Caroline Beidler, MSW is an author, speaker, and the Managing Editor of Recovery.com. She writes about topics related to addiction, mental health, and trauma recovery, informed by her personal experience and professional expertise.
Caroline Beidler, MSW is an author, speaker, and the Managing Editor of Recovery.com. She writes about topics related to addiction, mental health, and trauma recovery, informed by her personal experience and professional expertise.
Recognizing when a loved one is struggling with substance use can be confusing, heartbreaking, and overwhelming. You may feel desperate to help, but unsure of how to do so without enabling their behavior or pushing them away.
Fortunately, with patience, compassion, information, and evidence-based strategies, it’s possible to support someone through the recovery process.
Addiction isn’t always obvious. While some people display clear warning signs, others—especially people with high-functioning addiction—may mask their struggles with problematic drug use or addiction behind a facade of normalcy.
Common signs of addiction1 include:
In people with high-functioning addiction,2 drug or alcohol use may remain hidden due to career success or social engagement. However, you might still notice subtle patterns related to behavioral health like isolation, frequent “bad days,” or noticeable shifts in demeanor. Many also exhibit a cycle of justification, denial, or defensiveness.
For children or young adults,3 these common signs can also include changes in friend groups, a decrease in participation in school functions or extracurriculars, or changes in grades and academic performance.
People don’t usually turn to drugs or alcohol just because they’re bored, they use substances to cope with pain, trauma, or emotional overwhelm. Addiction often starts as a form of control of a seemingly uncontrollable situation.
Substances may offer short-term relief from anxiety, depression, loneliness, or past wounds. In the beginning, the ability to change how you feel with a drink or a pill can seem empowering. But over time, that temporary sense of control, however, can turn into dependency and eventually, loss of control.
Understanding this doesn’t mean you’re excusing the behavior, but it does help you meet your loved one with greater compassion. It shifts the conversation from:
Most people with substance use disorder are carrying deep emotional burdens. Recognizing the underlying why behind their substance use can guide more effective, empathetic support and help you focus not just on the behavior or coping mechanism,4 but the pain beneath it.
Addiction may not have a one-size-fits-all cure, but with the right knowledge and support, you can be better prepared to support a loved one. One of the most empowering steps you can take is to understand what addiction really is.
Addiction is a chronic brain disease,5 not a moral failing or a lack of willpower. Long-term substance use changes how the brain communicates, especially in areas related to reward, decision-making, and impulse control. This disruption often stems from changes in neurotransmitters like dopamine, which plays a major role in pleasure and motivation.
At first, for your loved one, using substances may feel like a choice, but over time, the brain rewires itself, increasing tolerance and craving while decreasing natural dopamine production. That’s when people often feel “trapped”—not weak, but physically and mentally hooked.
Understanding these biological realities6 helps reduce blame and increases compassion. It also reminds us that support, grace, and education are crucial parts of the healing process.
Loving someone with an addiction requires empathy, education, and strong boundaries. You might be feeling helpless, but there are things you can do. Here are some practical ways to offer support:
Supporting someone who’s struggling with addiction7 can be emotionally draining. It’s important to keep in mind that you matter, too. It’s important to care for your own heart and well-being as you walk alongside your loved one.
You won’t be able to fix everything and that’s okay. Healing is a long road, and it’s not your job to carry it all.
Set boundaries that protect your peace. If a conversation becomes too intense, give yourself permission to step away. A simple pause can make space for clarity, calm, and compassion. Come back when you’re ready with a clearer mind and a softer heart.
And remember: you don’t have to be involved in every part of their journey. Showing up consistently in small, healthy ways often speaks louder than trying to do it all.
Confronting someone about their substance use is difficult, but it can also be a turning point. To have the best outcome, choose a calm, private setting and use non-threatening language.
Pam Lanhart, Founder and Director of Thrive Family Recovery Services shares:
First, we need to listen to our loved ones well and listen for language that might indicate that they are getting tired of the way things are. Then we validate that and ask them what it might look like to do something different. ‘What step do you think you might be able to take to move forward?’
We need to be patient and let them feel like they have agency in these decisions. Walking with them while they figure things out is critical. And of course, we can’t do that if we don’t have boundaries. I love language such as ‘say more about that,’ or ‘Can you tell me more?’ or ‘I’m trying to understand. Can you explain?’ Just listen and be curious because they know what they need and will often come to the conclusion themselves.
Here are a few brief conversation tips that can help you as you communicate with your loved one who may be struggling with an addiction.
Timing matters. Choose a moment when they’re sober and not in a state of crisis or withdrawal.
Suggesting treatment should be a compassionate invitation, not a demand. If the person is open to help, present options like:
It’s normal for people to resist the idea at first. Ambivalence doesn’t mean they’re not willing—it often means they’re afraid or unsure of what recovery entails.
How do people change? Over time. With stops and starts, along a crooked line. With practice. With ambivalence. More often than not, without formal help. When the trade-offs seem worth it. With a little help—sometimes a lot of help—from friends and family. With anguish. With effort. With joy.
― Jeffrey Foote, PhD., Beyond Addiction: How Science and Kindness Help People Change8
Refusal doesn’t mean you should give up. Harm reduction strategies9 can keep your loved one safer, sometimes easing cravings, while leaving the door open for change:
You might need to seek your own mental health support or attend family therapy to cope with feelings of guilt, anger, or helplessness. That’s okay. Recognizing that addiction impacts the entire family and not just the person struggling is key to a healthy recovery journey for everyone.
Support services exist for those affected by a loved one’s addiction.10 You are not alone.
Helping someone with drug use, drug addiction, or alcohol use isn’t about fixing them—it’s about walking beside them, with compassion and hope. Whether they’re seeking professional help or resisting treatment options, your role matters. Take steps to protect your own well-being, stay informed, and know that recovery is possible for your family member—even when the road is long.
Ready to connect your loved one with professional help? Find qualified addiction treatment programs in your area that offer personalized care and proven recovery methods.
A: Avoid blaming, shaming, or using stigmatizing terms like “junkie” or “addict” when talking to or about your family member. Phrases like “just stop” or “you’re ruining everything” often shut down communication. Focus instead on expressing care and concern while encouraging effective treatment options.
A: Helping without enabling means supporting their recovery, not their addiction. Avoid giving money, covering up consequences, or making excuses. Instead, offer emotional support, resources, and healthy boundaries.
A: You can help by listening without judgment, offering treatment options, and encouraging small steps toward change. Support groups, harm reduction strategies, and family therapy can also make a difference.
A: A substance use disorder is a medical condition characterized by an uncontrollable urge to use drugs or alcohol despite negative consequences. It affects brain function and behavior and often requires comprehensive treatment.
A: Use “I” statements to express concern, avoid confrontational language, and choose a calm moment to talk. Understand that denial is common and change takes time.
A: Warning signs of alcohol addiction or other drug abuse include neglecting responsibilities, changes in mood or behavior, secrecy, physical deterioration, and an inability to stop despite consequences. A professional assessment can clarify their needs.
A: Yes. Speak from a place of compassion using statements like, “I’ve noticed some changes and I’m worried.” Choose a quiet time, avoid judgment, and be prepared for resistance.
A: Many insurance plans cover addiction treatment, including inpatient, outpatient, and therapy options. Check with your insurance provider or rehab admission team for guidance on available coverage.
A: Offer encouragement, celebrate milestones, be patient during setbacks, and avoid substances around them. Attending support groups together and staying informed can strengthen your role in their recovery. Encouraging effective treatment plans that address not only substance use, but also co-occurring mental health conditions, is important.
A: Help research treatment options, provide transportation or childcare if needed, and support attendance in therapy or peer groups. Remind them that recovery is a journey, not a destination.
1. "What Is a Substance Use Disorder?" American Psychiatric Association. https://www.psychiatry.org:443/patients-families/addiction-substance-use-disorders/what-is-a-substance-use-disorder
2. Glauser W. "High-functioning addicts": intervening before trouble hits. CMAJ. 2014 Jan 7;186(1):19. doi: 10.1503/cmaj.109-4667. Epub 2013 Dec 2. PMID: 24295863; PMCID: PMC3883816.
3. How To Tell If Your Child Is Drinking Alcohol. SAMHSA. https://www.samhsa.gov/substance-use/prevention/talk-they-hear-you/parent-resources/how-tell-if-your-child-drinking-alcohol
4. Setiawan, Agus, et al. “Coping Mechanisms Utilized by Individuals With Drug Addiction in Overcoming Challenges During the Recovery Process: A Qualitative Meta-Synthesis.” Journal of Preventive Medicine and Public Health, vol. 57, no. 3, May 2024, pp. 197–211. www.jpmph.org, https://doi.org/10.3961/jpmph.24.042.
5. Leshner AI. Addiction is a brain disease, and it matters. Science. 1997 Oct 3;278(5335):45-7. doi: 10.1126/science.278.5335.45. PMID: 9311924.
6. CDC. “Understanding Addiction to Support Recovery.” Stop Overdose, 2 Apr. 2024, https://www.cdc.gov/stop-overdose/stigma-reduction/understanding-addiction.html.
7. Monari EN, Booth R, Forchuk C, Csiernik R. Experience of Family Members of Relatives With Substance Use Disorders: An Integrative Literature Review. Creative Nursing. 2024;30(3):232-244. doi:10.1177/10784535241252169
8. Jeffrey Foote. "Beyond Addiction How Science and Kindness Help People Change."
9. National Harm Reduction Coalition. (n.d.). Principles of harm reduction. https://harmreduction.org/about-us/principles-of-harm-reduction/
10. Orford, Jim, et al. “Addiction in the Family Is a Major but Neglected Contributor to the Global Burden of Adult Ill-Health.” Social Science & Medicine, vol. 78, Feb. 2013, pp. 70–77. ScienceDirect, https://doi.org/10.1016/j.socscimed.2012.11.036.
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