Every year, during National Substance Abuse Treatment Month, we are reminded of the millions of individuals and families affected by substance use disorders across the country. Substance abuse disorder is more common than you might think, with 48.7 million Americans fighting addiction daily.

As someone who works with individuals seeking recovery, I’ve seen firsthand how challenging it can be to recognize when a loved one, or even ourselves, might need help.


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The stigma surrounding substance abuse makes it hard to confront yet acknowledging the need for treatment is the first and most crucial step toward healing.

Often, we see substance abuse start with more subtle behaviors like the occasional drink after work, using prescription medication for an injury or recreational drug use which all may seem harmless in the beginning. However, these behaviors can escalate and it’s difficult to know when to seek professional help.

Here are some signs to look for:

Nathaniel Bush, LCSW and Clinical Director at Cornerstone Healing Center.

Physical or Emotional Changes

If someone is showing drastic changes in their physical appearance, such as weight loss, fatigue or poor hygiene, it may signal a greater problem. Alongside physical changes, emotional shifts like increased irritability, anxiety or depression can be red flags to look out for.

Neglecting Responsibilities and Relationships

If your loved one is prioritizing substance use over work, relationships and hobbies they may start missing commitments or neglecting their responsibilities. If you notice, it may be time to have a conversation with a professional.

Minimizing the Problem

Admitting you have a problem can be incredibly difficult. When someone begins hiding or minimizing the severity of their substance abuse, they may not be ready to face the feelings of shame and guilt that often accompany addiction.

Unfortunately, the stigma surrounding addiction is still prevalent making it harder for your loved one to reach out for help. Many fear judgment or feel that they should be able to “just quit.” You can remind your loved one that addiction is a disease, not a moral failing.

Seeking help or substance abuse treatment is a sign of strength, not weakness. If you see yourself or a loved one in any of these signs, don’t wait to reach out to a trusted professional. It could save a life.


Author: This was written by Nathaniel Bush, LCSW and Clinical Director at Cornerstone Healing Center. Since its inception in 2017, Cornerstone Healing Center has established a reputation as Arizona’s premier mental health and substance abuse treatment center. With multiple state-of-the-art treatment facilities in Scottsdale and Phoenix and 8 different addiction and mental health programs with customizable treatment plans, Cornerstone Healing Center is a leader in both addiction recovery and mental health. To learn more, please visit https://cornerstonehealingcenter.com/.