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The National Council on Alcoholism and Drug Dependence states that addiction is a family disease. This means that addiction does not merely affect the user but the entire family system surrounding the addict. Addiction often puts the entire family under tremendous stress, as many family members fear losing their loved one to the disease. As such, seeking healthy coping strategies for handling addiction can greatly benefit a family dealing with substance abuse.

Living with an Addict or Alcoholic: How Substance Abuse Affects Families

Substance abuse has a varying impact on different family systems. However, there are many general components that most family members experience. Whether the substance in question is alcohol, opiates, illicit drugs, or prescription drugs, some of the components include negative emotions, lack of safety, poor communication, limited boundaries/ codependency or enabling, and severed relationships. It is therefore important to understand each of these factors to mitigate the potentially devastating havoc each can have on the entire family system.

Affects of addiction on families can include:

  • Negative emotions: Typically, when family members are dealing with the disease of addiction, negative emotions about the user may surface. Because the user, in the face of their addiction, may lie or steal from family members, it’s a common reaction of the person being taken advantage of to feel hurt or angry at the addict/alcoholic. However, these negative emotions can destroy an entire family system if not dealt with healthily or appropriately.
  • Lack of safety: It is no wonder that addiction can make life feel “unstable” or “rocky.” The lack of certainty of what will happen next can make everything feel terrifying for anyone involved. Furthermore, if a spouse or children are in harm’s way, an entire family system may need to remove themselves from danger and seek possible legal action.
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  • Poor communication: When substance abuse over-runs a family, positive communication is usually at stake. This can occur as becoming short, irritable, or even distant with family members as the disease consumes everyone’s thinking. 
  • Limited boundaries/codependency or enabling: This factor is especially apparent in families with rampant addiction. Fear of losing a loved one can cause family members to step in the way of allowing their loved one to suffer their own consequences. As the intention may be good, not having boundaries or becoming co-dependent on the user’s actions is extremely toxic. Regardless of what the user is doing, learning to care for oneself is essential to health and well-being.
  • Severed relationships: Commonly, not everyone in the family system will agree on how to handle the addiction with their loved one. This can cause relationships to become severed, causing further strain and stress on everyone involved.

Benefits of Individual or Family Counseling for Addiction Treatment

The family system can play a central role in treating any health problem, including substance abuse, especially when healthy coping mechanisms are in place.

Some benefits of individual or family therapy in treating addiction include:

  • Alleviating fears, anger, and stress regarding the addiction
  • Keeping your loved one motivated to recover from their disease
  • Finding healthier coping mechanisms when/if the addict/alcoholic chooses to return to drug-using 
  • Learning how to detach with love instead of staying in a toxic pattern of codependency or enabling (working through codependency/enabling can further help the user to seek help and stay sober in the long run)
  • Improving family communication and strengthening the family system. It is particularly helpful to have a solid foundation of connection on which to lean on when things seem “rocky”
  • Becoming educated about the disease of addiction helps to separate the user from the disease. Furthermore, learning what addiction tendencies and behaviors look like can help the family to spot when the user is being run by the disease and not take their behavior personally
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What to Expect with Family or Individual Counseling for Addiction Treatment

Although every family counselor/therapist may do things differently, there are some common characteristics of family counseling that one can expect to be exposed to. While multiple family members may attend the therapy sessions, this is not mandatory. The family members wanting to recover from the trauma of the disease will most likely be the ones to rise to the occasion. In contrast, others with extreme anger or resentment at the user may need time to accept help themselves. This is completely normal, and those individuals should not be reprimanded if deciding against therapy at the given time. As such, the individuals willing to accept help can expect suggestions from the family clinician/counselor about how long each session will be and how often everyone will meet, depending on the family’s needs and goals. The therapist may incorporate many different healing modalities depending on their training and what is most comfortable for the whole family. Some different types of therapy include:

  • Structural therapy: This type of therapy uncovers the family hierarchy and each family member’s roles. This is important so that family members can take their appropriate roles (authority of parents over children, etc.) and create a balance between each family member.
  • Family systems therapy: This therapy focuses on unconscious communication patterns between family members so that healthier communication can begin to take precedence in the family system.
  • Strategic family therapy: This therapy focuses on providing family members with a brief and direct strategy for healthy communication, so that family members interact more productively. This is especially beneficial if a family member has a known disorder or condition (especially a behavioral disorder). 
  • Bowenian therapy: Bowenian therapy, named after psychiatrist Murray Bowen, is particularly helpful for family members that desire therapy but do not want to include other family members in the counseling sessions. This can help each family member voice their emotional concerns and worries without “stirring” something up with another family member. 
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It is important to note that you do not need to know what type of therapy would work best for you, as the trained clinician will assess and decide for you. Furthermore, the therapist/counselor may opt to include a different healing modality than the one listed above. Do what feels most comfortable to you and your family. Additionally, you do not need to go with the first addiction specialist that you find. Take the time to find someone who will work best with your needs and goals to get the healing you need and deserve.

How to Find a Family Counselor for Addiction Treatment

Finding the right individual or family counselor to help your family work through substance abuse-related issues may be intimidating. However, fortunately, there are treatment centers that employ professional therapists so that the family does not need to look further for help. At Infinite Recovery, our master-level clinicians provide a safe place for families to heal from addiction-related trauma.

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Specifically trained in substance abuse matters, families can receive on-site therapy at our drug and alcohol rehab center or through phone calls, if that is most convenient for the family, at no additional cost. We see the importance of healing as a family group, as it provides a better chance of sobriety for the addict/alcoholic and freedom for the family from the bondage of fear due to uncertainty about what the user will do next. If you or a family member are seeking alcohol or drug treatment, reach out today and speak with an enrollment advisor. You are worth the time and investment. 

Sources:

Infinite Recovery has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations for our references. We avoid using tertiary references as our sources. You can learn more about how we source our references by reading our editorial guidelines and medical review policy.

  1. The National Council on Alcoholism and Drug Dependence. Official NCADD Website. Accessed July 4, 2022. https://ncadd.us/
  2. Mental Health America. Co-Dependency. Mental Health America. Accessed July 4, 2022. https://www.mhanational.org/co-dependency
  3. Center for Substance Abuse Treatment. Chapter 1 Substance Abuse Treatment and Family Therapy. Substance Abuse and Mental Health Services Administration (US); 2004. Accessed July 4, 2022. https://www.ncbi.nlm.nih.gov/books/NBK64269/
  4. Association for Family Therapy and Systemic Practice. What is Family Therapy and Systemic Practice? – Association for Family Therapy and Systemic Practice. Accessed July 4, 2022. https://www.aft.org.uk/page/whatisfamilytherapy
  5. Cherry, K. (2022, January 10). What is Family Systems therapy? Verywell Mind. Accessed July 4, 2022. https://www.verywellmind.com/family-systems-therapy-definition-techniques-and-efficacy-5213785 
Amanda Stevens, B.S.

Medical Content Writer

Amanda Stevens, B.S.

Amanda is a prolific medical content writer, content strategist, and is in recovery from disordered eating. She graduated Magnum Cum Laude from Purdue University with a B.S. in Social Work. She has a passion for health, nutrition, meditation, spiritual practices, and being a mother of a beautiful daughter.

Last medically reviewed July 4, 2022

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