The Impact of Addiction on The Family System

This blog post is contributed by Ashley Taylor, MSW, LMSW, of Heights Family Counseling and Rachel Evans, LMSW, of the Center for Recovering Families

When someone we love deals with addiction, wishful thinking tends to surround their recovery. We think to ourselves, “If this person just gets better, then everything else will fall into place.” No matter how desirable that outcome, substance use disorder is a systems disease that requires a systems solution. Substance use disorders not only affect the person suffering, but also the people closest to them.

“By the time people get treatment, the family system has often regulated around the addiction to maintain the status quo,” says Rachel Evans, family therapist at the Center for Recovering Families. “The addiction has become the locus of control.”

Everyone who is involved in the system has adapted in ways they might not even recognize in order to maintain a sense of normalcy and peace, while watching someone they love battle a difficult disease. Because of this, many families are exhausted by the time their loved one enters treatment. Regardless of the ways in which the support system has regulated itself around the addiction, the relationship between the person dealing with substance use disorder and their families can be an important one.

impact of addiction on family system

“The collaborative effort of treatment is very beneficial,” says Rachel. When appropriate, having family members present for treatment improves success rates, and treatment benefits both the person struggling with substance use disorder, as well as the family members. When it comes to recovery, it is crucial that everyone is willing to do things differently in order to set family recovery at the core of the system. Through family recovery, everyone is able to gather and understand different strategies for coping with the new way of life for this person, as well as unlearning potentially harmful practices that had been in use prior to the recovery process.

This help can take the form of family treatment, support groups such as Al-Anon and Nar-Anon, and even individual therapy. When an entire system is affected, addressing the entire system is the most effective treatment. This takes the responsibility off one individual and makes the process a collaborative one. In this way, the person going through recovery can feel more supported in their journey, and feel the love and encouragement from those closest to them.

The process of addiction recovery is rarely linear, nor does it only impact the person working to overcome substance use disorder. When addiction is viewed as a systems disease, it can be addressed throughout the whole system. By viewing this process in a more collaborative light, we are able to better support and understand the journey of our loved ones.

If you or a loved one is struggling with substance use disorder, call us today at 713.914.0556, or contact us through our website.

The Impact of Family Roles on Addiction

This blog post is contributed by Lori Fiester, LCSW-S, MAC, CIP, CDWF, Clinical Director for The Council on Recovery

Have you ever wondered why some families seem to have roles in their family? I’m not talking about the roles of mom, dad or siblings, but roles people assume throughout their lives. As a therapist and an adult child of an alcoholic, I’ve been aware of my role in the family, both at work and in relationships. I’ve often joked that I didn’t become a social worker because I like people, but because I was born into this role. I am the hero child! And I worked hard to be that way… until it stopped being functional.

family roles

Family roles can happen in a family system where there has been upheaval, but they are usually solidified if that upheaval becomes a chronic occurrence, like in addiction. Basically, the family system strives for equilibrium.  Equilibrium is what holds the family steady. Family members slip into their roles to re-establish equilibrium when faced with anxiety. For instance, when one member is struggling, usually the system helps that one member gets back on their feet, and the system returns to normal.  When addiction occurs, the anxiety becomes chronic, and the roles are then utilized until eventually they become part of our behavior pattern – all in the name of equilibrium. 

Frequently observed family roles:


The addict is the one who is addicted to a substance and is the person the family revolves around to unconsciously provide equilibrium.

The enabler or caregiver is most likely the significant other. That role entails making sure everyone is happy and ensuring the addict suffers no consequences. Enablers often lose themselves in the lives of others.

The hero ensures that the everyone in the family looks good by overachieving, overdoing, and perfection.

The joker keeps the family laughing, which helps distract the members from the pain and suffering.

The lost child’s job is really to stay out of the way and not create any concern for the family or cause further distraction.

The scapegoat is similar to the joker, which is to provide distraction for the family through rebellion and drama.

If you or a loved one is struggling with addiction or a related mental health disorder, The Council can help you and your whole family to break these roles and recover together. For more information, or to get help, call us at 713.914.0556 today or contact us here. Telehealth options are available.

We’ve Been There: The Role of the Family

This September is Recovery Month, and to celebrate we are sharing inspiring stories from our incredible staff members in recovery. For decades, The Council on Recovery and its Center for Recovering Families have approached addiction as a family disease. Each family member of someone struggling with addiction faces pain, fear and uncertainty throughout their loved one’s recovery journey. That’s why we focus on treating not only the individual, but the entire family as well. In this entry, one staff member recounts how the support and participation of her family was key to her recovery…

I knew I needed help for many years. For the most part, it had been 16 years since I had gone without drinking to inebriation and/or blackout on a daily basis, with only a few exceptions. I tried many times to stop drinking on my own, but always failed. In the fall of 2013, I began to realize that people could smell the alcohol on me, even if I hadn’t had anything to drink that day. Basically, my body was not metabolizing alcohol like it once had. I was drinking a quarter to a half gallon of alcohol a day, easily. I was miserable and exhausted, physically and mentally. In efforts to avoid smelling like alcohol, I started running/walking five to 10 miles a day and drank gallons upon gallons of water each day. I was doing everything humanly possible in order to flush the alcohol out of my system before going to work each morning.

The Role of the Family Image

I had stopped sleeping because I was in a constant state of severe anxiety, and my muscles were just wracked with involuntarily spasms anytime the alcohol levels in my body got below a certain level. My body just would not let me sleep, anymore. I had just turned 40 and I was convinced I would not be alive to see 41. December rolled around and I was convinced that I needed to make a decision – I needed to either end my life or pick myself up. I decided to pick myself up and I entered treatment on December 27, 2013.

The night I told my husband, “I need to go to treatment tomorrow,” he poured every ounce of alcohol we had in our house down the sink.

My husband has been the most important person in my recovery. In substance use prevention, the family can serve as a risk factor or a protective factor for substance use. The role of the family in relapse prevention is very similar. Not only has my husband been my biggest cheerleader in my recovery, but he has participated in recovery right alongside me for almost seven years, now. I have been fortunate in that my husband put me and my recovery first, and by doing that, he was able to learn how to put himself first, too. The night I told my husband, “I need to go to treatment tomorrow,” he poured every ounce of alcohol we had in our house down the sink. He came to aftercare with me every single Saturday for that first year. He became a member of Al-Anon and attended his meetings once a week – they used to call him ‘Wise Wes’ in group. However, his commitment did not end there.

Here we are, almost seven years later, and he has not had a drop of alcohol since that night in December of 2013. I never expected him to abstain. After all, it was my problem, not his. But something changed in both of us and not just in me. We were both dedicated to being healthy and sane for ourselves and for each other. For me, that meant putting an end to my drinking. For him, that meant gaining control of his health by learning how to eat right and exercise, resulting in a 120 lb. weight loss for him. Every celebration, every vacation, every time we eat out with friends and family, there we are – present and together.

Alcoholism…Are Genes to Blame?

Are issues with alcohol a future risk for you? Have you ever questioned yourself and thought, “Am I an alcoholic?”

Many Americans drink alcohol, but can have one drink and put it down for the rest of the evening. Not everyone who drinks develops a dependence on alcohol. However, many individuals are concerned about their chances of struggling with alcohol dependence due to their genetic predisposition. The question is, “How much do genes truly affect the likelihood of becoming an alcoholic?”

Continue reading “Alcoholism…Are Genes to Blame?” →