Someone with a drug abuse problem often displays general symptoms, regardless of the type of drug being abused: paranoia, confusion, overall attitude or mood adjustment, withdrawal from relationships or activities, abrupt changes in quality of work or school attendance. The specific signs of drug abuse, however, will differ, depending on the nature of the chemical.
Acute Alcohol Abuse
The Handbook of Diseases describes the immediate signs of alcohol abuse as intoxication, loss of motor control (including walking and speech), alcoholic odor on breath or clothing, loss of memory and blackouts.
Chronic Alcohol Abuse
The chronic signs of alcohol abuse are more subtle. This abuse can be seen in someone who has including difficulty focusing, uncharacteristic behavior (passive or argumentative), dysfunctional interpersonal relationships, declining school or job performance, and fixated attention on alcohol, according to the Handbook of Diseases.
Depressant Abuse
According to the American Council for Drug Education (ACDE), signs of the abuse of depressants (barbiturates---Amytal, Seconal; benzodiazepines---tranquilizers Xanax and Valium) include an intoxicated appearance (like alcohol, but without the noticeable smell). Signs of depressant abuse also include a lack of facial expressions or emotional responses, flaccid appearance, deflated or flat personality, and slurred or distorted speech.
Stimulant Abuse
The ACDE identifies the signs of stimulant abuse (amphetamine, methamphetamine, cocaine, Ritalin) as hyperactivity, extreme energy, fidgeting, twitching, nervousness, irritable or argumentative, lack of appetite and sleep deprivation. Physiological signs include dilated pupils, dry mouth and lips, runny nose or nose bleeds, and sinus problems.
Hallucinogen Abuse
The ACDE describes the abuse of hallucinogenic drugs (PCP, LSD, Ketamine or Special K) as including distortion (self, others, time, the senses), hallucinations, confusion, altered mood or behavior and slurred or incoherent speech. Signs of hallucinogenic abuse also include physiological indications, such as extreme dilation of the pupils, warm skin, heavy perspiration and body odor.
Narcotic Drug Abuse
Abuse of narcotics (opiate-containing drugs such as heroine, methadone, codeine, oxycontin and morphine) can be identified by lethargy, drowsiness, pupil constriction and slurred speech. Other clues include increased amount or frequency in taking pain medication and frequent trips to doctors and clinics for pain medication.
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