When Should I Be Worried About Substance Abuse?

im 21 i have been taking ecstasy sense i was 18 i only ever take it socially usually only 1 or 2 a weekend alond with speed and alcohole sometime i use cocaine i dont feel the need to use every day only when me and my mates are having a big night. Do i have a problem? its not effecting my life such as uni and work and i dont feel like it is getting out of control i just want to know peoples thoughts on wether i should be worried about substance abuse or not
just a quick note i can go with out it for months i dont need it every weekend and im also studying medicine so i know what it does to the cns however x isnt physically addictive and the long term effects are unknown

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