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Updated July 19, 2001
Family Problems & Drug Abuse

Ask Dr. Bill

Dear Dr. Bill,
My husband and I have been having a rough time with our marriage....lots of arguments, usually when he's had too much to drink. His own father was an alcoholic who made his mother miserable. I think we need some counseling but he's against it saying it would be "hanging out our dirty linen." Now, even our 14 year old son is getting into the act. Several times this summer he has come in late for curfew, smelling of alcohol and tobacco. Do you think our problems are causing him to behave like this?

Troubled-Teaneck

Dear Troubled,
Without a more complete family history and a careful evaluation of your son's alcohol use, I would hesitate to finger any single cause for his changing behavior. But, the fact remains, that alcoholism is a disease process which I have seen repeatedly passed down from generation to generation. So many substance abusing kids are victims of parents who didn't provide them with a fair chance in life.

Some of the kids that we have treated come from good home environments where the teen has simply gotten involved with the wrong crowd and moved into a drug oriented lifestyle. Intervention and treatment with this group is more likely to be successful because the home situation is likely to be stable and supportive during the difficult process of recovery. A smaller group of teenagers seen by us have had emotional, behavioral problems which predated their drug use. Use of drugs by these youngsters is simply a way to medicate themselves in order to feel normal. Treatment is difficult and often prolonged. However, most of the adolescents that we have treated over the last 18 years have been victims of troubled parents, like yourselves, who are so immersed in their own problems that they have little time or energy to deal with their children. These kids often receive careless, inconsistent, neglectful and even abusive parenting with consequent repeated damage to the development of a healthy self-esteem. In my experience, adolescent chemical dependency is often a process that begins long before the child takes the first drug (most commonly alcohol and/or marijuana).

When we are young, we are who our parents say we are. As a weapon, a parent's tongue can be as vicious as a fist...an all too frequent occurrence when the parent has been drinking. When a child receives constant disapproval, anger, blame and criticism from a parent, invariably feelings of worthlessness, of "being no good" will result. In todays drug-taking world, these victimized children soon learn that they can medicate these painful feelings. With alcoholism in the family, this becomes a sure road to addiction unless some action is taken to intervene in the process.

Ineffective parents are probably behaving the way their parents behaved, making the same mistakes...and nothing changes. I suspect that your husband was raised in such a home....he probably doesn't know what a "normal" family life is. In all likelihood, his problem has affected your son.

Yours is a family in trouble. But, take heart.... alcohol and other drug addictions are treatable diseases. I suggest that you seek from an addiction specialist trained in family therapy as soon as possible for yourself as well as your husband and son as, invariably, the pathology extends beyond the addicted individual affecting all other family members.


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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