Ten tell-tale signs of hidden addiction

Amy Winehouse's death has put addiction on the front pages. Addiction expert Dr Gregory A Smith explains how to spot the signs of a secret drink or drugs problem.

By Nick Bradshaw

The death of Amy Winehouse recently has not only drawn attention to her musical legacy but also to her battle with drink and drugs.

Addiction is an illness that affects many in Ireland and can lead to serious physical and mental health problems and, as has been highlighted through a number of high-profile cases over the years, death.

Knowing if someone has a problem with alcohol or drugs isn't as straightforward as it sounds. Despite the stereotypes of the staggering drunk or the emaciated addict, most people who overuse alcohol and drugs become adept at disguising their behaviour.

Shame, embarrassment and fear of consequences are powerful motivators. And in many cases, the person who's drinking too much or using drugs doesn't want to recognise or admit that he's not in control of the situation.

Dr Gregory A Smith is co-founder of Comprehensive Pain Relief Group, Los Angeles and is one of the world’s leading experts in drug addiction. He’s given us his ten tips for spotting secret addiction.

1. People with addiction problems tend to increase the quantity and frequency of their substance of choice without showing signs of being out of control.

2. Over time, addicts develop a network of hiding places. Check under the bathroom sink - is there a bottle hiding behind the bleach?

3. The need for money and the desperation of addiction make everything in your home susceptible. If items like cameras and jewellery begin to disappear from your house this is a good indication of propelled drug addiction.

4. Drinking alone before going out with friends is a big red flag.

5. Teenagers and young adults who are starting to use drugs may throw those around them off the track by admitting to use of a lesser drug, like marijuana, when harder drugs are the real problem.

6. Drugs are expensive. Impaired judgment also leads many people to get in financial hot water. Bills may pile up unopened, or someone might suddenly start selling possessions on eBay when they've never done so before.

7. Vodka is a drink of choice for alcoholics for one reason only: It's clear and looks just like water when poured in a tumbler.

8. Becoming unreliable and secretive is a trademark of the alcoholic or addict. They start to forget appointments, miss important events, show up late to work or school, etc.

9. As addiction takes hold, it tends to block out other interests and activities that used to be important sources of pleasure and fulfilment. Loss of interest in friends, sports, social activities and anything else that used to define someone can be a clue that something's not right.

10. Rapid weight loss. Weight loss is usually seen as positive in our society, so it's often overlooked as a symptom of drug abuse.

Gregory A. Smith, MD, QME, is the founder of Comprehensive Pain Relief Group (CPRG), a unique multi-specialty group that utilizes integrated medicine for chronic pain sufferers and those addicted or dependent on prescription narcotics  Dr. Smith practices in Los Angeles, California and sees patients from all over the world. www.painreliefgroup.com

[Main picture via canned muffi/Flickr Creative Commons]