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In crisis or thinking about suicide? Call or text 988 — 24/7 Emergency: 911

The self-check · think about the past 12 months

Eight questions. About the interplay, not the parts.

There are screens for substance use and screens for depression and anxiety — each pretending the other doesn't exist, which is the whole problem this site is about. These eight ask about the space between: how the two conditions move each other. It is a reflection, not a diagnosis. It runs entirely on this page — your answers are never stored or sent. If you have a prescriber, counsellor, or family doctor, bring your result to them.

Before you start: if tonight is a bad night, call or text 988 now. You don't have to sort out which crisis it is first — 988 takes the whole person.

  1. 1.Do you use — at least partly — to turn something else down: anxiety, dread, racing thoughts, a mood that won't lift?

    The interplay · using as volume control

  2. 2.In the days after using, does the thing you were quieting come back louder — lower lows, sharper edges, the 3 a.m. version of your own head?

    The interplay · the rebound

  3. 3.Have you been treated for one of these — counselling, a program, a prescription — by someone who never once asked about the other?

    The system · treated in halves

  4. 4.Have you ever been refused, discharged, or waitlisted by a program because of the other condition — too depressed for the rehab, too actively using for the therapy?

    The system · the wrong-door letter

  5. 5.When you're using, does your psychiatric medication quietly stop — skipped doses, refills that lapse, a shrug where the routine used to be?

    The interplay · medication drift

  6. 6.Do your worst stretches land when both flare at once — and neither service can see you fast enough to matter?

    The crisis · both at once

  7. 7.Has a professional ever called you “complex,” “not a good fit,” or “beyond our mandate” — and then not offered a door that fit?

    The system · “too complex”

  8. 8.When someone finally names both problems in the same sentence, is there relief — the feeling of being seen whole instead of in halves?

    The tell · relief at being seen whole

Reflection only — not a diagnosis of substance use disorder, of any mental-health condition, or of a concurrent disorder. No eight questions could diagnose either condition, let alone both. Nothing you answered was stored or sent; it all stays on this page. Bring this to your prescriber — the two words that matter are “both, together.”

Some imagery and copy on this site were generated with AI and reviewed by a human.

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