or stop use.