What to do if you suspect a substance use problem
Alcohol or drug addiction, known by medical professionals as substance use disorder (SUD), typically starts slowly and progresses gradually. If you suspect you have a problem with substance use, it can be difficult to know what to do.
First—know that help is available. Here are some common signs of addiction along with steps to take to address it.
Common warning signs of SUD:
- Inability to limit substance use
- Difficulty performing at work or school
- Disinterest in previous hobbies or activities
- Increase in private or secretive behavior
- Obsessive behavior about the substance
- Change in appearance
- Significant change in relationships
- Excessive spending or borrowing
- Growing tolerance or signs of withdrawal
7 Suggested steps to take
- Acknowledge the problem: Addiction specialists and recovery programs emphasize that admitting an issue is a fundamental first step in the recovery process.
Reflect on the past year or so, and consider the signs noted above. While being honest with yourself takes courage, it’s the foundation of positive change.
- Educate yourself: Learning about substance use disorders and recovery processes can help you feel empowered and less alone. See the resources at the end of this article as a starting point.
- Seek professional help: Having both medical and psychological support is recommended by trusted organizations like the American Society of Addiction Medicine (ASAM).
A good place to start is to talk with your primary care provider. Next, consider therapy. Whether it’s individual or group sessions, therapy (counseling) is a cornerstone of SUD treatment, helping to address underlying causes of addiction.
The sooner you seek help, the greater your chances for a long-term recovery.
- Consider joining a support group, such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). These groups are free, widely available, and effective resources for peer support.
- Create a plan: This is a common strategy endorsed by many recovery programs. Working with a trusted counselor, sponsor, or peer support specialist to develop a personalized recovery plan can help you set achievable goals and track your progress.
- Avoid high-risk situations: Identifying and avoiding triggers is a key strategy in relapse prevention, as suggested by cognitive-behavioral therapy (CBT) and other therapeutic approaches. For example, you may need to skip certain events for a while, limiting social time to alcohol/drug-free settings.
- Practice self-care: The role of self-care in recovery is widely recognized by health professionals and organizations like the National Institute on Drug Abuse (NIDA).
Your body, mind, and spirit likely need some TLC from the effects of substance use. In addition, learning new behaviors requires energy and stamina. Examples of self-care include eating healthy meals, getting enough sleep, and practicing mindfulness to reduce stress.
Taking the first steps toward addressing a substance use problem can be challenging, but remember that you’re not alone. Acknowledging the issue, seeking support, and applying practical strategies can set you firmly on the path to recovery.
Addiction resources
- If you are suicidal or in crisis, call or text 988. This is a free lifeline available 24/7.
- SAMSA (Substance Abuse and Mental Health Services Administration) SAMSA’s national helpline: 800-662-HELP (4357)
- Alcoholics Anonymous
- Narcotics Anonymous
- Smart Recovery