But experts say there are clear signs to warn of impending trouble.

Bermuda's Substance Abuse Unit programme manager, Joanne Dill, says the only common factor is often the addict vehemently denying there is a problem.

"I have seen so many people in hospital -- perhaps with a full body cast on -- their body all twisted and hurt after a traffic accident which was clearly a result of alcohol or drugs,'' Mrs. Dill said.

"But they will flatly deny they caused it. Instead they'll blame it on everything and anything else, ridiculous things.'' Mrs. Dill, whose unit recently moved to St. Brendan's from the King Edward Memorial Hospital, said those with addiction problems came from all backgrounds.

"Every strata of society is affected. Race, colour, creed and money make no difference. Substance abuse hits when it wants, who it wants.'' About 250 new substance abusers attend three week day programmes at the Unit each year, while former addicts see counsellors regularly to prevent them falling back into their habit.

Mrs. Dill said a lesser known programme was offered on Monday evenings for friends and family of substance abusers.

She said alcohol was Bermuda's deadliest substance abuse problem so it was vital for addicts to get help as early as possible.

"It's the worst because it's so widespread. It may take a long time to show physical effects but at the cell level it is attacking the body.

"Because it's socially acceptable and legal, people often go without professional help when they clearly have a problem.

"People messing around with illegal drugs like heroin, marijuana and cocaine run into trouble with the law pretty quickly but often alcoholics can slip through the net for a while.'' She said it was a common misconception that someone was only an alcoholic or drug abuser if they had "hit skid row''.

Addiction warning signs "Many live and work at all levels of society; businessmen, builders, secretaries, salesmen and housewives.'' She said anyone worried about a friend or relative's use of alcohol or drugs should be alert to warning signs of a substance abuse problem. If several symptoms are present they should seek confidential advise from a professional before confronting the user.

SEEKING HELP -- If the warning signs point to a drug or alcohol problem ask for help from a professional. Bermuda's Substance Abuse Unit programme manager, Mrs Joanne Dill, soothes a woman worried about her husband's increasing drinking.

DRUGS DGS