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Alcohol: When Parents Have Problems

by Robert Needlman, M.D., F.A.A.P.
reviewed by Robert Needlman, M.D., F.A.A.P.
Many, many parents have problems with alcohol--that is, with their own alcohol consumption. One federally sponsored study estimated that one out of four children between birth and age 18 years lives in a home with an alcoholic adult. By anybody's count, that is a common problem.

Abuse and addiction
As common as alcohol abuse is, many people remain unclear about the line between appropriate use, abuse, and addiction. Alcohol use becomes alcohol abuse when it has severe negative consequences such as
  • poor job or school performance,
  • strained family relationships,
  • unreasonable financial outlays,
  • driving or operating heavy equipment while intoxicated,
  • or legal problems (e.g., arrests for driving under the influence).
Signs of alcohol addiction (also called dependence) include:
  • increased tolerance (needing more and more to get the same effect),
  • cravings,
  • preoccupation with getting the next drink,
  • or withdrawal symptoms if that drink is too long in coming. Delerium tremens (often called the DTs) is a serious condition caused by alcohol withdrawal; mild DTs are intensely uncomfortable; severe ones can cause seizures and even death.
One of the effects of alcohol abuse is that abusers tend to lie--mostly to themselves. They believe that they can "quit any time," or that their drinking "isn't that bad." If you drink, a good way to make sure that you are not lying to yourself is to ask yourself the following four questions:
  • Have you ever felt that you should cut down on your drinking?

  • Have people annoyed you by criticizing your drinking?

  • Have you ever felt bad or guilty about your drinking?

  • Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (that is, have you ever had an "eye-opener")?
If you answered yes to one of these questions, you might have an alcohol problem. If you answered yes to two or more, there's a good chance that you do. In either case, it makes sense for you to talk with your own doctor, and then follow her recommendations for treatment.

Risks for the child
Parents sometimes tell themselves that their drinking is their own problem. But, inevitably, parents' alcoholism is a problem for their children as well. At the very least, children who live with an alcoholic parent worry about the physical harm the parent is doing to himself, the real risk of an automobile accident or other traumatic injury, and the fact that a parent who is drinking is not available to take care of them, at least temporarily. In other cases, of course, the effects of parental alcoholism are much worse, including physical or emotional abuse, fights between the parents, and the loss of money that might be needed for food or other necessities.

Children respond in different ways to the strain of having an alcoholic parent. Some rebel and act out their anger and fear by fighting or embracing self-destructive behaviors (such as having irresponsible sex, stealing, taking drugs, and--of course--drinking). Others respond by becoming prematurely grown-up. They feel responsible for making sure that all the other children toe the line in the vain hope that this will prevent the next binge. They take care of everyone in the family when the alcoholic parent is out of commission. Unfortunately, when they take on the role of "little adult," their emotional development usually suffers; they lose the chance to be children themselves.

Children who grow up with an alcoholic parent often suffer from chronic anxiety, guilt, and shame. The risks of depression and delinquency are higher. Also, children of alcohol abusers are more likely to grow up to be alcoholics themselves.

What you can do
Alcohol abuse or addiction can seem like a huge, insurmountable problem. But people break free of alcoholism every day. It is certainly possible! And any time that a parent can overcome his alcohol addiction, the benefits to his children are powerful and immediate. When children see their parents taking positive steps to get better, they often realize that they, too, can take control of their lives. Parents who have been role models of helplessness and wasted potential become models of positive--in some ways even heroic--change. (Some parents believe that they can hide their alcoholism from their children, thereby protecting them. In my experience, children always know.)

Here's how you can start:
  • Contact Alcoholics Anonymous. The toll-free numbers for referrals to local meetings (always free and confidential) are (800) 344-2666 (USA) and (800) 443-4525 (Canada). You can also go to the AA webpage.

  • Talk with your doctor. There are many effective medical and psychological treatments for alcohol addiction.

  • Learn more about alcoholism from the National Institute on Alcohol Abuse and Alcoholism (NIAAA). I found the Frequently Asked Questions on the home page especially useful. As a branch of the National Institutes of Health, the NIAAA is an expert and trustworthy source of information.


For more useful information check out our Tobacco, Family Relationships, and School Problems programs.


Click here to join the discussion on Drugs, Alcohol, and Tobacco.
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