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Dr. Tian Dayton

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The Hidden Pain of the Addicted Family

Posted: 09/21/10 07:31 AM ET

Part of "Recovery Month" Series

In the 1960s, when my Dad got treatment, we all thought that once the alcoholic got sober, the rest of us in the family would sort of get better automatically. Normalcy would be restored and we could all go on with our lives as if addiction had never really been there. We weren't total idiots, that's what everyone thought. That's what a lot of people still think, in fact.

If you happen to think this, I will save you a lot of time and heartache. It's not true. It's not true because addiction is not only about addiction, it's about emotional and psychological trauma. People who use drugs and alcohol are often times attempting to numb disturbing emotional and psychological pain that they don't want to feel.

How Addiction Leads to Trauma

Living with addiction often results in cumulative trauma that deeply affects family members. When addicts are using they are, for all intents and purposes, out of their minds. Their behavior mimics that of an variety of psychiatric disorders ranging from manic depression, to full blown psychosis in which the addict is totally out of touch with reality. To see the father you love turn into a raging, abusive monster, the mother who cooked you your favorite dinner become a raving lunatic, or simply disappear behind a closed door by 9:00 pm or the child you have raised and adored turn into someone you cannot recognize, is nothing short of terrifying. They look at you as if they never loved you, never knew you...as if you are simply in the way of what is really important to them, namely their drug of choice. The out of control and unpredictable nature of these behaviors can make family members feel helpless, enraged, and as if their sense of reality is being turned inside out and upside down. In short, it's traumatizing.

How Trauma Leads to Addiction

Living with the kind of unpredictable and damaging behaviors that surround addiction, often challenges our sense of a normal and predictable world. It undermines our trust and faith in relationships and their ability to nurture and sustain us. In interferes with our ability to communicate our needs and have them heard or to listen to another person communicate theirs. It is, in other words, traumatizing. Over time this "cumulative" trauma (it's never just one time in the addicted home, right?) can engender trauma related symptoms such as depression, anxiety, hypervigilance, low self worth and somatic disturbances (head and body aches, chronic tension and so forth). These symptoms, if they go untreated in family members, can become full blown PTSD. They can lead to all sorts of life, learning, health, psychological and relationship complications and yes, you guessed it, a desire to self medicate. This is how the insidious baton of addiction gets handed down through the generations. Addiction engenders trauma symptoms and trauma symptoms engender addiction. Even if family members do not become alcoholics or drug addicts themselves, they are at increased risk for other forms of self medicating (food, sex or money, or hybrid combinations of two or three). They are also at increased risk for other types of trauma related symptoms. Who needs to locate an "alcoholic gene"? Understanding the trauma set up makes intergenerational dysfunction or "passing down the pain" clear enough as to make a gene only proof of what we already know.

When the Addict Gets Sober Why Isn't the Whole Family Better?

The addict sobering up is only the first step in healing. Whether that's because the addict was numbing emotional pain from living in a painfilled family or because the family has now become traumatized by living with addiction is more or less a moot point. It's the old chicken and egg story, which came first doesn't matter any more. Everyone in an addicted family system needs to get help and the sooner they get it, the sooner the family can start to heal. If this kind of healing doesn't take place a few things might happen:

The addict may relapse.

The family may break up or polarize.

The sober addict may have to leave the family in order to get and stay sober.

The family may find a new "problem person" or "symptom bearer" to take the focus off the family illness.

Because the addicted family becomes slowly sicker, they may experience one of their members going into recovery up as an assault to their now (or maybe always) dysfunctional equilibrium. They may silently collude in "not changing", in maintaining their sick status quo. Having an "addict" in the family is a great way for the rest of the family to ignore their own state of emotional health. There is always someone to blame the family pain on. Namely, the addict. But when the addict gets sober, the family is left with their pain which they need to take responsibility for and work through whether it preceded addiction or was a direct result of living with addiction or, more likely, a very uncomfortable combination of both. After all, happy, well adjusted and well related people don't tend to want to drown their pain with drugs and alcohol, something was likely engendering that pain to begin with.



What if the Addict is Divorced, Leaves or Dies; Then Isn't the Problem Over?

Out of sight is unfortunately not out of mind. The unconscious of the family system is shared by all. Family dysfunction is sort of like a rash, it moves around the body of the family and reappears, in another location hot, red.....demanding to be scratched or soothed. But it is still the same virus whether it appears as a bump, series of lines or a fiery patch. The tentacles of trauma reach deep into both the body and the mind, they become part of us. If they remain unconscious they can shape and impact further ways of relating and life choices. They are just as likely to get worse not better on their own.

Recovery Can Grip A Family Too

Getting better is just as easy as getting worse. Healing is also cumulative. The pay offs of recovery are as easily quantified as symptoms of decline. Some "symptoms" of recovery are: enhanced self esteem, renewed energy for life, increased emotional literacy and emotional intelligence, increased emotional sobriety and balance and an ability to make healthier life choices. Awareness is a powerful tool and safeguard. Life will still be challenging, it always is, but with help and awareness, family member's energy will be freed up to meet their own challenges rather than unconsciously throbbing from festering or turgid wounds from the past that are constantly bleeding into the present and future. Though admitting our need for recovery can feel like walking through a wall, once we walk through it we discover that the wall was a wall of fear, a mental construct, a dark imagining of our own making. On the other side of that wall is a new kind of freedom and self possession, a new lease on life.

For Further info on recovery and addiction log onto nacoa.org National Association for Children of Alcoholics

 

Follow Dr. Tian Dayton on Twitter: www.twitter.com/tian dayton

Part of "Recovery Month" Series In the 1960s, when my Dad got treatment, we all thought that once the alcoholic got sober, the rest of us in the family would sort of get better automatically. Norma...
Part of "Recovery Month" Series In the 1960s, when my Dad got treatment, we all thought that once the alcoholic got sober, the rest of us in the family would sort of get better automatically. Norma...
 
 
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We will be known forever by the tracks we leave
11:12 AM on 09/22/2010
I grew up with an alcoholic father. I was also the 'symptom bearer' for the rest of the family. My mother was passive and afraid and didn't protect me from my father and siblings abuse. Both my brothers are alcoholics and my sister is controlling and unbearable. I see them as little as possible as they still find me to be a great punching bag for their emotional and verbal abuse. I've been going to al-anon for several years so I understand what is going on. They are all still in denial and think I'm the one with the problem. LOL
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Vivian Alicia Evans
07:06 PM on 09/21/2010
Oh do I see so much of my own upbringing here. Like other's my father's only language was anger or criticism. I denied so much of the abuse until after my mother's death when my illusion was shattered. After death being around him was like walking on a mine field. What would make him blow? What could I be blamed for? My mother, though damaged in her own way, did her best to give us a stable house to grow up in by running interference with Dad.

I can only be grateful that my Dad did not work a regular 9-5, Monday to Friday job. He worked long hours partially because he had to do get the job done and partially because he was a workaholic.

At 44 I finally decided to distance myself and get some help with my own issues. I often wonder if my own mood disorder would not have presented itself or may had been lessened if I had been raised in a different environment. Yes I have grief but for the illusion of a childhood I never had and a relationship with a father I never had. I so hope that I have not scared my own son. Like Anastasia, I too see the multigenerational effects in my family and it's not just my sisters but uncles, cousins and grandfathers.

I have one wish for all that have shared or read and have lived this that they find some peace in their life.
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CMB1969
raging moderate
03:41 PM on 09/21/2010
It certainly was not the belief in the recovery community in the 1960s that the only thing that was needed to heal a family that was scarred by alcoholism was the sobriety of the alcoholic(s)--"Alcoholics Anonymous" (the "big book" of the AA fellowship) was published in 1939 and has a chapter entitled "The Family Afterwards" that discusses these issues in detail, not to mention that Al-Anon had been an independent fellowship devoted to such family issues for about 20 years at that point.
01:56 PM on 09/21/2010
The self-medication theory for why children of alcoholics become alcoholics themselves is the the best explanation for why people such as my cousin, become addicted, even though they've seen first hand how devastating alcoholism can be.

My aunt was beautiful, smart and funny but became addicted at a young age. She was severely afflicted, so much so that she showed up at my grandfather's funeral, so drunk she was barely able to walk. Her daughters couldn't bring friends home from school for fear that their mother would be passed out on the living room floor.

One daughter became an alcoholic, the other married one.
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CrazyCarl
"200 channels...nuthin' but cats"
01:29 PM on 09/21/2010
My mother and father are both victims of abuse. My mother is so wrapped up in her victim mentality that it's almost impossible for her to have a healthy functioning relationship with anyone - including her two children (now adults in their 40's). My father is so "emotionally constipated" that anger is his common reaction to any kind of deep conversation. They project their low self esteem onto my brother and I every chance they get. This, combined with alcohol makes an extremely toxic "cocktail" (sorry) during the obligatory visits - like the holidays. Due to self preservation, I have moved 3000 miles away and have little contact with them but the sadness and guilt affect me on practically a daily basis. I fear that when they're gone, things will just get worse.
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Vivian Alicia Evans
07:10 PM on 09/21/2010
"Due to self preservation, I have moved 3000 miles away and have little contact with them but the sadness and guilt affect me on practically a daily basis. I fear that when they're gone, things will just get worse."
I too have had to separate myself. I asked professionals about this in my case and I was told the grief would be more complicated but taking efforts now with improving my own mental help would help. Take care.
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marlaannchristenson
Well when you say it like that...
12:13 AM on 09/22/2010
I moved 4000 miles away. My father passed several years after I moved. He was addicted to Percocet and Oxycontin. When he was alive, it was still like he was just down the road. I learned that I was attempting a "geographic relocation" just like an addict - moving hoping everything would be okay, instead of getting help for what was going on inside of me. Best wishes to you Carl and Vivian. It's a long road ahead, but we can do it, and we deserve it.
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nikanj
free the fnords
12:29 PM on 09/21/2010
I am guessing that the author's father was probably a world war 2 or korean war vet.
Took me many years to understand that my father in law, who dropped bombs on
people in both those wars, was totally destroyed by that profession. It does not take
much imagination to figure out what the bomber crews went and did after debriefing.
Those patterns lasted until he died an early death from alcohol abuse and philandering.
And, as the author stated, physical death is not the end of the acting out of such dynamics.
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zapyourappetite
11:19 AM on 09/21/2010
Not all addicts have such extreme behavior. How about being "raised" in a house of pretense and dishonesty? Raised by a smiling, secretive, selfish, emotionally dishonest "functional" drinker, then married one. Grew up always trying to figure out what this meant and what that meant because you couldn't trust what you heard or saw. Biggest mind f*ck perpetrated ever - being raised in a fake, phony, and pretentious home. Though I try to be supportive as a daughter, to this day I maintain a safe distance, for my own sanity and peace of mind.
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2garen
11:45 AM on 09/21/2010
I thank you for sharing your story. Alcohol or drug abuse leaves so much devastation. Mental illness is another one. They all three are very similar in nature. How they affect those around the one afflicted.
I hope you have learned to acknowledge what you see and hear and trust the truth in you.
I personally have very little patience with those that continue to drink and be destructive to others.
I want no part of the mind f ** k. I do call it out whenever I see it and there are many that deny another part of the illness. You can't fix something that is not acknowledged.
Peace to you and you are fanned
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greezil428
08:58 PM on 09/24/2010
Awesome ,never good enough,I'm the one with the addictions their all okay,yeah right I am the one only that got help and they are all still Ft up livin their sycho world of falsehoods.They never drank they are used any of the standards for addiction but believe me they're sick with control and addiction to food and religion ..makes me sick.
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zapyourappetite
07:36 AM on 09/25/2010
Hi greezil - I am not a professional, and have never sought professional help. That disclaimer aside, possibly you have been scapegoated by your family. The scapegoat is the kid who is emotionally honest - and gets the blame for the family's problems. More on that here by Dr. Lynn Namka, "Scapegoating - An Insidious Family Pattern of Blame and Shame on One Family Member" http://www.byregion.net/articles-healers/Scapegoating.html
10:48 AM on 09/21/2010
My father is an abusive drunk. I married and divorced two abusive drunks/drug addicts. I am now divorced for 12 years and would never enter another relationship with an addict. It is just too hard. I wish all addicts could acheive recovery but I can't be a part of any addict's life. Addicts do not realize how much damage they cause their families.
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Vivian Alicia Evans
07:13 PM on 09/21/2010
No they don't and when they have the rest of the family entwined in their mess you are usually the one who loses. I have a relative who I will not have anything to do with. Occasionally I have to cross his path but I will not engage myself with him.