Guide

Signs that something may be becoming a problem

You do not need to tick every box for a pattern to deserve attention. What matters is how much control you have, the harm being caused and whether the pattern is changing.

Updated6 October 2026
Reading timeAbout 2 min
EvidenceNHS / NICE anchored
Clinical reviewPending
Key point
A particularly important warning sign is continuing even when you can see consequences developing — such as health problems, arguments, missed work, debt, anxiety, secrecy or legal risk.

You can use the sections below to go deeper, or jump using “On this page”.

01

Changes in control

  • Using more, gambling more or spending longer than you intended.
  • Repeatedly deciding to cut down and finding it difficult to follow through.
  • Feeling preoccupied with the next opportunity to use, drink, gamble or engage.
02

Changes in priority

  • Other interests, responsibilities or relationships are increasingly pushed aside.
  • You arrange your day around the substance or behaviour.
  • Money, time or energy are repeatedly diverted from things that matter to you.
03

Continuing despite harm

A particularly important warning sign is continuing even when you can see consequences developing — such as health problems, arguments, missed work, debt, anxiety, secrecy or legal risk.

You do not have to identify as “an addict” to get help.

Many people seek support because they are worried about a pattern long before they would use that label for themselves.

Evidence & sources

What this page is anchored to

We summarise guidance in original plain English. Open the primary sources if you want to check the underlying recommendations.

See our source policy and core sources →

04

Physical signs can matter too

Some substances can lead to tolerance and physical dependence. Withdrawal symptoms when reducing or stopping can be a sign that medical advice is needed. Alcohol and some sedative medicines can cause dangerous withdrawal in people who are dependent.

Read about withdrawal and stopping safely →

This page provides general educational information and does not replace assessment or advice from a healthcare professional. If you are worried about severe withdrawal, overdose, immediate danger or a mental health emergency, use our urgent help guidance.

Where next?

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You do not have to work out the whole plan at once. Start with the option closest to your situation.

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