ADULT CHILD ADDICTION

MAx Fabry is a regular contributor to a weekly column "ASK MAx" published in the SPRINGFIELD TIMES, Springfield, Oregon. The SPRINGFIELD TIMES is published weekly on Friday by S.J. Olson Publishing, Inc. This column is published on this blog by permission of the SPRINGFIELD TIMES. Visit their website at http://www.springfieldtimes.net.
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Dear MAx,
I am the parent of an adult child in recovery from an addiction. We are living together and sometimes this person slips and reverts back to the old addiction patterns. The pattern is very slowly going and I can see the progress that has been made so far. My question is this: What boundaries does one set when the "other" addicted person is present versus the healthy "present" person. I am struggling with this because I know that my adult child wants to be healthy, complete and whole. Since I do not have health insurance and am living on social security, I feel that my resources are financially limited. My adult child is not working at this time and I feel the pressure of being the sole supporter. What can I do and what can my adult child do to help ourselves and each other?

Betty

Dear Betty,
I can see that you are caught up in a couple of dilemmas. I want to start by giving you kudos for the love and patience you are showing your “adult child”. Addiction and the economy have never complimented each other. Your adult child is fortunate for having you in their life. Obviously, you have not bought into the “tough love” philosophy. Good for you!

The “tough love” philosophy has been around for decades. While this approach for addiction treatment has never proven to be effective, or safe, it is still being used in many treatment programs. As an addiction counselor, this approach has never been personally comfortable because, ethically, I am bound “to do no harm”. Cruelty and humiliation has never resonated with me to guide people into a healthier lifestyle.

Economically the cost for treating addiction is expensive. Residential treatment programs can range anywhere from $8500 to over $50,000 for a 24-45 day program. Many of these programs are eliminating their after care support groups to save money. If you don’t have insurance that will cover the treatment, most likely, there isn’t very much State or Federal funding available to help. Some private practices will offer pro bono slots.

Even with insurance, however, caps are placed on how much the insurance company will pay out for addiction treatment, limits are placed on the type of treatment the company will allow, and, most sadly, “preventative” treatment is seldom covered. Insurance companies seem to be holding on to the idea that addicts can be “fixed” in a short period of time.

Here are some suggestions for people that are trying to support someone’s recovery with limited funding available:

EDUCATE YOURSELF: Attend 12 Step meetings to listen to what other addicts and family members are saying about their addiction, and how they achieved, or helped to achieve, a successful recovery. Attend lectures, workshops, and seminars to learn about treatment approaches. These events are often not always limited to professionals, and, sometimes offer scholarships or work credit.

SET BOUNDARIES: Lovingly, from your heart, let your loved one know what you are willing to tolerate, consequences of breaking agreements, and set limits on your money, time, and personal space.

TAKE CARE OF YOURSELF: Be sure to take time to be healthy yourself with exercise, nutrition, friendships, socializing, etc. Your addict needs examples of how to be healthy—living with you makes can provide a number one example. If you and your environment are not healthy, how can you expect your addict to change?

Betty, again, please let me acknowledge your love for your adult child. Love and patience are two of the ingredients necessary for an addict healing; now, add a cupful of knowledge, two cups of setting boundaries, a bundle of patient time, and a whole healthy you, and WHOOLA! you may just have a healthier adult child.

Be well on your journey
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Have a question about addiction, recovery, or life transitions such as retirement, career change, grief and loss issues, empty nesting, etc, ‘Ask MAx’. Send your questions to Lifestyle Changes, PO Box 1962, Eugene, OR 97440; or, e-mail your questions to maxfabry@lifestylechangescounseling.com. Learn more about MAx Fabry at www.lifestylechangescounseling.com.