1Reach out. Many people use drugs as a way to escape from pain. Habitual drug use can make a person feel isolated and empty. Sometimes, just knowing that someone else cares and is available is enough to get someone to open up about their drug use and ask for help.
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2If you don't feel comfortable reaching out and asking if someone has a problem, closely observe your neighbor's behavior. Common indicators of drug use include: people coming and going from your neighbor's house at all hours of the night, paranoid behavior such as constantly looking out the windows, or expressing an irrational fear that someone is "out to get them."
3Aside from overt changes in behavior, look for physical indicators of drug use as well. Bloodshot eyes and abnormal pupil size are common side effects of drug use. If the person is taking stimulants, the pupils will be dilated. Conversely, if opiates are being used, the pupils will be constricted. Injection scars, chronic runny nose, and excessive scratching are also physical characteristics to look for. In prolonged cases of drug use, rapid weight loss, and changes to skin color and complexion are additional warning signs to take note of.
4Look for sudden changes in personal appearance and attitude, such as poor hygiene, or an inability to maintain a conversation with your neighbor.
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