Alcohol Use in Families
No. 17; Updated May 2019
One in five adult Americans have lived with an alcoholic relative while growing up. In general, these children are at greater risk for having emotional problems than children whose parents are not alcoholics. Alcoholism runs in families, and children of alcoholics are four times more likely than other children to become alcoholics themselves. Most children of alcoholics have also experienced some form of neglect or abuse in the home.
A child being raised by a parent or caregiver who is suffering from alcohol abuse may have a variety of conflicting emotions that need to be addressed in order to avoid future problems. They are in a difficult position because they cannot go to their own parents for support. Some of the feelings can include the following:
- Guilt - The child may see himself or herself as the main cause of the mother's or father's drinking.
- Anxiety - The child may worry constantly about the situation at home. They may fear the alcoholic parent will become sick or injured and may also fear fights and violence between the parents.
- Embarrassment - Parents may give the child the message that there is a terrible secret at home. The ashamed child does not invite friends home and is afraid to ask anyone for help.
- Inability to have close relationships - Because the child has been disappointed by the drinking parent many times, he or she often does not trust others.
- Confusion - The alcoholic parent will change suddenly from being loving to angry, regardless of the child's behavior. A regular daily schedule, which is very important for a child, does not exist because bedtimes and mealtimes are constantly changing.
- Anger - The child feels anger at the alcoholic parent for drinking and may be angry at the non-alcoholic parent for lack of support and protection.
- Depression - The child feels lonely and helpless to change the situation.
Although the child tries to keep the alcoholism a secret, teachers, relatives, other adults, or friends may sense that something is wrong. Teachers and caregivers should be aware that the following behaviors may signal a drinking or other problem at home:
- Failure in school, truancy
- Lack of friends, withdrawal from classmates
- Delinquent behavior, such as stealing or violence
- Frequent physical complaints, such as headaches or stomachaches
- Abuse of drugs or alcohol
- Aggression towards other children
- Risk taking behaviors
- Depression or suicidal thoughts or behavior
Some children of alcoholics may cope by taking the role of responsible "parents" within the family and among friends. They may become controlled, successful "overachievers" throughout school, and at the same time be emotionally isolated from other children and teachers. Their emotional problems may show only when they become adults.
It is important for relatives, teachers, and caregivers to realize that whether or not the parents are receiving treatment for alcoholism, these children and adolescents can benefit from educational programs and mutual-help groups such as programs for children of alcoholics, Al-Anon, and Ala-teen. Early professional help is also important in preventing more serious problems for the child, including reducing risk for future alcoholism. Child and adolescent psychiatrists can diagnose and treat problems in children of alcoholics. They can also help the child to understand they are not responsible for the drinking problems of their parents and that the child can be helped even if the parent is in denial and refusing to seek help.
The treatment program may include group therapy with other youth, which reduces the isolation of being a child of an alcoholic. The child and adolescent psychiatrist will often work with the entire family, particularly when the alcoholic parent has stopped drinking, to help them develop healthier ways of relating to one another.