What are some common indicators that someone I love may be struggling with an addiction?

What are some common indicators that someone I love may be struggling with an addiction?

Detecting substance abuse addiction in a loved one can be challenging, but there are several signs and behaviors to look out for. Keep in mind that the presence of one or more of these signs doesn't definitively indicate addiction, but if you notice multiple signs over an extended period of time, it might be a cause for concern.

It's important to approach the situation with empathy, understanding, and a non-judgmental attitude. If you suspect a loved one has a substance abuse problem, consider taking these steps: 

1.) Physical and Behavioral Changes:

  • Sudden changes in appearance, such as weight loss or gain, lack of grooming, or poor hygiene.

  • Bloodshot eyes, dilated pupils, or other noticeable changes in eye appearance.

  • Slurred speech, tremors, impaired coordination, or unusual clumsiness.

  • Unexplained mood swings, irritability, aggression, or changes in social circles.

2.) Neglecting Responsibilities:

  • Decline in performance at work, school, or other responsibilities.

  • Neglecting personal commitments and responsibilities in favor of substance use.

3.) Isolation and Secrecy:

  • Withdrawing from friends, family, and social activities they previously enjoyed.

  • Being secretive about their whereabouts or activities.

4.) Financial Issues:

  • Unexplained financial difficulties, borrowing money frequently, or selling personal belongings.

5.) Loss of Interest:

  • Loss of interest in hobbies, activities, or relationships that were once important to them.

6.) Tolerance and Withdrawal:

  • Developing a tolerance to the substance, requiring more of it to achieve the same effects.

  • Experiencing withdrawal symptoms when attempting to cut down or quit.

7.) Failed Attempts to Quit:

  • Expressing a desire to quit or cut down but being unsuccessful in doing so.

8.) Neglecting Health:

  • Ignoring health issues related to substance use or engaging in risky behaviors under the influence.

9.) Changes in Sleep Patterns: 

  • Disturbed sleep, insomnia, or irregular sleep patterns.

10.) Legal and Relationship Issues:

  • Legal problems, such as DUIs or other criminal activities related to substance use.

  • Strained relationships with family members, friends, or colleagues due to their substance use.


If you suspect a possible addiction, it's advisable to seek professional help from a medical or mental health provider who specializes in addiction. They can provide an accurate assessment, guidance, and appropriate treatment options tailored to your specific situation.

Joseph Madonia, LCSW-R, CASAC- Addiction Specialist

I am a Licensed Clinical Social Worker and Addiction Specialist with over 28 years of experience in the field. I currently serve on the faculty of the NYU Graduate School of Social Work as an Associate Clinical Professor and Faculty Advisor. In 2022 I was selected to serve as the Director of the NYU Post-Masters in Addictions program. As of 2019 I have been actively serving on the NASW-NYC Chapter Ethics Board Committee. I also provide clinical supervision to those clinicians seeking N.J./N.Y.S. licensure. I also work very closely with the N.J. and N.Y.S. court system to assist those clients who are justice involved.

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What steps can I take to support my loved one who is struggling with an Addiction?

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