Clean slate recovery

• Bloodshot eyes, pupils larger or smaller than usual
• Sudden weight loss or gain
• Deterioration in physical appearance or personal grooming
• Unusual smells on breath, body, or clothing
• Tremors, slurred speech, or impaired coordination
• Frequent nosebleeds (potentially indicating cocaine use)
• Track marks on arms or legs (from injection drug use)

• Missed work, school, or important obligations
• Unexplained financial problems or frequently asking for money
• Engaging in secretive or suspicious behaviors
• Sudden change in friends or social activities
• Participating in risky behaviors (driving while intoxicated, unsafe sex)
• Legal problems related to substance use
• Decreased involvement in activities previously enjoyed

• Unexplained mood swings, irritability, or angry outbursts
• Periods of unusual hyperactivity or agitation
• Appearing fearful, anxious, or paranoid without reason
• Lack of motivation or energy
• Sudden changes in personality or attitude
• Appearing lethargic or "spaced out"
• Sudden mood changes, irritability, or angry outbursts

• Changing social circles to those who use substances
• Relationship difficulties (arguments, breakups, isolation)
• Defensive behavior when questioned about substance use
• Neglecting responsibilities to family or work

• Drinking alone or in secrecy
• Feeling hungover when not drinking
• Needing a drink first thing in the morning
• Inability to control alcohol intake once started
• Blackouts (not remembering conversations or commitments

If you notice these signs in yourself or someone else, it's important to reach out for professional help. Substance use disorders are medical conditions that respond well to treatment, and recovery is possible with appropriate support.