What is the definition of addiction? In my view the key points are 1) Loss of control over use and 2) Use despite negative consequences. So what does that mean? If you have tried to stop and were unsuccessful, that is loss of control. If you tried to cut back on the frequency of your use and were unsuccessful that is loss of control. If you planned on using a certain amount of a substance and ended up using more, that is loss of control. Negative consequences can be anything happening as a result of your use that you do not wish in your life. The consequences could be legal issues, physical or mental health issues, putting yourself in dangerous situations, difficulties with personal relationships to mention only a few.

As far as your concern for confidentiality, addiction professionals understand the sensitive nature of someone sharing personal information. At our facility we will not disclose any information without the written consent of the patient. In short if you think you have a problem with substance abuse or dependence then you probably do. People are rarely able to stop without some form of assistance so I encourage you to proceed.