You may want to understand alcohol's place in your life, discuss a diagnosis, or revisit an existing plan. Start with your own concerns and goals. Medical safety matters when changing use, especially if you have experienced withdrawal or drink heavily or regularly.
How to use this page
Describe the pattern in broad terms and prepare questions. Do not use this worksheet to stop abruptly or design a taper.
Describe what matters
Identify a recent effect on health, sleep, relationships, work, or finances. Include what alcohol seems to help with so care can address that need too.
Ask about safe options
Tell a qualified clinician about your actual use, past withdrawal, and other substances or medicines. Ask about suitable medical, counseling, medication, and peer-support options without changing treatment yourself.
Reflection prompts
Use these questions in conversation, on paper, or in the downloaded PDF. You may adapt or skip a prompt.
- What alcohol-related concern would I like addressed?
- What goal feels meaningful to me right now?
- What withdrawal history or medication information should my clinician know?
- What care question or access barrier should we discuss first?