06/19/2026
Substance misuse doesn't always look the way people expect. Often, it begins gradually as someone copes with stress, pain, trauma, anxiety, or other challenges in life.
In this video, Independence First Substance Use Disorder and Mental Health Coordinator Denise Johnson discusses some of the early warning signs that may indicate a person is struggling, including changes in mood, withdrawal from family and friends, missed responsibilities, sleep changes, difficulty concentrating, or increased use of alcohol, medications, or other substances.
A single sign may not mean there is a problem, but noticing several changes over time can be a signal that someone needs support. Early intervention can make a meaningful difference, and recovery is possible.
If you notice changes in yourself or someone you care about, don't ignore them. Reach out, start a conversation, and connect with available supports. No one has to face these challenges alone.
๐ฅ Video Description: Denise Johnson stands in front of a plain off-white background and shares information in American Sign Language about recognizing the early signs of substance misuse. Voice-over narration and open captions are provided throughout the video.