Early Warning Signs of Drug Abuse in Loved Ones
- Families
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- UPDATED MAY 29, 2025
by Kristine Bowman
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Key Takeaways
- Behavioral shifts often show up before physical signs.
- Trusting your instincts can be crucial in catching substance use early.
- Common red flags include mood swings, isolation, secrecy, and changes in appearance.
- Recognizing these signs early can lead to timely help and better recovery outcomes.
- Communication and compassion—not confrontation—are key when approaching a loved one.
Introduction of Early Warning Signs
You are familiar with your loved one. When they laugh at your lame jokes, they text you every night, or have a consistent routine. If something feels different, you can notice it, even if it’s unclear. Perhaps they are not very social or just sleep all the time. It could be that you just have a strong feeling you can’t get rid of.
I emphasize: Trust your instincts.
Noticing the first signs of drug abuse is not about being suspicious; it’s about being aware, attentive, and willing to ask important questions. If you catch the problem early, there is a greater chance your loved one will recover and come back to you.
Spotting the Early Signs: More Than Just a 'Phase'
1. Behavioral Changes That Raise Eyebrows
Most of the time, the first signs are not very noticeable. They’re usually not obvious—for example, missing calls, getting irritated without reason, or avoiding plans. It’s possible to dismiss them as just stress or a bad period. When these behaviors happen again and again, we should pay more attention.
- Going to work or school without an explanation
- A quick decline in wanting to participate in activities you once enjoyed
- Ignoring what is expected of them
- When someone acts secretly by hiding their phone or disappearing for a long time
It’s difficult because these signs can also be related to depression or anxiety. For this reason, it’s important to consider all the details.
2. Mood Swings You Can’t Quite Explain
One day, they act as if they don’t care. The next thing, they’re all over you with affection. The way moods can change so quickly might not seem like you, and it often isn’t. Using drugs can alter brain chemistry, which can cause sudden mood swings.
What you should pay attention to:
- Anger or agitation that comes without warning
- Feeling good one moment, then feeling low or tired the next
- Feeling anxious or suspicious in safe places
We don’t need to diagnose them. It’s important to notice the pattern and not ignore it.
3. Physical Clues That Something’s Not Right
One moment, they’re distant and disconnected. Next, they’re overly affectionate or hyperactive. These mood swings can feel confusing and out of character, because they often are. Drug use can interfere with the brain’s natural balance, leading to erratic behavior and emotional highs and lows that seem to come out of nowhere.
Here are some red flags to watch for:
- Sudden outbursts of anger or irritation with no clear cause
- Quick shifts from feeling upbeat to seeming drained or depressed
- Intense paranoia or nervousness in situations that don’t call for it
You don’t need all the answers or label what’s happening. But noticing these patterns—and not brushing them aside—can be the first step toward helping someone get the support they need.
4. Financial Discrepancies That Don’t Add Up
Money disappearing? You’re finding it hard to pay your bills? When someone borrows money without giving a clear reason?
Substance use can be very costly in terms of both money and feelings. Watch for:
- Items are being bought without explanation, or things are going missing
- Borrowing money often without repaying it
- Being secretive when it comes to bank accounts or credit cards
It doesn’t require us to accuse someone without evidence, but it’s another factor that deserves attention.
Okay, So You’re Noticing Some Signs. Now What?
Here’s the thing: Confrontation rarely works.
If someone feels attacked, they’ll shut down or push you away. Instead, aim for connection. You want them to know you see them, you care, and you’re not going anywhere.
Start with Empathy, Not Accusation
Try:
“I’ve noticed you’ve seemed tired and down lately. I just want to check in—are you okay?”
Or:
“You’ve seemed different, and I’m worried. Can we talk?”
You’re not trying to force confessions. You’re opening a door.
Bring in Help Early
Don’t wait until something goes wrong. You may speak with a counselor, contact your family doctor, or call a treatment center drug abuse for help. Many will gladly give you free advice or help you decide what to do next.
What if you’re afraid? That’s valid. Being there for someone in this situation is very tiring emotionally. Make sure you get the help you need as well.
Summary
It’s not always easy to notice the first signs of drug abuse. At times, you just know; at other times, the evidence is so clear you can’t miss it. It is most important to act with kindness, patience, and determination.
Early action can prevent many deaths. Every red flag is a sign that someone needs help.
FAQ
How can I find out if my loved one is having a hard time or using drugs?
Pay attention to several changes, such as behavior, emotions, physical health, and finances. If you keep having these thoughts for a while, talk to a professional.
Is it better to talk to them about it straight away?
When you talk to them, be concerned and caring, not judgmental. Start by being understanding and noticing things, not by blaming. Try to ask questions that can’t be answered with a simple yes or no.
What happens if they refuse to admit anything?
That’s common. Keep your emotions in check, talk with your partner, and get expert advice.
How do I know when it’s time to call a treatment center?
Should the signs worsen or you feel stressed, don’t hesitate to ask for help. Initially, calls are about discovering more—they don’t force you to decide.
What resources can I use as a loved one?
If you are affected by someone else’s substance use, starting with Al-Anon, Nar-Anon or family therapy is a good idea.