Drug use increases, tolerance develops and the user finds that he must increase the dose used on each occasion in order to get the desired drug effect. As the user continues to become more deeply involved he goes through periods of intense drug use followed by periods of drug abstinence. This pattern produces emotional swings greater than what is expected in the non-using person. Other people may find it difficult to continue a close relationship under these circumstances and may withdraw from the user. Alternatively, in an attempt to confront the issue, the other person may begin arguing about the drug use which then becomes a destructive force in the relationship.
Interpersonal strife is the first in a series of losses experienced by the drug abuser.
The interpersonal problems are generally seen first by those closest to the drug abuser. Spouse, lover or best friend are the first to be affected. Sadly, these people are often caught up in the drug abuser's sickness. These significant others may need help in overcoming undeserved feelings of guilt and anger and should not be overlooked in an intervention process. As the drug involvement worsens the drug abuser finds it more and more difficult to fulfill his responsibilities.