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What to Do When Someone You Love is Struggling with Addiction

How do you love someone through addiction without losing yourself in the process? When someone you love is struggling with addiction, the fear can sit with you around the clock. You lie awake wondering if tonight is the night something goes wrong. You’ve rehearsed the conversation a dozen times in your head and never found the right moment to have it. You’ve caught them in a lie again, and you don’t know if you should confront it, let it go, or walk away entirely.

If any of that sounds familiar, you are not alone in it. And while healing may feel impossible in this moment, there is still hope. Figuring out what to do when someone you love is struggling with addiction rarely comes with a clear roadmap, and most families are learning as they go.

We know that addiction rarely affects one person. It moves through a household, a marriage, a friendship, reshaping how people talk to each other and what they’re willing to accept. It’s why addiction is commonly viewed as a “family disease”. If you feel like you’ve tried everything and need support along the way to help you support your loved one without costing your own health in the process, we are here to help. 

How to Approach Someone With Love Without Enabling the Behavior

One of the hardest lines for a family member to walk is the one between support and enabling. Dr. Powers, Chief Medical Officer at Positive Recovery, puts it simply: you can be on someone’s side without being on the side of what’s hurting them.

“If you can approach the person with love and care and understanding without being too permissive, you sort of let them know that you’re on their side of health, but not necessarily on their side of destruction,” he says. “Let them know you’re concerned. Let them know you love them, and let them know you’re there for help.”

That balance takes practice, and most people don’t get it right on the first try. Dr. Powers points out that this is exactly what therapists and coaches are for. Finding the words to express love and concern at the same time, without sliding into rescue mode or ultimatums, is a skill, not something you’re supposed to already know how to do.

When Lying About Addiction Feels Like Survival for Your Loved One


Few things damage trust in a family faster than watching someone you love lie to your face, over and over, even when you know the opposite is true. It can feel personal, and it can feel like they don’t respect you enough to be honest.

Dr. Powers offers a different lens, however, one that doesn’t excuse the lying, however, does explain the possible why behind it. In active addiction, the brain has been hijacked into treating continued use as a matter of survival.

“People who have active addiction believe that continued use of their substances, or continued acting out if it’s a process addiction like gambling or sex, is survival,” he explains. “The disease is lying to protect continued use.”

“I’m a hundred percent in favor of holding people accountable. It’s important that you set boundaries, and it’s important that you take care of yourself, and it’s important that you don’t accept certain behaviors that continue to be harmful to you and others around you.”


Learning to hold both of those truths at the same time- that the lying comes from a hijacked brain and that it still can’t be allowed to continue unchecked- is difficult to do without support. This is exactly the kind of balance a therapist or a structured family program can help you find, so you’re not left guessing at it on your own.

Why Boundaries Are an Act of Care, Not Punishment

Julie DeNofa, President at Positive Recovery Centers, sees this pattern constantly in the families who come to PRC for guidance.

“The truth is that when families are reaching out to us, they have probably done everything they could do to help that was healthy, and they may now be in an unhealthy situation,” Julie says. “I like to tell family members to get involved in a recovery community. It is a family disease, and you have to renegotiate what your boundaries are and be able to take care of yourself while still instilling hope in the person who is suffering from the addiction.”

Having strong boundaries is an act of care, not punishment. It’s an act of care for your loved one in saving the relationship, and it’s a form of care in saving yourself.

Setting healthy boundaries might mean you won’t hand over money or that you no longer cover for them at work. And it might mean stepping back from a conversation the moment it turns into a shouting match. A boundary isn’t a punishment aimed at the person struggling. It’s a structure that keeps you standing so you have something left to offer them when they’re ready to heal.

“The healing process that starts on someone’s recovery journey involves not just the person suffering from the addiction but also the entire family that has been brought into it,” she says.

That’s why family workshops exist as their own piece of the treatment process. Group therapy and education aren’t just about learning how to support someone else. They’re about giving family members a place to process what they’ve been carrying, often for years, and often alone.

If Someone You Love is Struggling with Addiction, There is Still Hope

Loving someone through addiction is one of the hardest things a family can go through, and there is no script that removes the fear or the grief that comes with it.

What Julie and Dr. Powers both point to, in different ways, is that families don’t have to carry this alone or figure it out through trial and error. A recovery community, a therapist, and a structured family program all exist because the skill of loving someone through this isn’t instinctive. It’s learned, often alongside other people walking the same road.

If you’re standing where so many of the families we work with have stood, unsure whether to intervene, set a boundary, or simply hold on a little longer, our admissions team and family workshop coordinators are available to talk through your next steps.

Call today at 877-476-2743 to speak with an admissions specialist or visit our website to learn more about our various treatment options and find a location nearest you.

We are here for you, whether you are struggling with addiction yourself or someone you love is struggling with addiction. You don’t have to have the whole plan figured out before you reach out.

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