Heroin is an opioid naturally made from the poppy plant. As heroin is a schedule one substance, doctors would argue that there is no recreational or casual way to use it. What can happen with heroin abuse, however, is the addict becoming highly adept at hiding their affliction. Although a stigma surrounds heroin use, the truth is it can happen to any person from any background. The 2018 National Survey on Drug Use and Health (NSDUH) reports over 800,000 Americans using heroin in the past year, that’s higher than the entire population of Washington DC. Recognizing the symptoms of substance dependence is the first step to making the change that could give you your future back. Some of the telltale signs include: