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By Inaaya Ali

When someone we love is struggling, we feel the pain alongside them. Confusion plagues us as we desperately hope for some way to help them.

And yet, there seems to be no clear solution, no way of knowing what our friend needs from us. In that whirlwind of uncertainty, fear grows, accompanied by a quiet, gnawing sense of guilt. 

Opioid abuse is coupled with various negative impacts. You can feel your friend becoming distant as they may act secretively, spending less time with you, and more with others that take substances as well. 

As a friend, they begin to lose your trust. You may ask yourself, “How do I know they’re not lying to me?”

Not only that, friends often experience heightened anxiety and fear, especially about the possibility they will wake up tomorrow to news that something severe has happened to their friend as a result of opioid abuse. 

In times like these, one can often feel lost and confused on the best course of action. On one hand, reporting your friend could lead to negative legal consequences for them; on the other, not doing so could gradually worsen their health, mentally and physically. 

However, it is crucial to understand that a lack of action is not the best course of action. A start to helping a friend is encouraging them to call a helpline, such as SAMHSA (1-800-662-HELP (4372)). Helplines can provide more professional advice to those taking opioids and can also suggest treatment plans for them. 

When it comes to talking to one’s friend, it is vital to remember to offer them support, and let them know that you are worried for them. Showing concern and care for someone helps them feel as if they are cared for, and that they may not feel as alone.

It is okay to not always know what to do, to be confused when a loved one is struggling, especially when it comes to opioid misuse. What matters most is showing up for your friend, being their means of support, and understanding that it is most important to help them find professional help. 


This article was written as part of a program to educate youth and others about Alameda County’s opioid crisis, prevention and treatment options. The program is funded by the Alameda County Behavioral Health and the grant is administered by Three Valleys Community Foundation.

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