The Life of Your Friend May Require the Sacrifice of Your Friendship

Dear Anonymous:

I am sorry to hear of your friend's involvement with 'meth.' This substance has had the reputation that "Speed Kills" since the 1960s, and even the occasional 'tweaker' is at high risk for sudden death. I do not want to come off like a 'narc,' because that is not my intention, but without a support system (like a clean parent), the prognosis for change and recovery is not good. While I don't want to get users arrested, the word arrest actually means stopped, and despite your friend's predictable denial that everything is OK, you know things are NOT OK.

She will feel betrayed if you act to stop her, but it sounds like her sleeplessness and irrationality is moving her towards a psychotic break. If you witness her 'wigging out,' or if she calls you in a paranoid crisis, you would do well to call 911. It may save her life. Police are the standard for involuntarily committing a person in such a crisis to the nearest psychiatric stabilization unit for 72 hours of observation and treatment. Meanwhile, be supportive but do not enable her in any way (don't get involved with accompanying her to buy, sell or use).

Don't get caught up in her bad trip, but be available to help. At 21, she is supposed to be responsible for herself. If she refuses to take responsibility for her health and safety, do not allow yourself to be put in harm's way by your association with her. Your attachment will need to be balanced by a healthy detachment. She is not your responsibility, and you may need to let her go, while doing what you can to preserve the safety of whomever you can - including yourself.