Try to answer the questions below as honestly as possible. If the person is willing, you can include him or her in the discussion. (“Drugs” is used here to refer to illicit drugs, prescription drugs, or alcohol.)

	Does the person take the drug in larger amounts or for longer than intended?
	Do they want to cut down or stop using the drug but can’t?
	Do they spend a lot of time getting, using, or recovering from the drug?
	Do they have cravings and urges to use the drug?
	Are they unable to manage responsibilities at work, home, or school because of drug use?
	Do they continue to use a drug, even when it causes problems in relationships?
	Do they give up important social, recreational, or work-related activities because of drug use?
	Do they use drugs again and again, even when it puts them in danger?
	Do they continue to use, even while knowing that a physical or mental problem could have been caused or made worse by the drug?
	Do they take more of the drug to get the wanted effect?
	Have they developed withdrawal symptoms, which can be relieved by taking more of the drug? (Some withdrawal symptoms can be obvious, but others can be more subtle—like irritability or nervousness.)

If the answer to some or all of these questions is yes, your friend or loved one might have a substance use disorder. Help is available. Please seek help from either your local health department or your insurance provider, or call the Crisis Hotline at 1-800-422-0009

How To Get Help:

• Beacon Health Options Maryland  
• Be Honest with Your Doctor – Change the Conversation for Better Health
• Crisis Hotline
• Find Your Local Health Department
• Good Samaritan Law
• Maryland Coalition of Families
• MDDestinationRecovery.org
• Naloxone
• Nar-Anon Family Groups
• Resources for Families
• SAMHSA Buprenorphine Physician Locator
• SAMHSA Find Help  
• Treatment Locator