You reported you have not gotten help with using alcohol or drugs because it costs too much. Health care costs are certainly a problem for lots of people. You should know that there may be low-cost or even free substance use help in your community. For instance, Alcoholics Anonymous and Narcotics Anonymous offer free community meetings. Talking to someone there may be a good place to start and could possibly give you information about other low-cost places to seek help. Also check out http://www.samhsa.gov/treatment/ to begin finding help in your community.