Therapy Resource

Substance Use Patterns and Impact Inventory

A structured self-assessment of substance use history, frequency, and functional consequences

Addiction & RecoveryAssessmentFree Resource

Substance Use Patterns and Impact Inventory

A structured self-assessment of substance use history, frequency, and functional consequences

Understanding the full scope of substance use, including patterns, consequences, and warning signs, is a critical first step in treatment planning. The DSM-5-TR (American Psychiatric Association, 2022) defines substance use disorders along a severity continuum based on the number of diagnostic criteria met. This inventory draws on validated screening constructs from the AUDIT, DAST-10, and NIDA Quick Screen to help clinicians and clients collaboratively assess use patterns and their impact across major life domains. Honest self-report, even approximate, provides valuable clinical information. This is not a diagnostic instrument but a structured conversation starter.

1Not at all2Rarely3Sometimes

Loss of Control and Compulsive Use

123
I have used a substance in larger amounts or for longer than I originally intended
123
I have experienced persistent desire or repeated unsuccessful efforts to cut down or control use
123
I have spent a great deal of time obtaining, using, or recovering from substance use
123
I have experienced strong cravings or urges to use a substance
123
I have continued using despite knowing it was causing or worsening a physical or psychological problem

Functional Impairment

123
My substance use has interfered with fulfilling responsibilities at work, school, or home
123
I have continued using despite it causing or worsening interpersonal or relationship problems
123
I have given up or significantly reduced important social, occupational, or recreational activities because of use
123
I have used substances in situations where it was physically hazardous, such as driving or operating machinery
123
I have experienced legal, financial, or housing problems related to my substance use

Physiological Dependence and Escalation

123
I have developed tolerance, needing noticeably more of a substance to achieve the same effect
123
I have experienced withdrawal symptoms when reducing or stopping use of a substance
123
I have used a substance, or a similar one, to relieve or avoid withdrawal symptoms
123
My pattern of use has escalated in frequency, quantity, or risk level over time
123
I have used substances to cope with emotional pain, anxiety, depression, or trauma symptoms

Social and Relational Impact

123
Important relationships with family, friends, or a partner have been damaged by my substance use
123
I have been dishonest with others about the extent of my use
123
I have isolated myself from people who do not use substances
123
Others have expressed concern about my substance use on more than one occasion
123
I have engaged in risky sexual behavior or boundary violations while under the influence

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