| p>It is very bad luck for a child to be born into an | | | | However, his home life was stained. He no longer |
| alcoholic family that has one alcoholic parent. However, | | | | drank alcohol when he and his wife went out to dinner |
| it is truly the worst luck to have two alcoholic parents. | | | | with friends. His alcoholic wife continued to get drunk |
| As a psychiatrist that specializes in addiction, this is not | | | | right in front of him. Many times, he often left early |
| an uncommon scenario. Not only are their children at | | | | without her or chose to stay at home with their |
| twice the genetic risk of developing an alcohol problem, | | | | children. |
| the chance of both alcoholic parents remaining clean | | | | His alcoholic wife continued her alcoholic behavior. She |
| and sober is not very high. | | | | drank nightly with friends and slept a good part of the |
| Here is a case from my psychiatric practice: | | | | day. On several occasions when he was out with her, |
| M.F. and S.V. met in college. At that time, every one | | | | he almost had an alcohol relapse. He felt angry and |
| around them was drinking and using drugs so that their | | | | resentful watching her drink. |
| drug and alcohol use did not stand out. However, they | | | | M.F. tells me he is very judgmental toward his alcoholic |
| are both thirty years old now and have a son in 8th | | | | wife even though he has had a significant alcohol |
| grade and a daughter in 4th grade. M.F. and his wife | | | | problem himself for so many years. Now that he is |
| S.V. have continued drinking excessively with no | | | | clean and sober, he realizes that his wife spends her |
| significant periods of sobriety (except S.V. during her | | | | time either abusing alcohol or suffering the effects of |
| pregnancies). | | | | alcohol. She barely participates in the family other than |
| M.F. is a successful entrepreneur and his wife is a stay | | | | getting their children to and from school. The children |
| at home mom. They go out with friends almost every | | | | have essentially been raising themselves. |
| night and basically use and abuse alcohol. M.F. decided | | | | Conversely, his alcoholic wife complains to him that he |
| to get a psychiatric evaluation because he feels | | | | is acting self- righteous about quitting drinking alcohol |
| depressed and anxious over his financial difficulties. His | | | | even though he has been clean and sober for such a |
| formerly successful business took a downturn during | | | | short time. M.F. confides in me he is thinking about |
| the tough economic times of the last several years. | | | | divorce unless his wife chooses to quit drinking alcohol. |
| I prescribed a medication to prevent alcohol withdrawal | | | | This case illustrates the strain on an alcoholic family |
| and explained that an antidepressant would not work | | | | when either the alcoholic husband or alcoholic wife |
| for his depression if he continued his alcohol abuse. I | | | | begins recovery before the other one follows suit. The |
| explained that alcohol is a central nervous system | | | | spouse in alcoholic recovery quickly sees the |
| depressant and actually causes depression. | | | | tremendous impact of alcoholic behavior on the family |
| He committed to staying clean and sober for 8 weeks, | | | | and is no longer as tolerant or supportive of his/her |
| but would not agree to go to Alcoholics Anonymous | | | | addicted spouse. |
| meetings. He just wanted to try to quit drinking alcohol | | | | In my 21 years of practice, the best scenario is for |
| for several months to see if he could do it. | | | | both alcoholic spouses to be recovery together. If one |
| M.F.'s mood improved significantly after 4 weeks on an | | | | of the alcoholic spouses refuses to quit drinking alcohol |
| antidepressant medication. He had minimal cravings for | | | | or will not consider any alcohol treatment options the |
| alcohol (I put him on an anti craving medication as well). | | | | chance of the alcoholic family staying together is very |
| He was much more much effective at work and | | | | slim. Families Anonymous is an excellent 12 step |
| faced problems as they arose. He said he felt on top | | | | program to help alcoholic families. |
| of his game. | | | | |