The good news is that you or your loved one can get better. There is hope—no matter how bad the substance abuse problem and no matter how powerless you feel. Learning about the nature of addiction—how it develops, what it looks like, and why it has such a powerful hold—will give you a better understanding of the problem and how to deal with it.

Many people do not understand why individuals become addicted to drugs or how drugs change the brain to foster compulsive drug abuse. They mistakenly view drug abuse and addiction as strictly a social problem and may characterize those who take drugs as morally weak. One very common belief is that drug abusers should be able to just stop taking drugs if they are only willing to change their behavior. What people often underestimate is the complexity of drug addiction -- that it is a disease that impacts the brain and because of that, stopping drug abuse is not simply a matter of willpower. Through scientific advances we now know much more about how exactly drugs work in the brain, and we also know that drug addiction can be successfully treated to help people stop abusing drugs and resume their productive lives.
Repeated drug use alters the brain—causing long-lasting changes to the way it looks and functions. These brain changes interfere with your ability to think clearly, exercise good judgment, control your behavior, and feel normal without drugs. Although it is true that for most people the initial decision to take drugs is voluntary, over time the changes in the brain caused by repeated drug abuse can affect a person's self control and ability to make sound decisions, and at the same time send intense impulses to take drugs.
5 Myths about Drug Addiction and Substance Abuse
MYTH 1: Overcoming addiction is a simply a matter of willpower. You can stop using drugs if you really want to. Prolonged exposure to drugs alters the brain in ways that result in powerful cravings and a compulsion to use. These brain changes make it extremely difficult to quit by sheer force of will.
MYTH 2: Addiction is a disease; there’s nothing you can do about it. Most experts agree that addiction is a brain disease, but that doesn’t mean you’re a helpless victim. The brain changes associated with addiction can be treated and reversed through therapy, medication, exercise, and other treatments.
MYTH 3: Addicts have to hit rock bottom before they can get better. Recovery can begin at any point in the addiction process—and the earlier, the better. The longer drug abuse continues, the stronger the addiction becomes and the harder it is to treat. Don’t wait to intervene until the addict has lost it all.
MYTH 4: You can’t force someone into treatment; they have to want help. Treatment doesn’t have to be voluntary to be successful. People who are pressured into treatment by their family, employer, or the legal system are just as likely to benefit as those who choose to enter treatment on their own. As they sober up and their thinking clears, many formerly resistant addicts decide they want to change.
MYTH 5: Treatment didn’t work before, so there’s no point trying again; some cases are hopeless. Recovery from drug addiction is a long process that often involves setbacks. Relapse doesn’t mean that treatment has failed or that you’re a lost cause. Rather, it’s a signal to get back on track, either by going back to treatment or adjusting the treatment approach.
Generally the signs of drug abuse are as follows:
1)You’re neglecting your responsibilities
2)You take drugs to avoid or relieve withdrawal symptoms.
3)You’ve lost control over your drug use.
4)Your life revolves around drug use.
5)You’ve abandoned activities you used to enjoy
6)You continue to use drugs, despite knowing it’s hurting you.
Signs that a frined/family member is a drug addict.
Physical Symptoms
Bloodshot eyes or pupils that are larger or smaller than usual.
Changes in appetite or sleep patterns. Sudden weight loss or weight gain.
Deterioration of physical appearance and personal grooming habits.
Unusual smells on breath, body, or clothing.
Tremors, slurred speech, or impaired coordination.
Behavioral symptoms
Drop in attendance and performance at work or school.
Unexplained need for money or financial problems. May borrow or steal to get it.
Engaging in secretive or suspicious behaviors.
Sudden change in friends, favorite hangouts, and hobbies.
Frequently getting into trouble (fights, accidents, illegal activities).
Physiological symptoms
Unexplained change in personality or attitude.
Sudden mood swings, irritability, or angry outbursts.
Periods of unusual hyperactivity, agitation, or giddiness.
Lack of motivation; appears lethargic or “spaced out.”
Appears fearful, anxious, or paranoid, with no reason.
Drug addiction denial
Denial makes drug addiction worse because the brain considers the excessive use of drugs to be good. you often under estimate the amount you are using and how it impacts your life.
denial is a defense mechanism that "sugar coats" drug abuse. because it's less scary to to love it than to think of what it does to your life and body.
If a loved one is a drug addict
Speak up. Talk to the person about your concerns, and offer your help and support. The earlier addiction is treated, the better. Don’t wait for your loved one to hit bottom! Be prepared for excuses and denial with specific examples of behavior that has you worried.
Take care of yourself. Don’t get so caught up in someone else’s drug problem that you neglect your own needs. Make sure you have people you can talk to and lean on for support. And stay safe. Don’t put yourself in dangerous situations.
Avoid self-blame. You can support a person with a substance abuse problem and encourage treatment, but you can’t force an addict to change. You can’t control your loved one’s decisions. Let the person accept responsibility for his or her actions, an essential step along the way to recovery for drug addiction.
What Not To Dot
Don't attempt to punish, threaten, bribe, or preach.
Don't try to be a martyr. Avoid emotional appeals that may only increase feelings of guilt and the compulsion to use drugs.
Don't cover up or make excuses for the drug abuser, or shield them from the negative consequences of their behavior.
Don't take over their responsibilities, leaving them with no sense of importance or dignity.
Don't hide or throw out drugs.
Don't argue with the person when they are high.
Don't take drugs with the drug abuser.
Above all, try not to feel guilty or responsible for another's behavior.