If you begin to notice unexplained changes in physical appearance or unusual behavior, this may be a sign of substance use—or perhaps a sign of another unidentified problem.
To definitively know requires a professional who will conduct a screening. Still, it is better to be aware of signs rather than live in denial. So care enough to take assessment. Here are some of the signs.
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Denying use; lying and covering up
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Sense that the person will "do anything" to use again regardless of consequences
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Loss of control or choice of use (drug-seeking behavior)
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Loss of interest in previously enjoyed activities
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Emotional instability
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Hyperactive or hyper-aggressive
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Depression, sadness, isolation
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Missing school or work
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Failure to fulfill responsibilities at home, school or work
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Complaints from teachers or co-workers
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Reports of intoxication at school or work
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Secretive behavior
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Avoiding eye contact
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Locked doors
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Going out every night
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Change in friends or peer group
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Change in clothing or appearance
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Unusual smells on clothing or breath
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Heavy use of over-the-counter preparations to reduce eye reddening, nasal irritation, or bad breath
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Hidden stashes of alcohol
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Alcohol missing from your supply
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Prescription medicine missing
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Visiting on-line pharmacy internet sites
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Money missing
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Valuables missing
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Disappearances for long periods of time
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Running away
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Secretive phone calls
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Unusual containers or wrappers
