If Someone Close Has a Problem with Alcoholism or Drug Addiction

There are millions of people suffering from alcoholism and other drug addiction in this country. A recent study reported that 28 million people age 12 and older used illicit drugs during the past year. By current estimates, more than 76 million people have been exposed to alcoholism and drug addiction. Experience shows that for every person with alcoholism or drug addiction, at least four others are affected by their behavior.

The person who has someone close who abusing alcohol or abuses drugs has plenty of company. People experiencing alcohol abuse, alcoholism, drug abuse or drug addiction often feel they hurt only themselves. That isn't true. They also hurt their families, friends, coworkers, employers, and others.

The person who sets out to help someone with an alcohol or other drug problem may at first feel quite alone, possibly embarrassed, not knowing where to turn for help. We have preserved so many wrong ideas and attitudes about problem drinking and other drug abuse, too often thinking of them as moral weakness or lack of willpower.

However, looking at it another way -- as we should -- millions of Americans have a personal stake in helping "someone close" find the way to overcome alcohol and other drug problems.

You may have learned to better understand alcohol abuse, alcoholism, drug abuse or drug addiction and already made contact with nearby sources of services. This does not mean that "someone close" will cooperate at once by going for alcohol treatment or alcohol rehab. Those with alcohol and other drug addiction may deny they have a problem. They may find it difficult to ask for or accept help.

If there is one thing true about alcoholics and other drug addicts, it is that, as with all people, each one is different -- different in human needs and responses, as well as in their reasons for drinking and taking other drugs, their reactions to these drugs, and their readiness for alcohol rehab or addiction treatment.

Be active, get involved. Don't be afraid to talk about the problem honestly and openly. It is easy to be too polite, or to duck the issue by saying, "After all, it's their private affair." But it isn't polite or consolidate to let someone destroy their family and life. You may need to be persistent to break through any denial they have.

You are in a good position to help your relative or friend, because you know a good deal about their unique qualities and their way of life. And having made the effort to gain some understanding of the signs and effects of problem drinking or other drug abuse, you should be in a better position to consider a strategy for helping.

You also may need to let them know how much courage it takes to ask for help, or to accept it. You will find that most people with drinking- or other drug-related troubles really want to talk it out if they find out you are concerned about them.

To begin, you may need to reject certain myths that in the past have done great harm to alcoholics and other drug abusers and hampered those who would help them. These untruths come from ingrained public attitudes that see alcoholism and other drug problems as personal misconduct, moral weakness, or even sin. They are expressed in such declarations as, "Nothing can be done unless the alcohol or drug abuser wants to stop," or "They must hit bottom," that is, lose health, job, home, family, "before they will want to get well." These stubborn myths are not true, and have been destructive. One may as well say that you cannot treat cancer or tuberculosis until the gross signs of disease are visible to all.

The truth is that with alcoholism and drug addiction, as with other kinds of acute and chronic illness, early recognition and treatment intervention is essential -- and rewarding.

Be compassionate, be patient -- but be willing to act. Experience proves that preaching does not work. A nudge or a push at the right time can help. It also shows that you care. Push may even come to shove when the person with alcohol or other drug troubles must choose between losing family or job, or going to treatment. Thousands of alcohol and other drug abusers have been helped when a spouse, employer, or court official made treatment a condition of continuing family relationships, job, or probation.

You cannot cure the illness, but when the crucial moment comes you can guide the person to competent help. To locate a alcohol rehab or drug rehab in your area, you might want to try this national helpline, Recovery Connection at, www.recoveryconnection.org or call 1-800-511-9225.

Alcohol treatment attempts to discover the relationship between a person's alcoholism and other drug use to their real needs -- an understanding of what they would really strive for it they were not disabled by their problems. One goal is building up their capacity for control which becomes possible in periods of sobriety.

Persons with alcoholism and drug addiction have the same needs as all other people -- food, clothing, shelter, health care, job, social contact and acceptance and, particularly, the need for self-confidence and feelings of competence, self-worth, and dignity. This is where "support" comes in.

What may be needed in most is warm, human concern. The kinds of support given depend, of course, on finding out from the person what they feel they need. Strained family and friend relationships, money troubles, worry about the job or business, sometimes matters that may seem trivial to us, all confuse their file situation and may contribute to their drinking and other drug problems.

Moral support in starting and staying with addiction treatment or alcohol rehab, reassurances from employer or business associates, willing participation by spouse or children in group therapy sessions -- are examples of realistic support.

Three out of four men and women suffering from alcoholism and drug addiction are married; living at home; holding onto a job, business, or profession; and are reasonably well accepted members of their communities. For those in this group who seek addiction treatment, alcohol rehab or drug rehab the outlook is good. Regardless of life situation, the earlier treatment starts after troubles are recognized, the better the chances for success.

Many therapists now use alcohol rehabilitation, alcohol rehab, as a measure of outcome -- success is considered achieved when the patient maintains or reestablishes a good family life and work record, and a respectable position in the community. Relapse may occur but do not mean that the person or the treatment effort has failed.

A successful outcome, on this basis, can be expected for 50 to 70 percent depending upon the personal characteristics of the patient; early addiction treatment or alcohol treatment intervention; competence of the therapists; availability of hospital and outpatient facilities; and the strong support of family, friends, employer, and community