Should You Talk to Someone About a Drug, Alcohol, or Mental Health Problem?


Substance use and mental health problems are treatable, and help is available.

Many people struggle with both a substance use issue and a mental health issue. For people who suffer from both, it is important to receive treatment for both to get better. Treatment works. Recovery starts with understanding that you may have one or both of these problems.

These questions can help you decide whether you need help with substance use, with a mental health issue, or with both.

  • Over the past two weeks, have you felt down, depressed, or hopeless?
  • Over the past two weeks, have you felt little interest or pleasure in doing things?
  • In the past year, have you had significant problems with insomnia, bad dreams, or falling asleep during the day?
  • In the past year, have you thought about ending your life or had thoughts about suicide?*

*If you have had thoughts of not wanting to live, or harming yourself or anyone else, talk to someone immediately or call 1-800-273-TALK (1-800-273-8255) or 1-800-SUICIDE (1-800-784-2433) NOW.

  • In the past year, have you had a hard time paying attention at school, work, or home?
  • Have you ever felt you should cut down on your drinking or drug use (use less alcohol or drugs)?
  • Have people annoyed (irritated, angered, etc.) you by criticizing your drinking or drug use?
  • Have you ever felt bad or guilty about your drinking or drug use?
  • Have you ever taken a drink or a drug first thing in the morning (an eye-opener) to steady your nerves or get rid of a hangover?

In the past, have you ever:

  • (for men) Had five or more drinks in a day?
  • (for women or anyone over age 65) Had four or more drinks in a day?
  • Used recreational or prescription drugs to get high?

Unless you answered "never" to all of the above questions, talk to your doctor, a nurse, or a counselor about the details of your situation. They can help you decide what to do next. They may also help you find more information and resources.

For more local information, contact:

  • Emergency numbers – answered 24/7
  • Main CSB phone number for accessing services and information
    • CSB Entry and Referral Services (available Monday through Friday, 8 a.m. to 6 p.m.) – 703-383-8500, TTY 711.

 A better, healthier life may be closer than you think.

This content is based on information published in 2010 by the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services.

If you do not have the Adobe Acrobat Reader installed on your computer, click on the image below to go to the Adobe Systems, Inc. download site. Download and install the program according to the instructions. Adobe Acrobat Reader is free and is distributed by Adobe Systems, Inc.

Download Acrobat Reader from Adobe's site


Fairfax-Falls Church Community Services Board

12011 Government Center Parkway, Suite 836, Fairfax, VA 22035-1100
Phone: 703-324-7000 | Fax: 703-324-7092 | TTY: 711

24-Hour CSB Emergency Services
Phone: 703-573-5679 | TTY: 703-207-7737
Contact the CSB by Email

email icon


Contact Fairfax County: Phone, Email or Twitter | Main Address: 12000 Government Center Parkway, Fairfax, VA 22035
Technical Questions: Web Administrator

ADA Accessibility | Website Accessibility
Awards | FOIA | Mobile | Using this Site | Web Disclaimer & Privacy Policy | Get Adobe Reader
Official site of the County of Fairfax, Virginia, © Copyright 2013

Website Feedback Website Feedback    Globe with various flags representing Web site language translations   Language Translations

Return to Graphic Version