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March 11, 2025

Early Warning Signs of Drug and Alcohol Addiction

Addiction can manifest in several forms. Sometimes, it can be unclear why someone is experiencing subtle changes in their mood and behavior. This is especially true since during the early stages of addiction, an individual may still be adept at attending to their regular responsibilities—such as work and family obligations.

But recognizing the early warning signs of drug and alcohol addiction can save lives. Whether you’re concerned about your own well-being or a loved one, identifying these signs can guide you or a loved one toward getting professional help earlier. Treatment may also be more effective during this early stage. Below, we explore the early signs of drug and alcohol addiction—and why it’s so important to get treatment now rather than later.

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What Are the Early Signs of Drug Addiction?

Many addicts strive to hide their addiction from family and loved ones, which can create confusion and other issues. However, knowing the early signs can help you better understand what’s happening and help you or a loved one take the first steps toward healing. 

Some of the most common signs of an addiction include risk-taking behaviors, neglect of responsibilities, and legal issues—although these more obvious signs often manifest in the later stages of addiction. So, what are the early signs?1

Early Psychological Signs

Psychological signs that indicate an addiction may be underway include:

  • Changes in mood
  • Irritability
  • Angry outbursts
  • Changes in personality
  • The person seems more fearful or anxious

Early Behavioral Signs

Early behavioral signs of addiction may involve:

  • Decline in performance at school or work
  • Increasing engagement in secretive activities
  • Sudden change in friend group
  • Sudden change in hobbies
  • Spending more money than usual

Early Physical Signs

Early physical signs may involve:

  • Enlarged pupils
  • Bloodshot eyes
  • Frequent flu symptoms or illnesses
  • Changes in appetite or weight
  • Altered sleep patterns
  • Impaired coordination
  • Changes in physical appearance or hygiene 
  • Poor skin tone or increasing skin issues (potentially caused by picking)
Type of Sign Specific Symptoms
PsychologicalMood changes, irritability, angry outbursts, personality shifts, increased anxiety or fear
BehavioralDecline in work/school performance, secretive activities, sudden changes in friends/hobbies, excessive spending
PhysicalEnlarged pupils, bloodshot eyes, flu-like symptoms, appetite/weight changes, poor hygiene, skin issues

If you or a loved one are experiencing the above signs, know that recovery is possible. Your best days are still ahead of you. At FRC, we can help you realize this and overcome the cycle of addiction before it’s too late. Take that first step today and call us at 804-635-3746 or fill out our online form.

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Signs of Specific Drug Use

Using specific drugs can have differing signs. Here are some you may want to watch out for.

Benzos

Benzos include commonly prescribed medications—such as Valium and Xanax. Withdrawal from these types of drugs may lead to increasing anxiety and other symptoms, like irritability and trouble sleeping. Mild memory issues, trouble concentrating, and slower movements or thinking may also be evident early on.2

Stimulants

A stimulant addiction may give way to fast talking, rambling, aggression, sleep issues, and anxiety. Using these types of drugs, like Adderall, may also lead to thoughts such as, “I only use it to be more productive,” which may lead to denial that there is a problem.3

Opioids

Opioids include illicit drugs, like heroin and fentanyl, and prescription drugs, like oxycodone. These drugs are currently driving an epidemic, with increasing overdose deaths due to the use of these substances. Early signs of abuse include digestive issues, like constipation, mood swings, memory problems, inability to concentrate, and irritability. Flu-like symptoms may also arise as part of withdrawal when trying to stop using.4

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Signs of Alcohol Addiction

Over 28.9 million people, aged 12 and older, in the United States suffer from an alcohol addiction. Many individuals effectively hide their addiction and are frequently referred to as “functional alcoholics.” But as time goes on, this can become more difficult to hide and more and more issues may begin to pile up.

Early signs of alcohol addiction include5:

  • Memory loss
  • Flushed face
  • Withdrawal symptoms (headaches, insomnia, nausea)
  • Drinking alone
  • A lack of control over how much you drink
  • Depression
  • Mood swings
  • Turning to alcohol to cope with stress
Substance Early Warning Signs
Benzos (Valium, Xanax)Increased anxiety, irritability, trouble sleeping, memory issues, slow thinking/movements
Stimulants (Adderall, Cocaine)Fast talking, rambling, aggression, sleep issues, anxiety, denial of a problem
Opioids (Heroin, Oxycodone)Mood swings, digestive issues, memory problems, flu-like withdrawal symptoms
AlcoholMemory loss, flushed face, withdrawal symptoms (headaches, nausea), drinking alone, mood swings

For an alcohol addiction, a medical detox is necessary at the beginning of recovery. It’s not recommended to stop drinking on your own as this can potentially be dangerous and life-threatening. With FRC, our medical team monitors you 24/7, offering support and medical help throughout the detoxification process.

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Treatment for Drug Abuse and Alcohol Addiction

Overdose deaths have increased in recent years, indicating a need for early treatment. Thus, early intervention for drug abuse and alcohol addiction can ensure you or a loved one is around for many years to come. And you don’t have to do it alone. 

At FRC, we are here to guide you every step of the way and ensure you have the support you need for a lasting recovery. Recovery is possible. Sometimes, we all need a little help. Call us at 804-635-3746 to take back control of your life.

FAQs

Can you become addicted to drugs after one use?

No, this isn’t common. But addiction often depends on the individual and the specific drug or substance. For some substances, even using them a few times can lead to an addiction.

Who is more at risk of developing an addiction to drugs or alcohol?

Individuals more at risk of developing an addiction include:

  • Those with a family history of addiction
  • Individuals with pre-existing mental health conditions
  • Individuals who have experienced trauma or high stress

How can I help a loved one who shows signs of drug or alcohol addiction?

It can be tough to watch a loved one struggle with addiction. It can be even harder to know how to help. However, educating yourself about addiction can be a great place to start. Additionally, encouraging them to seek help, without accusations or judgment, can guide them toward healing and recovery. When you’re unsure what to do next, professional help can further offer guidance and help you set boundaries to protect your own mental well-being.

Reviewed

Medically and professionally reviewed by Freedom Recovery Center

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