Whether you’re worried about someone you care about or starting to question your own relationship with drugs or alcohol, the first step toward help can feel overwhelming.
Substance use doesn’t always look the way people expect — and it can affect anyone, regardless of age, background, or lifestyle. The good news is that support, treatment, and recovery are possible.
Recognizing the Signs of Substance Use
Substance use affects people in different ways, which is why the signs can vary so much. In some cases, the effects are easy to spot, like slurred speech, dramatic mood swings, or neglecting responsibilities at work or school. But in the early stages, changes are gradual or hidden.
Early awareness can make a big difference, especially before the situation becomes more serious.
Common signs that someone is struggling with substance use include:
- Cancels plans more often.
- Changes in sleep patterns, appetite, or personal hygiene.
- Financial problems, missing work or school, or legal trouble.
- More tired than usual.
- Physical changes, including bloodshot eyes, weight loss, or tremors.
- Secretive behavior, lying, or unusual excuses.
- Sudden mood changes — like increased anger, sadness, or anxiety.
- Withdrawing from friends, family, or usual activities without explanation.
