Determining if a young person is using mind-altering chemicals is not easy because many
of the feelings and behaviors can be displayed by a normal, healthy adolescent. On the
other hand, many of the indicators of substance abuse can also signify a serious emotional
problem or even mental illness. The following is a list of readily observable indicators
that can signify adolescent substance abuse.
Deterioration of school performance
- poor grades
- absenteeism
- skipping classes
- disciplinary problems
Loss of interest in school or extracurricular activities
- clubs
- sports
- job
- hobbies
- other activities such as yearbook, newspaper, band, drama, cheerleading
Change in peer relationships
- change in peer circle; now affiliates more with suspected drug and alcohol users or
"troublemaker"
- has fewer friends; now seen alone more often
- isolated
Physical appearance - dress and self-care
- deterioration in self-care habits, grooming, dress
- wears clothing, jewelry, and insignias that suggest or advocate drug or alcohol use
Physical appearance - behavioral
- drowsiness
- appears intoxicated
- unsteady gait
- slurred speech
- incoherent
- hyperactive
- agitated
- red, glazed eyes
- dream-like trance
- hostile
- abusive
Fluctuation in feelings
- pronounced mood changes
- excitable
- nervousness
- paranoia
- panic
- depression
- anger
- euphoria, elation
- inappropriate laughter
- withdrawn
- pronounced low self-concept
Deterioration of thinking
- poor concentration
- poor memory
- short attention span
- confusion
- bizarre thoughts
- hallucinations
Deterioration of motivation
- loss of motivation
- diminished enthusiasm
- loss of initiative
- giving up goals/ambitions
