Drug Abuse and Dependence

Family and Community

Drug abuse and dependence can harm your family and friends. You and your family may feel you have turned against each other. You may be angry at your family and friends, and they may be angry at you.

If you can, talk with your family about your drug problem and recovery. Your family and friends need to know that they did not cause your drug problem but that they can help you during recovery.

• Try to be open and honest with loved ones about your drug use. This will help them understand what you're going through and how they can help. Many treatment programs offer counseling for families to help you solve problems at home.
• Talk about what may cause a relapse, and share your relapse plan.

For family and friends: Encourage treatment

It's hard to get someone who uses drugs into treatment if he or she doesn't want it. You may be able to help the person get treatment by:

• No longer making excuses, such as covering up for missed work or missed activities with children. Don't lie or stretch the truth to help the person.
• Finding a good time to talk to the person. Say clearly how the person's drug use is harming you and that you will take action if he or she doesn't seek help. For example, you could say that drug use is causing money problems and that you will cancel credit cards if it continues.
• Being ready and able to help when a decision is made to get treatment.

For family and friends: Help with treatment and recovery

If someone you care about has had a drug problem, you know how hard it can be. You know how living or dealing with someone who has a drug problem can change and even destroy your life.

Once the choice for treatment has been made, you play an important part. You can help your loved one stop using drugs and help repair the damage done to your family or relationship.

• Make sure the home contains no drugs or items that help people use drugs (drug paraphernalia).
• Be involved and patient. Attend recovery meetings with your loved one and be supportive. Know that it may take a long time for you to trust and forgive the person and for the person to forgive himself or herself.
• Be aware that your loved one may seem a different person once he or she is drug-free. You may find it hard to get used to this person. You may need to build a new relationship.
• Understand that you have the right to know how recovery is going, but you should ask about it in a respectful way.
• Help your loved one plan for a relapse. Most people relapse after treatment. This doesn't mean the treatment failed. Try to help your loved one see relapse as a chance to do better and keep working on skills to avoid drug use.
• Focus on the positive actions your loved one is making.

For family and friends: Take care of yourself

Taking care of yourself while you help your loved one is important. You probably will feel relief and happiness when the person decides to get help. But treatment and recovery mean changes in your life too. Your emotions may become more complicated. You may:

• Resent what the person did to you in the past.
• Not trust the person. You may not want to give the person the house key, the car key, or money. You also may feel guilty about not trusting the person.
• Find it hard to give up or share your family role. For example, if you took over child-rearing when your partner was using drugs, you may resent him or her becoming involved again. If you managed money, you may resent having to make shared decisions on how to spend money.
• Resent that the person is spending more time at meetings or with others in recovery than with you.
• Worry so much about relapse that you avoid anything you feel may upset the person. You also may resent this feeling.

These feelings are normal. You've been through a bad period of your life, and what happened is not easy to forget. Nor is it easy to forgive the person. Keep in mind that recovery is the road to a better life, and that you can help your loved one get there.

Find your own support. Nar-Anon and similar programs are for people with family members or friends with drug problems. They help you recover from the effects of being around someone who was addicted. You also may try family therapy.

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Author:	Ryan Powers Paul Lehnert	Last Updated: February 15, 2008
Medical Review:	Adam Husney, MD - Family Medicine James R. McKay, PhD - Psychology
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