Substance Abuse and Family Counseling
When someone in the family uses substances whether it is
drugs or alcohol, their substance use affects everyone in the family. The whole
family suffers and plays different roles for the substance user. Whether they are
enabling, or in denial that there is even a problem, or trying to just get
through each day, everyone is affected.
Often times it takes many times and many things to happen
before then substance user come to the point of truly wanting or being forced to
get help. It may come to their spouse leaving with the children, the children
being removed from the home by Child Protective Services (CPS), or for some
other legal issue to arise like jail time. Everyone has their own rock bottom
point.
In the case of the substance abuser being a teen, the
parents may have the feeling that their child would not have a problem, or the
parent uses too so they all think this is normal, or they may be in total shock
and not sure what to do. The family members may be trying to figure out where
to get help and how to get help not only for the substance user but for the
family as a whole.
The bottom line is the substance user is at the point of
needing to seek counseling. They may even have it forced on them by the
judicial system. In other words, they are mandated by the courts to seek
counseling for the addiction. Usually this happens after they have gotten in
trouble with the law.
Coming from the point of view of Family Systems Theory, the
whole family needs to be involved in the counseling process. There are reasons
their family member is using drugs or alcohol and those reasons effect each
member individually as well as the family as a whole. These things need to be
worked out in therapy not only for the substance user but the individual
members of the family.
If it is the case of a parent with substance use problems,
the children and spouse are probably very hurt and angry. There are most likely
issues of trust, or lack thereof, in the family because the substance user has
lied or manipulated other family members. These are all issues that need to be
addressed in family counseling. Children need to be able to express themselves
in a safe place to their parents what they think and feel.
Part of my case load is working with the children and teens
of substance users. These children are hurt and angry. They know what their
parent is doing is not okay, but they are children so they don’t know what to
do about it. They are stuck. In some cases children are taken away from their
substance using parent and live someplace else because their parent or parents
just can’t get it together to take care of them properly. These children get
placed in foster care or go live with another family member.
Some children end up with the sober parent and they are
trying to figure out what to do next. They again know what their parent is
doing is not okay, but yet their parent still “chooses” alcohol or drugs over
their family or children. Children feel neglected, angry, scared, and
frustrated.
The spouse needs to be able to express their feelings about
how the substance use has affected the family. Counseling the family as a whole
is an important part of restoring the family unit. For some couples the best thing to help is
marriage counseling to help figure out what to do and how to handle the
substance use and other issues. For a couple to have marriage counseling to
help restore the relationship and help support the substance user is just as
important as family counseling.
In the case of teens that use, parents need to take a step
back and realize that their teen is in serious trouble. The teen needs support
and love in order to recover from their substance use issue. Parents need to
realize their role in their teen’s recovery and what parents can do to help
their teen. This could be change in rules, consequences, in general being held
accountable for their actions.
Teens usually have reasons to use, like any substance user.
Teens usually are trying to cover some kind of hurt or pain in their lives. If
this is the case, your teen needs counseling not only for the substance use but
also for the hurt and pain in their life. When I counsel teens I include the
parents in the counseling process. I as
a therapist can only do some much to help a teen in my office once a week. They
need tools they can use at home too. Then they need parents that will help them
when they want to use in order to cope with a stressor.
Many believe the reason teens use is peer pressure. While
this is true to a point, teens develop a substance use issue to cover some kind
of trauma, divorce, abuse, low self-esteem, bullying, and so on. Teens want to
fit in and pretend that everything is “normal.” The job of a counselor is to
help them with the underlying issues and hopefully help with the substance use
issue as well. The most effective way to do this is to involve the parents and
other family members.
While counseling for individual family members is important
and needed, counseling for the family as a whole is also needed. The family
needs to talk all together about issues and work things out together as a
family unit. There may be things that the substance user isn’t even aware that
happened that need to be worked out, or family dynamics that are not healthy
that needs to change to make the family function better.
The sibling needs to be able to express to their sibling
substance user how they feel about their substance use. A parent needs to hear
the hurt that was caused by the parent to their child during a drunken fit. A
parent needs to hear from their substance using teen why they use, even if that
reason is because their parents got a divorce.
In order for the family to be made whole again, the family
as a whole need to talk out issues that cause the substance use. They also need
to talk out the issues caused by the substance use, divorce, financial
problems, fighting, neglect, hurt feelings and so on. Until this happens there
will continue to be problems in the family.
The key is finding an appropriate therapist or group of
therapists that can work with the individual family members as well as the
family as a whole. As well as helping the family to plug into resources in
order to have complete care and recovery for every family member. Finding a
therapist that not only understands substance addiction but also family
dynamics is what would work best. As frustrating as it may be to have a family
member who abuses substances, still understand your family as a whole needs
help and to not be afraid to reach out to get the help that is needed.