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Navigation: Understanding Drug Addiction, Increased Tolerance, Withdrawal Symptoms, Unsuccessful Attempts to Quit, Neglecting Responsibilities and Obligations, Changes in Appearance and Hygiene, Social Isolation and Relationship Problems, Risky Behaviors, Health Problems, Denial, What to Do When You Spot the Signs of Addiction

Addiction is a powerful, life-altering condition that can affect people from all walks of life. It doesn’t matter how strong, disciplined, or capable someone may be; addiction can grip anyone. The worst part is that it affects every aspect of a person’s life, from their health, to their behaviors, to their relationships, and even their finances. This is why when it comes to drugs, recognizing the signs of addiction early is critical.

Here we will discuss what drug addiction is and what it looks like so that you can spot the warning signs. This way, you can either prevent it from getting worse or help someone receive proper treatment. We’ll cover physical, behavioral, and psychological signs that you or someone you care about may be addicted to drugs. Let’s take a closer look.

Understanding Drug Addiction

To spot the signs of drug addiction effectively, you need to understand what this condition is. Substance use disorder (SUD) includes a wide range of substance-related medical conditions characterized by a person’s inability to control their intake. Also known as addiction, it is a chronic and relapsing disorder that changes the way the brain functions. [1]

While a person may initially make the decision to use these harmful substances, the changes in their brain may cause them to lose control. In fact, addiction is when a person cannot limit or quit their intake even when the substance is already causing problems. [1]

An addicted individual will keep taking the drug or drinking alcohol even if they are already suffering from its effects. This condition does not develop overnight. It usually develops gradually as drug use escalates from casual experimentation to a need for the substance.

Long-term use of addictive substances can change the brain’s chemistry and structure, particularly in areas responsible for reward, decision-making, and impulse control. Over time, the person becomes physically and psychologically dependent on the drug, leading to a vicious cycle of seeking and using the substance just to feel “normal”. [1]

It’s worth noting that some substances can make you addicted even after the first use, making them particularly dangerous to use.

Common Drugs Associated with Addiction

While addiction can occur with any drug, some substances are more likely to cause dependency due to their potency or the way they affect the brain. Here are a few common examples:

  • Opioids (e.g., heroin, prescription painkillers like oxycodone) [1]
  • Stimulants (e.g., cocaine, methamphetamine, prescription ADHD medications)
  • Benzodiazepines (e.g., Xanax, Valium)
  • Alcohol [1]
  • Marijuana (though the potential for addiction is lower than other drugs) [1]
  • Hallucinogens (e.g., LSD, though addiction is rare, repetitive use is possible)

Now, let’s look at the key signs that indicate drug addiction.

Increased Tolerance

One of the earliest and most common signs of drug addiction is developing a tolerance. This is when a person’s body becomes less responsive to a drug after repeated use. They will need to take higher doses just to achieve the same effects they used to enjoy. [2]

Tolerance develops because the body adjusts to the presence of the drug, making it less effective over time. It can develop with various substances, including prescription medications like painkillers, sedatives, stimulants, and recreational drugs like alcohol.

Tolerance is a natural physiological response. However it can also increase the risk of dependence or overdose, as users may take more of the drug in an attempt to reach the desired effect. A person may notice that the drug doesn’t seem to work as well as it did when they first started taking it, leading to an increase in consumption. [2]

Signs of drug tolerance include needing larger or more frequent doses of a substance, seeking stronger substances, or even combining drugs to enhance the effects. If unrecognized, tolerance can be dangerous as escalating drug use increases the likelihood of side effects, dependence, or fatal overdose.

Withdrawal Symptoms

Drug withdrawal is a physical and psychological response that occurs when a person who has developed drug dependence abruptly stops or significantly reduces their use of it. The body, having adapted to the regular presence of the drug, reacts to its absence by triggering various symptoms. [1]

These withdrawal symptoms can range from mild to severe. It depends on the type of drug, the duration and intensity of use, and the person’s health condition. It occurs because the body struggles to maintain normal function without the drug after getting accustomed to it. [1]

The specific symptoms of drug withdrawal vary based on the substance involved. However, it is common to experience both physical and psychological effects.

For example, those who are withdrawing from opioids like heroin or prescription painkillers may experience muscle aches, sweating, nausea, and intense cravings, while withdrawal from stimulants like cocaine or methamphetamine might lead to fatigue, depression, and irritability. [1]

Alcohol and benzodiazepine withdrawal can be especially dangerous, potentially causing seizures, hallucinations, and even life-threatening complications.

Because of the dangers of withdrawal, it is not recommended to quit a substance cold turkey. Professional medical supervision is recommended during withdrawal to help manage symptoms and prevent serious health risks.

Unsuccessful Attempts to Quit

Most people struggling with drug addiction know on some level that their behavior is problematic. They may have tried to stop using the drug on their own—even multiple times. But a hallmark of addiction is the inability to quit despite wanting to or knowing the consequences.

Someone addicted to a drug may make promises to themselves or others to quit, but they often find that those efforts are unsuccessful. This inability to control drug use, even when it causes harm, is one of the clearest indicators of addiction.

Neglecting Responsibilities and Obligations

As drug addiction takes hold, it can start to interfere with important areas of life, including work, school, and relationships. If drugs or alcohol become a priority for the individual, this a critical warning sign that the substance is starting to take control of their life.

Addiction to a drug often manifests in the neglect of responsibilities and obligations. People with this condition often find themselves missing important work deadlines, skipping school, or failing to complete daily household tasks. [3]

Instead, they may be preoccupied with obtaining and using the drug, overshadowing their ability to focus on anything else. This eventually leads to serious consequences like job loss, poor academic performance, and conflicts within the family.

Over time, the once manageable responsibilities begin to pile up, creating a cycle of guilt and anxiety, which may fuel further substance use as a way to cope. This neglect also often extends to personal relationships and social obligations. [3]

Someone struggling with addiction might withdraw from family gatherings or avoid their friends. They may even lose interest in things they used to enjoy. As their addiction deepens, they may become increasingly unreliable, canceling plans or making excuses to avoid commitments. In the process, they end up isolating themselves and going deeper into their drug dependence.

Changes in Appearance and Hygiene

Friends and family members are often the first to notice changes in the person’s physical appearance and hygiene. After all, these are some of the most visible signs of substance use disorder.

As their priority shifts towards the drug, they neglect not only their responsibilities but their personal hygiene, leading to a disheveled or unkempt appearance. Regular grooming habits like bathing, brushing teeth, or changing clothes might become infrequent. [3]

There may also be noticeable physical changes such as sudden weight loss or gain, bloodshot eyes, or an overall gaunt appearance. Skin conditions like sores, rashes, or marks from injecting drugs can also appear.

Unexplained odors or the scent of drugs themselves may become prevalent on their clothes or body. They may also appear fatigued or sleep-deprived due to irregular sleep patterns caused by drug use. These changes are often a reflection of the person’s declining physical and mental well-being as their focus shifts primarily to obtaining and using the drug. [3]

Even their environment may go through some noticeable changes. As addiction takes over, they may start to live in a cluttered or dirty space, showing a general disregard for cleanliness. This is even more apparent if the person used to be tidy.

Social Isolation and Relationship Problems

We mentioned earlier how drug addiction tends to lead to social isolation. If you notice that your loved one is distancing themselves from their loved ones or their social obligations, this may be a sign of substance abuse.

This self-isolation may stem from a desire to hide the addiction or from their feelings of guilt and shame. As addiction progresses, a person may prefer solitude or the company of those who enable their substance use. This means a sudden change in their social circle can also be an indicator of a drug problem. [1]

This isolation creates a harmful cycle, where loneliness and the emotional distress of being disconnected from loved ones drive further drug use to cope with these negative feelings.

As the person chooses the substance over everything else, relationship problems may develop. The impact of drug use on mood, behavior, and priorities can cause significant strain on personal and professional relationships.

Arguments and mistrust often arise due to their erratic or secretive behavior. Over time, these stressors erode trust and intimacy, leading to broken relationships and strained family dynamics. In severe cases, addiction can lead to loss of relationships entirely, as loved ones may feel compelled to distance themselves for their own well-being. [1]

Risky Behaviors

As drug addiction deepens, people often engage in increasingly risky or reckless behaviors to obtain or use the drug. This could include driving under the influence, having unprotected sex, or sharing needles, all of which can have serious consequences. [3]

Risky behavior can also include financial decisions, such as spending money meant for rent or bills on drugs. People may steal, lie, or manipulate others to get the money they need to feed their addiction. This desperation to maintain their drug supply can put them in dangerous or illegal situations.

Health Problems

Health problems are difficult to hide, and so these may be your clearest indicators of a substance use disorder. Drug use can cause significant short-term and long-term health effects, impacting both the person’s physical and mental health.

Physical health issues may include significant weight loss or gain and frequent illnesses due to a weakened immune system. [4]

Chronic conditions may develop, such as heart problems, liver damage, or respiratory issues, depending on the type of drug they used. For instance, opioid addiction can lead to respiratory depression, while stimulant abuse can cause heart attacks or strokes. [4]

Long-term drug use can also cause organ damage, often irreversible, which can severely impair a person’s quality of life.

Mental health deterioration is another serious consequence of drug addiction. Individuals may experience heightened levels of anxiety, depression, paranoia, or even hallucinations—again depending on the drug. [4]

Addiction may worsen pre-existing mental health conditions or trigger new psychiatric disorders. Co-occurring disorders necessitate dual diagnosis treatment, wherein both problems are addressed simultaneously.

Denial

Perhaps the most difficult aspect of addiction is the person’s denial of the problem. Many people struggling with drug addiction minimize or deny the severity of their situation, even when it is clear to those around them. This denial can prevent them from seeking help and can make it difficult for friends and family to intervene.

Denial is a powerful force in addiction, as admitting the problem means facing the need for change. For many, this is a scary and overwhelming prospect, especially if the addiction has been ongoing for a long time.

Overcoming this obstacle is one of the first steps in the long journey towards sobriety.

What to Do When You Spot the Signs of Addiction

Recognizing the signs of addiction early on can be the key to getting help before the problem escalates. Even if a person has already developed a full-blown addiction, you may still need to recognize these signs in order to get them the help that they need.

Acknowledge the Problem

The first step is to recognize that addiction is present, either in yourself or in someone close to you. Accepting that this is a serious issue is crucial because it opens the door for the necessary next steps, including seeking help. Denial can prevent progress, so acknowledging the addiction is the foundation for recovery.

Seek Professional Help

Addiction is a complex condition. Therefore, it requires professional intervention, whether through therapy, counseling, or rehabilitation programs. A healthcare provider can assess the severity of the addiction and recommend a course of action.

Seeking help from professionals such as counselors, addiction specialists, or support groups offers structured guidance and evidence-based treatment options, helping patients take the right steps toward recovery. [4]

Build a Support System

A strong support system is essential in overcoming addiction. This can include family, friends, or even support groups like Narcotics Anonymous or Alcoholics Anonymous. Surrounding yourself with understanding and non-judgmental individuals provides emotional strength and motivation. A healthy support system encourages accountability, offers comfort during difficult times, and reminds you that recovery is possible and that you don’t have to face it alone. [4]

If you or someone you care about is showing signs of drug addiction, it’s important to seek professional help. Remember, addiction is not a sign of weakness. It is a medical condition that can be treated, and there is no shame in seeking help.

Look for a rehab center near you today and get started on the road to recovery.

 

Sources:

[1]: https://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112

[2]: https://www.medicalnewstoday.com/articles/drug-tolerance#what-is-it

[3]: https://www.tn.gov/behavioral-health/substance-abuse-services/treatment—recovery/treatment—recovery/prescription-for-success/warning-signs-of-drug-abuse.html

[4]: https://www.healthline.com/health/addiction/recognizing-addiction

author avatar
Fel Clinical Director of Content
Felisa Laboro has been working with addiction and substance abuse businesses since early 2014. She has authored and published over 1,000 articles in the space. As a result of her work, over 1,500 people have been able to find treatment. She is passionate about helping people break free from alcohol or drug addiction and living a healthy life.

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