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CALL: 1800 172 076

HELPING A  FRIEND  OR  FAMILY MEMBER  WITH SUBSTANCE USE

Supporting a friend or family member struggling with substance use can be overwhelming. It’s natural to feel a range of emotions—anger, fear, helplessness, and confusion. You may wonder: How do I approach the conversation? What help is available?

UNDERSTANDING SUBSTANCE USE

People use substances for different reasons. Some might use them to manage physical pain or to cope with anxiety and depression. Others may use them recreationally to enhance experiences. However, when substance use starts interfering with responsibilities, relationships, or their overall well-being, it might be time to have a conversation, if you feel comfortable doing so.

HOW TO START THE CONVERSATION

Approaching someone about their substance use is never easy, and there’s no one “right way” to do it. Here are some tips that might help:

Find the right time and place.

Make sure you choose a moment where you both have privacy and time to talk without interruptions. Think about where your loved one feels most at ease—maybe during a walk, sitting side by side, or in the car.

Be mindful of their state.

It’s ideal to have the conversation when they aren’t under the influence of substances or in the process of coming down. However, if this isn’t possible, do your best to remain calm and empathetic.

Avoid assumptions.

If you choose to ask about their drug use, try not to make assumptions about how much they’re using or why. Stay open-minded and avoid accusatory tones.

Speak from your perspective.

Use “I” statements to express how their substance use is affecting you. For example, “I feel worried when you’re using because I care about you,” rather than blaming them with “you” statements, which can feel confrontational.

Keep the conversation open

You may not resolve everything in one discussion, and that’s okay. Let them know you’re here for them, ready to listen and help, with phrases like, "We can figure this out together."

Suggest professional help.

Encourage your loved one to contact a professional support worker who can offer them the guidance they need.

Prioritise safety

Remember that suddenly stopping substance use can be dangerous. Always recommend that they consult a professional before making drastic changes.

SETTING  BOUNDARIES 
AT HOME

If you live with the person, it’s important to establish clear, realistic boundaries. Be upfront about what behaviour is acceptable in the home and what isn’t, as well as the expectations within your relationship. This helps protect your space and well-being while fostering a respectful environment.

RECOGNISING POSITIVE CHANGES

Acknowledging even the smallest steps can make a big difference. Celebrate milestones like reaching out for support, admitting substance use is becoming an issue, or taking steps to improve their health and safety. These are all important markers of progress, even if they seem minor at the time.

Not everyone will change their substance use immediately, but what matters most is that they stay informed and make safer choices. Encourage your loved one to connect with non-judgmental services like QuIHN, where they can receive support and guidance on how to stay safe while using substances.

TAKING CARE OF YOURSELF 

While it’s natural to focus on helping your loved one, don’t forget to take care of yourself. Supporting someone with substance use can be draining, and your mental and emotional health is just as important. Reducing your own stress will not only help you feel better, but it will also enable you to provide stronger support to those who need you most.

Remember, substance use impacts more than just the individual—it can deeply affect families and loved ones too. Often, people suffer in silence out of fear of judgment or misunderstanding. But it’s crucial to know you’re not alone. Many families face similar struggles, and seeking support can make all the difference.

By prioritising both your well-being and that of your loved one, you’ll be better equipped to navigate the challenges of supporting someone through their journey with substance use.

ACKNOWLEDGEMENT OF COUNTRY

QuIHN acknowledges the Traditional Custodians of the lands we operate on and respects Elders past and present. We recognise the enduring knowledge, strength, and resilience of Aboriginal and Torres Strait Islander peoples and support truth-telling, cultural recognition, and lasting change.

© 2025 QuIHN. All rights reserved.

STATEMENT OF INCLUSION

QuIHN affirms the strength, resilience, and expertise of people who use drugs.  Grounded in harm reduction and social justice, we uphold every person’s right to dignity, safety, support, and choice. We recognise lived-living experience as vital, and we centre these voices in shaping services and systems. 

QuIHN values respect, diversity and difference and we are committed to providing fully inclusive, professional, and non-judgmental services to people of all cultures, languages, capacities, sexual orientations, gender identities and/or expressions. 

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PO Box 2470, Fortitude Valley BC
QLD, Australia 4006

Phone: 07 3620 8111 or 1800 172 076 (free call)

Fax: 07 3854 1070

Email: quihn@quihn.org

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