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You likely need professional treatment if: You cannot stop or reduce use on your own Withdrawal symptoms appear when you stop You use opioids, benzodiazepines, or multiple substances Use affects work, relationships, or health You may not need inpatient rehab if: Use is occasional and controlled No withdrawal occurs when stopping Daily functioning remains stable When in doubt, a brief clinical assessment (1530 minutes) clarifies whether self-monitoring, outpatient support, or more intensive care is appropriate

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MDCalc Wars: HAT vs SEDAN Hemorrhage Risk After Stroke Thrombolysis The HAT and SEDAN scores help estimate symptomatic intracranial hemorrhage