Category: Assisting Loved Ones

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How To Deal With My Husband’s Addiction

Dealing with a loved one’s addiction has no set blueprint, but learning how to cope with your husband’s addiction can help you both heal. Addiction’s deep roots and substantial impacts on life can make dealing with it feel impossible. But with the right treatment and support, you and your husband can find recovery.

What Should I Do About My Husband Being Addicted to Drugs or Alcohol?

If your husband is addicted to drugs or alcohol, know you can’t force them to get better. You can support them in their treatment journey, offer encouragement, and set boundaries, but you can’t cure them. That’s okay; you’re not meant to. 

What you should or shouldn’t do also depends on your unique situation. Spouses in abusive relationships may not feel safe acknowledging their husband’s addiction or suggesting they get treatment. If you’re in an abusive relationship, you have several resources for help. You can contact the National Domestic Violence Hotline, the National Sexual Assault Hotline, and 911 (or your local emergency number) if you’re in imminent danger. 

Some spouses may feel comfortable with a direct, confrontational approach. How you go about it can differ widely from one relationship to the next. Your unique relationship can determine what you do and don’t do about your husband’s addiction. Here are a few examples:

Have a Discussion About Getting Help

You can raise your concerns during a conversation. For example, you could say:

“I’ve noticed you’re drinking more and regularly getting tipsy or drunk. I don’t think this is good for you, and it makes me uncomfortable. I want to help you get help. What do you think about starting treatment?”

In this discussion, you can gauge their willingness to seek treatment. Be sure you tell your husband how their drinking affects you, your relationship, and the children you may have. Let them know you’re there to support and encourage them through treatment.

Set Boundaries and Avoid Enabling

You likely spend a lot of time with your husband. They live with you, see you daily, and may also parent with you. It’s natural to want to help them in any way you can, but that can lead to enabling behaviors and the loss of your personal boundaries.

You can prevent this by setting healthy boundaries as soon as you can. Establish immediately that you won’t cover their absences, give them money, or make excuses for their behavior. That can help keep your time and emotional wellness intact. You can also refuse to take responsibility for the consequences of their actions. 

Giving money, making excuses, or taking on their responsibilities can enable your husband’s addiction. Doing so can make them feel more comfortable not seeking treatment or help.

How to Cope with Husband’s Addiction

Coping strategies can help you stay mentally well. Remember, your coping strategies are to help you cope, not your husband. You’re not responsible for fixing them. What you can do is help yourself; that way, you’ll be in a place to offer support and encouragement.

Spend Time With Them Mindfully

Be watchful of the time you spend with your husband. If they’re actively addicted to drugs or alcohol, spending all your free time with them may negatively impact your mental health. Time away from them can help you set priorities and stay aware of your emotions and feelings. 

Practice Self-Care

Maintaining a self-care regime can help you cope with your husband’s addiction. Self-care could look different for everyone. Examples include:

  • Time set aside for your hobbies and interests
  • Taking care of your body–skincare, exercise, and good sleep
  • Meeting up with friends and loved ones
  • Making yourself nutritious meals and stay hydrated

Get Professional Treatment

Going to therapy can help you cope with your husband’s addiction. Your therapist or counselor can help you process challenges, create a toolset of coping skills, and help you formulate action plans. Loved ones can also join family support groups to connect with other families.

Discover Support for Family Members

Spouses and other family members have options for support. Peer groups meet worldwide to connect, offer encouragement, and share in each other’s challenges. One of these groups is Al-Anon, created for the loved ones of alcoholics. It follows a similar structure of AA/NA meetings.

Family members can also join Nar-Anon, which supports family members of someone struggling with a drug addiction. Learn to Cope offers peer support in person and online. SMART Recovery (non-12-Step) also has groups and resources for families.

In these groups, you’ll meet with other family members and a facilitator will lead the group. You’ll have the chance to share your experiences, offer and receive support, and find encouragement in shared struggles. Your groups may have a theme, like processing grief or trauma from your loved one’s addiction, or be a more broad sharing experience.

You could also find support groups in your local community. Some community centers, churches, or religious organizations have family peer support groups. Check your local resources (webpage for your city, social media groups) to see what’s available. 

You can also attend family therapy with your husband. Many treatment centers offer this service to help you and your spouse heal together. You can also attend family therapy in an outpatient setting.

Treatment Options for Your Husband’s Addiction

When your husband feels ready and committed to treatment, they’ll have many options to choose from. His clinical needs, history of substance use, and preferences determine which level of care will be the best fit. His doctor can assess his current state with addiction and recommend a level of care, or staff at a rehabilitation center may make the assessment before admitting your husband into treatment.

Questions to Ask Your Provider

Your husband can ask several questions at the initial doctor’s appointment to clarify his needs and treatment pathway. Here are a few to keep in mind as he embarks on this journey:

  1. What level of care would suit my situation and symptoms best?
  2. Do I have a co-occurring mental health condition?
  3. Will medications improve my symptoms, and would you recommend them?
  4. What are the potential side effects of those medications?
  5. Will I need to detox?
  6. What other care options and resources would you recommend?

Levels of Care for Addiction

Many people begin their treatment journey in detox to rid their bodies of addictive substances safely. Some people won’t need detox; it’s always best to let your doctor or a treatment facility decide. From there, your husband may progress through each level of care or start and stop at one level.

  • Detox: a safe, monitored phase where your husband will stop taking substances and let them clear from his system. Medications can make this process safer and more comfortable. It’s not recommended to detox at home since detoxing can cause potentially harmful withdrawal symptoms.
  • Residential Treatment: live-in treatment with 24/7 monitoring, structured schedules, and onsite treatment. Your husband will attend various therapies to address the root cause of their addiction. Many residential rehabs allow family visits and provide family therapy.
  • Day Treatment: your husband will live at home or in a sober living residence (living in a house with other peers in sobriety; strict no-substance rules) and attend about 30 hours of weekly treatment. 
  • Intensive Outpatient Program (IOP): similar to day treatment, but your husband will spend less time in treatment. Some IOPs have day or evening programs for greater flexibility. He’ll spend about 20 hours in weekly treatment and have more time for work and family.  
  • General Outpatient: two or three weekly therapy sessions, usually in a group setting. Your husband will live at home or in sober living.

Locate a Detox Center

Detox may be the first step in your husband’s recovery journey. It can also be the first step to a healthier marriage and improved mental health. Detox centers have experience detoxing clients from alcohol and a wide range of illegal and prescribed drugs. 
To find a detox center, use Recovery.com to browse detox centers in your area and view photos, insurance information, and reviews.

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Empowering Support: Resources and Strategies for Loved Ones in Mental Health and Addiction Treatment

Addiction and mental health conditions don’t only affect the individual—they affect the entire family unit. If you know someone in recovery, chances are you are a part of the healing process. 

Support from loved ones plays a critical role in the treatment journey, not just as a supplementary aspect of care but as a core component of successful recovery. Your help is a profound act of love, but it comes with challenges. Loved ones can face obstacles that test their resilience, patience, and emotional stability. Understanding these challenges is crucial for developing strategies to navigate them effectively. 

Understanding the Role of Loved Ones

Each person’s journey with recovery looks different, and so does the support of their loved ones. Regardless of when you joined their treatment journey, your help matters. 

When a person undergoes addiction or mental health treatment, support from loved ones can greatly improve their outcomes1. Family engagement can lead to fewer relapses, longer duration between relapses, reduced hospital admissions, shorter inpatient stays, and improved compliance to medication and treatment plans.

These massive patient benefits are likely why you want to help your loved one through recovery; however, witnessing their struggle with mental health issues or addiction can be emotionally taxing2. The constant worry and need to provide ongoing support can be physically and mentally exhausting. This can lead to emotional burnout3, where the supporter feels overwhelmed and unable to continue providing care effectively.

Assisting a loved one through treatment requires patience, understanding, and a compassionate approach. Your guidance during this time is invaluable; however, remember that you don’t have to do it alone. There are many resources to support you and your loved one during recovery.

Types of Resources Available

To support your loved one to the best of your abilities, you will need outside help. Fortunately, there are multiple avenues available.

Educational Resources

Substance use disorders and mental health conditions can be very complex. The more you know about the condition(s), and what your loved one is going through, the better equipped you both are to navigate recovery.

To learn more about different disorders, types of treatment, insurance coverage for rehab, and more, visit our Resource Library to explore comprehensive articles covering a variety of educational topics.

You may also do your own research and talk to medical professionals to stay informed. Reading up on the condition(s) can provide you with a basic understanding of the symptoms, treatments, and potential risks. Speaking with a doctor or your loved one’s care team can offer personalized insights and information. 

Support Groups

Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) groups use the 12-Steps program as their foundation. AA and NA hosts meetings for family members of people with substance or behavioral addictions to learn from the others’ shared experiences. They offer in-person or virtual groups across the country. Find an Al-Anon or Nar-Anon group near you. 

SMART Recovery also offers family support groups, however they differ from the 12 Steps by focusing on one’s resilience and ability to overcome addiction rather than a higher power.

For those with a loved one in mental health care, the National Alliance on Mental Health (NAMI) provides family support groups. During sessions, peers discuss their experiences to foster understanding and hope. You may work on coping skills, forgiving yourself for past mistakes, releasing judgment, and embracing resilience. Groups are free and confidential. Find a NAMI family support group near you.

Therapy and Counseling

Family therapy will likely be an option as part of your loved one’s treatment plan. Addiction and mental health treatment is more effective with family therapy4, helping both the person in recovery and loved ones. By making positive changes in family dynamics, therapy can reduce the stress of having a loved one in treatment and improve how families treat each other as a whole. In a family therapy session, you can set boundaries, work on communication skills, and resolve conflicts.

You may choose to seek professional 1:1 counseling. It can provide a confidential and safe space for you to process your feelings, develop coping strategies, and maintain your well-being while supporting your loved one. Your therapist might help you communicate your boundaries, prioritize self-care, and practice stress management techniques.

Strategies for Supporting Treatment

Supporting a loved one through treatment for mental health issues or addiction is a compassionate yet complex journey. It requires patience, understanding, and a proactive attitude to support your loved one and take care of your own well-being. A well-rounded approach, emphasizing helpful communication, is key. 

Effective Communication Techniques

Talking to someone who’s experiencing addiction or mental health issues can be an opportunity to show your empathy and understanding5. You can approach these conversations with a calm and non-judgmental attitude. Show that you genuinely care and want to listen. And be clear that you’re concerned about them.

Encourage them to share their feelings by asking open-ended questions like “Can you tell me what you’ve been going through?” or “How have you been feeling lately?” 

Try to make your loved one feel seen by acknowledging their experiences. You can say things such as “Tell me how you are feeling, I care about your feelings and well-being,” or “I am right here for you. Tell me how I can help you.” Empathize with what they’re experiencing—they’ll be more likely to trust you for help.

Your loved one is going through a challenging time, so try your best to be patient. Stay calm and collected when they tell you about their feelings. Make sure they know that they don’t have to go through this alone. Remind them that seeking help is a positive step.

Setting Boundaries and Practicing Self-Care

Setting healthy boundaries can help maintain a positive relationship dynamic and prevent enabling behaviors. Boundaries are essential for both your loved one and yourself, as supporting someone in recovery can be emotionally taxing.

For example, you can express that you won’t participate in activities or situations that enable their addiction, but you’ll support their recovery efforts. This could look like withholding money they would use to buy drugs or not bailing them out of jail. You can offer your help finding appropriate treatment and stay consistent with your support. 

Take care of yourself by setting healthy boundaries, seeking support from others, and practicing self-care. You cannot care for someone else if you are not taking care of your own needs first.

Encouraging and Reinforcing Positive Behaviors

Recognizing both big and small achievements propel the recovery journey. Your loved one is likely to sustain recovery by staying positive and motivated6. Conversations should stay optimistic and realistic—acknowledge their hard work and express your belief that they can overcome these challenges. You can offer regular support and words of affirmation with your love and confidence in their ability to recover. 

Milestones could look like attending therapy sessions regularly, reaching sobriety cornerstones,  or simply having a good day. You can personalize celebrations to what your loved one finds meaningful and enjoyable, such as a favorite meal or a small gathering with close friends and family. 

Establishing traditions around milestones can give your loved one something to look forward to. For example, for each month of sobriety, you might plant a new flower in the garden.

Ways to Help Loved Ones Help Themselves

One of the best ways you can help your loved one is by guiding them towards tools to effectively sustain recovery by themselves. Your loved one may deal with uncomfortable feelings for the rest of their life because of their condition(s). Creating healthy habits can manage discomfort during their journey.

Outside of professional treatment, your loved one can participate in multiple self-reflection and self-care techniques to support their recovery. Taking time to reflect on personal values and treatment goals can help your loved one stay aligned with their desires. Journaling can be therapeutic7, so encourage them to write responses to questions such as 

  1. What events or decisions led you to this point in your recovery journey? How do you feel about them now?
  2. What triggers have you identified that impact your mental health or addiction? What healthy coping mechanisms have you found effective?
  3. What are the most important lessons you’ve learned from your experiences before and during recovery?
  4. What achievements, big or small, have you made in your recovery? How did you accomplish them?
  5. What personal strengths have you discovered or strengthened through your recovery process? How have they helped you?
  6. How has your journey affected your relationships with family and friends? Are there relationships that need mending or strengthening?
  7. What are you grateful for today? How does gratitude impact your recovery journey?
  8. Write a letter to yourself expressing compassion and understanding for your journey. What would you say?

You could offer to engage in healthy activities with your loved one to support their recovery. You might take a walk or do yoga with them for exercise, and you could make healthy, nutritious dinners with them. Your loved one may enjoy creative outlets such as painting, so you could do a weekly paint night with them. And promote supportive relationships with family, friends, or support groups who understand and encourage their recovery journey.

By integrating these healthy self-care practices into daily life, your loved one in recovery can build a strong foundation for sustained well-being and resilience. You play a valuable role in their treatment journey, so be sure to give yourself the love and recognition you deserve. With your help and professional support, your loved one can create a healthier, more fulfilling life.

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How to Use Naloxone: What Is Narcan and Where to Find It

If someone is overdosing, immediately call 911 or local emergency services.

Narcan, or naloxone, is used to reverse opioid overdose. Opioids, such as heroin, opium, morphine, codeine, and fentanyl, can be legal prescription medications or illegal substances. 

Overdose occurs when an opioid’s depressant effects on the central nervous system cause life-threatening reactions. Narcan reverses an overdose by binding to the same brain receptors as opioids, thereby blocking the opioids from attaching to the receptors. This helps restore normal breathing and consciousness.

Narcan is usually administered through a nasal spray, and it can also be injected.

When to Use Narcan

It’s possible for opioid users to accidentally ingest too much at once and overdose. Other substances like MDMA can be cut with opioids, such as fentanyl, to lower production costs. If someone is displaying the signs of overdose, even if they didn’t knowingly take an opioid, you can still administer narcan—narcan won’t harm someone who didn’t ingest opioids1.

Overdoses usually include respiratory failure, where breathing becomes slow, shallow, or even stops completely. Other signs of overdose1 include:

  • Unconsciousness 
  • Very small pupils
  • Vomiting
  • Inability to speak
  • Faint heartbeat
  • Limp arms and legs
  • Pale skin
  • Purple lips and fingernails

Without immediate medical intervention, an opioid overdose can be fatal. In addition to using narcan in the event of an overdose, immediately call 911 or local emergency services.

Until emergency services arrive, you can help someone who’s overdosing2 by assisting them to sit or lay down in an open space. You can administer CPR if you are qualified, and if their skin is blue, perform mouth-to-mouth resuscitation. Additionally, use Narcan.

How to Administer Narcan

The American Medical Association created instructions showing how to administer Narcan3. You can also watch in video format:

If you are using NARCAN nasal spray, follow these steps:

  1. Peel back the package and remove the device. Put your thumb on the bottom of the plunger and two fingers on the nozzle.
  2. Place and hold the tip of the nozzle in either nostril until your fingers touch the bottom of the patient’s nose.
  3. Press the plunger firmly to release the dose into the patient’s nose.

Tip: When administering a nasal spray, help the patient gently tip their chin upward. This helps open their airways so the spray can better reach the bloodstream.

If you are using EVZIO auto-injector, follow these steps:

  1. Pull the auto-injector from the outer case.
  2. Firmly pull off the red safety guard; do not touch the black base (this is where the needle comes out).
  3. Place the black end of the auto-injector against the outer thigh, through clothing if necessary.
  4. Press firmly and hold in place for 5 seconds. (There will be a distinct “hiss” and “click” sound when working properly. The needle will not be visible after use.)

If you are using yellow cap nasal spray, follow these steps:

  1. Pry off the syringe’s yellow caps (both sides).
  2. Pry off the purple cap on the naloxone capsule. 
  3. Grip the clear plastic wings on the spray nozzle.
  4. Thread the spray nozzle on the syringe.
  5. Gently screw the naloxone capsule into the barrel of the syringe.  
  6. Insert white spray nozzle into the patient’s nostril. Give a short, firm push on the end of the naloxone capsule to spray.
  7. Administer half of the capsule into each nostril.

If you are using an intramuscular syringe needle, follow these steps:

  1. Inject 1 cc of naloxone straight into a muscle, such as the thigh, outer side of the glute, and shoulder.

Administer another dose of Narcan if the patient doesn’t respond/wake up after 2-3 minutes.

Where to Find Narcan

Fortunately, Narcan is becoming more widely available. You can purchase Narcan over the counter in many pharmacies. Local health clinics and community health centers may offer naloxone training and distribution. 

You can also order it online from websites like Narcan.com4. Some states will even send it to you for free—search “free Narcan _(your state or city)_” to find an organization.

How to Care for Someone After You Give Narcan

After you administer Narcan to someone, stay with the person. Emergency services should already be dialed and on their way, but don’t leave the person’s side until medical professionals assist them.

If the person is not breathing or has a weak pulse, continue with CPR if you are trained to do so. Otherwise, ensure the person is lying comfortably on their side with their airways clear to avoid choking on vomit. Once medical professionals arrive, discuss all relevant details to the overdose and what you have done to assist the person (including the type of Narcan you administered and how many doses).

How to Become Trained to Administer Narcan

You can become a trained Narcan administrator through online courses or in-person events. Websites such as Overdose Lifeline5, The Center for Disease Control6, End Overdose7, and American Red Cross8 provide virtual training. You can typically become certified in an hour or less.

Sometimes, you can receive training in person at harm reduction events. Some states may have a map showing where you can get trained, such as Colorado’s End Overdose page9.

However, even if you are not Narcan trained, you can and should still use it to save someone’s life.

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What Is Generational Trauma? Definition, Examples, and Effects

Generational trauma affects a generation’s worldview, mental health, and overall well-being, starting with something that happened to the parents. Their children, and their children’s children, can carry the effects of trauma despite not living through it. 

Generational trauma can be passed down through learned behaviors, parenting styles, and can influence children’s genetics, predisposing them to mental and physical health challenges. 

What Causes Generational Trauma?

Generational trauma is caused by a parent, or both parents, experiencing trauma1 and transmitting it to their children. The parents can be part of a collective group, like Holocaust survivors, or singular survivors of a traumatic event like childhood abuse, disasters, or rape. 

Children with generational trauma don’t experience the trauma directly. Instead, the effects of it pass down from their parents and can leave their children with symptoms and worldviews as if they did directly experience it. Without treatment, generational trauma can pass down through multiple generations.

Examples of Generational Trauma

Generational trauma can affect entire groups and races. For example, Indigenous and minority communities still feel the effects of racism, brutality, and segregation. Survivors of war and Holocaust survivors similarly experience collective generational trauma. 

Since generational traumas often impact a group’s culture and way of life, newer generations may collectively seek out more information about their history and the traumas affecting them in the present day. Some groups and races may not be comfortable with that yet, but many are. Here are a few examples of generational trauma in specific groups/races/communities.

Indigenous Communities

Residential schools in America and Canada housed Indigenous children in an attempt to disseminate their culture, impose religion2, and ultimately force Indigenous children to adopt a Western culture. Malnutrition, racism, violence, genocide, and abuse in and out of residential schools imposed trauma that’s extended over generations.

Indigenous communities bear generational trauma as a collective group, with singular instances of trauma in each unique family and community. Children and grandchildren of those who were in residential schools and victims of colonization can feel the effects of their trauma despite not having gone through it themselves.

Asian Communities

Past wars, immigration, imperialism, and racism can all cause generational trauma in Asian families and their community as a whole. Many Asian Americans also bear the “model minority” label3, where generations are continually expected to behave with gratitude towards America and to forget the trauma in their past (and America’s contribution to it). Thus, silence can prevail between generations, which further distributes generational trauma3. 

Black Communities

Slavery, racism, segregation, and violence impacted black communities from the slave trade and continued racism from it. Black families and communities in America share a haunting past of death, brutality, and inhumanity that still carries into the present. As a result, generational trauma can pass through families and affect generation after generation.

African Americans have been segregated and not seen as equals. Racial violence has been hidden and expected to be forgotten. Even in present-day America, issues like these continue to affect new generations and promote further generational trauma. 

Holocaust Survivors

The men, women, and children who survived the Holocaust (1933-1945) can carry the burden of generational trauma. Murder, assault, racism, and genocide impacted Jewish families and left deep scars in their lineage. Survivors experienced unforgettable horrors and developed post-traumatic stress disorder.

The effects of the trauma passed through generations of Jewish families in and outside Europe. The brutality of the Holocaust continues to shake and affect Germany, European countries, and America despite efforts of justice and healing.

Other Genocide Survivors

Several countries and cultural groups within them have experienced genocide. Rwanda, for example, experienced genocide in 1994. Genocide has also happened in Darfur, Bosnia, Herzegovina, China, Ukraine, Armenia, and more. Murder, violence, theft, and rape were often used as weapons. 

Those who survive genocide are often left with emotional scars. Many women and girls, for example, were raped and mutilated. The communities and cultures who survived genocide bear the weight of it and can pass that down in future generations, especially as groups try to rebuild relationships and reestablish harmony. 

How Is Generational Trauma Passed Down? 

Trauma can pass through parenting styles, imposed worldviews, and, as research recently suggests, genetics. For example, mothers in the Holocaust were found to pass on the genetic changes4 that dysregulated their stress response. That’s because of epigenetics, or how your environment and behaviors affect how your genes work5. Biological and genetic changes can make children more disposed to inherited health and mental health conditions.

Silence can be the catalyst3 for generational trauma. Older generations may not feel comfortable talking about, or at all acknowledging, their trauma. Burying their trauma can inadvertently pass it on to their children, who pick up on their traumatized state and adapt in response. 

Children may adapt by becoming overprotective1 of their parents, by holding onto the trauma and attaching to it, and by taking their parent’s view of the world to maintain their idea of safety. They may see the world as unsafe, unfriendly, and feel isolated by what their parents or grandparents went through. 

How Does Generational Trauma Affect Families?

Families can become disconnected and distant as a result of generational trauma. Parents experiencing PTSD and trauma may struggle to form secure attachments to their kids, affecting their emotional growth and wellness. An unwillingness to talk about obvious trauma can frustrate children and derail their desire to heal. 

Children may also feel the burden of fixing the trauma. They may see how it affects their parents and subconsciously decide perfection can fix their parent’s problems and restore their family. Perfectionism, anxiety, and obsessions can then pass down to their children and extend the original trauma’s effects. 

Ultimately, unacknowledged and untreated generational trauma can forfeit familial closeness and intimacy. Parents and children can then turn to maladaptive coping strategies, like substance use, to cope with the initial trauma and its later effects.

Effects of Generational Trauma

Generational trauma has a few key effects6, including:

  • Fused identity with parents and what they experienced
  • Poor self-esteem
  • Self criticism—”Why am I struggling with this when my parents had to go through ___?”
  • Worrying the initial trauma will happen again
  • Guilt
  • Hypervigilance
  • Mental health conditions, like anxiety and depression

Breaking The Cycle of Generational Trauma

If silence is the catalyst of generational trauma, then conversation is its mediator3. Having open conversations about the traumatic experience educates children, helps older generations process, and can prevent trauma’s effects from passing further. 

In these conversations, emphasizing collective resilience can help survivors3 and their children heal. Collective resilience occurs when a group comes together to get through a challenge, rather than isolating, and recognizes their strength. Facing generational trauma can make future generations more adaptive6 and resilient to future challenges. 

Leaning into tradition and culture can empower old and new generations and instill resilience. Storytelling, traditional activities, and other cultural practices can help survivors acknowledge what happened, its effects, and their efforts toward collective healing.

Parents can also prioritize mental health treatment to improve how they communicate with their kids, how they react to challenges, and how they cope with trauma they experienced without it inadvertently affecting their parenting. 

How to Heal Generational Trauma

Parents and their children—and their children—can also heal from generational trauma through mental health treatment. A mental health professional, like a therapist, psychologist, or counselor, can help those affected by generational trauma process the past and move into the present.

A mental health professional can also help challenge worldviews affected by generational trauma and expose truth. They may use evidence-based therapies like cognitive behavioral therapy (CBT), which challenges unhelpful thought patterns and their resulting behavior. 

Internal family systems (IFS) therapy takes a more creative and engaging approach to identifying generational trauma and equipping your inner Self to heal it. In IFS, generational trauma is identified as an outcast part of yourself that your inner Self can heal. You’ll learn to identify generational trauma and how to realize your innate ability to heal.

Find Help for Trauma

Attending a residential rehab center for trauma can help you take focused time for healing in a safe, non-triggering environment. Browse our list of rehabs that treat trauma to see photos, reviews, insurance information, and more.

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What Is a Gateway Drug?

A gateway drug is a legal or more socially acceptable drug that, once used, could lead to illicit drug use and addiction. Notably, gateway drugs and the gateway drug theory refer to adolescent drug use and how abstaining from all drugs in adolescence can help them avoid illicit drug use and addiction as adults.  

The gateway drug theory1 suggests using “soft” drugs like alcohol, tobacco, or marijuana in adolescence predisposes teens and young adults to use “hard” drugs like cocaine. Order matters in the theory—cocaine use doesn’t lead to alcohol use, but it can be true the other way around.

Researchers haven’t conclusively agreed on the truth of the gateway theory, since not everyone who drinks or smokes becomes addicted or starts using a harder drug. Some people can use gateway drugs and never struggle with illicit drug use. The real connection, some say, is age of onset, preexisting mental health conditions, and genetic predisposition. 

What Are Common Gateway Drugs?

Gateway drugs are almost always legal (in some states), broadly accessible, socially accepted, and easy to ingest. Three primary gateway drugs include:

  1. Alcohol

Alcohol is a prevalent, easily accessed, and socially promoted substance across all age groups. Teens and adolescents may feel pressure to drink with other peers or want to experiment. Some teens can drink occasionally without issue, but one study also found children ages 12-17 who drank alcohol were 50% more likely to later use cocaine2. 

  1. Nicotine

Cigarettes and vapes contain nicotine, a psychoactive component of tobacco. Daily smoking or vaping was found to lead to marijuana use1 and other hard drugs. Those who smoke were found to be 19x more likely to use cocaine2, compared to teens who didn’t smoke.

  1. Marijuana

Marijuana (also called weed) is a psychoactive chemical that comes from the cannabis plant. It’s legal in some states but commonly used whether it’s legal or not. Weed can be smoked, eaten, or applied topically. It has a pungent mossy odor.

Some teens who used cannabis were 85x more likely to use cocaine2. Another study found teens who use marijuana usually don’t use harder drugs later on. The connection depends not solely on marijuana use1; age of use, timing, and the teen’s mental state primarily provide the ‘gateway’ effect.

Which Drug Is Often a Gateway to Other Drugs?

One particular drug doesn’t always lead to illicit drug use. Taking any psychoactive substance can increase the likelihood of adult substance use1, particularly stronger drugs like cocaine. 

Alcohol and nicotine could be considered more common gateway drugs because both are legal and easy to access, whereas weed isn’t always legal and can be harder to get. 

Are Gateway Drugs Addictive?

Gateway drugs can be addictive. Alcohol, nicotine, and marijuana can all affect and change the brain3, leading to dependence and eventual addiction. Just because they’re legal and common doesn’t mean they’re safe. 

For example, about 29.5 million Americans have been diagnosed with alcohol use disorder4. In 2020, alcohol killed more people than COVID-19. Similarly, nicotine is highly addictive5, and the action of smoking/vaping is reinforcing. 

Are Gateway Drugs Not as Serious as Other Drugs?

No, gateway drugs are serious. Any psychoactive substance can harm your mind and body, unless taken under clinical advice and supervision. 

The World Health Organization (WHO) recently released a statement that “no level of alcohol consumption is safe.”6 Any amount of alcohol, they say, is toxic and has the potential to cause harm and dependence. 

Nicotine is one of the most addictive substances7, found to be as addictive as “hard” drugs like heroin and cocaine. Nicotine also takes effect right away (or as soon as you smoke or vape), which can worsen the rewarding effect and prompt frequent redoses. Starting small can quickly turn into an addiction.

Marijuana can affect your brain, heart, lungs, and learning capacity. Issues with memory, concentration, and learning can be permanent. Marijuana and tobacco smoke both contain carcinogens10 too, which can cause cancer.

Gateway Drug Statistics

A survey by the National Household Survey on Drug Abuse2 found some staggering statistics about gateway drugs and stronger drugs (cocaine was the stronger drug in their example, but it could also be opioids, hallucinogens, and various synthetic drugs.)

Other factors can influence the following statistics, like personality, environment, age of onset, and more. Simply taking a “gateway drug” doesn’t mean your teen will start using stronger drugs or develop an addiction.

  • 99.9% of people who take cocaine first used alcohol, nicotine, or marijuana
  • 90% of teens and adults who take weed first smoked or drank
  • An adult who used marijuana as a child is 17x more likely to regularly take cocaine
  • An adult who smoked as a child is 3x more likely to take cocaine
  • An adult who drank as a child is 6x more likely to use cocaine
  • An adult who used all 3 gateway drugs (alcohol, nicotine, and weed) is 323x more likely to take cocaine
  • A child who uses all 3 gateway drugs is 266x more likely to take cocaine

Implementing Early Prevention Strategies for Gateway Drugs

Several drug use prevention programs specifically focus on adolescents, including Youth.gov, the STOP Act, and D.A.R.E. The well-known D.A.R.E. movement focused on complete abstinence; more recent preventative strategies focus on community education, mental health treatment, and specifically discouraging marijuana use. 

Starting the conversation about alcohol and drugs can help your teen know the consequences of drug use and that they have other coping strategies available (like therapy, hobbies, and connecting to you as a parent). 

Treatment for Gateway Drugs

Many teens, young adults, and adults use drugs and alcohol as a coping tool for mental health disorders and emotional distress. Treating the symptoms of mental health conditions can prevent teens from using substances in the first place.

Behavioral therapies like cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) can correct thought distortions and help patients find new coping skills for emotional distress.

Sometimes, teens and adults may need detox and residential treatment for addiction. Detoxing from gateway drugs in a clinical setting safely removes toxins from the body. In residential rehab, patients receive daily monitoring and support, group therapies, and individual therapy to address the root causes of their addiction.  

Outpatient levels of care include day treatment, intensive outpatient, and general outpatient treatment. In outpatient, you live at home and go to treatment so you’ll have more time for school and work. 

Find The Best Drug And Alcohol Treatment Centers

To find a drug and alcohol treatment center and compare your options, you can browse RehabPath’s collection of rehabs to see photos, reviews, and insurance information.

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Coping with Family Dynamics in Recovery 

Family dynamics can cause stress for anyone, but that can be especially true for those in recovery. Some families have positive dynamics, while some do not1. Both factors can impact your overall health. Your family’s dynamic will affect your relationships, interactions, and your roles in the family. 

A positive family dynamic includes helpful, clear, and positive interpersonal interactions. You’ll feel secure in their love and in your role as a son, daughter, mother, father, aunt, grandparent, et cetera. Love and respect flow reciprocally and if an issue arises, you work it out with each other’s best interests in mind. 

Stressful dynamics involve unclear communication, disrespect, and negative interpersonal interactions. They can make family gatherings difficult and cause avoidance between family members. Knowing the family roles in addiction can help you avoid triggering family members, or ones who may negatively impact your recovery.

You can prepare for any situation by arming yourself with coping strategies, communication tactics, and other tools. With these in-hand, you can feel more confident and ultimately enjoy time and events with family.

Understanding Family Stressors

Stressors can affect your family dynamic, sometimes adversely. Examples of stressors within families include

  • Grief and loss. If you’ve lost a loved one, your family may struggle to cope and feel their loss especially hard when you all come together.
  • Stressful/unstable relationships with loved ones. Past arguments or misunderstandings with loved ones could keep an undertow of strain around. 
  • Side-forming. If/when conflict does arise, you may feel pressure to take the side of one of the people involved. This can create “groups” in your family—people on one side and those on the other. When groups interact, it could feel stressful. 
  • Distant relationships. You may feel the urge to connect with a loved one, but have a distant relationship that’s hard to navigate and change. 
  • Pressure to drink in social situations. Many cultures celebrate with alcohol, which can cause stress for those in recovery and make it difficult to know the signs you are drinking too much. 
  • Misunderstanding/no understanding of recovery. If your loved ones don’t understand your situation and what you’ve been through, it could be uncomfortable or unproductive to discuss. Rather than understanding and compassion, you may face judgment and confusion. 

Being aware of these stressors before you enter a family gathering, answer a phone call from a loved one, or interact with them another way can help you prepare. Then, you can walk in with confidence and leave not feeling overwhelmed or triggered.

Setting Realistic Expectations

Try to keep your expectations realistic as you meet up/talk with family. For example, you can expect to not be offered a drink and not be pressured into drinking, rather than expecting everyone to abstain from alcohol entirely. 

You can also adjust your expectations of relationships. If you have a poor relationship with an aunt, for example, you can stay realistic and not expect your relationship to completely change after seeing them. You may expect a step in the right direction, but not a complete 180º. 

You can also develop more positive ways of thinking, so you can go into these interactions with the right mindset. For example, don’t expect to have a falling-out or argument with a family member that has a history of being difficult. You could inadvertently set yourself up for arguments and keep yourself from a position of restoration and forgiveness (as applicable). 

Instead, you can set flexible, realistic expectations for yourself. Don’t expect yourself to handle every conversation and situation perfectly. Keep your main goals in mind, like maintaining your recovery, and count them as your main priorities. Decide what’s most important to you and let that guide your expectations. 

Communication Strategies

Clear communication2 can help both the sender and receiver have a productive, well-understood conversation. Miscommunication, where the message is unclear or not understood, can cause tension and upset a positive family dynamic. 

Try not to make assumptions as a listener, like what’s best for the speaker. Put yourself in their shoes as much as you’re able. Try to also listen actively, without thinking of what you’ll say back as they’re speaking. 

As a speaker, focus on careful word choice, not making assumptions, and not cutting off your listener if they speak up. Practice empathy and keep yourself as calm as you can.

You can prioritize clear communication in any one of your family relationships, especially about what you need and your boundaries. Examples could look like this:

“I won’t be drinking tonight, but I appreciate you giving us the opportunity.”

“To protect my mental health and boundaries, I won’t be talking to ____.”

“I’m really glad you called me. If you have time, would you want to discuss ____?”

“No thank you, I can’t do that because I’m in recovery.”

“I would love to talk with you at another time, but I am not able to now.” 

Establishing Boundaries

Setting and maintaining boundaries with your family can help you stay confident with your choices and avoid situations that make you feel uncomfortable. They can even help you maintain sobriety3. 

Boundaries can also help you stay emotionally well, especially when talking to loved ones with strong emotional ties. Since those loved ones can impact your emotional health more than most people can, it can be even more important to set up boundaries with them. A solid boundary can keep you from becoming emotionally burnt out, stressed, and unhappy. 

Establishing boundaries can feel intimidating at first, but you can do it. These tips can help you get more comfortable with setting and maintaining boundaries:

  1. Write down your boundaries and the reasons behind them. 
  2. Write down who your boundaries will apply to most (your mother, sister, great aunt?)
  3. Practice saying them aloud; this can help you get used to how a conversation about your boundaries might go.
  4. Identify the goals of your boundaries—what are they helping you achieve?

Here’s a conversation sample of setting and maintaining a boundary about drinking:

“No, I can’t have a drink with you. I’m in recovery and care about staying sober.”

“I am confident in my commitment to not drink and don’t feel the need to explain why.”

“No, I’m not able to talk about that now.”

“I don’t feel comfortable talking about this.”

Handling Uncomfortable Conversations

Uncomfortable conversations can arise in even the most loving, positive family dynamics. If you have strained relationships or polarizing opinions, avoiding uncomfortable conversations may not be possible. But that’s okay; you can prepare and meet them with confidence. 

If an uncomfortable conversation arises, try to stay calm and aware of your emotions. This can help you formulate a response with a level head. Try as best you can to not take offensive words personally, and don’t reply with the same. Short, calm responses can help dissipate tension and keep your boundaries firm.

Sometimes, loved ones don’t mean to make a conversation uncomfortable, or they may start an awkward conversation by accident. This can be especially true regarding recovery and your decision to not drink or use substances. In those cases, you can prepare a few graceful ways to respond, affirm your boundaries, and correct misconceptions. Here’s a few examples:

“You’re right, I’m not drinking. I’m actually in recovery and have been enjoying life without alcohol.”

“I haven’t had anything to drink because I’m in recovery. I don’t drink at all to maintain the sobriety I worked hard for.” 

“No, I don’t use drugs anymore. I used to, but I’m now in recovery and make different choices.”

“No thank you, I’m actually in recovery from alcohol use disorder and abstain from drinking to maintain my sobriety.” 

Seeking Support

You may have a negative family dynamic, but that doesn’t mean you don’t have people that support you. Building and maintaining a strong support system can help you cope with negative family dynamics and strengthen a positive one. Your support system could include friends, sober peers, sponsors, and specific support groups (like Alcoholics Anonymous). 

A strong support system can help you manage the ups and downs of any family dynamic, and give you the opportunity to grow your chosen family. You can also strengthen your relationships with related loved ones by going to family and couples therapy and grow your support system that way. Internal family systems (IFS) therapy can help you learn about your inner family, too, and how your different parts interact.

Practicing Self-Care

Taking care of yourself can help you navigate your family dynamics. Staying true to yourself can make your interpersonal relationships more genuine and positive.

If your family dynamics cause stress and dysfunction, you have ways to manage the stress. First, you can seek professional help and learn more about stress and addiction. Then, you can practice simple self-care practices like:

  • Mindfulness and meditation
  • Breathing exercises to calm the body and mind
  • Taking a break from your phone and/or social media
  • Reading a book
  • Cooking nutritious meals
  • Saying no to events or activities to give you time to relax

Reflecting on Progress

Positivity and hope help you and your interpersonal relationships with family. Reflect on your recovery journey and what you’ve accomplished. Recognition from your family may be great, but you don’t need it to make your achievement impressive and real. Remind yourself of this as often as you need to.

You can also reflect on positive progress in your family dynamic, however small. Maybe you feel closer to one of your family members than you did before. Maybe a new baby shifted your dynamic into a happier one. Maybe you were able to distance yourself from someone toxic. Note these positive changes to remind yourself how things can move forward. This can encourage and empower you, even in the midst of a negative family dynamic.

You can reflect through meditation, journaling, talking with someone, or all 3. Creative expression can be a tool for reflection, too.
As you reflect and remember the positives, know you can get help, too. Family therapy can improve your family dynamics and relationships with your loved ones. Browse our list of treatment centers with family therapy to see pricing, photos, reviews, and more.

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Navigating Therapy: 11 Tips for Finding the Right Therapist

Finding the right therapist opens a myriad of available treatment types, session formats, and positive therapeutic relationships in your area. It’s the first step on what could be an effective healing journey.

Finding a therapist that fits your needs isn’t always a streamlined process, but it can be. Keep these 11 tips in mind as you start your search to feel empowered in your decision. 

#1: Self-Reflect 

Reflect on your needs and what your goals are in therapy. Do you need help with depressive symptoms? Are you looking to gain coping tools for stress? Or do you know you simply need someone to talk to? 

Take a few moments to identify and write down what you need from therapy. Depending on what you find, it can make your process simpler. For example, if you can identify you need help healing from trauma, you can narrow your search down to therapists who specialize in trauma care.

#2: Determine Therapeutic Approach

Evidence-based therapeutic approaches include cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), eye movement desensitization and reprocessing (EMDR), acceptance and commitment therapy (ACT), and many more.  

Some therapists may also specialize in holistic approaches, like somatic experiencing and mindfulness-based CBT to better connect your mind and body. Therapists may also specialize in individual therapy or only offer group therapy.

Different approaches may match better with your personality and treatment goals. You can discuss your options with your primary care provider or a prospective therapist to learn more about what resonates with you.

#3: Consider Specializations

Therapists may specialize in certain forms of therapy or techniques. For instance, a therapist may specialize in EMDR or internal family systems (IFS) therapy. Therapists may earn specialized credentials or training to perform these types of therapy, or they may dedicate their career to a particular therapeutic approach and gain specialized experience over time.

You can look at a therapist’s bio to learn more about their experience and what they’ve specialized in. Ask them what their specialties are too. They may also have a badge of accreditation included on their profile. 

#4: Research Credentials

Licensed therapists will have any of the following licensure:

  • LCSW: Licensed Clinical Social Worker
  • LMFT: Licensed Marriage and Family Therapist
  • LPC: Licensed Professional Counselor
  • LMHC: Licensed Mental Health Counselor
  • LLP: Limited Licensed Practitioner (Psychologist)
  • LP: Licensed Psychologist 

Therapists need a master’s degree in psychology or counseling and pass a licensure exam. Licensed psychologists have their doctoral degree (PhD or PsyD) in psychology and pass a licensure exam. 

#5: Seek Recommendations

Ask your primary care physician for their recommendations on a therapist and the therapy approach that may meet your needs. You can also ask family and friends for their recommendations, which can be especially helpful for finding local support.

You can also check online platforms like the American Psychological Association, Yelp, and Google for reviews and summaries of what individual therapists offer. 

#6: Assess Compatibility

Researching a therapist may clue you into your compatibility. Or, you can assess your compatibility during your first session. If you don’t feel comfortable with your therapist, it’s important to find someone else. Having a positive therapeutic relationship can increase the benefits of therapy1 and help you heal. 

Keep in mind that you don’t have to stick with one therapist. You can stop at any time and look for a stronger connection elsewhere. 

If you’re compatible with your therapist, you’ll feel like you’re being heard and validated. You’ll feel comfortable speaking and sharing intimate details of your life or situation. You’ll also feel like your words or feelings won’t be judged, which can help you open up freely and experience more benefits. 

#7: Inquire About Therapeutic Approach

Ask your therapist about the approaches they use to hear it described in their own words. In an initial consultation or session, you can learn more about their approaches and why they’ve chosen to provide them. You can also ask about their treatment philosophy to learn more about why they do what they do, and if their motivations align with yours. 

If you have any questions about their approach, you can ask them in this session or in online communications with the therapist.

#8: Evaluate Communication Style

Everyone communicates differently, including therapists. Some may speak more bluntly and directly. Others may prioritize gentleness and will communicate more indirectly. 

You’ll typically discover your therapist’s communication style in your first session. If your communication styles align, you’re more likely to develop a positive therapeutic relationship. 

#9: Consider Logistics

To make therapy a practical endeavor, their office should be easily accessible and their services affordable. You can ask your therapist right away if they offer online sessions; their profile or webpage will typically mention this too. If you have to drive an hour to their office, it may be more difficult to commit to going. Expensive sessions can also deter consistent attendance.

Many therapists accept insurance to keep costs manageable. Consult with your insurance provider and their office to see if your plan will cover costs of treatment. In some cases, your plan will only require a small flat rate for each session.

Some therapists offer therapy online for greater accessibility. If you’re comfortable attending online, virtual sessions can offer flexibility and make treatment possible for those in rural areas or with disabilities.

#10: Trust Your Instincts

You may find a therapist with all the skills and qualifications you feel you need. They could have decades of experience and a fancy office. But that doesn’t mean they’ll be the right fit for you—if anything feels off, trust your instincts and look elsewhere. 

Pursue therapists you form a genuine connection with. You’ll likely notice this right away, or at least within your first 2 sessions. You’ll intuitively feel comfortable with them and open to sharing.

#11: Stay Open to Exploration

You have as many chances as you need to find a therapist you connect with—it’s not something you have to get right in your first try. You can adjust your expectations by remaining open to the idea of trying new therapists. The first one may not be the right fit, and that’s okay. Keep trying.

Pursuing a stronger therapeutic relationship or a different therapeutic approach can benefit your healing and potential for growth. You can continue self-reflection as you attend therapy to ensure your therapist meets your needs and you’re both achieving set goals.  


More intensive care options, like residential rehabs, offer individual therapy as well. You can browse behavioral health centers with individualized care and see prices, insurance options, and reviews.

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How to Help Someone with Schizophrenia: Strategies for Care

Schizophrenia is almost always a severe and disabling mental health disorder. Managing this condition is usually a lifelong process; however, with the right care and professional treatment, it is possible to live a healthy and fulfilling life with this disorder. 

If you know someone navigating this condition, you can offer support during this crucial time by helping them find professional treatment for schizophrenia.

Understanding Schizophrenia

Schizophrenia is a psychiatric condition that is characterized by a disruption in thought patterns, sensory perception, reactions to emotions, and connections with others.  Symptoms of this disorder usually appear during late adolescence or early adulthood, with the most common symptoms being hallucinations, delusions, and disordered thinking. These symptoms can have a major influence on every area of a person’s life.

Schizophrenia’s long-term effects can vary depending on factors such as your loved one’s treatment plan, medication management, when they started treatment, and overall health. Some common long-term effects of schizophrenia include: 

  • Reduced emotional expression
  • Less motivation to accomplish goals
  • Difficulty with social relationships
  • Motor and cognitive impairment

Myths about Schizophrenia

While this disorder can be complicated, there are a few things that schizophrenia is not. 

Myth #1: People with schizophrenia are violent and dangerous. Inherently, people with schizophrenia are not violent. They are actually 14 times more likely to be victimized compared to being the perpetrator.

Myth #2: Schizophrenia is directly caused by a bad childhood or a traumatic event. Schizophrenia is believed to be caused by a combination of genetic, environmental, and neurological factors. It’s a complex interplay of various factors. Parenting style or a single traumatic event does not cause schizophrenia. 

Myth #3: Schizophrenia is untreatable. While there is no cure for schizophrenia, it is a treatable condition. Antipsychotic medications, therapy, and psychosocial interventions can help manage this condition.

Myth #4: People with schizophrenia can’t work or lead meaningful lives. With proper treatment, support, and management, many people with schizophrenia can have fulfilling lives, maintain jobs, and have meaningful relationships. 

Educating Yourself

Schizophrenia is a very complex condition. The more you know about the disorder, and what your loved one is going through, the better equipped you both are to navigate it.

Doing your own research and talking to a medical professional who’s knowledgeable about schizophrenia ensures that you have a well-rounded understanding of the disorder. Reading up on the condition can provide you with a basic understanding of the symptoms, treatments, and potential risks associated with the illness. And speaking with a doctor can provide you with personalized insights and information. Doing both of these can ensure that you are as informed as possible.

Professional Help for Schizophrenia

In all cases, people with schizophrenia need professional help. And the earlier they get treatment, the better chance they have to live a fulfilling life. You can help them find appropriate resources, make appointments, or go with them to appointments if they are okay with that. 

Contact a mental health professional, like a psychiatrist, psychologist, or therapist, to develop a treatment plan. If you are having trouble finding an available professional, go to your primary care physician first. They will be able to refer you to the appropriate person. 

From here, incorporating therapy into their routine will be key. Cognitive behavioral therapy (CBT), family therapy, and social and life skills training can help your loved one learn coping strategies, manage symptoms, and improve social skills. They’ll learn new ways of thinking about and managing their hallucinations and delusions.

Medication Management

Medication management is a cornerstone to treating schizophrenia. Your loved one will be prescribed antipsychotic medication. There are 2 groups of antipsychotics—first-generation, or “typical,” and second-generation, or “atypical.” These both affect the dopamine receptors in the brain, and second-generation also affect the serotonin receptors. Talk to your doctor to see which medication is right for their needs. They may also need prescriptions to manage co-occurring disorders, like substance use or depression. 

Combining medication with therapeutic interventions can be very effective in keeping symptoms under control and providing a more fulfilling life. Your doctor should regularly check in to ensure that the medication is working properly and monitor for any potential side effects. If you notice the medications have adverse side effects, or making schizophrenia symptoms worse, seek help from a medical professional right away. 

Navigating Crisis Situations

When someone with schizophrenia is in crisis, it’s crucial to recognize the warning signs to ensure their safety and well-being. Schizophrenia is a severe mental illness that could result in the person harming themselves or someone else. Seek professional help promptly if you see your loved one experiencing these signs:

  • Symptoms suddenly get worse
  • Social withdrawal
  • Intense paranoia
  • Resistance to treatment or medications
  • Decline in personal hygiene

If you believe the person is in immediate danger, do not leave them alone. Try to keep them in a safe, controlled environment. With a professional, develop a crisis management plan that outlines steps they can take when they experience elevated hallucinations or delusions. Include emergency contacts, coping strategies, and resources they can turn to for support.

Your Role in Their Recovery

Supporting someone with schizophrenia requires patience, understanding, and a compassionate approach. Your loved one will likely need some guidance, at least in the beginning of their recovery journey. But with your help, they can live a full, rewarding life.

Supporting Daily Living

A key element of your loved one’s treatment plan will be creating a structured routine. Help them build a daily schedule that includes regular meal times, medication management, and designated relaxation or leisure activities. Encourage healthy habits, such as proper nutrition and exercise. Offer to join them in this healthy lifestyle to keep them motivated. 

You can also help them maintain connections with friends, family, and support groups. Social activities can keep them from isolating and the negative effects that has on their mood.

Run through their crisis management plan regularly. Be sure that they have all the tools and skills to successfully navigate difficult symptoms, especially if you’re not there to support them in the moment.

Managing Symptoms and Challenges

Outside of therapy and medication, your loved one will also learn and practice coping skills for their symptoms. They should primarily be aware of the places, people, and things that trigger their hallucinations or delusions. They can, at first, avoid these stimuli and later work through their triggering effects. If symptoms do arise, they can manage them in a few ways:

  • Reality Testing: They can remind themselves that the hallucination is not real. Challenge the experience by asking, “Is there any evidence that supports this?”
  • Distraction: Reading, drawing, or doing puzzles, helps shift focus away from hallucinations.
  • Grounding Techniques: Your loved one can describe what they see, touch, hear, smell, and taste to help ground themselves in reality.
  • Positive Self-Talk: They can repeat affirmations or calming statements to counteract hallucinations’ negative or distressing messages.

While you can be an anchor during hard moments, make sure your loved one has consistent help and direct contact with a professional.

Patience and Empathy

Talking to someone with schizophrenia allows you to show empathy, patience, and understanding. Ask them how they feel or what they’re experiencing to show that you genuinely care and want to listen. Ensure they know you’re there for them and that they don’t have to go through this alone. And celebrate small achievements along the way because recovery is more fun when you give yourself credit for all the work you’re putting in. 

Their progress might be gradual, so show your loved one, and yourself, compassion. Be sure to prioritize your own well-being. While this process can be rewarding, taking time for yourself is important. Lean on friends and family for support.
There is hope for the person in your life who has schizophrenia. With a little guidance, and professional schizophrenia treatment, they can unlock the door to a fulfilling life.

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How to Help Someone Who Is Suicidal

If you or someone you know is experiencing suicidal thoughts, call 911 or visit the nearest emergency room. If the person is not currently in crisis, talk to a mental health professional, a helpline, or emergency services in your country. Many countries have crisis helplines that offer support and assistance to individuals in distress. The United States Suicide Hotline is 988, and the US number to message for a crisis text line is 741741. If you live outside of the United States, you can find your country’s emergency number in this list.

If you are supporting someone close to you who is struggling with suicidal thoughts, it is essential to take a sensitive and earnest approach. There can be many underlying factors that contribute to suicidal ideation, and seeking expert assistance is always strongly recommended.

What Are the Signs of Suicide?

Recognizing warning signs of suicidality can save a life. While these signs are unique to each person, some common ones that might indicate a person is experiencing suicidal thoughts include:

Sign #1: Expressing thoughts of hopelessness or having no reason to live

Sign #2: Talking about wanting to die or kill oneself

Sign #3: Engaging in reckless behavior or taking unnecessary risks

Sign #4: Withdrawing from social activities and isolating oneself from others

Sign #5: Exhibiting extreme mood swings or displaying sudden changes in behavior

Sign #6: Expressing feelings of being trapped or having no way out of a situation

Sign #7: Giving away personal belongings or making final arrangements

Sign #8: Increased use of alcohol or drugs

Sign #9: Sudden improvement or calmness following a period of depression or sadness (this may indicate a decision to attempt suicide)

Sign #10: A final goodbye conversation

Suicidal Thoughts Vs. Suicidal Ideation

Suicidal ideation and suicidal thoughts are intertwined concepts that have distinct characteristics. While both involve contemplating suicide, they differ in terms of the depth of the thought process and the amount of planning involved.

Suicidal thoughts are any thoughts of ending your life. This is usually less intense than ideation and is just a more general feeling of not wanting to live. Someone experiencing this could find a successful recovery in outpatient or residential treatment. If you know someone with suicidal thoughts, call 911 or 988. You can also text the US crisis text line: 741741.

Suicidal ideation is a thought-out suicide plan. The thoughts leading up to this are usually more intense and persistent and include a chosen method, timing, and specific actions they’re going to take. Someone with suicidal ideation should receive care in an inpatient setting, either at a hospital or a rehabilitation center. If you know someone has a plan and resources to commit suicide, call 911 and/or visit the nearest emergency room.

What Are Ways to Help Someone Who Is Suicidal? 

If someone you know is struggling with thoughts of suicide, take their situation seriously and provide support. You can be an invaluable source of guidance and comfort for them during their recovery journey; however, it is important to remember that it is essential to find professional help.

Help Keep Them Safe

If you believe the person is in immediate danger, do not leave them alone. Try to remove any items from their space that they could use for self-harm or suicide. Develop a safety plan that outlines steps they can take when they experience suicidal feelings or distress. Include emergency contacts, coping strategies, and resources they can turn to for support.

Encourage Professional Help

Encourage your loved one to seek professional help. You can help them find appropriate resources, make appointments, or accompany them to appointments if they are comfortable with you joining. Give them information about suicide prevention hotlines that they can contact for immediate support.

Offer Hope 

Offering hope to someone who is suicidal can be a powerful way to support them during a difficult time. Share recovery stories and celebrate any progress they make, no matter how small. Encourage them to envision a future where things can improve. And explore their goals and dreams with them.

Follow-Up 

After the initial intervention, continue to check in on them regularly. Knowing that someone cares and is available to listen can be very comforting. If allowed, check in with their care team to ensure they’re following through with their safety and treatment plans.

How to Talk to Someone Who Is Suicidal

Talking to someone who is suicidal can be an opportunity to show your empathy, patience, and understanding. For this conversation, find a quiet and private space. Approach the conversation with a calm and non-judgmental attitude. Show that you genuinely care and want to listen. And be clear that you’re concerned about them.

Encourage them to share their feelings and thoughts by asking open-ended questions like, “can you tell me what you’ve been going through?” or “how have you been feeling lately?” 

Acknowledge their feelings by saying “Tell me how you are feeling, I want to hear you,” or “I am here for you. Tell me how I can help you.” If you feel comfortable, ask them if they’re feeling suicidal, so that you know what type of support to get them. Empathize with what they’re experiencing—they’ll be more likely to trust you for help.

Be patient with your loved one. They are going through a challenging time, so let them talk at their own pace. Stay calm and collected when they tell you about their feelings. Make sure they know that you’re there for them and that they don’t have to go through this alone. Remind them that seeking help is a positive step.

Where to Get Help for Suicide?

Finding Immediate Help

Help is always available. If someone is in a life-threatening situation, call 911 and/or take them to an emergency room and stay with the person until they have medical help. If you live outside of the United States, you can find your country’s emergency number in this list.

Call a Hotline

If your loved one is currently safe, you can call the United States Suicide Hotline: 988. The number provides 24/7, confidential support to anyone in crisis. Another number to call is the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or text “HOME” to 741741 to connect with a trained crisis counselor via text message.

Find a Mental Health Professional

Once you have assured your loved one’s safety and have talked with a hotline and/or doctor, you can consult a mental health professional, like a psychiatrist, psychologist, or therapist, to develop their treatment plan. If you are having trouble finding an available professional, go to your primary care physician first. They can refer you to the appropriate person. 

Talk Therapy

Mental health professionals are trained to help people with suicidal thoughts. They can provide therapy, medication management, and coping strategies. Talk therapy may be a big part of their recovery plan. 

Cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and psychodynamic therapy are just some of the therapies they might participate in. Therapy can help your loved one develop coping skills, challenge negative thought patterns, and improve their emotional regulation.

Medication Management

In some cases, doctors may prescribe medication to address underlying mental health conditions such as depression, anxiety, or bipolar disorder. They might prescribe antidepressants, mood stabilizers, or anti-anxiety medications. For the best results, use prescribed medication management with talk therapy.

Support Network

Finally, rally a support network for your loved one. This is essential to keep them on the track to recovery. Kind words of compassion and motivation to keep going can help them on their journey. 

Additional Support for Suicide 

If your loved one needs intensive care for suicide, then a residential rehab that treats suicidality or an inpatient psychiatric hospital may be the best fit for them. Here, they will have 24/7 support and supervision from trained nurses and professionals. They’ll be able to grow and heal in a safe environment, separate from the triggers in their daily lives. 

These programs offer a variety of therapeutic interventions, including individual therapy, group therapy, family therapy, and psychoeducation. Therapists address the underlying issues contributing to suicidal thoughts and work on building healthy coping skills. They will also create a safety plan.

After completing the residential program, clients typically transition to outpatient care. A thorough discharge plan ensures a smooth transition and ongoing support.
Recovery is possible. Healing is possible. If you know someone that needs help, call 911 or the United States Suicide Hotline: 988.

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Blacking Out Drunk: Understanding the Risks, Causes, and Prevention

“If recreational drugs were tools, alcohol would be a sledgehammer.” – NCBI article

Some hail getting “blackout drunk” as the apex drinking experience: a testament to how wild the party was or how disinhibited they felt. But rather than being a story to tell, getting blackout drunk can put you on a dangerous path—one of crime, danger, and life-changing risks. 

What Does It Mean to Black Out?

Blacking out drunk means you have a “blackout” period in your memory. You won’t remember anything that happened around you or to you when you were “blacked”. You’re still awake when you black out, just not making memories. That’s because alcohol can block the transference of memories into long-term storage.  

Alcohol can cause 2 types of blackouts: partial and complete. If you have a complete blackout period, you won’t remember anything. Your blackout will simply feel like a blank expanse in time. Partial blackouts mean you can remember a few things, like who drove you home and where your purse might be. Physical or emotional cues can also trigger the memories you made in a partial blackout.  

Both types of blackouts keep you from forming and recollecting memories.

How Alcohol Affects The Brain And Memory

Blackouts affect an area of the brain called the hippocampus, where memories form and move into long-term storage. Too much alcohol keeps this transfer from happening. Just 1-2 drinks can start the memory-losing process. 

Alcohol disrupts the communicative chemical activity in your hippocampus. That disruption between neurons prevents the hippocampus from storing events and memories as they happen. Blackouts don’t affect past memories or the ones you make when sober, only the memories made with too much alcohol in your system. 

You may seem alert and able to hold a conversation when blacked out. But any interactions you have won’t stay in your memory for longer than a few minutes. 

Who’s More Susceptible to Blackouts?

The severity of your blackout usually depends on your blood-alcohol level—the higher it is, the more complete your blackout. Because of this, some groups are more susceptible to blacking out, including women, young college students, and binge drinkers. 

With generally smaller bodies, women are more likely to black out than men. Women also have less of an enzyme in their stomach that breaks down alcohol. And, they’re more likely to drink wine or mixed drinks instead of beer, which has comparatively less alcohol. 

College students and other young drinkers also experience blackouts more often. It’s usually because they’re not used to drinking (especially in high amounts), leading to accidental blackouts. Similarly, binge drinkers, or someone who drinks a lot in a short period of time, may rapidly raise their blood-alcohol level and black out more often. 

Recognizing The Signs of Blackout Drinking

You can look for some of these signs of blackout drinking if someone seems blackout drunk. But be aware: you won’t always know if someone’s blackout, yourself included. Though surprising, your friend may seem fine and have most of their motor and cognitive functioning intact. 

What you can look for is problems with their memory. Though everyone shows cognitive impairment when they’re drunk, like seeming spaced out, they’ll usually still have some of their memory intact. If you suspect someone’s blackout drunk, take them home as soon as you can. 

Forgetfulness

Someone who’s blackout drunk may repeat questions, seem confused, or forget the names/faces/information they just learned about. 

To test their memory-storing ability, try asking your friend to name 3 items: fruits, for example. Then, a couple of minutes later, ask what fruits they named. If they’re not blacked, they’ll eventually remember what fruits they named—even if they need time to think or slur their words. 

Retelling Stories

Your friend may repeat the same story because they don’t remember already telling it. They may also tell you the same thing repeatedly throughout the night, like they’ve spotted your mutual friend nearby.

Seeming Confused When Corrected

If you tell your friend they’ve already told you the same thing multiple times, they may seem confused. They may not even believe you. They’ll likely have no idea their memory has started to go—even if they’re concerned about that, their worries will soon fade. 

Motor or Cognitive Impairment

If someone seems drunk, look for stumbling, nonsensical speech, poor coordination, slurred speech, and sleepiness. This could indicate they’re heavily drunk and in a blackout state.

When to Intervene

If your friend, or anyone else, seems blackout drunk, keep a close eye on them. Since they’re mentally and physically impaired, they could easily get into trouble. Make sure they don’t drive, even if they seem “fine”. And make sure they don’t go off alone with anyone—someone could try to take advantage of their impairment.

And ask your friend to stay around you. If they can’t remember to stay by you, you might need to shadow them. 

Step away from the situation if you’re able and they’re willing. This could mean going home if you’re at a bar or going to a safe room and lying down if you’re at a party. Never let them drive—and call a taxi or Uber if you don’t feel safe driving, either.

Risks And Consequences of Blacking Out

Sexual And Physical Violence

Getting blackout drunk puts you at risk of physical and sexual violence. You may unwittingly go along with whatever someone else wants—even if that’s stealing, vandalizing someone’s house, or sleeping with someone you never planned to. 

If you did sleep with someone, you may not remember if you gave consent, if your partner was violent, or if you used protection. And if something terrible did occur, not knowing would prevent you from getting the medical care you need. That applies to both physical and sexual assaults. 

Sexual Assault Hotline: 800-656-HOPE (4673)
Domestic Violence Hotline: Call 1.800.799.7233 or text “START” to 88788
Crisis Hotline: Call or Text 988

Waking Up…Somewhere

After blacking out, you could wake up and not know where you are, how you got there, or how to get home. You might wake up a few blocks from your house or on the other side of your city—blackouts make almost anything possible. 

Acting Out of Character

You could get into trouble in a blackout state. Being impaired mentally and physically, you might bend easily to peer pressure. Or, doing something illegal may suddenly seem fun, like stealing. Then, you could wind up in legal trouble.

Causes And Triggers of Blackout Drinking

Blackouts commonly happen after high-intensity drinking, when you have at least twice as many drinks per hour more than binge drinking (8+ drinks in 2 hours for women, 10+ for men). Binge and high-intensity drinking lead to blackouts because your blood-alcohol level rises too fast. 

Some drugs, like sleep or anti-anxiety medications, can cause blackouts at a lower blood-alcohol level. Keeping aware of your medications can help you prevent getting blackout drunk.

Prevention Strategies for Blackout Drinking

You can prevent blackout drinking by drinking in moderation. Set a limit for yourself, like one drink per hour. Be sure to eat a full meal before drinking and start the night hydrated. And drink slowly—take sips instead of gulps. Avoid chugging, shotgunning, or joining in other drinking games. 

You can also try staggering your alcoholic drinks. For example, having a glass of wine, a big cup of water, then a smaller glass of wine. Plan for how you’re going to get home, too. Either bring a friend who’s not drinking or schedule an Uber in advance. 

Avoid drinking in unfamiliar situations, too. Nerves could cause you to drink multiple drinks much faster than usual. And, only drink what you buy or bring yourself. Never take a drink from a stranger. 

Supporting Others And Seeking Help

One way to help a friend or family member struggling with their drinking is by noticing how much they drink. If they frequently black out, binge drink, or drink whenever they can, you can consider starting a conversation about how they’re feeling and how alcohol fits into their life. 

You can start the conversation early by talking to your kids/teens about blackout drinking and its consequences. But you can emphasize the risks of blackout drinking with someone of any age. You can also pass along tips to avoid blackout drinking, how to quit drinking, and make drinking a safer experience for those you love. 

If your friend or family member reveals they’ve been struggling with drinking, you can share these resources with them:

You can also offer yourself as a resource of support. Though you can’t make anyone get help, you can offer a listening ear and be someone to walk beside as your loved one begins their recovery journey. 
To learn more, you can browse our list of rehabs treating alcohol addiction to see photos, reviews, insurance information, and more.