Student Health Services - The University of Iowa

Substance Abuse

How can you tell if someone has a problem with alcohol and drugs

To assess whether or not someone has a problem with alcohol or drugs it is important to consider answers to the following questions:

How is the alcohol or drug use affecting their life? Why are they using?

Is substance use leading to:

  • Missing classes due to a hangover
  • Drinking and driving
  • Missing work
  • Lower grades
  • Poor work performance i.e., going to work high or hungover
  • Neglecting obligations to family, friends, work, school, etc
  • Fights or arguments under the influence
  • Legal problems (public intoxication, PAULA, OWI, Possession of controlled substance)
  • Depression or anxiety
  • Health or medical problems
  • Increased tolerance (needing to use more to get the same effects)
  • Blackouts (not remembering all or part of an evening while using)
  • Withdrawal symptoms
  • Inability to control or cut down use

Are they using alcohol or drugs to:

  • Cope with stress
  • Get over a breakup
  • Be able to talk to people
  • Boost their self-confidence

People may exhibit a lot or a few of the above symptoms. Even individuals who use substances infrequently can have problems. Sometimes it is difficult to detect a problem because people seem to have everything together. It's also important to remember that you don't have to be an addict or alcoholic to have a problem with alcohol or drugs.

Page updated: 3/27/08