Family Support

How to Support a Loved One Struggling with Addiction

Dr. Chris Shanklin
December 15, 2024
11 min read

Watching someone you love struggle with addiction is one of the most challenging experiences a family member or friend can face. You want to help, but you may not know where to start or worry about making things worse. This comprehensive guide offers practical, compassionate strategies for supporting your loved one while protecting your own well-being.

Understanding Your Role

Before diving into specific strategies, it's crucial to understand what your role is—and what it isn't—in your loved one's recovery journey.

Remember This Essential Truth

You cannot control your loved one's addiction or recovery. You can only control your own actions, responses, and boundaries. Your support matters, but ultimately, they must choose recovery for themselves.

This doesn't mean you're powerless—it means recognizing the limits of your influence while maximizing the positive impact you can have.

Educate Yourself About Addiction

The first step in effectively supporting someone with addiction is understanding what you're dealing with. Addiction is not a moral failing or a lack of willpower—it's a complex medical condition that affects the brain.

Key Facts to Understand

  • Addiction changes the brain: Chronic substance use alters brain chemistry, affecting decision-making, impulse control, and judgment
  • It's a chronic condition: Like diabetes or heart disease, addiction often requires long-term management and can involve relapse
  • Recovery is possible: With proper treatment and support, people can and do recover from addiction
  • Co-occurring conditions are common: Many people with addiction also struggle with mental health issues like depression or anxiety
  • Withdrawal can be dangerous: Suddenly stopping certain substances without medical supervision can be life-threatening

How to Communicate Effectively

The way you talk to your loved one about their addiction can significantly impact their willingness to seek help and maintain your relationship.

Do's of Communication

  • Choose the right time: Have conversations when they're sober and not in immediate crisis
  • Use "I" statements: "I feel worried when I see you struggling" rather than "You're ruining your life"
  • Express specific concerns: Point to concrete behaviors you've observed rather than making generalizations
  • Listen actively: Give them space to share their perspective without interrupting
  • Show empathy: Acknowledge their pain and struggles while still expressing concern
  • Offer support: Let them know you're there to help them find treatment or resources

Don'ts of Communication

  • Don't lecture or preach: Long speeches about the dangers of drugs rarely help
  • Don't use labels: Avoid calling them an "addict" or "junkie"—focus on the behavior, not their identity
  • Don't make threats you won't follow through on: Empty ultimatums undermine your credibility
  • Don't try to reason with someone who's intoxicated: Wait until they're sober for meaningful conversation
  • Don't take their anger personally: Defensive reactions often stem from shame and fear
  • Don't give up after one conversation: It often takes multiple attempts before someone is ready to seek help

Sample Conversation Starter

"I wanted to talk with you because I care about you and I'm worried. I've noticed [specific behaviors], and I'm concerned about your well-being. I'm not here to judge you—I just want to understand what you're going through and see if there's any way I can support you. Would you be willing to talk about it?"

Establishing and Maintaining Boundaries

Setting healthy boundaries is essential for both your well-being and your loved one's recovery. Boundaries aren't about punishment—they're about protecting your own mental health and avoiding enabling behaviors.

What Are Healthy Boundaries?

Healthy boundaries define what you will and won't accept in the relationship, and what you will and won't do to help. They create a framework for interaction that respects both your needs and theirs.

Examples of Healthy Boundaries

  • Financial boundaries: "I won't give you money directly, but I'm willing to pay for treatment or help you buy groceries"
  • Living situation boundaries: "You can't stay here while actively using substances, but I'll help you find a treatment facility"
  • Interaction boundaries: "I won't engage in conversations when you're intoxicated, but I'm always available to talk when you're sober"
  • Responsibility boundaries: "I won't lie to your employer or make excuses for your behavior, but I'll support you in being honest"
  • Safety boundaries: "I won't allow drug use in my home or around my children"

How to Enforce Boundaries

Setting boundaries is only the first step—you must also be prepared to enforce them consistently:

  1. Communicate clearly: State your boundaries explicitly so there's no confusion
  2. Follow through: If you set a consequence, you must be willing to implement it
  3. Stay calm and consistent: Enforce boundaries without anger or punishment
  4. Don't make excuses: Stick to your boundaries even when it's difficult
  5. Reassess when needed: Boundaries can be adjusted as circumstances change

Understanding Enabling vs. Supporting

Enabling means doing things for your loved one that they should be doing for themselves, protecting them from the consequences of their actions, or making it easier for them to continue using substances.

Supporting means encouraging positive change, helping them access treatment, maintaining healthy boundaries, and taking care of yourself.

Examples of enabling: Giving money for "rent" that goes to drugs, calling in sick to work for them, bailing them out of jail repeatedly, or letting them break boundaries without consequences.

Encouraging Treatment Without Forcing It

While you can't force someone into recovery, you can create an environment that encourages them to seek help.

Strategies to Encourage Treatment

  • Research treatment options beforehand: Have information ready about local programs, costs, and insurance coverage so you can act quickly when they're ready
  • Offer to help with logistics: Navigating the treatment system can be overwhelming—offer to make calls or accompany them to appointments
  • Point out the discrepancy: Gently highlight the gap between their stated values/goals and their current behavior
  • Share your observations: Describe specific ways their substance use is affecting their life, relationships, and health
  • Express hope and confidence: Let them know you believe in their ability to recover
  • Consider a professional intervention: If the situation is severe, a trained interventionist can help facilitate a conversation about treatment

When They Enter Treatment

If your loved one agrees to seek treatment, there are specific ways you can support them during this crucial time:

  • Participate in family therapy sessions if offered
  • Educate yourself about their specific treatment program
  • Follow the treatment facility's recommendations about contact and visits
  • Prepare for their return home by removing substances and triggers
  • Develop a plan for supporting their aftercare and ongoing recovery
  • Celebrate milestones, but understand that recovery is a process

Dealing with Relapse

Relapse is often part of the recovery journey. While it's disappointing and scary, it doesn't mean treatment failed or that your loved one will never recover.

How to Respond to Relapse

  • Stay calm: Reacting with anger or despair can push them away when they need support most
  • Express concern without judgment: "I noticed you've been using again. I'm worried about you. What happened?"
  • Encourage them to get back into treatment: Help them see relapse as a learning opportunity, not a failure
  • Maintain your boundaries: Compassion doesn't mean accepting unacceptable behavior
  • Focus on the progress made: Remind them of how far they've come and that recovery is still possible
  • Adjust the treatment plan: Work with their treatment team to identify what triggered the relapse and how to address it

Taking Care of Yourself

You cannot pour from an empty cup. Taking care of your own physical, emotional, and mental health is not selfish—it's necessary for you to be able to support your loved one effectively.

Self-Care Strategies

  • Join a support group: Al-Anon, Nar-Anon, and other family support groups provide connection with others who understand
  • Seek your own therapy: A therapist can help you process emotions and develop coping strategies
  • Maintain your routines: Continue activities you enjoy and relationships that support you
  • Practice stress management: Exercise, meditation, hobbies, and relaxation techniques are essential
  • Set aside time for yourself: You need breaks from the stress of supporting someone with addiction
  • Don't isolate: Stay connected with friends and family who can provide emotional support
  • Accept your limitations: You're doing the best you can—that's enough

Signs You Need More Support

Consider seeking professional help for yourself if you experience:

  • Persistent anxiety, depression, or hopelessness
  • Sleep problems or changes in appetite
  • Difficulty functioning at work or in relationships
  • Physical symptoms like headaches or digestive issues
  • Substance use as a coping mechanism
  • Thoughts of self-harm or suicide

Resources for Families in Lubbock

You don't have to navigate this journey alone. Lubbock and the surrounding area offer numerous resources for families affected by addiction:

Local Support Groups

  • Al-Anon Family Groups: Free support meetings throughout Lubbock for families of people with alcohol use disorder
  • Nar-Anon: Support for families of people struggling with drug addiction
  • Families Anonymous: Meetings focused on supporting families dealing with substance abuse and behavioral issues

Professional Resources

  • Lubbock Addiction Clinic: Family counseling and education programs specifically designed for families navigating addiction
  • Local therapists: Individual therapy for family members dealing with the stress of a loved one's addiction
  • Crisis hotlines: 24/7 support at 1-800-662-HELP (4357) or the 988 Suicide and Crisis Lifeline

Hope for the Journey Ahead

Supporting a loved one through addiction recovery is one of the most difficult challenges you'll face, but it's also an opportunity to strengthen relationships, develop resilience, and witness the transformative power of recovery.

Remember that recovery is possible, healing can happen, and you don't have to do this alone. Whether your loved one is just beginning to recognize their problem or is actively working on their recovery, your informed, compassionate support—combined with healthy boundaries and self-care—can make a real difference.

Your love and support matter. Take care of yourself, stay hopeful, and know that help is available every step of the way.

Family Support Services Available

At Lubbock Addiction Clinic, we offer family counseling, education programs, and resources to help you support your loved one while taking care of yourself. Let us help your family through this journey.