Recognizing the Hidden Signs of Substance Use
When people think about substance use, they often picture obvious signs like slurred speech, smelling of alcohol, or missing work. While these can happen, many signs of substance use appear in subtle, unexpected ways that are easy to dismiss at first. Recognizing these early patterns can make a big difference for getting support before things spiral further.
At EDGE Counseling Solutions, we understand how overwhelming it can feel to wonder if someone you love might be struggling. You are not alone, and noticing these less obvious signs does not make you judgmental. It makes you compassionate and proactive.
Changes in Daily Habits
One of the first signs of substance use can be small shifts in routines. Maybe someone begins sleeping much more than usual or staying up late into the night. They may suddenly skip meals or crave unusual foods. These changes might look like stress at first, but when they persist, they can point to something deeper.
Mood Swings That Don’t Add Up
Everyone has ups and downs, but sudden mood swings without clear reasons can be a warning sign. If a usually calm person becomes irritable, anxious, or withdrawn, it could be connected to substance use. Family members may notice an edge in conversations or unusual bursts of anger that feel out of character.
Decline in Appearance or Hygiene
Sometimes the changes are physical. Someone who once cared about grooming or clothing may begin to look disheveled, skip showers, or wear the same clothes repeatedly. While stress and depression can also contribute to this, it is important to pay attention when the shift feels significant or prolonged.
Financial Strain Without Explanation
Substance use often comes with hidden costs. If money seems to “disappear” or your loved one is constantly short on funds without a clear reason, this may be another unexpected sign. Unexplained borrowing, frequent ATM withdrawals, or selling personal items may also be red flags.
Changes in Social Circles
Pay attention if a loved one pulls away from long-time friends or suddenly spends time with a new crowd that seems secretive. Rapid changes in social life, especially when paired with withdrawal from family activities, may be tied to substance use.
Health Complaints That Don’t Seem to Fit
Headaches, stomach problems, or frequent “colds” can sometimes be linked to the physical impact of substance use. While these symptoms alone are not proof, a pattern of vague or ongoing health complaints can be a clue.
Why These Signs Are Easy to Miss
The truth is that many signs of substance use overlap with normal stress, mental health struggles, or even just busy lifestyles. That is why it is so important to look at the bigger picture and trust your instincts. If several of these unexpected changes appear together, it may be time to check in with care and concern.
Supporting a Loved One with Compassion
If you notice these signs, remember that approaching the conversation with empathy makes all the difference. Express concern without blame. Share specific examples of what you have noticed, and let them know you care about their well-being.
At EDGE Counseling Solutions, we work with individuals and families to navigate substance use challenges with dignity and hope. Support is available, and healing is possible.
ABOUT THE AUTHOR
Colin Boland, LPC, received his M.A. from the Chicago School of Professional Psychology and is a Licensed Professional Counselor. Colin also completed specialized training to deepen his understanding of ADHD and relevant coping skills to better serve his clients. Click here to learn more about Colin.