Addiction is a difficult affliction for the person who suffers from it. However, it is also difficult for family members. Parents may want to nurture an addicted child, and children whose parents have addiction problems may try to help or may not understand it. Siblings of addicts often do not know how to help the person and may not understand addiction. It helps to know what addiction is, how it affects a person, how those effects impact sibling relationships, how to deal with an addicted sibling, and how to help.
People often give in to cravings, and they eventually build a tolerance to the substance. This means that a person must use more of the substance to achieve the same reward effect. Over time, the body becomes dependent on the substance.[2] As a result, the person experiences unpleasant withdrawal symptoms when she or he tries to stop using the substance. Withdrawal can also happen when someone goes a certain amount of time without the substance. As people become more dependent on substances, they develop an addiction.
How Addiction Affects Behavior
The variations of behaviors may depend on the substance someone uses. For example, someone who misuses cocaine may be talkative and energetic. Someone who misuses opioids may be lethargic and sleepy. These are some other potential behavior changes:
- Lying
- Stealing
- Irrational statements and behavior
- Mood swings
- Irritability
- Lack of self-control
- Inability to stop using a substance
If you notice the above behaviors in your sibling, it may indicate an addiction. However, some behaviors can also be characteristic of a mental illness. In many cases, people who suffer from addiction also have a co-occurring mental illness. As a result of people not getting mental health care when they need it, they often turn to substances to self-medicate.
How Addiction Affects Siblings and Relationships
- Confusion
- Shame
- Guilt
- Anger
- Resentment
Those effects can strain relationships and make it harder for siblings to maintain communication.
How Addiction Makes Siblings Feel
- You feel like your sibling chooses the substance over you.
- You feel like your sibling breaks your trust constantly.
- You feel like family members or friends enable your sibling’s addiction, which causes more tension for you.
- You frequently feel like you do not know how to act or react.
How To Deal With an Addicted Sibling
Setting boundaries is one of the most important steps. It helps prevent multiple problems. These are some benefits of strong and clear boundaries:
- Clarifying your expectations and needs
- Avoiding burnout from trying to help
- Reducing unhealthy arguments and conflicts
- Avoiding enabling the addicted sibling
If you want to help your sibling, it is crucial to have a trusting relationship. However, it can take time to build or rebuild trust if your sibling broke it. Also, many people who are addicted do not trust others, and this may be a side effect of substance misuse.
An important part of dealing with an addicted sibling effectively is communicating clearly and calmly. Do not bring up past wrongdoings. As a result of addiction, people often behave poorly. It can be easy to react with anger, nagging, blaming, and other negative responses out of frustration. Try to avoid those, and tell your sibling how you feel rather than making statements that appear accusing. For example, say, “I feel like you do not want to listen to me.” Do not say, “You never listen.”
If you have a prescription for a drug that has the potential for abuse, or if you drink, be conscientious when your sibling is present. Keep your medications locked or in a safe place. Avoid drinking in front of your sibling. Also, talk to your family and mutual friends to ask them to avoid using substances or drinking around your sibling.
Signs That Your Sibling May Have an Addiction
- Your sibling misses work frequently, and this is a new pattern.
- There are new legal or financial troubles for your sibling.
- As a result of the addiction, your sibling avoids work, school, social gatherings, or family gatherings.
- Your sibling acts secretive about a purse, a drawer, or some other location.
- In comparison with the past, your sibling has poorer hygiene habits.
In some cases, it can be hard to identify all these signs. If you live with your sibling, it may not seem as easy to notice some changes if they happen gradually. For example, some people who develop an alcohol addiction may drink for years, and siblings may not notice the addiction when it first starts.
How Siblings of Addicts Can Help
In males, drug abuse is more likely to result in emergency room visits.[4] Also, men are more likely than women to use illegal drugs. Men also tend to have higher rates of dependence than women.
Although men may be more likely to visit the emergency room or use drugs, women have an equal chance of developing an addiction.[4] In terms of birth order, younger sisters tend to be more likely to develop an addiction.[5] The same is true with males.
An intervention is an event that people who care about your addicted sibling create. The goal is to get your sibling to enter treatment. For an intervention to be successful, it is important to work with a professional interventionist. An interventionist knows the right steps, strategies, penalty suggestions, and more.
Treatment Options for Your Addicted Sibling
- Detox is the first phase and is medically supervised.
- Residential treatment is inpatient treatment that lasts about a month or several months.
- Partial hospitalization treatment involves multiple, long treatment sessions each week.
- Intensive outpatient therapy involves several sessions but is not as intensive as a PHP.
- Outpatient treatment usually involves one or more therapy sessions each week.
- Sober living is a structured, safe living environment that minimizes relapse risks for people who just finished treatment.
Therapists may use group, individual, and family therapy structures. Family therapy helps you, your sibling, and your family learn how to support your sibling. It also gives you a safe space to talk about how the addiction affects you. Additionally, your sibling learns how to communicate better with you and work through problems.
