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Dual Diagnosis Quiz

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Dual Diagnosis Quiz

In 2022, 21.5 million U.S. adults had both a mental illness and a substance use disorder — and 40.9% received neither mental health nor addiction treatment.

Clarity beats uncertainty. Use the quick self-check to see if treating both together could move you forward faster.

Do I Need Dual Diagnosis Treatment?

This quick self-check can help you reflect on whether an integrated approach—treating mental health and substance use together—may fit what you're experiencing. It isn’t a diagnosis.

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Emotional Patterns

1) When you try to cut back or stop using, do mental health symptoms like anxiety, sadness, or irritability flare up?

For example: feeling restless, hopeless, or unable to sleep once you stop using.

2) Do you notice your mood, focus, or sleep changing with your substance use patterns?

For example: feeling upbeat while using, then crashing emotionally afterward.

3) Do you use alcohol or drugs to manage emotions, stress, or trauma memories?

Such as using to fall asleep, feel calmer, or forget painful experiences.

4) Do you feel uncomfortable being sober because emotions feel too intense?

For example: irritability, racing thoughts, or emotional flooding when not using.

Treatment Experience

5) Have you tried therapy, medication, or treatment for one issue (mental health or substance use) but not the other?

For example: taking antidepressants but continuing to use, or completing rehab without addressing depression or trauma.

6) Have you felt stuck because treating one issue seemed to make the other worse?

For example: therapy surfacing emotions that increase cravings, or detox worsening anxiety or sleep.

7) Have providers or loved ones expressed concern about both your mental health and your use?

For example: hearing comments like “You seem anxious again when you drink” or “Therapy helps, but you’re still using.”

8) Do you ever feel like you’re treating symptoms instead of the root cause?

Such as switching between detox, medication, or therapy without long-term relief.

Daily Life Impact

9) Have both mental health symptoms and substance use made it harder to function day to day?

For example: missing work, avoiding people, or struggling to keep up with basic routines.

10) Do stressful events or strong emotions tend to trigger both symptoms and use?

Such as conflict, loneliness, or burnout leading to both relapse and mood changes.

11) Have you had recurring relapses or flare-ups when one condition is left untreated?

For example: relapse after stopping medication, or depression returning after detox.

12) Would integrated care (therapy + psychiatry + recovery support) feel more aligned with your needs?

For example: wishing your therapist and doctor communicated, or wanting care that sees the whole picture.

Answer as many as you can—the result adapts.

Your Result

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Important: This self-check is informational only and not a medical diagnosis. If you’re in crisis or thinking about harming yourself, call or text 988 (U.S.) for immediate support.

This quick self-check is for education only and isn’t a medical or mental health diagnosis. Results can help you consider whether integrated (dual diagnosis) care may fit your needs, but they don’t replace a professional evaluation. If you’re in crisis or considering self-harm, call or text 988 (U.S.) or go to the nearest emergency department. By using this tool, you agree not to rely on it as a substitute for medical advice.

Take the Dual Diagnosis Quiz 3–5 minutes • private

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Find out if your insurance provider could cover your treatment

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*The stories shared in this blog are meant to illustrate personal experiences and offer hope. Unless otherwise stated, any first-person narratives are fictional or blended accounts of others’ personal experiences. Everyone’s journey is unique, and this post does not replace medical advice or guarantee outcomes. Please speak with a licensed provider for help.

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