The use and abuse of alcohol and drugs are serious issues that should not be ignored or minimized. If left untreated, use and abuse can develop into drug dependence or alcoholism. As a result, it is important to recognize the signs and symptoms of alcohol and drug abuse early. If you’re worried about your own drug or alcohol use, or that of a friend or family member, here are some of the warning signs to look for:

The following symptoms are associated with alcohol use disorder:

  • Temporary blackouts or memory loss.
  • Recurrent arguments or fights with family members or friends as well as irritability, depression, or mood swings.
  • Continuing use of alcohol to relax, to cheer up, to sleep, to deal with problems, or to feel “normal.”
  • Headache, anxiety, insomnia, nausea, or other unpleasant symptoms when one stops drinking.
  • Flushed skin and broken capillaries on the face; a husky voice; trembling hands; bloody or black/tarry stools or vomiting blood; chronic diarrhea.
  • Drinking alone, in the mornings, or in secret.

Signs of addiction include the following:

  • Loss of Control: Drinking or drugging more than a person wants to, for longer than they intended, or despite telling themselves that they wouldn’t do it this time.
  • Neglecting Other Activities: Spending less time on activities that used to be important (hanging out with family and friends, exercising, pursuing hobbies or other interests) because of the use of alcohol or drugs; drop in attendance and performance at work or school.
  • Risk Taking: More likely to take serious risks in order to obtain one’s drug of choice.
  • Relationship Issues: People struggling with addiction are known to act out against those closest to them, particularly if someone is attempting to address their substance problems; complaints from co-workers, supervisors, teachers or classmates.
  • Secrecy: Going out of one’s way to hide the amount of drugs or alcohol consumed or one’s activities when drinking or drugging; unexplained injuries or accidents.
  • Changing Appearance: Serious changes or deterioration in hygiene or physical appearance – lack of showering, slovenly appearance, unclean clothes.
  • Family History: A family history of addiction can dramatically increase one’s predisposition to substance abuse.
  • Tolerance: Over time, a person’s body adapts to a substance to the point that they need more and more of it in order to have the same reaction.
  • Withdrawal: As the effect of the alcohol or drugs wear off the person may experience symptoms such as: anxiety or jumpiness; shakiness or trembling; sweating, nausea and vomiting, insomnia, depression, irritability, fatigue or loss of appetite and headaches.
  • Continued Use Despite Negative Consequences: Even though it is causing problems (on the job, in relationships, for one’s health), a person continues drinking and drugging.

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