At PBHG, we understand the immense challenges and emotional strain that come with supporting a loved one struggling with substance use. Watching someone you care about face the hardships of a Substance Use Disorder (SUD) can leave you feeling helpless, confused, and even overwhelmed. It can be difficult to know how best to offer your support, or even where to begin. But it’s important to remember that your care, patience, and understanding can have a profound impact on their journey toward recovery. This guide is designed to help you recognize the signs of substance use and provide you with practical, compassionate steps to offer the support your loved one needs while also caring for yourself during this trying time. Remember, you are not alone and we are here to help every step of the way!

Recognizing the Signs of Substance Use

We know that identifying substance use in a loved one isn’t always straightforward. Here are common indicators we have found:

1. Behavioral Changes
   • Increased secrecy or isolation
   • Unexplained absences or missed obligations
   • Decline in performance at work, school, or daily responsibilities
2. Physical Signs
   • Sudden weight loss or gain
   • Bloodshot eyes, dilated or constricted pupils
   • Unusual body odors or poor hygiene
3. Emotional and Psychological Symptoms
   • Mood swings, irritability, or aggression
   • Uncharacteristic anxiety or depression
   • Lack of motivation or interest in activities they once enjoyed
4. Financial and Social Indicators
   • Unexplained financial difficulties or borrowing money frequently
   • Changes in social circles, particularly withdrawing from long-term friends

While these signs may indicate substance use, they can also be symptoms of other underlying issues. Approach your loved one with care and avoid making immediate assumptions.

How to Offer Support

When you suspect a loved one is struggling with substance use, your response can influence their willingness to seek help. Here are actionable tips we have found that help guide you through this difficult season:

1. Educate Yourself

• Learn about substance use disorders (SUDs) to better understand their challenges.
• Familiarize yourself with available treatment options and recovery resources.

2. Choose the Right Time to Talk

• Pick a moment when your loved one is sober and calm.
• Ensure privacy and minimize distractions to foster open communication.

3. Express Concern, Not Judgment

• Use “I” statements to communicate how their behavior affects you. For example: “I’ve noticed you’ve been distant lately, and I’m concerned about you.”
• Avoid blame or criticism, which can lead to defensiveness.

4. Listen Without Interruption

• Allow them to share their feelings and experiences without interjecting.
• Show empathy and validate their emotions, even if you don’t agree with their choices.

5. Offer Help Without Enabling

• Encourage professional treatment but avoid rescuing them from consequences. For example, don’t cover up for missed work or pay their debts.
• Set healthy boundaries to protect your well-being.

6. Be Patient

• Recovery is a process that often involves setbacks. Celebrate small victories and offer ongoing encouragement.
• Utilize online resources like Samhsa for useful tips and information.

7. Encourage Professional Support

• Share information about counseling, detox programs, or support groups like Narcotics Anonymous (NA) or Alcoholics Anonymous (AA).
• Offer to help research treatment centers or attend an appointment with them.

8. Take Care of Yourself

• Supporting someone with a substance use issue can be draining. Seek support from groups like Al-Anon or Nar-Anon or therapy for yourself from us at PBHG.
• Prioritize self-care through activities that nurture your mental and physical health.

Avoid Common Pitfalls

• Don’t Ignore the Problem: Hoping it will resolve on its own may delay critical intervention.
• Don’t Try to Control Their Recovery: The decision to seek help must come from them. Focus on what you can control: your actions and responses.
• Avoid Enabling: Actions like covering up for their mistakes or providing financial support may perpetuate their substance use.

Resources for Immediate Help

If your loved one is in immediate danger, contact emergency services. For non-emergencies, these resources can provide guidance:

• SAMHSA National Helpline: 1-800-662-HELP (4357)
• National Suicide Prevention Lifeline: 988
• Medical Emergencies: 911
• Preferred Behavioral Health Group: 732-367-4700

Resources for Long-Term Support

At PBHG, we are proud to be a trusted local resource for individuals and families navigating the challenges of substance use recovery. As a trauma-informed organization, we understand the deep impact that substance use can have on both individuals and their loved ones, and we are dedicated to providing compassionate, evidence-based care every step of the way. Last year alone, we served over 27,000 individuals, offering support, resources, and guidance to help them on their journey toward long-term recovery. If you or your loved one are in need of ongoing support, we are here to help and provide the care necessary for sustained healing:

• PBHG Substance Use Outpatient Services
• PBHG Medication Management

Final Thoughts

We know that supporting a loved one through substance use disorder is a compassionate yet complex journey. By recognizing the signs, approaching them with empathy, and encouraging professional help, you can be a pivotal part of their path to recovery. Remember, while you can’t make decisions for them, your support can inspire hope and change. Contact us today to have us help you taking the first steps.