Signs of Drug Use

Young woman sitting with hands over her head | Signs of drug use

Thank you for Stas Novitsky for this list. From VCAM (Virginia Center for Addiction Medicine) in Henrico County, a clinic designed to offer comprehensive addiction treatment including outpatient services.

Keep in mind that it’s a combination of many of these signs that illustrate a drug habit. This is not a complete list as substances to abuse are all over the place and around your house.

General

  • Missing money and jewelry.

  • Asking for “gas/grocery” money at unreasonable rates (going through a lot of money quickly to satisfy the drug craving and ignoring basic needs).

  • Eating a lot of food at odd hours of the night.

  • Being overly protective and not letting you see their “personal” belongings (purse, backpack, gym bag, phone or computer).

  • Trouble getting up in the mornings and waking up in the afternoon for a continued period.

  • Burn holes in clothes (cigarette holes in clothes are often the result of “the nod”).

  • Withdrawing from family/friends into their room/themselves.

  • Saying they’ll be home at a certain time and then staying out much later or not coming home at all.

  • Ignoring calls/texts from family—(check phone records and if you see 2–3 texts to same number then a break in communication with a follow up text or call that lasts less than a minute that’s usually a setup for a drug deal).

  • Weight loss/weight gain.

  • Dilated pupils/use of eye drops.

  • Multiple car accidents at odd times.

  • Loss of interest in hobbies.

  • Lack of motivation.

  • Truancy (stop going to school).

  • Missing silverware and coins.

  • Say they’re going to “store/restaurant” and then come back in 5–10 minutes or stay out over a reasonable amount of time.

  • Lack of self–care (no showering, no brushing teeth, stop taking care of themselves).

  • Being overly defensive of what they’re doing—“Hey what are you doing this weekend?”… “I don’t know GOD! Leave me alone”.

  • Being overly detailed of what they’re doing, making up stories of where they’re going.

  • Emotionless or overly emotional (things that used to make them happy don’t make them happy anymore, responding acutely to things that shouldn’t be of much concern).

  • Getting cash back on debit cards.

  • Overly large purchases on credit cards/debit cards at unusual places like $300 at Wawa/Walmart/Target/other stores (typically buying gift cards to pawn at other locations).

  • Transferring money from one account to another account.

  • Not shaving for a while/lack of hygiene.

  • Scabs and scars.

  • Air freshener, incense, odor spray in their room—usually to cover up smoking smells.

  • Detachment into room as soon as they walk into house, don’t interact with anyone unless they need food, money, etc.

  • Leaving house at odd hours, leaving for short bursts of time to walk down the street and back (picking up drug deliveries).

  • Blood on their clothes.

  • Screen off bedroom window for sneaking out.

  • Engaging in secretive or suspicious behaviors.

  • Bags under eyes.

  • Tremors, slurred speech, or impaired coordination.

  • Mood swings, irritability, or angry outbursts.

  • Always going somewhere at the last minute or showing up late for things despite reminders.

  • Dropping one group of friends from another.

  • Demanding more privacy—locking doors, avoiding eye contact.

  • Black on their teeth from smoking pills.

  • Runny nose in the summer time, sniffling.

  • Alcohol is missing from house.

  • Using lots of mouthwash to get rid of alcohol smell on breath.

  • Missing mouthwash or vanilla—products with alcohol.

  • Air duster cans missing—huffing.

  • Whipped cream is flat—addicts suck the gas from the Redi–whip can making it flat or order/buy whip.

  • Unexplained accidents/bruises/cuts/etc.

  • Unexplainable sweating.

  • It may be hot outside and they’re shivering or wrapped up in a sweater.

  • Excessive smoking of cigarettes.

  • Stash of plastic zip lock bags or a scale (objects use to sell marijuana to support a drug habit).

  • Always wanting or deal only in cash.

  • Seizures due to synthetic party drugs, inhalants or an overdose.

Marijuana

  • Missing socket wrench pieces.

  • Loud talking, inappropriate laughter followed by sleepiness, lots of motivation.

  • Weight gain or weight loss.

  • Glassy red eyes.

  • Overly upbeat followed by overly anxious.

  • Lots of water bottles that look funky and smoky or smell funny (water bottles also used to disguise vodka).

Depressants (including Xanax, Valium, GHB)

  • Contracted pupils.

  • Drunk–like movements.

  • Difficulty concentrating.

  • Clumsiness.

  • Poor judgment.

  • Slurred speech.

  • Sleepiness—also called the nods (falling asleep in front of you).

Stimulants (including amphetamines, cocaine, crystal meth)

  • Dilated pupils.

  • Hyperactivity and euphoria.

  • Irritability and anxiety.

  • Excessive talking followed by depression or excessive sleeping at odd times.

  • May go long periods of time without eating or sleeping.

  • Weight loss.

  • Dry mouth and nose.

  • If prescribed ADD meds, running out too quickly.


Inhalants (glues, aerosols, vapors)

  • Watery eyes.

  • Impaired vision, memory and thoughts.

  • Secretions from the nose or rashes around the nose and mouth.

  • Headaches and nausea.

  • Appearance of intoxication.

  • Drowsiness.

  • Poor muscle control.

  • Changes in appetite.

  • Anxiety.

  • Irritability.

  • Lots of cans/aerosols in the trash.

  • Hallucinogens (LSD, PCP).

  • Dilated pupils.

  • Bizarre and irrational behavior including paranoia, aggression.

  • Hallucinations.

  • Mood swings.

  • Detachment from people.

  • Absorption with self or other objects.

  • Slurred speech.

  • Confusion.


Heroin

  • Additional information on heroin abuse since that was Charles’ drug of choice.

  • Missing spoons and pieces of tin foil.

  • Contracted pupils; no response of pupils to light.

  • Needle marks (injected and/or snorted).

  • Sleeping at unusual times.

  • Sweating.

  • Vomiting.

  • Coughing and sniffling.

  • Twitching.

  • Loss of appetite.

  • Really runny nose (for those who snort).

  • When they wake up they’re sick, when they come home they’re suddenly not “sick” anymore.

  • They’re throwing up inexplicably to the point you think there is a stomach disease.

  • Nodding off in front of you. Called “the nod”.

  • Cigarette holes in their clothing because of nodding off.

  • Long sleeves in warm weather—to cover up track marks from needles.

  • Unexplained weight loss.

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