Helping a Friend With an Addiction

Making the decision to help

When deciding if you should speak to your friend, you may have some concerns, such as:

• Fear or mixed feelings about getting involved in someone else's life. Just remember, addiction to alcohol or other drugs is a leading cause of death.

• You believe someone else will say something. But it's important not to wait for someone else to step up.

• You may feel hurt by your friend's past actions or behaviors. So it's important to take responsibility for your feelings, too.

It's also important to have an idea about the amount of alcohol or drug abuse. Think about how it is affecting your friend as well as others. If your friend has alcohol- or drug-related problems, he or she needs help.

Psychological symptoms

When a person has a psychological or emotional craving for a drug, you may see certain symptoms. Your friend may:

• See drugs as the solution, not the problem

• Take the drug in larger amounts or over a longer time

• Be preoccupied with getting drugs

• Steal or sell their things to buy drugs

• Feel anxious, grouchy, depressed

• Withdraw from contact with friends and family

• Lose interest in school, work, or hobbies

• Socialize with others who abuse drugs

• Have mood swings

• Have problems at work and at home

• Has trouble with relationships

• Take part in dangerous behavior such as driving while drunk

Physical symptoms

When a person’s body becomes dependent on a drug, you may see some of the following symptoms:

• Sleeping problems

• Needs more drugs for the same effect

• Weight loss or weight gain

• Physical withdrawal symptoms when not taking the drug

How to talk

The following can help you talk with your friend:

• Don't try to talk when your friend is drunk or high. It's also a good idea to meet in a neutral place. But not at a bar or any place else that serves alcohol.

• Talk about the effect your friend's drinking or drug use has on whatever the person cares about most, such as career or children. Your friend may not be concerned about his or her own situation. But they may care deeply for their children and what the problem may be doing to them.

• Be aware of treatment or recovery resources available in your community. Find the local phone number for Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). Learn what treatment resources are available in your area by calling your state's Office of Substance Abuse Services or searching the Substance Abuse and Mental Health Services Administration's treatment locator. This website also has 2 treatment locators on this page specifically for opiate abuse. 

• If your friend doesn't want to go to AA or NA, talk with other people who know and care about your friend to see if they have other ideas.