How to Help a Friend with Substance Use Concerns

You may be concerned that a friend or loved one has a problem with substance use and you want to help. This page offers advice on how to start a conversation and support them. Consider the following steps when planning a conversation about substance use with a friend or loved one.

Pay attention: Specifically identify any substance use related behaviors that seem to interfere with an individual's relationships, work, classes and/or health.
- It may help to write down the behaviors you observe and see that are specifically related to their substance use causing you concern.
Share concerns: Talk with the individual respectfully and honestly about what you have noticed, focusing on specific behavior that is concerning you.
Avoid blaming or judging throughout the conversation.
Listen: Carefully listen to the individual's response without expecting anything in return. Your job is to offer your undivided attention regardless of how they respond or what they say.
Offer Support: Make sure the person knows you care about them and will be there for them after the conversation.
- Regardless of how scary it is to help a friend, remind yourself that you are doing this because you care about them.
Connect to Resources:

For other helpful considerations around talking to a friend about substance use, visit SHIFT’s page.

If you continue to feel concerned about the person, call the Behavior Concerns Advice Line (BCAL) at 512-232-5050.