Is My Loved One Using? How to Spot Substance Use in Adults

When someone you care about starts acting differently, it’s natural to wonder what’s going on. Substance use among adults doesn’t always look like what we see in movies or on TV. It can be subtle, hidden behind work routines, parenting, or social obligations. But knowing the warning signs could be the first step toward helping them get the support they need.

Changes in Behavior

One of the first red flags is a shift in personality or daily habits. Some common behavioral signs include:

  • Unusual mood swings or irritability
  • Unexplained absences or missed responsibilities
  • Sudden secrecy or defensiveness
  • Increased isolation or social withdrawal
  • Neglect of hygiene, meals, or sleep

These changes are often gradual and easy to dismiss — especially when someone appears to be “holding it together” in public. But a pattern over time may point to something deeper.

Physical Signs to Look For

Not all substances affect the body the same way, but some common signs may include:

  • Bloodshot eyes or dilated pupils
  • Sudden weight changes
  • Frequent nosebleeds (possible indicator of snorting drugs)
  • Track marks or bruises on arms
  • Unusual body odor or smell of alcohol

Financial or Legal Issues

Substance use can take a financial toll. You may notice sudden requests for money, unpaid bills, or missing valuables. In some cases, legal trouble related to possession, DUI, or absenteeism at work may also arise.

How to Approach the Situation

If you suspect a loved one is struggling with substance use, approach the conversation with care. Accusations or anger often lead to defensiveness or denial. Instead, express concern, share what you’ve noticed, and offer support. Sometimes the person is already aware they have a problem — they just don’t know where to start.

Recognizing the signs doesn’t mean you need all the answers. But it can mean the difference between staying silent and offering a lifeline.