Know the Warning Signs of Addiction

Learn how to recognize the signs of substance use disorder and problem gambling, as well as how to spot and reverse an overdose.
Warning Signs
Physical Signs

• Physical appearance
• Small pupils
• Decreased respiratory rate
• Non responsiveness
• Drowsy
• Loss or increase in appetite
• Weight loss or weight gain
• Intense flu-like symptoms (nausea, vomiting, sweating, shaky hands, feet or head, large pupils)
• Wearing long-sleeves or hiding arms

Behavioral Signs

• Change in attitude and/or personality
• Tendency to avoid contact with family and/or friends
• Change in friends, hobbies, activities and/or sports
• Drops in grades or performance at work
• Isolation and secretive behavior
• Moodiness, irritability, nervousness, giddiness
• Tendency to steal

Advanced Signs

• Missing medications
• Burnt or missing spoons and/or bottle caps
• Syringes
• Small bags with powder residue
• Missing shoelaces and/or belts

Recognize, Respond, Reverse
Opioid Overdose

Signs of an overdose include falling asleep; loss of consciousness; shallow or no breathing; limp body (though may be rigid with fentanyl); choking or gurgling sounds; small, constricted, 'pinpoint' pupils (may be difficult to see in an emergency); pale blue or cold skin, lips, or nails (factors including skin tone could make this difficult to see).

Know the warning signs, risks, and health impact of specific substances and behaviors