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What are the Signs of Drug Addiction?
What are some of the most common signs that could indicate someone is addicted to drugs? Find out here.
Drug addiction is a massive problem that affects individuals, communities, and societies across the world. It carries an enormous stigma which can result in sufferers hiding their problems and being discouraged from contacting addiction services.
Drug addiction can be hard to spot, but there are tell-tale signs that can indicate a problem. If you are concerned about a friend or family member, knowing what to look out for can be vital. We’ve put together a list of some of the most common signs of drug addiction.
What is Drug Addiction?
To spot the signs of drug addiction, it’s important to understand what exactly drug addiction is. Drug addiction is also referred to as substance use disorder. It is characterized by chronic, relapsing use of a substance despite negative effects. People who are addicted to drugs are unable to stop using them, and their behavior may change as a result of their use and in an attempt to ensure they have a constant supply of and access to a substance.
Some of the most common substances among drug addicts include marijuana, cocaine, prescription opioids, benzodiazepines, amphetamines, and heroin. Some of these substances are more addictive than others, but all have the potential to cause serious effects on people who misuse them.
What Causes Drug Addiction?
For many people, drug misuse doesn’t cause addiction straight away. People may use drugs experimentally or recreationally in social situations. Over time, their use increases and eventually spirals out of control and into a full-blown addiction.
Drugs affect the brain’s reward system, which is usually used to reward healthy behaviors, such as exercise, by releasing a neurotransmitter called dopamine. Dopamine causes feelings of pleasure and satisfaction and motivates us to continue these behaviors.
Some drugs mimic dopamine, while others encourage the brain to produce more dopamine than normal. This leads to feelings of happiness and euphoria often associated with drugs and can result in people using drugs repeatedly to feel these effects.
Over time, drug use can change the way the brain functions. The reward system becomes desensitized. This means that more drugs are required to feel the same effect and that other reward-generating activities trigger the release of less dopamine. Eventually, addicts will be less able to enjoy any activities other than drug use.
Drug addiction can also affect how the brain handles negative emotions such as stress. When not using a substance, these feelings can be amplified. This means that drug addicts eventually use drugs to avoid negative feelings rather than in an attempt to generate positive feelings.
Drug addiction can start off as casual substance use but can quickly get out of hand. Changes to the function of the brain as more drugs are used can create a cycle that is incredibly difficult for sufferers to escape from.
These are the biological causes and mechanisms of addiction, but there are other factors, including upbringing and environment, that play a part as well.
If you are worried about a friend or loved one and are concerned that they may be addicted to drugs, there are key signs that you need to look out for. Find out more below.
Physical Changes
Physical changes are often some of the most noticeable effects of drug addiction. Depending on the type of substance being abused, the eyes may look different, with either dilated or constricted pupils. The eyes may also be bloodshot, which could be a direct effect of the drug or an indirect effect caused by lack of sleep.
Addicts could display rapid, unexplained changes in weight or show changes to eating habits and appetite. They may constantly clench their jaw or chew their lips or the insides of their cheeks.
Some physical changes are specific to certain drugs. Cocaine addiction, for example, could cause a constantly runny nose or other nasal issues.
In extreme changes, drug addiction can manifest physically as tremors, seizures, loss of coordination, and skin issues.
Behavioral Changes
Behavioral changes are often what we notice first. Addicts may become more secretive and more isolated, less willing to take part in social activities with friends and family. They may abandon activities they used to take part in, and you might notice changes in their friends and associates.
Drug addiction can impact performance at work or in education, and it can cause people to neglect existing commitments and responsibilities. Addicts may be caught lying or acting dishonestly.
Some addicts may have legal issues if they have been caught in possession of illegal drugs, and they could face financial issues, with some resorting to stealing to fund their habit.
Psychological Changes
Finally, drug addiction can also cause a number of psychological changes. You may notice a shift in personality, with greater irritability and aggression. Drug addiction can cause sudden and wild mood swings, sufferers may be happy when on a substance and then sad or angry when going through withdrawal.
Some addicts can display a lack of ambition or motivation, with increased apathy and a generally bleak view of themselves and of life in general.
Drug addiction can also cause mental health issues. Addicts may be depressed, anxious, paranoid, or even delusional.
How to Help an Addict
If you have spotted some of the above signs in a friend or loved one, knowing what step to take next can be difficult. It’s important you remember that drug addiction is a disease, it’s vital that you remain non-judgmental and avoid blaming the sufferer for their current condition.
Offer a means of support rather than being punitive. Try and put yourself in their shoes and figure out how they have got into this situation.
You’ll need to broach the subject carefully and sensitively. Addicts can be ashamed of their behavior and could get defensive or even lash out if confronted about it.
Conclusion Drug addiction is a serious condition that can have severe consequences for sufferers and those closest to them. If you are worried about a loved one and are concerned they could be abusing drugs, knowing what signs to look out for is vital and the first step towards tackling
Features
Antisemitism in the Medical Profession in Canada

By HENRY SREBRNIK (June 27, 2025) Antisemitism in Canada now flourishes even where few would expect to confront it. Since the Hamas attack on Israel on October 7, 2023, there has been a resurgence of antisemitism noticeable in the world of healthcare.
When Israeli Gill Kazevman applied to medical school, and circulated his CV to physician mentors, their most consistent feedback was, “Do not mention anything relating to Israel,” he told National Post journalist Sharon Kirkey in an Aug. 10, 2024, story. As a student at the University of Toronto’s Temerty Faculty of Medicine, “I began to see all kinds of caricatures against Jews. I saw faculty members, people in power, people that I’m supposed to rely on, post horrible things against Jews, against Israelis,” he added. The faculty created a Senior Advisor on Antisemitism, Dr. Ayelet Kuper, who in a report released in 2022, confirmed widespread anti-Jewish hatred.
The Jewish Medical Association of Ontario (JMAO) conducted a 2024 survey of 944 Jewish doctors and medical students from across Canada. Two thirds of respondents were “concerned that antisemitic bias from peers or educators will negatively affect their careers.” Dr. Lisa Salomon, JMAO’s president, reported that at the University of Toronto medical school only 11 Jewish students were completing their first year of medical school out of a class of 291. The medical school in 1974 saw 46 Jews in a class of 218.
Also in Toronto, Hillel Ontario called on Toronto Metropolitan University to investigate Dr. Maher El-Masri, who has served as the director of the Daphne Cockwell School of Nursing, because, the group contended, he has “repeatedly engaged with and spread extreme, antisemitic, and deeply polarizing content on his social media account.”
The National Post’s Ari Blaff in an article on June 12, 2025 quoted social media posts from an account Hillel claimed belongs to Dr. Maher El-Masri, who has been the director of the Daphne Cockwell School of Nursing. One message concerned a post about Noa Marciano, an Israeli intelligence soldier abducted by Hamas on Oct. 7, 2023, who later died in captivity. “This is what is so scary about people like her,” the TMU professor wrote. “They look so normal and innocent, but they hide monstrous killers in their sick, brainwashed minds.” Israel, he asserted a day after the Hillel notice, “is a baby killer state. It always has been.”
The Quebec Jewish Physicians Association (AMJQ) is fighting antisemitism in that province. Montreal cardiologist Dr. Lior Bibas, who also teaches at Université de Montréal, co-founded the group in the weeks following the October 7 terrorist attack. They feel young doctors have been bearing the brunt of anti-Israel sentiment since then. “We heard that trainees were having a hard time,” he told Joel Ceausu of the Canadian Jewish News Feb. 3. “We saw a worsening of the situation and were hearing stories of trainees removed from study groups, others put on the defensive about what’s happening,” and some saw relationships with residents deteriorating very quickly.
Dr. Bibas thinks there are similarities with Ontario counterparts. “Trainees are getting the brunt of all this. Their entire training ecosystem — relationships with peers and physicians — has changed.” Whether anti-Zionist remarks, blaming Jews for Israel’s actions, or other behaviour, it can be debilitating in a grueling academic and career setting. The fear of retaliation is so strong, that some students were unwilling to report incidents, even anonymously.
Jewish physicians have now founded a national umbrella group, the Canadian Federation of Jewish Medical Associations (CFJMA), linking the provinces, and representing over 2,000 Jewish physicians and medical learners, advocating for their interests and promoting culturally safe care for Jewish patients. And “it’s really been nonstop, given that we have a lot of issues,” Dr. Bibas told me in a conversation June 17. “People have been feeling that there’s been a weaponization of health care against Israel.”
He stressed that health care should remain politically neutral – meetings are an inappropriate venue in which to talk about the war in Gaza, he stated, and “this will just lead to arguments.” Nor should doctors, nurses and hospital staff wear pins with Palestinian maps or flags. And no Jewish patient being wheeled into an operating room should see this “symbol of hate.”
On Jan. 6, a group of Montreal-area medical professionals walked off the job to protest outside Radio-Canada offices, calling for an arms embargo, ceasefire and medical boycotts of Israel. Those who could not attend were encouraged to wear pins and keffiyehs to work. When asked if such a walkout should be sanctioned, Quebec Health Minister Christian Dubé’s office had no comment. Neither did the Collège des médecins (CDM) that governs professional responsibilities. The leadership of many institutions have remained passive.
B’nai Brith Canada recently exposed a group channel, hosted on the social media platform Discord, in which Quebec students engaged in antisemitic, racist, misogynistic and homophobic rhetoric. More than 1,400 applicants to Quebec medical schools, as well as currently enrolled medical school students, were in the group, which was ostensibly set up to support students preparing for admission to Quebec’s four medical programs. “I saw it, and it’s vile,” remarked Dr. Bibas, noting how brazenly some of the commentators expressed themselves, using Islamist rhetoric and Nazi-era imagery, such as referring to Anne Frank as “the rat in the attic.”
Doctors Against Racism and Antisemitism (DARA) said in a statement, “These messages are the direct result of the inaction and prolonged silence of medical school and university leaders across Canada since October 7, 2023, in the face of the meteoric rise of antisemitism in their institutions. Silence is no longer an option. Quebec’s medical schools and universities must act immediately. These candidates must not be admitted to medical school.” DARA member Dr. Philip Berger stated that “there’s been a free flow, really, an avalanche of anti-Israel propaganda, relentlessly sliding into Canadian medical faculties and on university campuses.”
In Winnipeg, a valedictory speech delivered to the 2024 class of medical school students graduating from the Max Rady College of Medicine at the University of Manitoba on May 16, 2024 set off a storm of controversy, as reported by Bernie Bellan in this newspaper. It involved a strongly worded criticism of Israel by Dr. Gem Newman. “I call on my fellow graduates to oppose injustice -and violence — individual and systemic” in Palestine, “where Israel’s deliberate targeting of hospitals and other civilian infrastructure has led to more than 35,000 deaths and widespread famine and disease.” The newspaper noted that “loud cheers erupted at that point from among the students.”
The next day, the dean of the college, Dr. Peter Nickerson, issued a strongly worded criticism of Dr. Newman’s remarks. On Monday, May 20, Ernest Rady, who made a donation of $30 million to the University of Manitoba in 2016, and whose father, Max Rady, now has his name on the school, sent an email in response to Dr. Newman’s remarks.
“I write to you today because I was both hurt and appalled by the remarks the valedictorian, Gem Newman, gave at last week’s Max Rady College of Medicine convocation, and I was extremely disappointed in the University’s inadequate response. Newman’s speech not only dishonored the memory of my father, but also disrespected and disparaged Jewish people as a whole, including the Jewish students who were in attendance at that convocation.”
In subsequent weeks Jewish physicians in Manitoba organized themselves into a new group, “The Jewish Physicians of Manitoba.” As Dr. Michael Boroditsky, who was then President of Doctors Manitoba, noted, “Jewish physicians in cities across Canada and the U.S. have been forming formal associations in response to heightened antisemitism following the Hamas massacre of October 7.”
After October 7, Jewish students at the University of Calgary’s Cumming School of Medicine reported exposure to repeated antisemitic posts by peers on social media, being subject to antisemitic presentations endorsed by faculty during mandatory classes, social exclusion and hateful targeting by university-funded student groups, and removal from learning environments or opportunities subsequent to antisemitic tirades made by faculty in public spaces.
In addition to online vitriol, medical students have been subject to antisemitic actions coordinated by university-funded student groups with physician-faculty support under the guise of advocating against the actions of the Israeli government. All instances of discrimination, they stated in a brief, have been witnessed by and/or reported to senior leadership of the medical school without incurring condemnation of the discrimination.
In Vancouver, social media posts vilifying Israel and espousing Jew hatred were circulated by physicians at the Faculty of Medicine of the University of British Columbia, noted an article in the National Post of May 25, 2025. Allegations included Christ-killing, organ trafficking, and other nefarious conspiracies supposedly hatched by Jewish doctors. Some asserted that Jewish faculty should not be allowed to adjudicate resident matching because the examining doctors were Jewish and might be racist.
In November of 2023, one-third of all UBC medical students signed a petition endorsing this call. Jewish learners who refused to sign were harassed by staff and students on social media. When challenged, the Dean of the medical faculty refused to recognize antisemitism as a problem at UBC or to meet with the representatives of almost 300 Jewish physicians who had signed a letter expressing concern about the tolerance of Jew hatred, and the danger of a toxic hyper-politicized academic environment. This led to the public resignation of Dr. Ted Rosenberg, a senior Jewish faculty member.
Here in the Maritimes, things seem less dire. I spoke to Dr. Ian Epstein, a faculty member in the Division of Digestive Care & Endoscopy at the Dalhousie University Faculty of Medicine. He helps coordinate a group supporting Jewish and Israeli faculty, residents and medical students.
“Our group is certainly aware of growing antisemitism. Many are hiding their Jewish identities. There have been instances resulting in Jewish and Israeli students being excluded and becoming isolated. It has been hard to have non-Jewish colleagues understand. That said our group has come together when needed, and we have not faced some of the same challenges as larger centres,” Dr. Epstein told me. Dalhousie has also taken a stand against academic boycotts of Israel, which some view as a form of antisemitism. The University of Prince Edward Island in Charlottetown has just opened a new medical school. Let’s hope this doesn’t happen here.
Lior Bibas in Montreal indicated that his group is worried “not only as Jewish doctors and professionals, but for Jewish patients who are more than ever concerned with who they’re meeting.” Can we really conceive of a future where you’re not sure if “the doctor will hate you now?”
Henry Srebrnik is a political science professor at the University of Prince Edward Island.
Features
I Speak “Jew”

By MARK E. PAULL I grew up in Montreal. Born in 1956. Anglo by birth, sure. But that never quite fit. I don’t speak “Anglo” the way they mean it. My real language is Jew.
And I don’t mean Hebrew or Yiddish. I mean the language of reading the room before you enter it. The code-switching, shame-dodging, laugh-first-so-they-don’t-pounce dialect we pick up early. It’s a language built on side-eyes and timing and ten generations of tension.
I speak French—enough to make myself understood. Enough to charm a dinner table, crack a joke, get someone’s uncle to nod. I’m not fluent, but I’m fast. Doesn’t matter. In Quebec, language isn’t grammar—it’s inheritance. It’s who your grandfather cursed out in a hardware store.
To the Francophones, I’ll never be one of them. My accent betrays me before I say a word. I’m just an Anglo. And not even that, really. Because when the lens tightens, when they look closely, I’m just un Juif. Just a Jew.
And to the Anglos? Same thing. I can wear the suit, speak the Queen’s English, order the wine properly—still a Jew. Even in rooms where I “pass,” I don’t belong. I’m not invited in to be myself. I’m invited in to behave. To be safe. To not say the thing that makes the air stiff.
We’re the only people still called by our religion. No one says “Orthodox” for a Greek. No one says “Vatican” for an Italian. No one calls a Black man “Baptist” before they see his face. But “Jew”? That sticks. That’s the label. Before passport. Before language. Before hello.
I’ve mostly made peace with that. But there’s still this ache—knowing you can live your whole life in a place and never really be from there.
Let me tell you a story.
We had this block party once—the folding-table, paper-plate kind. Kids zipping by on scooters. Music low. Everyone asked to bring something from “your culture.”
The Greek guy brought lemon potatoes and lamb—felt like it came with a side of Byzantine history. The Italians brought two lasagnas—meat and veggie—with basil placed like confetti. The Vietnamese couple brought shrimp rolls that vanished before they hit the table. Even the German guy—built like a fridge—brought bratwurst and a six-pack with gothic lettering.
And then us.
My partner made Moroccan fish. Her grandmother’s recipe. Red with tomatoes, garlic, cumin. Studded with olives and preserved lemon. I brought a bottle of white wine. Dry. Crisp. From the Golan Heights. Not Manischewitz. Not even close.
We laid it out. Someone leaned over: “Moroccan? But I thought you were Jewish.”
We smiled. “We are.”
Then: “So… where’s the brisket? Isn’t Jewish wine supposed to be sweet?”
That’s when it hits you. No matter how long you’ve lived here, how many snowstorms you’ve shoveled through, you’re still explaining yourself. Still translating your presence.
Because they don’t know. They don’t know Jews came from everywhere. That “Jewish” isn’t one dish—it’s a whole map. That we had Jews in Morocco before there was even a France. That some of us grew up on kreplach, some on kefta. That some of our mothers sang in Yiddish, others in Arabic, and some in both—depending on who was knocking.
They don’t know. And worse—they don’t ask.
And that’s the part that gets you. Not the slurs. Not the graffiti. Not even the occasional muttered cliché. It’s the blankness. The shrug. The image they already have of you that’s built out of dreidels and sitcoms.
“Jewish” as nostalgic. As novelty. Something they saw once on a bagel.
Sometimes, when those questions come, I float. One version of me walks out. Another turns into a mouse. One turns into a Frisbee. Just gone. Not mad. Just tired.
Because being a Jew isn’t cute. It’s not nostalgic.
It’s ancient.
Before Montreal.
Before France.
Before Poland. Before Spain.
Before pogroms.
Before ghettos.
Before Hitler.
Before even the word Europe.
We were there.
Go back to the 5th century. 2nd century.
Go back to Jesus—our kid, by the way.
Go further—Babylon. Persia.
Keep going—Temple. Exile. Wandering.
And still, after all that, I’m at a table in Quebec explaining why our fish has cumin in it.
It’s almost funny. If it didn’t wear you down a little.
I’m not looking for pity. This isn’t a complaint.
I’m proud. I know what I carry. I walk into any room with five thousand years behind me. I come from people who kept the lights on through every kind of darkness—and laughed through it, too.
But sometimes, I just wish I didn’t have to explain so much.
All I want is to put down my dish…
…and hear someone say:
“That smells amazing. Tell me the story.”
That’s all.
Mark E. Paull, C.A.C. is a Certified ADHD Coach – IPHM, CMA, IIC&M, CPD Certified
Writer | Lived-Experience Advocate | Type 1 Diabetic since 1967
He has been published in:
The New York Times, The Globe and Mail, Folklife Magazine, Times of Israel, CHADD’s Attention Magazine, The Good Men Project
Features
At 104, Besse Gurevich last original resident of Shaftesbury Park Retirement Residence

By MYRON LOVE At 104, Besse Gurevich is the last of the original residents of Shaftesbury Park Retirement Residence. She may also be the oldest member of our Jewish community.
Although her vision and her hearing have diminished considerably, her mind and memory are still intact. A few weeks back, this writer sat down with her in her suite as she recalled a life filled with highs and lows and her many contributions to her community, both in Winnipeg and Fort William before that.
The daughter of Jack and Rebecca Avit, her life’s journey began in 1921 in a home on Carlton Street near Ellice Avenue, near her father’s furniture store. He later operated a cap factory.
When she was ten, the family – she had two brothers and a sister – moved to Manitoba Avenue in the old North End. “My father had put a deposit down on a house on Scotia,” she recalls. “But my parents didn’t feel that the neighbourhood was Jewish enough.”
Her schooling included Peretz School and, like so many of her generation, St. John’s Tech (as it was known back then.) “I was actually supposed to be going to Isaac Newton for high school,” she says. We were living on the wrong side of the tracks for St. John’s. After one day at Isaac Newton, I found a way to transfer to St. John’s.”
In 1940, 19-year-old Bessie Avit married Jack Gurevich, a young man from Fort William. The wedding was marred though, by the sudden, untimely passing of her father.
Following the wedding, Besse moved with her new husband to Fort William where Jack Gurevich worked in retail clothing sales. “We lived in Fort William for 20 years,” she says. “Our three children (Judy, Richard and Howard) were born there.”
She recalls that there were about 200 Jewish families – including her sister and one of her brothers for some years – in town, during the time she lived there. “We were very well known in the community,” she recalls. “I was involved in everything.”
Her community activism continued after the family’s return to her home town. While Jack went to work as a salesman for Western Glove Works, Besse became an indefatigable community volunteer. At one time or another, she served as vice-president of ORT, Hadassah and National Council of Jewish Women in Winnipeg. She was also a long time B’nai Brith member.
In the business world, the highlight of her career was the building of Linden Woods. “I became involved in real estate development for a time,” she recalls. “I was hired by Genstar to develop Linden Woods. The company estimated that it would take about 20 years to complete. I got it done in two.”
She also taught hair dressing for a while. “I worked with many young Jewish brides,” she says.
Recent years have not been kind to Besse Gurevich. Her beloved husband, Jack, died in 2016 – after almost 65 years of marriage. Older son, Richard, passed away in Vancouver in 2018 and, most recently –six months ago – younger son, Howard, followed. She notes that there were 200 mourners at Howard’s funeral.
(Howard Gurevich was in marketing for many years before turning his talents to the art world. In recent years, he was best known for Gurevich Fine Art in the Exchange District and his support of local artists.)
Besse Gurevich celebrated her 100th birthday – which took place at the height of the Covid shutdown – quietly.
While she used to enjoy reading. she is unable to do so any more. She can still listen to television.
And while she has few family members to visit her any more, she does have a group of friends interesting enough from the local theatre scene. For many years, she was a close friend of the late Doreen Brownstone, one of the leading figures in theatre in Winnipeg for more than half a century. Besse became part of the group that would visit Doreen every week and, since Doreen passed on three years ago, the members of the group have continued to visit Besse on a weekly basis.