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Relationships

In

Recovery

Rebuilding Family Relationships in Recovery

By Peggy L. Ferguson, Ph.D.

Early recovery poses challenges not only for the individual on the path to sobriety but also for the entire family. Relationships are pivotal in recovery, with a family's support and resources as crucial assets. While the love and support provided by those close to the newly sober person are invaluable, the rebuilding process can be complex. Expecting that the absence of alcohol or drugs will instantly fix everything is a common misconception, as the changes to a family system during recovery can be trying and even traumatic. The impact of active addiction on the entire family is profound, requiring adjustments to accommodate the changes brought about by the addiction. Recovery also requires adjustments to accommodate family changes due to sobriety.  

In recovery, the changes in the recovering person reverberate through the family system. A lifestyle change is one of the initial steps, often involving the necessity to avoid, at least in the short term, people and environments not conducive to ongoing recovery. Those on the avoidance list may include certain family members and social and leisure activities. Inlaws or other extended family members, not fully understanding substance use disorder and the lifestyle adjustments needed, may not understand that their alcohol or drug availability presents cues and triggers for relapse in the recovering person.   Disruptions in extended family relationships can create stress and conflict in the marriage. Many of the old sources of conflict will essentially still be there. Some of the most common are family finances and resources, allocation of roles, chores and responsibilities, intimacy, and parenting.  

Recovering people and their family members will grapple with fears, unresolved resentments, insecurities, and expectations. The uncertainty inherent in this period is anxiety-inducing, with many expecting that the removal of alcohol or drugs from their lives will automatically solve everything. Spouses who believe they have taken on all responsibilities in keeping the family afloat might anticipate an immediate partnership return while simultaneously resisting relinquishing control over those same responsibilities. The recovering individual may feel the sole expectation should be their commitment to recovery. Unrealistic expectations abound, necessitating effective communication to resolve them.

Communication proves to be a significant challenge in early recovery. Many people who have substance use disorder struggle with identifying and expressing their feelings, and recovery does not automatically bestow these skills. Communication behavior lends itself to the development of self-reinforcing patterns. Recovering people and their family members may find it difficult to alter their communication and problem-solving behavior in recovery.

Given that everyone in the family has recently experienced pain, unresolved hurt, and anger, family members expect that sensitivity to specific topics will remain and may impede discussions. Understanding that unresolved issues can influence discussions helps slow down, question automatic thoughts and assumptions, and reframe how you communicate. Communication and problem-solving skills require time and practice to develop. Open and honest dialogue, expressing concerns, needs, feelings, boundaries, and expectations, is crucial to reestablishing relationships.

Rebuilding trust is essential for all parties. While recovery can initiate positive changes, it may also unearth deeper issues that demand attention. Again, effective communication and problem-solving skills are imperative to resolving longstanding problems.

The first year of substance use disorder recovery often poses the most significant challenge, not only because individuals must exert effort to stay sober but also because it brings about substantial changes in family dynamics. Many marriages that endured decades of addiction may not survive early recovery. Acquiring new skills becomes imperative for every family member, with individual engagement in recovery being essential. Seeking guidance and discovering the critical individual and family recovery tasks is crucial for everyone's survival and thriving. Support, frequent and effective communication, and quality time together are vital for the well-being of all family members.

 

Early Addiction Recovery:
Essential Things You Need to Know For Your Marriage To Survive Recovery

 

By Peggy L. Ferguson, Ph.D.

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The initial year of substance use disorder recovery is often deemed the most challenging phase, marked not just by the fragility of early recovery and the heightened risk of relapse but also by significant shifts in relationships. Many marriages that weathered years of addiction may falter in early recovery. Individuals with substance use disorder embark on substantial changes, like maintaining sobriety, regrouping with work and career goals, and recapturing a positive sense of self. During this same period, family members, still grappling with past hurts, feel neglected and unimportant. They wonder with resentment when their loved one will carve out some time and attention for the family.

Family members also expect the recovering person to reassume previously abdicated responsibilities. Yet, these unspoken expectations lead to confusion and frustration when the recovering person fails to become the person they wanted them to be. Family members may anticipate that the recovering person can somehow undo the pain caused by addiction by being sorry enough, offering the proper amends, or setting off on a quest to make it up to the loved one who stood by them during active addiction. Recovering people and their loved ones typically have very different perceptions, memories, and expectations regarding early recovery--putting unspoken pressure on everyone.

Family members often continue to walk around on eggshells in their loved one's early recovery yet harbor expectations that all will be ok when they get sober. They usually avoid discussing them or even admitting them. They fear that such a conversation could trigger a relapse. Lingering memories of past behaviors and discussions contribute to this fear.  


Attempts to address unresolved feelings and issues from active addiction sometimes result in the person with a substance use disorder becoming defensive, preferring to leave the past behind. The recovering person's reluctance to confront the pain inflicted on family members is rooted in the shame and guilt associated with the addiction, and their resistance prevents them from fully realizing the extent of harm caused.

Couples in recovery are often handicapped in problem-solving on important issues because they operate from this skill deficit position and a history of failed attempts. These failed attempts create more emotional debris that gets in the way and makes it harder to resolve the same issues in the future. Relationships seek to reestablish equilibrium in early recovery. Recovering couples and families grapple with redefining relationships, restoring old roles, and managing power shifts.  

A common challenge for the recovering couple is the return of roles and responsibilities previously shouldered by the recovering person. Still not trusting the newly recovering person, the family member who has taken on most of the duties is reluctant to entrust these essential tasks and activities to someone whose trustworthiness still needs to be discovered in recovery. The recovering person, self-focusing on responsibility, honesty, and abstinence, may be perceived as caring little about others' needs or feelings. The newly sober person may want acknowledgment for the extreme sacrifice of giving up the chemical. Family members usually do not understand this line of thinking. Instead they are watching and waiting hopefully for the recovering person to step up to the plate and take care of business. Differing expectations lead the recovering person to feel controlled, taken for granted, and manipulated. Family members tend to feel used, taken for granted, and unimportant. This is especially true when the recovering person establishes new relationships in recovery. All of these changes shake up and threaten the family system.  

Extreme emotional highs and lows in early recovery pose another challenge to relationships. The person with a substance use disorder may question their feelings about the marriage, contemplating leaving, while family members may assess the damage done and contemplate leaving. The fear of relapse looms large, contributing to overwhelming emotions.  

Navigating early recovery in the family necessitates open, honest communication. Everyone's fears and insecurities come into the foreground. Unexpressed, those thoughts and feelings feed the divide between family members and can lead to the system's collapse.  

Note: This is a revised version of this article, originally published on www.peggyferguson.com.

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Dynamics of

Addiction and Recovery:

Regaining Trust in Early Recovery

By Peggy L. Ferguson, Ph.D.

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A common question among people in early recovery is how to rebuild trust with their loved ones. This question often seems premature when the newly abstinent person is in the earliest phases of change and has not exhibited much behavioral change. They frequently seek acknowledgment and approval from family members regarding their intentions toward recovery. They may desire recognition and validation for their willingness to abstain from drinking and substance use as early as day two or three of sobriety. Individuals in the initial stages of recovery may experience hurt or disappointment due to a lack of desired acknowledgment or praise, often failing to recognize that they've achieved this length of abstinence before, just before reverting to drinking or drug use.


The individual in early recovery often wishes for family members to unquestioningly accept that they have renounced drinking and substance use for good. They may inform their partners or family members of their readiness to attend 12-step meetings, yet various obstacles prevent them from actualizing this commitment. From the perspective of the individual grappling with addiction, the willingness and intention to attend meetings should be sufficient evidence of their commitment to recovery.
Individuals in the transition to recovery from substance use disorder may feel offended when a family member suggests that genuine change is necessary for their loved one to believe in their transformation and that mere words are insufficient. Family members have endured years of promises and declarations of quitting "for good," only to be disappointed repeatedly. These verbal assurances hold little weight without tangible behavioral changes.


Family members are often quick to point out that their substance-using loved one has deceived them regarding their desire to get sober or by making unfulfilled promises to "give it up." It is important to understand that people with substance use disorder usually mean what they say when they promise to quit, attend meetings, or engage in recovery activities. However, addiction itself often interferes with these promises. Cravings or urges arise, and defense mechanisms rationalize drinking or using "just one more time," leading to relapse.


Addiction is an illness that manipulates one's thinking. A psychological struggle between the desire to quit and the compulsion to use plays out in the person's mind as they contend with cravings. Both sides present valid observations and feelings, and the battle persists, with thoughts fluctuating and resolve wavering moment by moment.


The individual in early recovery may struggle to grasp that regaining trust from family members hinges on demonstrating "trustworthiness." Consistent, responsible, and predictable behavior is what constitutes trustworthiness. The individual gradually rebuilds trust by actively making and adhering to recovery goals and commitments, such as attending meetings, abstaining from substance use one day at a time, and securing a sponsor.

Trust typically returns in increments attached to the recovering person's behavior. The most critical ingredient in rebuilding trust is to stay sober. Trustworthiness also increases amidst honesty rather than using deceit to avoid conflict. Other examples of trustworthy behavior include following through with promises, handling feelings and conflicts in a way consistent with sobriety, admitting when they are wrong, and exhibiting dependable behavior. Observing continuing trustworthy behavior over time restores trust.

Extolling how you are changing and making promises alone won't speed up this process; such behavior hinders progress if it doesn't align with recovery behavior. Family members are reassured about their loved one's ongoing abstinence when they observe the emergence of new life skills. A crucial task that involves a steep learning curve is replacing the substances with healthy living skills. Without adequate coping mechanisms, the individual remains susceptible to relapse. Without practical stress management skills, for instance, individuals may resort to drug use to alleviate stress, perpetuating the cycle of addiction. However, when they develop and practice healthy stress management techniques, their behavior changes, signaling progress in recovery to their family members. When important loved ones can observe the recovering person actively engaging in a recovery program, the opportunity to rebuild trust is there.

Note: This article has been revised and edited from its original version, which was previously published on this site in 2009. The content has been updated for contemporary language, clarity and accuracy.
 

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