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If Someone Close ... has a problem with alcohol or other drugs

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 alcohol and other drug problems, 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.

Treatment attempts to discover the relationship between a person's problematic drinking 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 drinking and other drug problems 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.

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