Project 10 of 12 - build a high-nurturance family together, over time

Options if a Minor Child in Your
Family is - or may be - Addicted

p. 1 of 2

By Peter K. Gerlach, MSW

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The Web address of this two-page article is http://sfhelp.org/Rx/spsc/addicted_kid.htm

        Clicking links below will open a full window or an informational popup, so please turn off your browser's popup blocker or allow popups from this nonprofit Web site.

        This is one of over 150 articles focused on healing psychological wounds,  building high-nurturance family relationships, breaking the [wounds + unawareness] cycle, and preventing divorce. This introduction describes the Web site's purpose and the best ways to use its resources. Each article is part of a mosaic of ideas, so the more you read, the more sense they'll all make.

        These articles augment, vs. replace, other qualified professional help. The "/" in re/marriage and re/divorce notes that it may be a stepparent's first union. "Co-parents" means both bioparents, or any of the three or more related stepparents and bioparents co-managing a multi-home nuclear stepfamily. 

        Before continuing, reflect: why are you reading this - what do you need?

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        This two-page article is written to co-parents and concerned supporters who worry about a minor child's probable addiction, and how that may be affecting their family. The article applies to all families, not just stepfamilies. If you're concerned about an addicted child, picture him or her as you read...

        To get the most from reading this, study these resources before reading this article...

these slide presentations on...

If you have trouble viewing the slides, see this.

these introductory articles on addiction basics, codependence, and "hitting bottom;"

this brief research summary suggesting that most U.S. mental illness" begins by age 14;

this brief research summary reporting that alcoholism damages female brains faster than male brains and...

if relevant - these foundation ideas on stepparent-stepchild roles and relationships.

        This article offers...

  • A review of (a) key addiction basics, (b) reasons minor kids become addicted, and (c) key implications for you and your family;

  • Perspective on what's unique about adapting to an addicted child vs. an adult, and...

  • Key action-options if you feel the child is addicted (wounded) now.

Other articles in this series describe options for managing your own addiction, and adapting to an addicted mate, ex mate, or relative. There are many hyperlinks in this article. To optimize your focusing and learning, you may want to ignore the links first, and then go back and follow any of interest after you finish scanning or reading.

Why Does This Article Exist?

       Widespread chemical addiction in adults and kids has become a tragic, costly American norm in the last several generations. True addictions always (a) indicate and (b) promote serious family dysfunction and stress. This nonprofit Web site is dedicated to breaking the epidemic [wounds + ignorance] cycle that causes this dysfunction, and is silently spreading and weakening our society and ecology.

        This article is a summary introduction to a complex subject. I hope it will motivate you to learn more about breaking and preventing the silent [wounds + ignorance] cycle that may be affecting you, your family and its descendents, and other people you care about.

        To lay a foundation for the assessment and action options below, see if you agree with these...  

Basic Concepts

        A habit is a sequence of thoughts and actions that can be intentionally changed, like learning to chew with your mouth closed. A compulsion is an uncontrollable repeating sequence of thoughts and behaviors that yields some predictable emotional / physical results. "Uncontrollable" means that reasoning (logic), willpower, and resulting pain will not stop the sequence. All addictions are compulsions, but not all compulsions are addictions - e.g. uncontrollable hand-washing, house-cleaning, perseverating, or nail-biting.

        Chemical addiction spans the compulsive, harmful overuse of food (sugar and fats), nicotine and other inhalants, varieties of ethyl alcohol, and a wide range of legal and illegal drugs. All of these reliably cause enjoyable shifts in brain and body chemistry, "mood," and sensory awareness and perception.

        True (vs pseudo) addiction to substances, activities, relationships, and/or mood states is a sure symptom of...

  • a significantly low-nurturance family and ancestry;

  • chronic major inner pain - i.e. [hurts + guilts + shame ("low self-esteem") + anger + confusion + anxiety (fear) + sadness + despair (hopelessness) + frustrations];

  • significant false-self dominance and related (psychological) wounds, and...

  • personal, family, and societal unawareness.

        Pre-teens and teens in all socio-economic settings (like your family) may become addicted because of a mix of powerful factors like these...

  • our society allows couples to conceive children without checking to see if they're ready to nurture them effectively; so...

  • typical wounded, unaware, over-busy caregivers give minor kids inadequate supervision and nurturance (i.e. neglect them and their developmental needs), causing significant inner pain; One result is...

  • most kids don't know how to (a) identify their developmental and special needs and (b) ask for adult help in filling them in healthy ways. This is specially true for children in troubled and divorcing families, and stepfamilies;  and...

  • drugs (including sugar and fats) reliably change brain/body chemistry and reduce inner pain; and...

  • acquired cellular craving for some drugs like nicotine, alcohol, and some street drugs can turn experimental and recreational use into a compulsive dependence; and...

  • normal kids impulsively seek adventure, excitement, and peer acceptance and approval; and...

  • many kids get too little factual information about addiction and its effects; and...

  • pandemic global demand for addictive chemicals makes providing them highly profitable, despite legal and social sanctions.

Without (a) family (vs. personal) awareness of these things and (b) true (vs. pseudo) recovery from adult psychological wounds (and any addictions) these factors relentlessly  pass down the generations and are spreading in our society.

        Addictions can be controlled, vs. cured, once the person hits true (vs. pseudo) bottom and chooses  to learn healthier ways of managing their pain and reducing the inner wounds and ignorance that cause it.

        Until choosing true recovery, typical childhood-neglect survivors (Grown Wounded Children, or GWCs) unconsciously choose other psychologically-wounded people as mates and associates over and over again, despite painful results.

        I offer these premises from almost 30 years of professional clinical research and experience. If you're undecided on or dispute any of them, this article will probably be of limited or no practical use to you. Recall that we're laying the foundation for an array of action-options if you  have an addicted child in your family.

        What do these realities mean to you and your family?

Implications

        Together, these premises suggest some unpleasant possibilities about you and your ancestors and current family. Ignoring, discounting, or rationalizing these realities suggests you and/or other family adults (a) are ruled by a protective false self and have not hit true bottom yet; and you (b) are unaware of some vital realities.

        If you're concerned about the possible addiction of one of your family's young people (or adults), imagine calling all your family adults together and discussing these implications:

  • One or more of us adults is a Grown Wounded Child, and needs to want to admit and reduce significant false-self dominance and wounds.

  • As long as we ignore or defer doing that, we all risk maintaining a low-nurturance family, and psychological wounds and addictions among us all - including (the child you're concerned about);

  • If we focus only on trying to get (the child) to manage her (his) addiction, we're missing the underlying problems. This is like painting a house when it's infested with termites.

  • All of us adults bear equal responsibility for assessing our wounds and reducing any we find. This is not about blame or failure, it's about discovery, recovery, and protecting our living and unborn descendents from inheriting the effects of the [wounds + ignorance] cycle.

  • Our living and unborn children depend on us to accept these realities and take responsible action to guard (nurture) them. They cannot say this to us.

How would your family adults feel and react to these implications? What reaction would your addicted child benefit the most from?

Who's Responsible for Addictions?

        Our society expects healthy adults to (a) be responsible (accountable) for their actions, and (b) take adequate wholistic care of themselves and dependent children. Society also decrees that before minor kids "leave the nest," they're not fully responsibility for some actions, and cannot nurture themselves adequately without competent adult help.

        One implication of this is that we (society) hold addicted adults responsible for their choices and actions, but are conflicted about who's responsible for (a) addicted children's behaviors, and (b) helping them to recover.

        An implacable reality is that most addicted adults and kids cannot control their toxic compulsions until they hit true bottom, regardless of what society and family members expect and demand. Other realities are (a) family caregivers cannot "forbid" a child's need to self-medicate their inner pain; and (b) shaming and punishing them for doing so makes the pain worse for all family members.

        So a fundamental difference in adapting to addicted kids vs. adults is in choosing whom to confront. The most powerful, caring way to help an adult addict is to hold a well-planned family intervention. It is based on compassionately forcing the addicted adult to hit bottom and take responsibility for their actions and self care. Similar interventions with addicted kids are much less likely to help them hit bottom because their family (i.e. wounded, ignorant caregivers) usually causes their inner pain - and kids are not responsible for that. 

        Restated: the best caring response to an adult's addiction (self-medication) is an intervention focused on the adult. The most effective response to an addicted child is (a) an intervention focused on his or her wounded caregivers, and (b) the caregivers wanting to provide _ appropriate limits and consequences for the child's behaviors, and _ appropriate education and therapy to help the child learn better ways of managing their pain while caregivers take responsibility for reducing their own respective wounds, pain, and ignorance.

        How does this proposal compare with what you believed before reading this article? What would your other family adults and supporters - including clergy and other family professionals - say about what you just read? The rest of this article is based on the idea that a child is not responsible for admitting and choosing to reducing their addiction - their caregivers are responsible for improving (most of) the conditions that cause the child's addiction. Society is (we all are) responsible for admitting and reducing the causes of addictions and false-self wounds that caregivers cannot control.

        Note - this does not mean family adults should not set and enforce caring limits with an addicted child's behaviors while they improve their own wounds and ignorances!

        Based on these fundamentals, what practical options do you have if a family child seems to be addicted?

Action Options

        What follows is a skeleton outline, not a comprehensive review or cookbook plan. Some options apply to all kids, and some depend on whose child it is  - i.e. depends on your and the child's family roles.

Universal Options

        Regardless of whose child you're concerned about, your best odds to fill your needs depend on preparing well. Check (a) yourself; (b) your primary relationship, if any; and (c) your family for several factors.

1) Check Yourself for three things...

  • false-self wounds and addiction - specially codependence. If you (a) ignore, minimize, or defer this, or (b) you have significant wounds and perhaps your own addiction/s, and (c) you're not steadily giving high priority to reducing them, this article will probably be of little practical use to you.

  • check your knowledge. Get undistracted, and reflect honestly on these statements. T = true; F = false, and ? = "I'm not sure," or "It depends on (what?)"

I can describe the concepts of _ personality subselves, _ true Self, and _ false self to an average teenager now. (T  F  ?)

I accept that personality subselves are normal and real, not "pathological." (T  F  ?) If you don't, read this memo to you, and try this interesting, safe exercise.

I can _ clearly explain the difference between a low-nurturance and high-nurturance family to another person now, and _ I can describe at least 10 typical traits of the latter. (T  F  ?) 

I accept that _ a true addiction is a sign of a low-nurturance family, and that _ addiction is a family problem, not a personal one. (T  F  ?)

I believe addicts are wounded and cannot control their compulsion without help, not weak-willed, sick, immoral, a "loser," or irresponsible. (T  F ?)

I can clearly describe what "inner pain" is, and how it relates to personality subselves.
(T  F  ?)

I can clearly define _ what an addiction is, and _ the four kinds of addiction. (T  F  ?)

I can clearly describe _ what psychological denial is, and _ what needs it serves in an addict’s family. (T  F ?)

I can describe at least four of the common symptoms of a true addiction now. (T  F  ?)

I can describe the main difference between preliminary (addiction) recovery and full (inner-wound) recovery, and why the former is required for the latter. (T  F  ?)

I accept that having "an addictive personality" really means "having a disabled true Self,  (being controlled by a false self), and not knowing this or what to do about it."  (T  F  ?)

I can clearly describe _ the difference between religion and spirituality, and _ what it means to have an active relationship with a responsive Higher power  (T  F  ?)

I can describe _ pseudo recovery from addiction, _ enabling, _ codependence, _ cross addiction, _ addiction relapses, and _ how well-meaning false-selves cause each of these. (T  F  ?)

I understand the 12 "Anonymous" steps for addiction-management now. (T  F  ?) . 

My true Self is responding to these items now or I know which other subself is responding. (T  F  ?)

        Pause, breathe, and notice what you're feeling and thinking now...When you have _ assessed yourself for false-self wounds, and _ can confidently answer T(rue) to each of the items above, you're ready to...

  • check your motivation. Why do you need to "do something" about this child's possible addiction? Your primary needs will determine your choice of actions and your definition of "success."

I need...

_ to save or protect this child from local and long-term stress and heartache;

_ to ease someone' s guilt and shame about "causing" this child's addiction, and/or failing to reduce it;

_ to reduce a major stressor between me and my mate and/or another family adult;

_ to protect my partner and/or another adult (e.g. a grandparent or ex mate) from guilt, shame, hurt, and/or anxiety about this child's welfare;

_ to "prove something" to someone relative to this child's welfare and/or our family;

_ to earn my self-respect and/or preserve my integrity as a caring person and a responsible family adult;

_ to focus on this child as a way of avoiding something uncomfortable about me or our family; and/or I need...

_ something else (what?).

Note that your motivations to "do something" about the addicted child originate with the personality subselves that currently rule your life. Do you know who they are yet?

        Continue preparing to act...

2) Check Your Primary Relationship (if any)

        If a child is harming themselves and/or chronically stressing their family members, their caregivers are wounded and unaware. Mates in such families often focus on one or more children's "problem behavior" (like addiction) to avoid acknowledging that one or both partners aren't getting their primary-relationship needs filled well enough. If this is true for you now, you can best help the child long term by intentionally working to improve your primary relationship.

        If your Self (capital S") is disabled, other protective subselves will probably (a) urge you to deny, minimize, or ignore assessing for significant relationship problems, and (b) deny or justify doing this. Notice your subselves' reaction to taking these three assessment steps:

  • When you're not distracted and your Self is guiding your personality, thoughtfully fill out this inventory of relationship strengths and stressors. Then invite your partner to do the same, and the two of you honestly discuss your results.

  • Review this profile of a satisfying relationship, and discuss how it relates to your situation with your mate;

  • Review these common relationship stressors with your mate, and discuss whether any of them apply to you now.

        Now apply your results. Rank yourselves on a scale of one (I am clearly trying to avoid admitting and acting on significant relationship problems now) to ten (My mate and I agree that we're not trying to avoid serious relationship problems now) ___. What does your Self (capital "S") think is the next right thing to do now?

        The last preparation to make is to ...

3) Check Your Adult Relatives for false-self wounds, knowledge, priorities, and recent nurturance-level.

        Pause and identify the addicted child's primary caregivers now. If these adults are wounded, unaware, and unable to nurture effectively, that's a higher-priority problem for you all than the effects of the  child's toxic self-medication - unless the child's health or life is at immediate risk. Typical near-sighted false selves will strongly disagree with this, and/or insist that you must focus on the addicted child.

Reality: excessive inner pain and addiction (compulsive self-medication) is a family problem.

Assessment options -

  • use these worksheets to assess each of the child's main caregivers for significant false-self wounds. If you find any, then assess whether the person is in true wound- recovery yet.

  • honestly rate your present family for these high-nurturance traits.

  • use these quizzes, this inventory, and these articles and slide presentations  to assess each caregiver's knowledge of personalities; subselves and wounds; wound recovery; and effective grieving, communication, problem-solving; and addiction basics.

  • use this article to assess how satisfied the target child and each main caregiver is with their recent relationship. To do this, try to imagine how the child and each adult would honestly rate each relationship factor with the other person.

  • Discuss the implied or stated purpose (mission) of your family with the child's caregivers. If you adults don't share a clear family purpose, the wry title of David Campbell's book probably applies - "If You Don't Know Where You're Going, You'll Probably End Up Somewhere Else."

Finally...

  • Honestly discuss with other family adults how well you all feel this child's developmental and any special-adjustment needs have been met recently. Premise: the child's need to self-medicate inner pain is directly proportional to how well these needs have been met.

        Apply your results: rank your status on a scale of one (our family has far more urgent problems than just this child's addiction) to 10 (our family's nurturance level is high enough for all of us adults to focus on deciding if and how best to help this child hit true bottom) ___.

        Pause, breathe, and notice what your subselves are saying and doing... .

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        We've just reviewed three ways to prepare to effectively assess if someone's child in your family may be self-medicating inner pain. Is this what you expected when you began reading this article?

The next step is to consider who's child you're concerned about - your own genetic offspring or someone else's - e.g. a stepchild, adopted child, or foster child. The assessment and action stakes, risks, and options differ for each of these. Do you need a break before continuing?

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Updated August 25, 2008