By Richard J. Capiola, MD
Alcohol use disorder (AUD) is a chronic, relapsing brain disorder characterized by compulsive alcohol use, loss of control over alcohol intake, and negative emotional states when not using. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), approximately 14.1 million adults in the United States ages 18 and older had AUD in 2019. This condition affects individuals and significantly impacts their relationships with family, friends, and romantic partners.
Effects of Alcohol Use Disorder on Relationships:
1. Communication Breakdown: Alcohol use can impair cognitive functions, leading to difficulties in effective communication. Individuals with AUD may experience slurred speech, impaired judgment, and memory lapses, making it challenging for them to express themselves clearly. This communication breakdown can strain relationships, leading to misunderstandings, arguments, and resentment.
2. Trust Issues: Continued alcohol misuse can erode trust within relationships. Unpredictable behavior, such as lying about drinking habits, breaking promises, or engaging in risky behaviors while under the influence, can lead loved ones to question the reliability and honesty of the individual with AUD. Repeated breaches of trust can damage the foundation of relationships, causing emotional distress and distancing between partners.
3. Emotional Distress: Alcohol use disorder often coexists with mental health conditions such as depression and anxiety. Individuals may turn to alcohol as a coping mechanism to numb negative emotions or alleviate stress. However, excessive alcohol consumption can exacerbate these underlying mental health issues and contribute to emotional volatility. Partners may experience heightened levels of stress, frustration, and helplessness as they witness their loved one struggle with both alcohol dependence and emotional distress.
4. Isolation and Social Withdrawal: Individuals with AUD may prioritize drinking over spending time with loved ones or participating in social activities. As alcohol becomes the focal point of their lives, they may withdraw from social gatherings, neglect responsibilities, and isolate themselves from family and friends who do not support their drinking habits. This isolation can lead to feelings of loneliness, abandonment, and alienation among both the individual with AUD and their loved ones.
5. Financial Strain: Alcohol misuse can place a significant financial burden on individuals and their families. Excessive spending on alcohol, legal fees resulting from alcohol-related incidents, and medical expenses related to health complications can deplete savings and strain household finances. Financial instability can lead to stress, arguments, and resentment within relationships, further exacerbating existing tensions.
Seeking Help and Support:
It’s essential for individuals struggling with alcohol use disorder to recognize the impact of their drinking on their relationships and seek help from qualified professionals. Mental health therapists, addiction counselors, and support groups can provide valuable resources and guidance for individuals and their loved ones navigating the challenges of AUD.
Therapy sessions can offer a safe space for individuals to explore the underlying factors contributing to their alcohol misuse, develop coping strategies for managing triggers and cravings, and improve communication and conflict resolution skills within relationships. Cognitive-behavioral therapy (CBT), motivational interviewing, and family therapy are among the evidence-based approaches used to address AUD and its effects on interpersonal dynamics.
Additionally, support groups such as Alcoholics Anonymous (AA) provide peer support and encouragement for individuals seeking sobriety. Attending meetings and connecting with others who understand their struggles can help individuals feel less isolated and more motivated to maintain their recovery journey.
Alcohol use disorder not only affects the individual but also has far-reaching consequences on their relationships with family, friends, and romantic partners. From communication breakdowns and trust issues to emotional distress and financial strain, the impact of AUD can be profound and multifaceted. However, with professional help, support, and a commitment to sobriety, individuals can repair and strengthen their relationships while addressing their alcohol misuse. If you or someone you know is struggling with alcohol use disorder, it’s essential to seek help and support from qualified professionals to start the journey toward healing and recovery.
If you or someone you love is exhibiting signs of a mood disorder or other mental health issues, there is help in Southwest Florida. Dr. Richard Capiola, MD, is a board-certified psychiatrist with specialty certifications in addiction and forensic psychiatry and over 31 years of experience in the medical field. He graduated from Tulane University School of Medicine in 1990. Be sure to call Dr. Capiola ahead of time to book an appointment.
RICHARD J. CAPIOLA, MD
239.649.7494
708 Goodlette Frank Road N, Suite 342
Naples, FL 34102