I’m concerned about someone… what should I do?

Substance use can be a complicated and deeply personal issue. Whether it’s alcohol or drugs, occasional use can sometimes turn into something more concerning. If you’re worried about a friend, classmate, or loved one, it’s important to approach the situation with care, compassion, and an understanding of harm reduction. 

What Is Harm Reduction? 

Harm reduction is about meeting people where they are, rather than expecting immediate change. It focuses on minimising the risks associated with substance use rather than forcing abstinence. This can include things like: 

• Encouraging safer drinking habits (e.g., pacing drinks, staying hydrated). 

• Educating about the risks of different substances. 

• Promoting access to drug-checking services or naloxone for opioid overdoses. 

• Supporting someone in seeking professional help when they’re ready. 

Recognising the Signs of a Problem 

It’s not always easy to tell when casual use has turned into something harmful. Some warning signs include: 

• Increased secrecy about substance use. 

• Frequent hangovers or withdrawal symptoms. 

• Neglecting responsibilities like school, work, or relationships. 

• Mood swings, irritability, or depressive episodes. 

• Financial struggles due to spending money on substances. 

If you notice these signs, try to check in with them without judgment. 

How to Offer Support 

Approaching someone about substance use can be tricky, but these tips can help: 

1. Choose the Right Moment 
   Find a calm, private space where they feel safe to talk. Avoid bringing it up while they’re under the influence. 

2. Use Open and Non-Judgmental Language 
   Instead of accusing them, express concern with “I” statements. For example: 

3. “I’ve noticed you’ve been drinking more lately, and I’m worried about you.” 

4. “I care about you and just want to check in—how are you really feeling?” 

5. Listen Without Trying to ‘Fix’ - Sometimes, the best thing you can do is listen. Let them open up without fear of shame or punishment. 

6. Encourage, Don’t Force- Pushing someone to stop using substances before they’re ready can backfire. Instead, offer resources, like counselling services or harm reduction programs, and let them decide their next steps. 

7.  Know When to Get Help- If someone is in immediate danger—such as overdosing, blacking out frequently, or engaging in risky behaviour—don’t hesitate to seek professional help. You could get in touch with the university’s wellbeing department or, utilise organisations like Talk to Frank which provide valuable resources. 

Substance use is complex, and there’s no one-size-fits-all solution. By practicing harm reduction and approaching the conversation with care rather than criticism, you can help someone feel supported rather than alienated. 

If you or someone you know is struggling, reach out for help—support is always available.  

Support Resources:  

• University Wellbeing team: Wellbeing@rhul.ac.uk 

• Surrey Drug and Alcohol Care (SDAC): Non-judgemental support and counselling for Surrey 

• Talk to Frank: Nationwide drug information and advice. 

• NHS Alcohol Advice: Tips for reducing alcohol consumption. 

• Release: Drugs, the law, and your rights 

• Drinkaware: Know your alcohol limits and stay safe.