Helping a Loved One Overcome Alcohol Addiction: Options and Strategies

Q: Helping a Loved One Overcome Alcohol Addiction: Options and Strategies

Hello： Substance addiction is a chronic and relapsing disorder; the process of recovery is very lengthy and can generally be divided into several stages： Precontemplation, Contemplation, Preparation, Action, Maintenance, and Relapse. <br>In the early stages of recovery, such as w

Chronic alcoholism

Hello, doctor.
My younger brother has been hospitalized multiple times due to alcohol abuse, and recently we found out that he is drinking again.
He claims he wants to quit on his own, but our family has noticed that he secretly buys alcohol and stays locked in his room all day.
He has been doing this for about 15 consecutive days now.
I want to take him to seek medical help, but he refuses, insisting that he can quit by himself (even though we know he is lying).
Is it necessary for him to voluntarily agree to go for private alcohol rehabilitation? Can he be compelled to go, or are there any methods to ensure he receives medical attention? Thank you.

Nǚshì, 50~59 year old female. Ask Date: 2021/07/28

Dr. Wu Menghuan reply Psychiatry

Hello: Substance addiction is a chronic and relapsing disorder; the process of recovery is very lengthy and can generally be divided into several stages: Precontemplation, Contemplation, Preparation, Action, Maintenance, and Relapse.
In the early stages of recovery, such as when an individual is in the Precontemplation or Contemplation stage, they may not recognize alcohol abuse as a problem, may be unaware of the negative impacts of drinking, and may not want to change.
During this stage, if family members confront or reprimand them directly, it may push the individual further away, making them less willing to communicate and more resistant to quitting alcohol, potentially leading to conflicts with family members.
A more appropriate approach is to provide empathy and support, establish a good relationship, and maintain open communication with the individual.
It is important to help them reflect on the positive and negative impacts of alcohol on their physical health, mental well-being, work, interpersonal relationships, and family interactions.

Typically, individuals with alcohol addiction may easily revert to drinking in high-risk situations (such as feeling down, bored, frustrated, or experiencing interpersonal conflicts).
They may seek to escape negative feelings (such as feeling worthless or inferior to others) through alcohol.
Therefore, it can be helpful to discuss with them the circumstances that trigger their desire to drink.
What difficulties have they encountered recently in their life, work, or relationships? How can they cope with stress and frustration using methods other than drinking, such as talking to someone, exercising, or developing hobbies to enhance their self-confidence and sense of achievement? It is also important to note that many individuals with alcohol addiction may have co-occurring issues such as sleep disorders, depression, anxiety disorders, or other mental health conditions.
It is advisable for them to seek evaluation and treatment from a psychosomatic or psychiatric outpatient clinic.

Reply Date: 2021/07/28

More Info

Helping a loved one overcome alcohol addiction can be a challenging and emotional journey, especially when the individual is resistant to seeking help. Your brother's situation, where he has been in and out of the hospital due to alcohol-related issues and is currently struggling with his addiction, is concerning. Here are some options and strategies to consider:

Understanding Alcohol Addiction
Alcohol addiction, or alcoholism, is a chronic disease characterized by an inability to control or stop drinking despite negative consequences. It can lead to severe physical and mental health issues, including liver disease, cardiovascular problems, and mental health disorders such as depression and anxiety. The fact that your brother has been hospitalized multiple times indicates that his addiction is serious and requires professional intervention.

The Importance of Professional Help
While your brother may express a desire to quit drinking on his own, the reality is that alcohol withdrawal can be dangerous and even life-threatening without medical supervision. Symptoms of withdrawal can include tremors, anxiety, hallucinations, and seizures. Therefore, it is crucial to encourage him to seek professional help.

Options for Treatment
1. Inpatient Rehabilitation: This is often the most effective option for individuals with severe alcohol addiction. Inpatient rehab provides a structured environment where individuals can receive medical care, counseling, and support. While it is ideal for the individual to enter voluntarily, some facilities may allow for involuntary admission if there is a clear danger to the individual or others.

2. Outpatient Programs: If your brother is resistant to inpatient treatment, consider outpatient programs. These programs allow individuals to receive treatment while continuing to live at home. They typically include counseling, support groups, and medical supervision.

3. Intervention: If your brother is unwilling to seek help, consider organizing an intervention with the assistance of a professional interventionist. This involves gathering family and friends to confront him about his drinking and the impact it has on his life and loved ones. The goal is to encourage him to seek help.

4. Support Groups: Encourage your brother to attend support groups such as Alcoholics Anonymous (AA). These groups provide a community of individuals who understand the struggles of addiction and can offer support and encouragement.

5. Family Support: As a family member, your support is crucial. Educate yourself about addiction and its effects. Be patient and understanding, but also set boundaries. Let your brother know that you care about him and want to help, but that his drinking is affecting not only him but also those around him.

Legal and Ethical Considerations
In some cases, individuals can be committed for treatment against their will if they pose a danger to themselves or others. However, this process varies by state and often requires legal intervention. It's essential to consult with a healthcare professional or legal expert to understand the options available in your area.

Encouraging Treatment
To encourage your brother to seek treatment, consider the following approaches:
- Open Communication: Talk to him about your concerns without judgment. Express your love and desire to help him.

- Highlight Consequences: Discuss the negative impacts of his drinking on his health, relationships, and overall quality of life.

- Offer Support: Let him know that you will be there for him throughout the recovery process, whether it’s attending meetings with him or helping him find a treatment program.

Conclusion
Helping a loved one overcome alcohol addiction is a complex process that requires patience, understanding, and often professional intervention. While it can be challenging, remember that recovery is possible, and many individuals successfully overcome their addiction with the right support and treatment. Encourage your brother to seek help, and be there to support him through his journey to recovery.

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