Movies, books, and magazines often portray people who "hit bottom" before they can be helped. However, this representation is a myth. People do not need to bottom out to be helped. Research shows that early identification of the problem is a much more effective solution for substance use problems.

Early identification occurs at the first signs of a problem — before anyone has suffered a traumatic event, dropped out of school, or lost important relationships, jobs, their health, or self-respect. Identification can be done through a screening by a health care professional, employee assistance professional, or even a family member. What happens after the screening depends on the results of the test. Some people can learn to cut back, while some need further assessment and possibly treatment.

For a quick online evaluation, take a look at the quizzes in our Assessing the Problem section.

In general, though, all people are better equipped to work on recovery if their substance use problem is discovered and confronted early. Treatment in the early stages of a substance use disorder is likely to be less intense, less disruptive, and cause less anxiety.

Also, as untreated problems continue, family members develop their own issues. Common symptoms in partners of people who have substance use problems include headaches, backaches, digestive problems, anxiety, and panic attacks. Children experience school behavior problems and poor academic performance, and are more likely to become substance users themselves.

It is not easy to live with someone who is using mind-altering substances. Taking steps to begin treatment and recovery can be a painful process, but it is the only path that holds promise for something better. As long as family members deny that there is a problem, the problem will progress and so will the suffering.

Start by getting help for yourself. Restore your own emotional stability and bring new direction and meaning to your life. You will be better equipped to deflect crises and arguments, and shift interactions with your impaired friend or family member.

Some people find when they seek help for themselves that the person with the substance use problem gets angry, perhaps because the efforts represent a loss of control. Also, getting help signals that you are serious about changing the situation. Some people threaten those seeking help to stop their efforts. Remain firm in your resolve to go forward, and be aware of your personal safety.

It's never too soon for you or for the substance user to seek help.