Recognizing addiction in a loved one: When to speak up and where to find help

The journey of recovery from substance use and addiction is one that touches families and communities everywhere. For many, recovery is not just about stopping harmful behaviors; it’s about rediscovering health, strength and hope.

Here in the Philadelphia region, we see firsthand how substance use affects individuals, families and entire neighborhoods. But we also know recovery is possible. By understanding the early signs of addiction, learning how to talk with someone who may be struggling and knowing where to turn for help, we can play a powerful role in supporting each other.

Addiction doesn’t always look like “rock bottom”

When most people think of addiction, they picture someone at a breaking point — a crisis, a lost job, or a family in turmoil. “The truth is, many people continue to function at work, in school or at home while quietly struggling. That makes early recognition all the more important,” says Daniel Neff, MD, Medical Director, Mirmont Treatment Center.

Some of the early warning signs can be easy to overlook:

• Changes in sleep, appetite or energy levels
• Mood swings, anxiety or irritability
• Withdrawing from friends or favorite activities
• Trouble keeping up with work, school or family responsibilities
• Financial strain or unexplained spending
• Using more than intended, or needing more to feel the same effect

Addiction also impacts physical health and relationships. Over time, it can damage the body, create conflict at home or work and affect mental well-being. Recognizing these changes early can open the door to healing.

If you notice several of these changes over time, in yourself or someone you care about, it may be time to start a conversation.

Support for you. Help for your loved one. Anytime, 24/7.

Call us at 484.580.4787

Why primary care providers play such a vital role

One of the best first steps in addressing substance use is talking with a primary care provider (PCP). These trusted clinicians are often the first to notice early warning signs and can provide confidential, nonjudgmental support.

PCPs can:

• Screen for substance use and related health issues
• Offer safe medical guidance, including medication adjustments
• Connect patients with trusted treatment programs
• Address co-occurring mental health challenges, such as trauma, depression or anxiety

Sometimes the hardest part is simply starting the conversation. You don’t need to have all the answers — just share your concern. Try:

• “I’ve been drinking/using more than I planned.”
• “I’m worried about how often I’m using.”
• “A family member is struggling. Can you guide us to help?”

These simple openings can begin an honest dialogue and put you or your loved one on a path toward support.

Focus on supporting yourself first

Reaching out to a loved one about substance use can feel overwhelming. “Many families are met with defensiveness or dismissal when they raise their concerns. That’s normal — and it’s a sign of how difficult addiction can be to discuss,” says Dr. Neff.

One of the most important steps you can take is to focus on your own support first. By connecting with groups like Al-Anon or seeking counseling yourself, you’ll have the tools and strength to support your loved one.

When you are ready to talk, keep these tips in mind:

• Choose a calm moment, not in the heat of conflict.
• Speak with care, using “I” statements like, “I’m worried because I’ve noticed…”
• Share specific examples, not general accusations.
• Listen without judgment — sometimes silence helps more than advice.
• Offer support: “I’ll go with you to talk to a doctor.”
• Respect boundaries and protect your own well-being.
• Keep the door open. Even if they’re not ready today, your support matters.

Remember: you cannot force someone to change. But you can take care of yourself, and by doing so, be ready to walk beside them when they are ready.

How Mirmont Treatment Center can help you or your loved one

At Mirmont Treatment Center, part of Main Line Health, we see every patient as more than their addiction. Recovery is about treating the whole person — mind, body and spirit — so each individual can rediscover who they are and build a healthier future.

• Medical detox: Safe, 24/7 medically supervised care helps patients through withdrawal in a supportive, judgment-free environment. When appropriate, medication-assisted treatment (MAT) is available to ease symptoms and make the transition into recovery safer and more comfortable.
• Inpatient (residential) treatment: Through therapy, trauma-informed care and holistic options like yoga, art, and mindfulness, patients begin to rebuild their health and sense of self.
• Ongoing support: Recovery continues beyond treatment. Our team provides personalized aftercare planning, community connections and resources to help patients stay supported and resilient.

Mirmont Treatment Center is in-network with most insurance providers, making care accessible for many families in our region.

You don’t have to do this alone

Recovery begins with one small step — a conversation with your doctor, a phone call for information or an honest talk with a loved one. If you or someone you care about is struggling, Mirmont Treatment Center is here to help.

Next Steps

Take the first step. Call 1.888-227.3898.
Schedule an intake at Mirmont Treatment Center
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