Drunk vs High: Spotting the Physical Signs and Behavior

What Does It Mean to Be Drunk?

Being drunk usually refers to alcohol intoxication, a condition that occurs when someone consumes too much alcohol. This affects brain function and motor skills, leading to noticeable changes in behavior and body function. The severity of these changes often depends on the amount of alcohol consumed, the individual’s tolerance, and other health factors.

Alcohol enters the bloodstream and slows down brain activity by affecting the central nervous system. A person who is drunk might slur their words, make risky decisions, or struggle to walk straight. At a party, for example, someone who is drunk may stumble on the dance floor, yell more than usual, or suddenly shift moods.

Over time, consistent alcohol consumption can lead to serious health concerns, especially if it crosses into alcohol abuse.

What Does It Mean to Be High?

On the other hand, being high generally refers to the state a person reaches after using cannabis or similar psychoactive substances. The impact of cannabis varies depending on dosage, individual tolerance, and strain, but it typically results in altered perception, mood shifts, and sensory distortion.

Cannabis interacts with the brain’s endocannabinoid system, altering signals related to pleasure, memory, and coordination. A person who is high might seem lost in thought, laugh uncontrollably at something mundane, or become unusually quiet.

Unlike alcohol, which depresses the nervous system, cannabis tends to produce more mental and emotional effects, although physical signs of being high are still noticeable.

Physical Signs of Being Drunk vs High

Understanding the physical signs of being drunk vs high is essential in spotting the difference.

Signs of Being Drunk

• Slurred speech – Difficulty speaking clearly or forming sentences.
• Impaired judgment – Making risky decisions or behaving inappropriately.
• Unsteady movement – Stumbling, swaying, or losing balance.
• Flushed or red skin – Particularly on the face or chest due to increased blood flow.
• Nausea or vomiting – A sign of alcohol abuse or consuming large quantities quickly.
• Drowsiness or fatigue – Alcohol is a depressant, so it often makes people sleepy.

Signs of Being High

• Red eyes – Bloodshot or glassy eyes are common with cannabis use.
• Dry mouth – Also known as “cottonmouth,” often leads to excessive thirst.
• Increased appetite – The well-known “munchies” effect.
• Altered perception – Time may feel slower; senses may seem enhanced.
• Relaxed demeanor – A calm, chill body posture and expression.
• Anxiety or paranoia – Some users feel nervous, especially in unfamiliar environments.

While symptoms like red eyes can occur in both states, others are more distinct. For instance, slurred speech strongly points to alcohol intoxication, while dry mouth is far more likely with cannabis use.

Behavioral Differences: Drunk vs High Behavior

Behavioral cues provide deeper insight when physical signs are unclear.

Drunk Behavior

• Loud or aggressive – Alcohol lowers inhibitions, sometimes resulting in confrontational behavior.
• Exaggerated gestures – Movements may be uncoordinated and clumsy.
• Emotional instability – Mood swings are common: happy one moment, angry the next.
• Risky actions – People may attempt dangerous stunts or act recklessly.
• Forgetfulness – Short-term memory issues are common during heavy intoxication.

High Behavior

• Quiet or introspective – Many people become thoughtful or withdrawn.
• Giggling or laughter – A mild euphoric state can lead to uncontrollable laughter.
• Slow thinking – Reactions may be delayed but usually more controlled than when drunk.
• Heightened creativity – Cannabis users may have unusual thoughts or ideas.
• Paranoia – Some individuals experience mistrust or fear, especially in social situations.

As with physical signs, behavior varies from person to person. While some people act silly when high, others may appear deeply relaxed. Similarly, a drunk person might be either overly affectionate or irritable.

Why It’s Important to Understand the Difference

Recognizing the difference between drunk and high isn’t just about curiosity—it’s about ensuring well-being and safety.

• Safety – Both alcohol and cannabis can impair reaction time and judgment, leading to accidents.
• Health – Early signs of alcohol abuse or cannabis misuse can prevent serious long-term consequences.
• Support – A high person may need reassurance and calm, while a drunk person might need help staying safe or avoiding risky behavior.
• Legal clarity – Misinterpreting someone’s state can lead to unnecessary conflict or professional/legal complications.

In workplaces, schools, and public areas, knowing how to assess someone’s condition helps avoid misunderstandings and provides the appropriate response.

Effects of Being Drunk vs High on the Mind and Body

Alcohol

• Depresses the central nervous system
• Slows brain activity, reflexes, and coordination
• May cause blackouts and memory loss
• Can result in poor decision-making and risky behavior

Cannabis

• Alters mood, memory, and perception
• Can induce relaxation, euphoria, or paranoia
• Impacts motor coordination and short-term memory
• May increase anxiety in some users

Although alcohol intoxication is typically more physically impairing, cannabis tends to create more internal, emotional, or mental effects.

How Much Is Too Much?

The amount of alcohol or cannabis consumed significantly affects the outcome.

• Alcohol: Even one or two drinks can cause mild impairment. More than four drinks within two hours is considered binge drinking.
• Cannabis: A low dose (5–10mg THC) may feel manageable, but higher doses or potent strains can trigger paranoia, disorientation, or panic—especially in first-time users.

Each person reacts differently depending on tolerance, age, weight, and environment. A calm, familiar setting may reduce negative side effects, while loud or chaotic places can heighten anxiety or aggression.

How to Tell If Someone Is Drunk or High

Look for multiple signs before making assumptions. Here’s a quick comparison:

• Speech: Slurred and incoherent (drunk) vs. slow but coherent (high)
• Movement: Stumbling or swaying (drunk) vs. sluggish but balanced (high)
• Mood: Irritable or impulsive (drunk) vs. chill, giggly, or paranoid (high)
• Eyes: Bloodshot (both), but speech clarity helps distinguish
• Smell: Alcohol has a sharp scent; cannabis smells earthy or herbal

Be cautious when evaluating someone who may have used both substances, as mixed intoxication can blur the lines between these symptoms.

Risks and Long-Term Concerns

Alcohol

Chronic alcohol consumption can lead to:

• Liver disease

• Increased risk of cancer
• Cardiovascular issues
• Cognitive decline and mental health problems
• Addiction or dependency

Cannabis

Prolonged cannabis use may lead to:

• Memory loss
• Decreased motivation
• Anxiety or depressive symptoms
• Dependency or emotional instability

Both can result in substance abuse, especially if used to cope with stress or trauma.

Recognizing Substance Abuse

Frequent or excessive use of alcohol or cannabis can evolve into substance abuse. Warning signs include:

• Regular intoxication
• Neglecting responsibilities
• Relationship problems
• Using substances to cope with stress
• Failed attempts to cut back

If you suspect a friend, family member, or even yourself may be struggling, it’s essential to act early. Seeking help can prevent worsening health, strained relationships, and long-term damage.

Understanding and Seeking Help

Both being drunk and being high involve changes in the brain and body. While some signs overlap, the physical symptoms and behavioral patterns of drunk vs high states offer enough contrast to tell them apart with practice.

Understanding these differences promotes safer environments, healthier decisions, and better support for those in need. Whether you’re a friend, parent, educator, or simply someone trying to stay informed, recognizing these states equips you to respond with care and clarity.

If you or someone you know struggles with alcohol abuse or substance misuse, professional help is available. Facilities like Scottsdale Detox Centers specialize in guiding individuals through safe detox and long-term recovery. Early intervention can make all the difference.