Fairfax-Falls Church Community Services Board

CONTACT INFORMATION: Emergency - 703-573-5679 / Detox - 703-502-7000 (24/7)
703-383-8500 TTY 711
8221 Willow Oaks Corporate Drive
Fairfax, Virginia 22031
Daryl Washington
Executive Director

Signs of opioid use

Concerned about a loved one? Contact CSB Entry & Referral at 703-383-8500 during business hours. 24/7 help is available – call the Fairfax Detoxification Center at 703-502-7000 or CSB Emergency Services at 703-573-5679.

In a life-threatening emergency, call 911.


  • Isolation and secretive behavior
  • Loss of interest in favorite activities
  • Eats a lot more or a lot less than usual
  • Moodiness, irritability, nervousness, giddiness
  • Emotionally erratic: quickly changes between feeling bad and good
  • Seems tired, sad or nervous, cranky – or unusually energetic
  • Talks fast, says things that don't make sense
  • Sleeps at strange hours
  • Misses important appointments
  • Neglects personal hygiene
  • Change in attitude/personality
  • Avoiding contact with family
  • Change in friends, new hangouts
  • Drop in grades or work performance
  • Stealing
  • Wearing long-sleeved shirts out of season (to cover needle marks)

  • Pupils of eyes are small, pinpoints
  • Decreased respiration rate
  • Sleepy or non-responsive
  • No appetite
  • Intense flu-like symptoms: nausea, vomiting, sweating, shaking of hands, feet, or head
  • Missing medications
  • Burnt or missing spoons or bottle caps
  • Syringes
  • Small bags with powder residue
  • Missing shoe laces or belts

  • Genetic – Person with family member who has addiction is at greater risk.
  • Environmental – Parents not involved with children, peer use, social settings.
  • Early use – More likely to develop addiction if use starts when young.
  • Smoking or injecting – More addictive because drug passes directly into bloodstream and brain without being filtered through liver and other organs.

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Fairfax Virtual Assistant