Adults who have substance abuse issues are likely to have the following symptoms: feelings of sadness, anger, guilt, poor nutrition, avoidance of family and friends, failure to keep promises, missing time from work and other commitments, lack of ambition, money problems, trouble coping with responsibility, irritability, passive behavior and negative changes in personal habits. They may not think their problem is serious. They offer excuses for their behavior and blame someone else. According to the National Survey on Drug Use and Heath in 2017, 19.7 million American adults) battled a substance use disorder. ARISE life skills curriculum for adults helps them deal with substance abuse issues.