When Might Substance Use Need Professional Help? Mission Sambhav | Treatment & rehab Added 31 October 2026. Clinical review pending. Recognise patterns that deserve a confidential professional conversation. You do not have to wait for a crisis to ask for help. People seek support for many reasons: they may be worried about their own use, concerned about someone close to them or simply uncertain what is happening. Possible reasons to seek an assessment - You are finding it harder to control how often or how much you use. - Substance use is affecting work, education, sleep, health or relationships. - You continue despite consequences you would like to avoid. - You feel physically unwell when reducing or stopping, or worry about withdrawal. - You have tried to change but need more support than you currently have. These are reasons to speak to a professional, not an online diagnosis. A qualified clinician can explore the full picture and discuss appropriate next steps. How to start You can tell a doctor: “I'm concerned about my use of alcohol or drugs and want to understand my options.” You do not need to arrive with a fixed decision about inpatient rehabilitation. An assessment can help determine what level of care is appropriate. A note about withdrawal Do not abruptly stop heavy, dependent alcohol use without medical advice. Withdrawal can be medically dangerous. Some other substance-related withdrawal situations also need clinical assessment. Never rely on an internet guide to plan detoxification. Support available in India The Government of India's national drug de-addiction and counselling helpline is 14446, which can provide guidance and referral information. You can also speak with a doctor or a suitable addiction-treatment service. If someone is unconscious, having trouble breathing, having a seizure or is in immediate danger, call 112 for emergency assistance. Sources and further reading NHS; Getting Help for Drug Addiction https://www.nhs.uk/live-well/addiction-support/drug-addiction-getting-help/ Ministry of Social Justice; National Action Plan for Drug Demand Reduction https://socialjustice.gov.in/schemes/42/archive NHS; Alcohol Use Disorder and Withdrawal https://www.nhs.uk/conditions/alcohol-use-disorder/ Government of India; Emergency Response Support System https://112.gov.in/ General educational information, not a diagnosis or individual treatment plan. Discuss medical concerns with a qualified professional. For an immediate medical emergency in India, call 112.