Identifying signs of co-occurring disorders, which involves both mental health challenges and substance misuse, can be difficult as symptoms may overlap and vary depending on the specific disorders and substances involved. However, there are some common warning signs to look out for:
1. Engaging in impulsive or risky behaviors regularly or atypically.
2. Mood swings, intense bursts of energy, significant sadness, hopelessness, despair, anxiety, or depression.
3. Difficulty focusing, finishing tasks, or making decisions, and getting frustrated easily.
4. Isolating oneself and avoiding family and friends.
5. Loss of interest in school, work, hobbies, and responsibilities.
6. Increased or secretive use of nicotine, alcohol, or other drugs.
7. Frequently asking to borrow money or stealing money.
8. Unexplained physical health issues, weight changes, neglect of hygiene or appearance, and sleep difficulties.
9. Personal or family history of substance use or mental health disorders.
10. Suicidal thoughts, self-harming behaviors, or suicide attempts.
When someone you care about is struggling with these signs, it can be challenging for everyone involved. It’s important to step in and offer help. Here are some steps you can take based on the level of risk:
Low Risk:
If you notice changes in mood, behavior, or habits that are noticeable but not yet significantly interfering with daily life, maintain communication, encourage healthy coping strategies, and check in regularly.
Moderate Risk:
If persistent struggles are affecting school, work, relationships, or daily functioning, and there are signs of increased isolation, difficulty managing emotions, or early substance use, express concern, suggest seeking professional support, and monitor for worsening symptoms.
High Risk:
If there are signs of severe distress, self-harm, suicidal thoughts, heavy substance use, or medical danger, seek immediate intervention. Call 911 for medical attention, 988 for the Suicide and Crisis Lifeline, or 1-800-662-HELP for the SAMHSA National Helpline. Carrying naloxone (Narcan) can help reverse an opioid overdose.
Remember, if you or someone you know is struggling with mental health and/or substance use, you are not alone. Take action and seek help immediately.
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By recognizing these warning signs and taking appropriate action, you can help prevent further harm and potentially save a life.
