When substance use may be becoming a problem
Safety & Harm Reduction — Guide 18 of 25

Look at the effect on your life, not only how often you use. You can ask for help before a crisis.

Patterns worth discussing
- Using more or for longer than you intended.
- Trying to cut down but finding it difficult.
- Spending a lot of time using, obtaining substances, or recovering.
- Strong cravings or feeling that use is taking over.
- Continuing despite problems with health, relationships, work, or school.
- Using in situations that put you or others at risk.

A checklist is not a diagnosis
One sign does not tell the whole story. A healthcare professional can assess the pattern and discuss support. Someone can appear to manage daily responsibilities and still need help.

Start with one honest question
“What is substance use helping me with, and what is it costing me?” Record examples without judging yourself. Bring them to a trusted professional. You do not need to choose a label for yourself to start a conversation.

If you are helping someone
Offer a calm conversation about specific changes you have noticed rather than diagnosing the person.

WARN (OTHERS): After immediate care is covered, share dated advisories or observed concerns. Say what is confirmed and what is uncertain. Protect people’s privacy. Emergency care comes first. Never share someone’s name, identifying photo or private health details.

Your next step
Choose one concern and book a conversation about it.

Learn more
NIDA — The science of addiction
https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction

NIAAA — Treatment for alcohol problems
https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help

Current guide: https://therealdopeproject.com/safety-guides/when-substance-use-may-be-becoming-a-problem

The Real DOPE Project — Safety Is for Everyone.

Contact: therealdopeproject@gmail.com

Resource text updated: 2026-10-13. Earlier sources retain their individual review dates.

General education, not individual medical advice or first aid certification. In an emergency, call 911 and follow the dispatcher and your exact kit instructions.

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