Category Archives: Family Support for Addiction

A drug using teen's bedroom.

Found Drugs in Your Son or Daughter’s Room: What to do next

By on August 14th, 2023 in Family Support for Addiction, Parent Recovery

It’s a situation no parent wants to face, but one we hear about all too often: you’ve found drugs in your son or daughter’s room. What do you do next?

As a certified Alcohol and Drug Counselor who has been working with young adults and teenagers for many years, it’s a situation I am very familiar with. In fact, finding drugs or alcohol in a child’s room is often the reason parents reach out for help in the first place.

We’ll elaborate on each point, but just to lay it out, we believe there are a few steps parents should take relatively quickly once they find drugs in their son or daughter’s room:

If you find drugs in your child’s room, the most important things to do next are,

  1. Take a deep breath
  2. Gather information through observation
  3. Have a discussion with your son or daughter
  4. Gauge your child’s responses
  5. Seek help from a professional specializing in substance use
  6. Do not ignore it

Discovering that your son or daughter might be doing drugs is a situation that no parent ever wants to face.

In the next few paragraphs, I will go through each of these steps and follow up with some things to avoid as well.

1. Take a deep breath

I mean this both literally and figuratively. Discovering that your loved one may be getting high is a scary proposition. It’s a tough emotional burden to bear, especially when you don’t have all the information yet.

Our minds tend to go to the worst places when we get this kind of news. While I do not intend to downplay the seriousness of finding drugs in your son or daughter’s room, I do believe that one of the most helpful things in the very beginning is to relax and breathe.

People recover from drug abuse all the time. We see it every day (literally) in our teen substance abuse program.

So: a couple of things to keep in mind as we go through the next few steps are:

  1. It’s not necessarily the end of the world
  2. It doesn’t mean your child is ruined
  3. It’s not your fault
  4. There are few logical “next steps” that can truly streamline the process of determining if your child needs help, and if so, what kind of help

So … as much as possible, relax. Take a deep breath, and know that good, high-quality help is available and within reach.

2. Gather information

The first action step we want any parent to complete when finding drugs in a son’s room is to gather as much information as possible. While it’s tempting to jump straight to things like confrontations and drug testing your teen, much of this initial step can be done by a simple observation:

Important things to observe

  • What kind of drugs did you find? If you’re having trouble figuring it out, please reach out to a substance abuse counselor for help with this. Different drugs come with different inherent risks, some of which carry greater risks in the short term. Note, while we don’t condone any drug use during the adolescent and young adult years, there are some drugs that would inherently cause us greater immediate concern than others.
  • What quantity of drugs did you find? Though they are far from conclusive evidence, we would typically be more concerned if you found a high quantity of drugs (or paraphernalia), or if you found multiple kinds of drugs. They may be red flags that your child may have passed the experimentation phase.
  • Where did you find the drugs? Were they hastily stashed somewhere out of sight? Or were they hidden somewhere that took planning and effort? This can tell you how invested your child is in keeping their use a secret.
  • Was there any paraphernalia with the drugs? Having paraphernalia points to consistent use as well as planned future use, which is a huge red flag.
  • Has this happened before? If it has happened more than once, your child likely isn’t experimenting with drugs at this point. Even being caught for a second time is an indicator of a larger problem.
  • Is your child currently intoxicated/high? If you’re worried about their immediate health or safety, go to a hospital (especially if you do not recognize the drugs or if your child isn’t coherent enough to describe what they took). It is far better to be safe than sorry in this regard.

3. Have a discussion with your son or daughter (and ask these key questions)

There are a few key pieces of information that can be very helpful in determining next steps. Below are a few questions to ask.

One thing to note: we often talk with parents about “staying on your kid’s side.” I would remind everyone who is about to confront and / or ask their child about potential drug use to walk into the conversation willing to be loving and logical. It’ is very easy for these types of conversations to turn into fights. If you’d like help with some specific direction on what to say and how to ask, please contact a substance abuse counselor first.

That being said, if you’re confident that you can have a conversation with your teen, here are a few pieces of information that are very helpful in providing recommendations to parents for what to do next:

  • Where did they get the drugs? This is important not so that you can find whoever provided the drugs, but so that you can see if they sought it out, if they have a dealer already, or if their friends are providing drugs.
  • How much/ how often are they using? This will let you know the extent of the problem. Finding out how long they’ve been using for is also important. The longer they’ve kept their use a secret, the more concerning the issue is. For example, a young person who has kept their drug use hidden for 2 years has become very comfortable living dishonestly and is very likely to have a difficult time stopping.
  • Why are they using? Is it with friends, alone, for fun, to deal with emotions? Using alone is a huge red flag for substance use problems. Using to cope with any emotional issues is also a red flag, as any drug use it likely to make matters worse over any considerable period of time.
  • How do they perceive the harm? You may need to “read between the lines” on this one, as most drug users won’t come out and say it. Does it seem as though they view their drug use as a problem? Do they see it as destructive, or do they see it as “no big deal?” This is important to gauge, as many young people are being bombarded with false information about the harmfulness of cannabis as well as other drugs and do not think there will be consequences.
  • Are they willing to stop? An unwillingness to stop is an obvious red flag for a substance use issue.

4. Gauge your son or daughter’s responses

One of the biggest signals of how far a drug problem has progressed is how the user responds to being caught:

  • A young person who is very early on in their drug use will often come clean right away, show remorse, and accept the consequences. If they simply made a mistake, they will recognize it and cease the behavior.
  • A young person who has moved past the initial stages of drug use, however, will often try to rationalize and justify their drug use, often being very manipulative and dishonest throughout the process.

An important thing to remember in this part of the process is to trust your gut. In my years of working with parents, I can recall countless examples of parents reflecting back and saying “I knew that didn’t make any sense!” or, “something just seemed off with him.”

If it seems like your son or daughter’s explanations or responses don’t make sense, it’s most likely because they actually don’t! Drug users are often very adept at convincing their parents to ignore their better judgment.

Classic red flag statements for dishonesty are:

  • “I’m holding it for a friend”
  • “It was my first time using ever”
  • “I have anxiety and need it”
  • “All my friends are doing it”
  • “You guys are over-reacting”
  • “I am doing all this other stuff you guys want me to do so get off my back”
  • “If you let me use at home I wouldn’t have to go behind your back”
  • “You made me this way”
  • and many more

Overall, pay attention to their responses. You know your kids better than anyone, so trust your gut and use that intuition to help you in the next step.

5. Seek help from someone who specializes in substance use, preferably with young people

After you have gathered all the above information, we strongly recommend that you follow through and seek the opinion of an outside professional. We recommend this for a few reasons:

  1. The professional will have expertise in deciphering the signs of drug use in teens and young people.
  2. The professional won’t have the same emotional reactions to your family’s situation, which means they will have an easier time looking at the situation objectively

Your child may simply have gotten mixed up with a bad crowd or made a mistake, or they could have the beginnings of a serious problem that requires intervention in order to avoid serious consequences and mental health implications down the road.

Additionally, not every substance abuse evaluation necessarily leads to treatment.

Speaking from experience here: our recommendations range from “watch and wait” to “he needs counseling right away,” and everything in-between.

Making that distinction is not as easy as it sounds for parents. Find a professional who understands both substance use disorders and adolescent treatment. Use the information that you’ve gathered to inform said professional and have them evaluate the situation. Not only does it allow you to get a second opinion on your child’s health, but it also sends a very strong message that drug use will not be tolerated in the household.

6. Do not ignore it!

This is my final suggestion, and maybe the most important: Don’t ignore finding drugs in your son or daughter’s room. Just the simple fact that they brought it into the house suggests a pattern of continued use. Someone who has only done drugs a couple of times or only does them at parties typically won’t bring drugs into the home.

I talk with parents often who brushed off seemingly small instances only to realize later they were indicators of a much bigger problem. I encourage parents to think of it like they would if they thought their child had a bad cough: it could be nothing, or it could be a serious health problem, and anything in-between.

Consulting a professional doesn’t mean anything other than you admit it’s better to be safe than sorry. Substance abuse disorders start off seemingly mild and almost never get better without help. You wouldn’t say, “It’s just a little bit of cancer,” so do not ignore drug use with a child.

If you find drugs in your child’s room, you’re not the first. Countless families run into this every year. Relax, and take the next steps. As I mentioned earlier, it’s important to breathe, relax, and take the next logical step.

You love your child – that much is obvious. All that’s left to do is take the necessary steps to determine the appropriate course of action for your family.

girl plugging her ears not listening to mom lecture her

Should You Drug Test Your Teenager?

By on August 3rd, 2023 in Adolescent and Young Adult Substance Use, Family Support for Addiction

It can be extremely confusing, scary, and frustrating to discover that your child may be using drugs. What’s more, it’s usually unclear whether or not your child is being honest with you. During this time, it’s common for parents to wonder: should I drug test my teenager at home?

At face value, it seems like a good idea. The aim would be to gain a more accurate picture of what’s really going on. That being said, I’ve found that this has a tendency to backfire more often than not.

While the intention behind drug testing may be to protect children from substance abuse, it can actually have limited effectiveness in its application for teenagers. The reason is that they are extremely easy to fake and tend to do more harm than good when it comes to the relationship with your teen.

I’ve been working in the teen substance abuse field for many years now, and in this article, I’d like to address some of the common pitfalls associated with home drug testing your teenager, as well as discuss some of the pros and cons.

3 Potential Drawbacks of Drug Testing Your Teen

I have been a substance abuse counselor working with young people for 6 years, and of the parents that I have met with, many of them have either considered home drug testing or have already applied this tool to attempt to prevent their kids from using illicit drugs. However, drug testing comes with a host of possible drawbacks. 

A clinical report by the American Academy of Pediatrics (AAP) states:

“However, drug testing also has a number of drawbacks; it can be invasive, it yields only limited information, and results are easily misinterpreted.

Having seen these issues first hand, I tend to agree. Let’s discuss the drawbacks one-by-one:

Drawback #1: Limited effectiveness

It’s extremely common when working with young people to hear stories of teens and young people successfully tricking drug tests administered by their parents. There are numerous ways to accomplish this, some of which can be bought at smoke shops and some of which simply require resourcefulness on the part of the teen:

  • Fake pee, 
  • Vitamin concoctions to detox the body, or 
  • Secretly squeezing a water bottle taped to their leg with a hose attached. 

Compounding this problem is the fact that drug testing can’t test for every drug. It will always leave potential loopholes. LSD, for example, isn’t typical on most drug tests, though we know it’s currently one of the top five drugs used by teens.

According to the Medical University of South Carolina, urine screens can test for alcohol up to 48 hours, and sometimes up to 72 hours if the drinking is heavier. These limitations undermine the effectiveness of drug testing as an effective preventative or intervention measure.

Drawback #2: False Sense of Security

Another problem families face is reconciling the false sense of security that drug tests can create. Since drug tests are unreliable and easily circumvented, families should avoid placing trust in the result of a drug test.

The reasons for avoiding it are that over-trusting drugs tests may lead to questionable situations where their child may:

  • Use the drug test to manipulate the family, and/or
  • The drug test will falsely state they are passing, despite showing signs of drug use and other at-risk behavior

It’s common for families to feel as bewildered after the drug test as they did before. In other words, it tends to not actually solve anything because you still don’t know if your teen is using drugs or not.

This can place families in a difficult position because even though they may be observing using behaviors and causes for concern, they have to rely on their teen testing positive on a drug test in order to catch their kid and administer a consequence. 

Drawback #3: Cause Distrust

This leads to another issue which is that administering a drug test may be construed by their children as a sign of distrust from the parents. Even though young adults abusing drugs often take actions that jeopardize trust, parents may further alienate their kids by feeding the culture of distrust. 

A successful response from parents is taking the stance of “You trust, you win.” There are two outcomes: 

    1. They abstain from drug abuse: For this outcome, everyone is happy. The teenager is staying sober, allowing their brain time to develop, and parents can nurture trust in their child and help promote their further growth.
    2. They continue abusing drugs: If parents rely on the young person’s actions reflecting their behavior. In most cases, something happens that creates cause for concern or directly catching the young person using drugs. In this case, it can be the child who faces the consequences of breaking trust.

By allowing your teen’s actions to take the lead in these scenarios, it allows the parent to be on the side of their son or daughter while still utilizing logical consequences for the action. This can include losing their phone, car, weekly allowance, hanging out with friends, and in more severe cases seeking substance abuse treatment centers. 

Parents can even lovingly say, “We made a decision to trust you, and you broke that trust and there are consequences to our actions.” Any teenager may argue or try to manipulate but the statement displays simple love and logic.

Alternative approaches to determining if your teen is using drugs

I believe there are far more reliable ways to determine whether or not you should be concerned your child is taking drugs.

Our recommendation is to help parents take a holistic approach to be able to address a range of issues affecting their child:

  • How are their grades in school?
  • Do they have a good peer group?
  • Do they isolate often?
  • Have there been any recent changes in behavior?
  • Are they an active part of the family?
  • Are they argumentative at home?

In this way, parents can observe their kids’ progress more objectively and recognize when digress is happening. This is preferred over leaning on drug tests to confirm drug use.

What to do if you do decide to drug test

While I’ve painted a fairly bleak picture of the efficacy of home drug testing, I do acknowledge that it is sometimes the right thing to do. If, for instance, you are working with a professional substance abuse counselor or physician on an intervention process that involves a drug test, here are some general guidelines for the best outcome:

  • Utilize professional drug testing services, if possible
  • Combine your drug test with some type of substance abuse evaluation
  • Learn the signs of teen drug use and evaluate your experience with your teen based on them
  • Don’t discount what your gut is telling you
  • Ask for Help

Don’t forget to ask for help

Responding to teenagers who might be abusing substances is a scary proposition – one that many of the parents we work with never saw themselves having to face.

If you’re concerned that your teen may be using drugs, it’s worth it to consider a professional opinion. Having a simple discussion on the phone with a substance abuse counselor can go a long way towards helping you decide what to do next (regardless of whether or not you seek any further services).

If you’re in this position, don’t hesitate to contact us, even if you’re not close in proximity to one of our two substance abuse programs. We’d be happy to help you develop a game plan and make any necessary referrals.

You are not alone!

New Support Group Meeting for Families of Addicts in Walnut Creek, CA

By on October 28th, 2022 in California Substance Abuse, Family Support for Addiction, News & Updates, Parent Recovery

If you’re a parent struggling to deal with your teenager’s addiction or substance abuse problem, you and your family are not alone. A new support group is forming in Walnut Creek, CA to help families dealing with substance abuse and addiction. This support group for families of addicts will provide a safe and supportive space to share your experiences and get practical advice from others who understand what you’re going through. If you’re interested in attending this alcohol and drug support group for parents and family members, please read on for more information.

Why to Seek Support for a Loved One’s Substance Use

Drug and alcohol addiction is a disease that doesn’t discriminate. It can affect anyone, no matter their age, race, or socioeconomic status. If you’re the parent of a teenager who is struggling with addiction, you’re probably feeling very overwhelmed. While most parents’ natural inclination is to seek help for their young loved one, they often overlook taking care of themselves in the process.

While there are many resources available for addicts themselves, there’s often less support for parents, families and loved ones of addicts. This support group for parents and loved ones is aimed at meeting your needs as you navigate the early recovery process with your young person.

If you’re not sure if a parent support group meeting is right for you, learn more about our parent support group meetings here.

Topics Covered in our Weekly Support Group Meetings for Families of Addicts

  • How to respond to your child’s natural ups and downs through the early recovery process
  • How to establish logical boundaries in your home
  • Simple tools to communicate with your child
  • How to rebuild broken trust
  • Establishing a support system of parents who relate to your situation
  • Many more!

Family Support Group Meeting Dates, Times, and Location

Meeting Location: Creekside Hall, 1475 Creekside Dr., Walnut Creek, CA 84596

Dates: 1st and 3rd Wednesday of the month

Times: 7:30 pm

Download informational flyer

We’re excited to announce this new support group meeting for families of addicts in Walnut Creek, CA. We aim to provide a safe space for parents to share their experiences, learn from each other, offer advice, and find strength. If you’re the parent of a young addict or substance abuser, please join us at our next meeting!

A young boy and his father deciding between inpatient and outpatient rehab.

Inpatient vs Outpatient Rehab: Which to Choose?

By on June 29th, 2022 in Addiction, Alcoholism, Family Support for Addiction

Realizing that ourselves or a family member has a substance use disorder is a big step – and many times comes as a shock. The next logical question we ask is: what should we do about it? Whether you’ve already discussed your options with a professional done some research on the topic, you may have heard the terms inpatient treatment and intensive outpatient rehab pop up more than a few times.

Inpatient rehab is done in a live-in environment, where treatment groups, social activities, and 12 step meetings are closely monitored. This level of care is more appropriate for those who have found it extremely difficult to stay sober in their typical home environment. Outpatient rehab is generally done in the evenings or afternoons, where participants are free to go home and are encouraged to seek their own outside 12-step meetings. It is also often recommended for those who have been through an inpatient or residential treatment program but are looking for a bridge into their long-term recovery process.

Though there isn’t a one size fits all answer to this question, we hope to offer some helpful guidance on this topic to maximize your chances of success.

Differences between outpatient vs inpatient rehab

We often receive questions from parents and family members about what level of care is right for an individual with a substance use disorder (SUD) or potential SUD. This can be an extremely complicated decision for family members to make, and advice on the topic can often be conflicting. Below we have highlighted some average features and benefits of each type of substance use treatment:

Outpatient Substance Use Treatment Inpatient Substance Use Treatment
6-12 weeks, on average 30-45 days, on average (some programs are up to 90 days in length)
9-15 hours or therapy per week, on average, split over 3-4 treatment days 6-8 hours of therapy per day, on average
Participants must seek their own outside 12-step meetings 6-7 in-house 12 step meetings per week, on average
Participants must provide their own transportation Transportation to and from outside activities is provided
Participants live at home Participants live in the treatment center
Typically followed with 6-12 week aftercare programs Typically followed by PHP or IOP programs

The main difference between any form of outpatient or inpatient program is where the client lives while attending treatment. The other difference between these types of treatment is intensity and time spent in treatment on a weekly basis.

Keep in mind that these are averages. Individual programs can vary wildly on features, goals, and length of stay. For example, a standard outpatient will meet 1-3 days a week for 1-3 hours per session. So, it is possible that one program may only meet for 1 hour once a week, while another meets for 3 hours 3 times a week, and both are referred to as outpatient programs. Obviously, the intensity of these two programs would be vastly different, so it’s important to research each program’s treatment schedules.

When to choose Intensive Outpatient (IOP) Rehab

This is a common starting point for an individual who presents with a substance use disorder but has maintained some level of functionality in their life. It can also be appropriate for individuals who have obligations to meet and cannot afford to take time off.

Intensive Outpatient treatment is most appropriate for individuals who:

  • Are not demonstrating life-threatening withdrawal symptoms
  • Do not present with medical or psychiatric symptoms that warrant hospitalization
  • Are capable of staying sober without being removed from their home environment
  • Need help learning to stay sober in their home environment
  • Have demonstrated a willingness to try to stay sober and seek 12-step support outside of the treatment environment

This can be confusing for some families, as they may think that starting with the most intensive option will increase the chances of long-term success. The reasoning behind this comes down to the most crucial elements of successful treatment, client willingness and personal “ownership” over treatment.

The “best” treatment in the world will not work for someone who isn’t committed to their own recovery, and the “worst” treatment will do wonders for someone who genuinely wants to change.

We have seen countless examples of parents who catch a family member using and immediately send them to a residential program, only to have the child return home and repeat the same behaviors. After working with these families later in their recovery journey, it became clear that the individual went through inpatient treatment without fully identifying their problem.

In other words, they thought their problem was that their family members overreacted rather than identifying their own substance use as the problem. They may learn a lot of valuable information in residential treatment, but they lacked internal understanding of why they were there in the first place.

It is for this reason that even if residential treatment or inpatient is available or seems appropriate, when safe, it can be beneficial to start treatment at an outpatient level and then move to a higher level of care if necessary. If utilized correctly, this method allows a individual to begin treatment at a less intensive level, with the knowledge that if they struggle to make progress in treatment or maintain sobriety, they will need to attend a higher level of care.

If the person does not wish to leave home, miss work / school, or miss any other commitments, then those things will serve as motivation to complete treatment goals and maintain sobriety. If the participant can make progress in IOP with these motivating factors, it’s a win-win.

The individual can begin their recovery journey and move towards a healthier lifestyle while avoiding having to put life on hold while in residential. It also allows families to retain financial resources which keeps options open if further treatment becomes necessary in the future.

If, on the other hand, it becomes clear that the person does need a higher level of care, the time spent in IOP should help provide the person with a sense of ownership and willingness. The person will be going to residential with the knowledge that they are going not because their parents caught them, but because they failed to make progress in their IOP program. This gives their counselors a solid place to start when working through issues with patients.

Intensive outpatient treatment also allows the individual and their family to begin utilizing recovery tools in the home setting, which is necessary for long term success. This often overlooked portion of the early recovery process is important, regardless of their level of care.

When to choose Residential Treatment or Outpatient Rehab

Obviously, there is no cookie cutter formula for treatment, and some individuals with SUD’s need inpatient treatment immediately. Because the individual lives in the treatment center, inpatient treatment has the benefit of providing an optimal environment for individuals to focus on their recovery without the distractions of daily life.

Inpatient rehab is most appropriate for individuals who:

  • Are using more dangerous drugs such as strong opiates or benzodiazepines regularly. (A daily opiate user has a significant chance of overdosing during a relapse, so placing them in a residential may be necessary for safety)
  • Do not have a home environment is not conducive to recovery.
  • Have a history of relapse or haven’t had success in IOP programs in the past.
  • Need around the clock accountability for their whereabouts in order to avoid relapse during the first phase of early recovery.

If their ease of access to drugs and alcohol is too high in the home environment, it can be very necessary to leave the home environment entirely in order to avoid relapse. These situations are often volatile, and require case-by-case planning to ensure the individual has a safe and sober place to live once they leave the relatively safe inpatient environment.

Other factors may include the participant’s willingness to attend treatment, physical access to treatment, or history of defiant behavior (such as running away or violence).

One element of particular importance is that we do not recommend looking at inpatient and outpatient treatment as an either / or choice. Inpatient treatment allows an individual to focus entirely on recovery for a while – extremely useful for those who need it. However, these individuals will often face unexpected challenges once they leave the treatment environment.

It is still important to continue the treatment journey after leaving inpatient rehab. This is often in the form an IOP or PHP (partial hospitalization) program.

Necessary Factors for Successful Treatment 

Regardless of the level of care you choose, there are number of elements to seek out in treatment options. For treatment plans to be successful, there are a few requirements, which are as follows.

The counseling programs, therapists, family members, and affected individuals should have consistent and effective communication. This can be a major hurdle for an early recovery journey. If someone is referred to residential for a higher level of care, or referred to an IOP for aftercare, communication between programs and families is essential. Without it, the transition between programs can be disorganized and ineffective.

It is important for the goals of treatment to remain consistent between programs, and this cannot happen without communication. When possible, it is preferable to keep treatment philosophies similar between programs. For example, if an inpatient program uses a 12-step or alternative peer group model, then the follow-up IOP program should also utilize a 12-step or alternative peer group model.

In conclusion

As stated before, there is no perfect answer to which level of care you should choose. If you’re currently weighing the options on outpatient rehab vs inpatient drug rehab, we recommend that you discuss your concerns and weigh your options with a medical provider or therapist in your area.

Those trained in responding to addiction will help you choose the best option for your individual situation. If you are anywhere near the Phoenix or Sacramento areas, give us a call. We would be happy to set up a no cost evaluation with you and your family member in order to help determine a course of action and begin your family’s path to recovery.

A mother trying to speak with her daughter about her addiction.

The Squeaky Wheel Gets the Grease

By on June 28th, 2022 in Family Support for Addiction, Parent Recovery

It is natural for parents to respond when their children struggle. When parents become aware that their child is experiencing discomfort, they instinctively take steps to try and help. Whether the issue is with illness, emotional distress, financial problems, injury, or any other adversity. This instinct is a powerful motivator and addiction creates an ideal situation for this natural response to go too far, potentially to the point of creating unmanageability in the parent’s life and negatively affecting the rest of the family. A common theme when there is an addicted child in the family is for the addict to continually be in some form of distress. As they make a series of drug/alcohol-related decisions, they dig deeper into a hole and are always trying to avoid or mitigate the consequences. If parents are wrapped up in this cycle with the addict, it is easy to get into a “squeaky wheel gets the grease” pattern.

A parent who is distressed about their child’s distress, and perpetually focused on the struggling child, can easily have their attention turned away from other children and relationships that require maintenance. Inadvertently this can lead to neglected relationships, often with their other children. Many families with an addict child have unknowingly allowed other damaging dynamics to develop with the addict’s siblings.

Here are some common perspectives reported by siblings:

  • Feeling neglected due to the attentions focused on the addict.
  • Feeling that they must have a problem to receive attention.
  • Not seeking help because they feel guilty that their parents are already stressed.
  • Feeling that their hard work and commitment to “toeing the line” are unnoticed.
  • Having mixed emotions about seeing parents spend tremendous resources, both time and money, on the sibling who does everything wrong.
  • Building resentment toward their sibling for the chaos in the family as they watch their parents’ struggle.
  • Feeling the expectations set for the addict are lower than they are for them. “I am expected to get good grades, but mom is happy if he just doesn’t do drugs for a few days.”

Here are some ideas and solutions that have worked for parents who recognized these issues in their families:

  • FIRST, go to a parent support group and get support for yourself. Your new tools to respond to the addict will go a long way with their siblings. When siblings see their parent changing it is validating and gives them hope.
  • Make a conscious effort to attend to relationships with your other children.
  • Allow siblings to voice concerns.
  • Be aware if the addict is receiving special treatment.
  • Refrain from oversharing stress, it can add fuel to a burning resentment against the addict and or parent. It is best to discuss these issues with parents in your support group.
  • If there is a recovery process happening such as counseling, treatment, or support groups, offer to involve siblings when it is available and allow them to avoid it if they don’t want to participate.
  • Sharing the addict’s day-to-day struggles can contribute to resentful feelings if it does not involve the sibling. It may be better to share it with someone else.
  • Offer to attend family counseling or get them a counselor of their own.
  • Make home a sanctuary, keep intense confrontations or drama created by the addict on neutral ground rather than in the house.

Overall, just taking the time to realize that the siblings are being affected not only by the addict’s behavior but also by the parent’s response to it, is a great start. This awareness is the beginning of change for many parents. It does not change the fact that the squeaky wheel will get the needed grease, but it is a good reminder to remember the other wheels need care as well before they also become squeaky. By attending to everybody’s needs to the best of their ability a parent can set the course for whole family recovery and healing.


This article was written by Josh Azevedo for Parents of Addicted Loved Ones and originally appeared on their blog for families of addicted loved ones here.

Two faces detaching from one another.

Detaching With Love

By on March 3rd, 2022 in Family Support for Addiction, Parent Recovery

If you spend any time around addiction recovery circles you are bound to hear a lot of recovery lingo. Mottos, sayings, and acronyms abound – and for good reason. These sayings are tremendously wise and pack helpful tools and perspectives into short memorable sayings that are easy to recall in a moment of stress. These indispensable tools are tried and true slices of hard-earned wisdom from those that came this way before us. For good examples of some of these sayings take a few minutes to search “The Alanon Slogans” or stop by an open AA meeting, the walls will likely be adorned with some common recovery sayings, and you will hear them referenced many times in each meeting.

One of the sayings used often by parents of addicts is that they are learning to “detach with love.” Many parents new to recovery ask about this term when they first hear it. For some, detaching sounds like a great relief after years of hanging on by a thread, tied to their child’s choices. For some parents the idea strikes fear, or even anger and sounds like giving up or severing their connection to their child.

Let’s explore the idea a bit.

There are countless success stories from parents who have improved their overall happiness and peace by applying this concept in the following ways: First, they reach an understanding that detaching with love does not mean caring less or giving up on their child. The parent-child relationship is like no other, our job is to care for them and keep them safe until they can do so on their own. There is no other love like it. The instinct to protect and even to place their well-being above ours is natural and healthy. It is our job! This, however, can go too far. I often use the example that keeping junior from walking into traffic as a toddler is different than keeping junior from facing the consequences of his actions when he gets caught with drugs in high school. When children are young, they rely on parents to be directly involved in most of their decisions because they cannot possibly understand or cope with the consequences. As they grow up the parent must begin to let go of this responsibility and give it to the child allowing them to learn to navigate the world on their own. Eventually allowing them the responsibility for ALL their decisions. This means allowing them to experience the natural consequences, both positive and negative, resulting from their choices.

However, most addicts begin their use when they are teenagers, a time when it is already difficult to decide how much independence is appropriate. Fearful parents witness poor choices and decide to keep the responsibility for themselves. This opens the door to a cycle of protecting their older/adult child from consequences, trying to control their child’s choices, and feeling guilty or worried because they think their child’s choices are due to their own mistakes as a parent. Once these patterns set in, they get entrenched quickly and deeply, which is how many parents end up in a long messy dynamic with their addicted children.

Detaching with love does not mean – withdrawing love, giving up, caring less, never worrying about, or abandoning the child.

Detaching with love does mean – accepting that they cannot control their child’s choices or the consequences of their child’s decisions, accepting that their roles have changed, and letting go and letting God. This also means allowing them to grow up in whatever way they choose to do so even if it is messy, turning the focus inward, and respecting the child’s right to be where they are.

Again, for some parents this new perspective will be welcomed as a long overdue change bringing relief in the knowing that they do not need to stay on the turbulent path their child is on. For others this will be a difficult perspective to implement. For those of you who feel the latter please remember another recovery mantra “progress not perfection” just “keep coming back” to your meetings and you will find yourself growing.


This article was written by Josh Azevedo for Parents of Addicted Loved Ones and originally appeared on their blog for families of addicted loved ones here.

A human hand intervening on some dominos falling.

Intervention

By on March 1st, 2022 in Family Support for Addiction, Substance Abuse Recovery Tools

What is an intervention and how do we know if we need one? First, let’s define it. An intervention according to Merriam Webster is the act of interfering with the outcome or course especially of a condition or process (as to prevent harm or improve functioning).

So, what we are talking about is altering the course of a condition or process. I think addiction falls into the category of a process and a condition that is afflicting the entire family. For most families who have an active addicted loved one, they can look back over the years and see the process developing. There is usually a definitive cycle between the parents, addict, siblings, and extended family that is repeating itself over and over. Although nobody in the family likes this cycle, they have become stuck in it. This cycle is often driven by fear, guilt, and lack of awareness of alternative solutions.

When the loved ones around an addict finally reach a point of considering an intervention, this option can be overwhelming. This is partially because of the amount of differing information that exists about addiction and interventions in general. In this brief article I hope to give parents some clarity and a few things to consider if they are thinking about an intervention.

In my experience interventions often overly focus on the addict and their behavior. i.e., the addict is using, how do we get them to treatment? Or the addict is doing this or that and we want it to stop. At first glance it seems to make sense to focus on the addict’s behavior because that is the urgent concern, but sometimes an intervention solely focused on this fails to address changes that need to happen throughout the entire family. An intervention at its worst can become a manipulation, where parents use threats (that they do not intend to or are not capable of following up) to try to motivate the addict to fall in line. All of this is very unlikely to be effective and helpful in the long term.

I believe a healthier way to go into an intervention is for the loved ones who are considering the intervention to look at it with this thought in mind: “We are the ones who need and are seeking intervention. It is our behavior that we have power over, and our behavior that must change.” A family with this perspective has a much better chance of a good outcome. They will focus on educating themselves about addiction, as well as looking at themselves and their own patterns of reacting to the addict and each other. This also allows them to focus on something they really have power over – themselves! Any time I speak with parents about interventions, I often say the intervention starts with you, not your loved one. This then leads to the family getting help, whether the addict is interested or not.

The following analogy describes this approach to an intervention:  A family has all been driving west on the freeway in separate vehicles, led by the addict. Now some of the family has decided after a series of troubles that they no longer wish to head west. They think there is a better outcome in another direction. The intervention is usually done by sitting with the addict and letting them know, “We are going North at this point, you are more than welcome to join us if you wish. If you do not wish to that is also ok, but you will be on your own headed west and if you have a breakdown or issue you will need to handle it.”

This analogy is meant to illustrate that the family must decide what is healthy overall and commit to a direction. The addict should always be allowed and encouraged to participate in the new direction, but they are no longer in charge of the navigation. This is also very empowering for the addict in that they are given the choice to go whichever direction they wish. They can be reminded that they are able to handle the consequences of their choices, both good and bad. It is good to be prepared for a negative reaction, as addicts often do not like this empowerment; having someone else to blame and to fix their problems can be a very comfortable place to live. Another pitfall to watch for is the addict “playing the victim”, i.e. “Why are you doing this to me?” The addict is not the only one faced with the decision to stay in a victim mentality, the family is now placed in a position to decide if they want to be victims to the addict as well. A choice to go west is a choice to continue to suffer, and then blame the addict. An intervention is simply parents acknowledging that they no longer must go west, even if the addict continues to do so. This is what usually leads to the most successful outcome, this way the whole family can be free. Parents can let go, live their own lives, and go in their own direction. The addict can do the same. Many times, this leads to the whole family heading in the new direction together, for some this may happen later when it becomes clear to the addict that the new direction is a much happier journey.

As you consider whether you need or want to do an intervention with an addict, I think it best to first ask yourself: Am I ready to be intervened on? Am I ready for a change? Am I prepared to change my direction even if it is uncomfortable? If your answer is yes, then a great start to an intervention in the family is to immediately start receiving support for yourself. Get to your nearest PAL meeting or another available parent support group meeting and walk in ready for a change. It will be the start of tremendous healing and hope.


This article was written by Josh Azevedo for Parents of Addicted Loved Ones and originally appeared on their blog for families of addicted loved ones here.

Getting ready for the holidays in recovery.

Holiday Season Preparation!

By on December 3rd, 2021 in Family Support for Addiction, Parent Recovery, Substance Abuse Recovery Tools

I get many questions this time of year about navigating the holiday season with an addicted loved one. This is understandable, being that this season can bring all the family dynamics (positive and negative) front and center.

Depending on the family’s past holidays together, parents often worry about repeated bad experiences.  For some, this can keep them angry about the past. Some parents may also feel guilty or embarrassed about their current situation knowing they will be spending time with family and friends. All of this can create stress.

Have hope! The season can still be a wonderful time for the family whether the addict is sober or not, and whether they participate or not. If you have dealt with the addict in your family creating holiday strife in the past and have allowed this to ruin the holiday for you, I suggest deciding right now to respond in a different way than you have before. Decide ahead of time to enjoy yourself regardless of your addicted loved one’s choices or behavior. “How do I do that?” you might ask. The following suggestions are some tried and true methods successfully used by parents:

Mitigate expectations – Take time to write down or discuss expectations with another parent in recovery. What are your expectations of other people’s behavior? Are you setting yourself up for disappointment?  Focus on letting go of expecting anybody else to behave in a certain way. Turn your expectations to your own behavior, decide how you want to conduct yourself during this season. There is only one person in the world you can really control. Hint: it’s you! Turn inward and decide to be happy with yourself and your own responses no matter what others do.

Have a plan – An ounce of prevention is worth a pound of cure. Take time to get on the same page with your spouse or whoever is in this with you, decide ahead of time how you want to handle upcoming stressful situations, i.e. Do we want to let our child come to any holiday events? If so, is he/she required to be sober? How will we answer questions about our child to extended family? How can we help each other if we see the other one backsliding on boundaries, or struggling with family or friends? It may be a good idea to get another recovery parent to weigh in on the plan.

Create a plan with the recovering addict (if your loved one is newly sober) – Ask how you can be supportive. Be prepared to change plans if engagements involve alcohol or high stress. Be prepared to skip the alcohol yourself, a little solidarity can go a long way.

Be ready to create new traditions when needed – Trying the same thing over and over expecting different results is insanity.

Practice gratitude – Going back to last month’s blog, create a daily gratitude practice. There is nothing better than gratitude to remind us that God is providing us with all our needs. Gratitude is also infectious, share it with others!

Find humor – It’s everywhere if we look for it!

Be wary of self-pity – Avoid any “poor me” thinking. If you find yourself headed down that road, call a recovery parent for support or better yet get out of the self-pity by finding someone to help who is worse off than you.

The above tips will help you practice your recovery in the holiday season.  Holidays provide many opportunities to practice these tools, and to keep them sharp.  I always suggest extra recovery meetings, not less, during this time.

Let’s go into the season prepared to be of service to others. In my personal experience and through observing families in recovery for over 27 years, I have not seen a better medicine for all problems than to get out of ourselves, be grateful to God, and to help our fellow man.


This article was written by Josh Azevedo for Parents of Addicted Loved Ones and originally appeared on their blog for families of addicted loved ones here.

A parent with a teenager who is in recovery.

How Helpful are Support Groups for Families of Addicts?

By on October 1st, 2021 in Family Support for Addiction, Parent Recovery

Please allow me to introduce myself: my name is Judy Engel and I recently completed my Ph.D. degree and a qualitative research study at The Pathway Program. The purpose of this article is to discuss the results of this study on The Pathway Program’s parent support group (more on that later).

My degree is in Psychology with the emphasis on learning and instruction. I have worked as a clinical social worker for various Hospice Organizations, and currently teach students living with an Intellectual Disability. So how did my doctoral studies and research end up at The Pathway Program? The answer to that question lies in my experience as a mother of a son living with a drug addiction:

Why I decided to study the effect of support groups on parents of addicts and substance users

During the past ten years, my son has participated in alcohol and drug rehabilitation programs in Arizona and out-of-state. However, it was a visit with a psychiatric drug and alcohol addiction specialist that spurred me to question the way I had been treated by some professionals in the rehabilitation industry. This specialist had been recommended as one of the “best” practitioners in addiction.

I had called and advised this addiction specialist that my son had expressed suicidal ideations since returning to Arizona from California for the treatment of an opioid addiction. The specialist asked to meet with me and my husband before evaluating our son.

We paid $500 dollars for a 50-minute session to learn that the alcohol and drug rehabilitation services previously offered to our son were significantly flawed in the eyes of the specialist. Additionally, the specialist refused to personally meet with our son and gave us a referral to a private and very expensive drug and alcohol treatment center outside of Arizona. The specialist ended the meeting with the following statement:

“You should prepare to lose your son to drug addiction within the next year.”

Being told to prepare for a substance passing put my husband and I into a state of shock as we silently walked to our car. Finally, my husband stated, “Did we really just pay $500 dollars to hear that our son may die? I have known that from the day I learned he was abusing drugs!”

My response was, “Yes we did, and I will not send our son to any treatment options suggested by that doctor. We will find someone who cares and doesn’t treat substance abusers like “The Walking Dead.” That someone ended up being Joshua Azevedo and the men and women of The Pathway Program.

During this time, the seeds of my study were born. Up until this point, we had been treated as part of the problem. I informed my husband that I was determined to find a science based theoretical model in the field of addiction that recognized parents of addicted children also needed help, support, and hope.

Substance abuse among young people in the United States

Substance use among young-adults in the United States has become a societal problem. One in seven young-adults qualified to be diagnosed with a SUD, and one in four young adults having used an illicit substance within the past thirty-days (SAMSHA, 2019). This level of substance use has the potential to significantly impact the quality-of-life of the parents of these young-adults.

Researchers in the past five years have reported there is a lack of empirically-based research providing information and best practices to benefit the needs of parents in the role of an Affected Family Member (AFM) of a child living with a Substance Use Disorder (SUD).

For the past few years, I have been working on a qualitative study to help determine the effect that support group participation has on parents of addicts, alcoholics, or substance abusers.

The effect of a loved one’s addiction on parents

The Stress Strain Coping Support (SSCS) theoretical model developed by Orford, Copello, Velleman and Templeton in 2010, was designed to support AFMs of individuals living with a SUD. The SSCS theoretical model centers on family health, designed to offer social support and effective coping measures to counter the stress and strain experienced by AFMs.

Dr. Orford has completed research on thousands of AFMs throughout the world. He has provided evidence-based data regarding the ongoing difficult circumstances of unpredictable chaos, moods, behaviors and possible aggression demonstrated by a family member living with a SUD.  In addition, parents of young-adults living with a SUD have reported feeling misunderstood, isolated, and overwhelmed. They are affected by chronic worry, disruption of relationships, loss of financial resources, and possible legal complications related to their young-adult children struggling with addiction (McCann & Lubman, 2018).

Dr. Orford noted AFMs deal with significant levels of ongoing family struggles and stress. These struggles can be in the form of chronic worry, disagreement, hostility, volatility, and sometimes violence, along with the inability to stop a loved one’s addiction. Furthermore, the stress and strain often result in mental, emotional, physical, relational, financial, and occupational problems for an AFM. In addition, Dr. Orford reported families affected by the disease of addiction use the following three coping models:

  • Engagement (attempting to control your child’s addiction)
  • Tolerant-inactive (putting up with your child’s addiction regardless of the cost to the parent)
  • Withdrawal (loving your child while utilizing coping strategies that care for yourself while distancing yourself from the consequences faced by your child’s drug addiction.

The Study

The purpose of the study was to describe the influence that participation in a long-term support group had on components of parental quality-of-life. The methodology used in this qualitative research study involved the following:

  1. A face-to-face interview with ten parents of young-adults living with a SUD who had attended a minimum of 12 parent-support meetings
  2. A focus-group discussion with 5 of the professional substance abuse counselors at The Pathway Program
  3. The completion of 2 Quality-of-Life Inventories completed by the interviewed parents. These were completed prior to attending the Parent Support Group at The Pathway Program and again after 12 weeks of participation.

The Results: Parents of of addicts overwhelmingly report that their quality of life improved with support group participation

The results overwhelmingly supported that parents’ Quality of Life significantly improved following a minimum of 12 weeks of participation in the Parent Support Group meetings. Parents and Counselors consistently reported the strength of the parent support group meetings were found in the overwhelming support and education offered by parents to parents. In addition, the substance abuse counselors were present to offer professional knowledge and support as needed. However, parents led the meetings and determined the meeting topics.

The following six major themes emerged from this qualitative research study:

  1. Parents entering the support group felt their child’s SUD resulted in their child becoming a stranger whom they could not control
  2. Parents entering the support group reported traumatic levels of distress and helplessness in relation to their child’s SUD
  3. Parents’ anxiety about their child’s SUD damaged their health and wellbeing enough to impair their day-to-day functioning
  4. Misconceptions about SUDs among parents’ social contacts resulted in feelings of being misunderstood, judged, and a lack of effective support
  5. Parent and counselor emotional and social support, education, and skills training improved parents’ quality of life
  6. Participation in the parent support group (PSG) improved parents’ quality of life through reduced anxiety, better coping, and reconnection with their child. Overall the results indicated that parents’ health and quality-of-life improved following participation in ‘The Pathway’ parent support group meetings.

Conclusions

So, do support groups for parents of drug addicts or alcoholics have a positive effect? Based on the results of this study, it appears so.

I am forever grateful to Joshua Azevedo and the men and women of The Pathway Program. Their dedication, insight, and leadership in the field of addiction has brought light into a dark arena where parents of adolescents and young-adults living with a SUD suffer and struggle to find hope. The recovery process is tough, and exists in a world full of blame and stigmatization.

I encourage professors of higher education and practitioners in the field of addictions recovery and mental health to take notice of this study. Together we can expand our knowledge and resources to support the parents of adolescents and young-adults suffering from a SUD.

 

A teenager who relapsed in recovery with her mother.

Is Relapse a Part of Recovery?

By on October 1st, 2021 in Adolescent and Young Adult Substance Use, Family Support for Addiction, Parent Recovery

I would like to share some of the most common questions I receive about relapse. I will answer them from an overview perspective and in a general sense. Relapse is a big topic, with many variables that are case specific. I don’t think it can be covered thoroughly in a blog post, so my aim here is to cover some basics. I hope to help remove some fear about relapse and provide perspective for those parents who are trying to understand their addicted loved one’s behavior and support their recovery.

Here are four of the most common questions I receive:

1. Does everybody relapse? Should we expect our son/daughter to relapse?

No, not everybody has a relapse. Some people come into recovery truly ready to make a change and sobriety sticks right from the beginning. To address concerns you may have about your own child and the possibility of relapse, I suggest you respond by using your recovery in the same way that is suggested to the addict/alcoholic: take it one day at a time. It is incredibly hard to tell who will have a future bump in the road. Sometimes the toughest and least motivated person doesn’t relapse, and the recovery valedictorian does. Either way, if you work on yourself as a parent, you will be well-equipped to respond to either possibility. If there is a relapse and you have been working on your own recovery you will at least know that you did not contribute to the relapse. Being a part of the solution is something you can control. Whether or not they relapse, is not.

2. What are the most common reasons for relapse?

Reasons for a relapse can be very case specific, but here are some common issues that often lead to relapse:

A. Not accepting the severity of the problem – many alcoholics/addicts struggle to admit the severity of their problem and the full ramifications and effects that it has on themselves and others (this is particularly common with young people who have not experienced a lot of consequences yet). They often tell themselves that their using isn’t that bad, that it was circumstances that created their latest problems, that it was somebody else’s fault, or that it will be different this time. They have trouble accepting that the effect alcohol/drugs have on them is different from what they see in other people. They see others who use or drink with different outcomes and long to be like them. If they are aware of the disease concept of addiction, they may feel it is unfair that they have the disease. This failure to accept the full ramifications of the problem can lead to lack of effort in recovery or outright avoidance of needed changes, followed by continued use of old coping skills which can lead to a drink/drug.

B. Not finding a new and supportive social group – if a person in early recovery still spends time in the same places with the same people that they did while they were using, a relapse is likely. Remember the adage: “You are who you hang out with.”

C. Failure to clean up past behavior – recovering addicts can suffer from tremendous guilt, much of which is legitimately warranted due to their choices and behavior. It is critical that they begin to clean up their own past messes because it builds self-worth. There is not a specific timetable for this, but if avoided long enough relapse can ensue.

E. Replacing one addiction with another – sometimes addicts/alcoholics will justify using gambling, sex, work, etc. in an unhealthy way which continues the addictive mindset.

F. Failing to participate in aftercare programs following treatment – I hear stories all the time of people leaving treatment after thirty days and saying, “I’m feeling so much better. I have a lot to catch up on and I don’t have time for aftercare, sober living, meetings, or sponsorship.”

G. Simple pride – “I’ve got it all figured out now.”

3. Can we prevent our child from relapsing?

No. But parents can influence their child’s recovery one way or another. Building the relationship with your recovering child while they are sober goes a long way to help. You can learn to understand addiction and recovery and become your child’s greatest cheerleader. If you participate in your own recovery and learn about the family dynamics that contribute to your child’s stress, you can help reduce it. This does not mean removing the stress of “life on life’s terms,” it just means taking care of your own recovery to make sure you are not adding problems to the ones they already have.

4. What more can we do as parents?

Although you cannot decide how your child’s journey will go in recovery, there are plenty of things you can do to support them. Learn what you can about addiction and recovery by reading helpful literature and attending parent meetings. I strongly recommend to any parent of an adult alcoholic or addict that they read the book Alcoholics Anonymous if they wish to understand the alcoholic mind and behavior. Develop a support system for yourself that you can call on as you and your child go through ups and downs. Focus on building your relationship with them and do your best to let go of anger, guilt, and fear so you can focus on hope and love.

As I stated at the beginning, this is not a complete discussion on relapse. It is just a short overview. Relapse is common in recovery, and it may be a part of your family’s journey. If your child is currently sober, I think the best thing you can do instead of focusing on a possible relapse is to enjoy every day that you have a sober child. If they do relapse, it does not mean that they have learned nothing or that there has not been progress. For some people it is the needed lesson to build and strengthen their recovery.


This article was written by Josh Azevedo for Parents of Addicted Loved Ones and originally appeared on their blog for families of addicted loved ones here.