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Sorting Overlapping Concerns for a Care Conversation

Prepare a clear account of several concerns and identify an appropriate first point of care.

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Standard fillable PDF

More than one substance, behavior, health issue, or life pressure may be involved in a difficult pattern. You do not need to solve everything at once. Use this page to explain what overlaps and what most needs attention.

How to use this page

Name concerns in your own words. Avoid changing substances or prescribed care based on this worksheet.

Map what overlaps

List each concern briefly, then note where their timing, consequences, or purposes connect. For example, work stress and a disrupted sleep routine may complicate a substance goal.

Prioritize appropriate care

Separate urgent safety or medical questions from longer-term goals and access barriers. Ask a qualified service how it can coordinate relevant care rather than expecting one generic strategy to cover everything.

Reflection prompts

Use these questions in conversation, on paper, or in the downloaded PDF. You may adapt or skip a prompt.

  1. Which substances or behaviors do I want to discuss?
  2. What health, sleep, or daily-life concerns overlap with them?
  3. Which issue needs prompt assessment or practical help?
  4. What information would help a service coordinate my next step?
Facilitator notes and adaptation

Use individualized assessment and avoid assigning a diagnosis from this map. Consider interactions, withdrawal risk, overdose risk, and co-occurring conditions. A broad topic label does not justify using substance worksheets as gambling or other behavioral-addiction treatment.

Sources behind the concepts

These sources inform the concepts in this original resource. They do not validate or endorse this specific page.

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