Rehab 4 Addiction

If you’ve spotted some strange behaviour in your teenager, another family member or even a friend, you might be beginning to wonder if drugs are to blame.

It can be difficult to suspect your loved one is using, and you might have a lot of questions.

Harmful drug use doesn’t always involve illegal drugs – prescription drugs can be abused too.

A 2023 government report into adult substance misuse in the UK found that the number of adults entering drug and alcohol services has risen to 290,635.[1]

How Can I Tell if Someone is Using Drugs?

A woman hiding behind a curtain, secretively

Drug use is often secretive, so it can be difficult to tell if and when someone is using.

However, there are a few tell-tale signs and symptoms you can look out for.

Determining if this person is on drugs can help you to establish how often they’re taking drugs, and if their usage has become a problem.

What are the Warning Signs of Drug Abuse?

Man holding his face suffering from pain due to monkey dust

Signs of drug abuse can start small, but over time they tend to become more and more obvious as the person enters addiction.

It’s important to try to get help as soon as you notice the abuse.

Which Signs Should I Look Out For?

Common signs of drug abuse can vary depending on the drug.

Drugs can interact with the body differently depending whether they’re a stimulant or a depressant, opioid or hallucinogen.

All of these different types of drugs result in different symptoms.

Barbiturates, Hypnotics and Benzodiazepines

Woman taking a pill painkiller

Someone on these drugs may:

  • Appear sleepy
  • Have slurred speech
  • Move their eyes involuntarily
  • Have a lack of inhibition
  • Have poor coordination
  • Become irritable
  • Struggle to remember
  • Slowed breathing and reduced blood pressure
  • Have falls or accidents

Bath Salts, K2 and Spice

Someone on these drugs may:

  • Appear happy
  • Appear unusually anxious, paranoid, agitated or even violent
  • Have hallucinations
  • Have a fast heart rate
  • Vomit
  • Become confused
  • Have high blood pressure

Cannabis (Weed)

Smoke against a black background

Someone on this drug may:

  • Have red eyes
  • Smell of cannabis
  • Have heightened senses
  • Experience a fast heart rate
  • Seem happy or amused
  • Have a dry mouth
  • Seem uncoordinated
  • Seem anxious or paranoid

Meth, Cocaine and other Stimulants

Someone on these drugs may:

  • Appear euphoric, excited and overly-confident
  • Become moody or aggressive
  • Have delusions or hallucinations
  • Experience nausea or vomiting with weight loss
  • Have a runny nose
  • Have high blood pressure

Club drugs (Ecstasy, MDMA, Rohypnol, GHB, Ketamine)

Someone on these drugs may:

  • Experience involuntary shaking (tremors)
  • Fall asleep
  • Appear uninhibited
  • Experience hallucinations
  • Have poor judgment
  • Struggle to remember
  • Have dilated pupils
  • Have high blood pressure
  • Have panic attacks

Hallucinogens

Blurred vision on a train

Someone on these drugs may:

  • Experience hallucinations
  • Experience tremors
  • Become impulsive
  • Experience quick shifts in emotions

Inhalants

Someone on these drugs may:

  • Have a rash around their nose and mouth
  • Carry an inhalant substance without a reasonable explanation
  • Smell of inhalant material
  • Appear happy and excited very briefly
  • Behave drunk
  • Become aggressive or violent

Opioid Painkillers

Someone on these drugs may:

  • Have needle marks (if injecting drugs)
  • Appear sleepy
  • Experience problems with attention and memory
  • Have slurred speech
  • Have constricted pupils

What are the Signs of Worrying Drug Abuse in Teens?

A teen looking blank

Studies show that 31% of young people have tried cannabis.[2]

Trying drugs doesn’t always turn sinister, but it’s normal to be concerned about your child’s safety.

Worrying drug use is when this usage becomes frequent, they’re using hard drugs, or the drugs begin to consume their life.

Consider:

  • How they’re doing – has there been a period of poor performance at school that’s unusual for them? Have they had a change of friends?
  • Where they’re going – does their story add up about where they’ve been, what time they’ve come home and what kind of state they’re in when they return?
  • Who they’re seeing – If you have access to your teen’s phone, do you recognise their contacts? Are any of their messages coded or cryptic?

Where Else Can I Look for Signs of Drug Use?

A dog looking out of a window at home

Take a Look at Their Space

People in addiction are often secretive and may hide drugs, but these hiding places may be easy to spot once you know what you’re looking for.

How Can I Tell if Someone is Becoming Addicted to Drugs?

Behavioural Changes

People in addiction are secretive, so they may stop you from entering their room, make excuses to go to places or generally seem deceptive.

They may also have problems at school or work like poor attendance, or a drop in grades or work performance.

Money Issues

People in addiction may struggle with money and fail to pay for bills and other important expenses.

Hygiene & Appearance

A lack of interest in keeping themselves and their home clean or tidy.

Physical Signs

Physical signs can include an unexplained decline in health, or major weight changes.

What Does if Feel Like to be Addicted to Drugs?

A woman with her hand over her face in worry

When a person is in addiction, it can be all-consuming.

This is a dark place where they may feel that the drug is the only way for them to gain pleasure in life.

They may feel:

  • They want to try to stop using the drug, but feel unable to
  • Unpleasant withdrawal symptoms when they attempt to stop taking the drug
  • Strongly compelled to use the drug regularly, daily or even several times a day
  • That they need to take more of the drug to get the same effect
  • A great desire to maintain a supply of the drug
  • That they know it’s causing problems in their life or to their health, but the compulsion to use overrides their thoughts
  • Pushed to do immoral things they wouldn’t normally, like stealing

How Do I Stage an Intervention for Someone on Drugs?

People sitting in armchairs at an addiction intervention

People in addiction usually cannot see that they have a problem, and refuse to acknowledge they need help.

Interventions are designed to help the person see that they need to change.

It’s important to prepare for an intervention, as you want to be ready for whatever reaction your loved one has.

Interventions can be carried out under the supervision of an intervention specialist, or you could keep it simple with family members and friends.

Interventions can include coworkers, clergy, or other concerned close acquaintances if you feel this would be received well by the person you’re approaching.

During an intervention, you could take turns to tell your loved one how you feel their addiction is hurting them, and how they could benefit from recovery.

Prepare some treatment options to discuss if they’re willing, but also know that they may not respond well or be ready to change.

What Help is Available for Drugs?

A man in therapy

There are many NHS treatment clinics, non-profit organisations and private options available to help your loved one recover from drug addiction for good.

Free Drug Addiction Treatment

The NHS can offer referrals to private inpatient rehabs, which means your loved one will be able to go to rehab for free.

However, the waiting lists for these services are very long, as they’re overcrowded and underfunded.

There are many charities that offer help for drugs, such as:

  1. Change Grow Live – drug addiction support and recovery tools
  2. Narcotics Anonymous – 12-step help for any drug addiction
  3. Humankind – psychosocial therapy and interventions for drug addiction

Private Drug Addiction Treatment

Private rehab for drugs can offer an extra level of support. This can boost your loved one’s chances of a successful recovery.

Rehab options include:

  1. Inpatient rehab (where you live at the facility) offers around-the-clock care
  2. Outpatient rehab (where you continue living at home and travel to a facility to receive treatment) offers more flexibility to work or provide childcare

How Do Professionals Diagnose Drug Addiction?

Two women discussing addiction

Substance use disorder is the formal term for drug abuse, dependence, and addiction.

The DSM (Diagnostic and Statistical Manual of Mental Disorders from the American Psychiatric Association) is a test used to tell if a person’s drug misuse has become an addiction.

This is often consulted in the UK.

The DSM defines substance use disorder as:

  1. Taking more and more drugs, and over a longer period than was intended
  2. Having strong cravings for drugs, or struggling to cut down
  3. Spending a lot of time getting hold of, taking and recovering from drugs
  4. Craving drugs
  5. Struggling to fulfil major role responsibilities at work, school or home as a result of drug use
  6. Using drugs despite negative consequences in relationships
  7. Prioritising using drugs over engaging in social, occupational or recreational activities
  8. Using drugs even in dangerous scenarios, such as driving
  9. Using drugs despite knowing that it harms your health and life
  10. Developing a tolerance, and needing more of the drug to get the same effect
  11. Experiencing withdrawal symptoms when trying to stop or cut down[3]

What’s Harm Reduction for Drug Addiction?

Two women smiling and talking at a drug and alcohol rehab

Harm reduction is about decreasing the negative effects of drugs in a person who is already using them.

This helps to keep people in drug misuse a little safer than they would otherwise be.

Release, a charity and national centre of expertise on drugs and drugs law, recommends that it’s important to keep in mind that illicit drugs are often cut and mixed with other substances, and that you can never truly be sure what’s in them.[4]

It can be helpful to remind your loved one of this, so that they can exercise caution.

What are Needle and Syringe Services?

Needle and syringe services (needle exchanges) are a way for people who inject any substances to keep safe.

Sharing needles can result in the spread of HIV, hepatitis B and hepatitis C.

Sterile injecting equipment helps people to prevent this, and keeps people safe from infections.[5]

Change Grow Live can help you to order needles to your home.

What’s Drug Addiction Treatment Like?

Man stood in a dark space thinking about drug addiction

Drug addiction treatment comes in many shapes and sizes, so everyone can find the right fit for them.

Therapy for Drug Addiction

Therapy and counselling for drug addiction is a big part of recovery treatment, as it can make you much more likely to successfully recover and stay out of relapse.

Medication for Drug Addiction

Physical addictions often require medical treatment, as withdrawal can cause unpleasant symptoms.

Detoxification (Detox) for Drug Addiction

Detox is when a person stops taking drugs and goes through withdrawal.

Self-help for Drug Addiction

Patient typing on a laptop

The NHS website has lots of resources and links to free drug addiction help.

Non-profit organisations that can help you with addiction include:

  • Families Anonymous –support meetings for people in addiction as well as their family and friends
  • Narcotics Anonymous – twelve-step group therapy for substance use disorder to help people with drug addictions achieve sobriety
  • FRANK –free drug addiction support for people in addiction and their parents or carers

Relapse Prevention for Drug Addiction

Relapse prevention is a way to stay in sobriety after addiction treatment.

Rehab clinics teach relapse prevention techniques and coping skills.

Many rehabs also provide complimentary aftercare designed to check up on people and keep them on the right track.

Are Some People More Likely to Fall Into Addiction?

A child with a polaroid camera to his face, in autumn leaves

Just like every other mental health disorder, there are risk factors that may increase a person’s likelihood of developing problems with drugs.

The main risk factors for addiction are:

  • Environment – Growing up in an environment where drugs are used, or having friends that engage in drug use can affect how likely you are to use and abuse drugs. Research shows that people who are exposed to drugs and alcohol as children or adolescents are more likely to experience addiction later in life[6]
  • Genetics – Research by Dr. Louise Patterson at Imperial College has found that the brains of people who have a dependence on drugs or alcohol show a reduced reward centre response. Scientists are investigating whether some people’s brains may be predisposed to this because of their genetics
  • Mental health and trauma – In a study of 17,000 people who experienced adverse childhood experiences (events early in life that cause emotional or physical harm), people with five or more ACEs were 7-10 times more likely to develop an addiction[7]

What Happens to a Brain on Drugs?

A brain

When a person takes drugs regularly for a prolonged time, their brain goes through physical changes.

Addiction changes the way the brain feels pleasure by creating physical changes in the nerve cells (neurons).

Neurons use chemicals called neurotransmitters to communicate.

These changes can remain long after a person stops using drugs, so it can take some time to begin to feel normal again.[8]

At Rehab 4 Addiction, we offer referrals to top inpatient rehabs across the UK.

For help finding a rehab for your loved one, reach out to our 24/7, confidential hotline on 0800 140 4690.

References

[1] https://www.gov.uk/government/statistics/substance-misuse-treatment-for-adults-statistics-2022-to-2023/adult-substance-misuse-treatment-statistics-2022-to-2023-report

[2] https://cls.ucl.ac.uk/10-of-teenagers-have-tried-hard-drugs-by-age-17/#:~:text=The%20new%20study%20revealed%20that,occasions%20in%20the%20past%20year.

[3] https://www.nhs.uk/live-well/addiction-support/drug-addiction-getting-help/

[4] https://www.release.org.uk/basic-harm-reduction

[5] https://www.wearewithyou.org.uk/what-we-do/drug-and-alcohol-services-for-adults/needle-and-syringe-services

[6] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2763992/#:~:text=A%20retrospective%20cohort%20study%20of,addiction%2C%20with%20the%20attributable%20risk

[7] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2763992/#:~:text=A%20retrospective%20cohort%20study%20of,addiction%2C%20with%20the%20attributable%20risk

[8] https://triggered.stanford.clockss.org/ServeContent?url=http://molinterv.aspetjournals.org%2Fcontent%2F2%2F3%2F146.full

boris

Boris is our editor-in-chief at Rehab 4 Addiction. Boris is an addiction expert with more than 20 years in the field.  His expertise covers a broad of topics relating to addiction, rehab and recovery. Boris is an addiction therapist and assists in the alcohol detox and rehab process. Boris has been featured on a variety of websites, including the BBC, Verywell Mind and Healthline. You can connect with Boris online at LinkedIn or X.com.