Dealing with the issues of a high-functioning alcoholic
Alcoholism can take a devastating toll on your physical health, your emotional well-being, your personal relationships, and your professional life. However, many alcoholics manage to function effectively, holding down jobs and maintaining households. They may hide their alcohol abuse for years without suffering any major losses. But under the surface, this form of alcoholism can cause severe psychological and emotional damage to the alcoholic and his or her loved ones.
What makes dealing with high-functioning alcoholics so challenging? Functional alcoholics are often in deep denial about their problem. After all, they have managed to maintain the appearance of success in spite of their addiction. But most high-functioning alcoholics have friends or loved ones who help them cover up the consequences of their drinking. These individuals may unconsciously encourage, or enable, the alcoholic’s behavior by allowing the alcoholic to avoid the negative consequences of destructive drinking.
If you are involved with a functional alcoholic, you already know how painful it is to live with this disease. By getting help for yourself and your loved one, you may be able to avoid further consequences of alcoholism and build a healthier future for your family.
WebMD estimates that up to 20 percent of all alcoholics may be classified as “high-functioning.” These alcoholics tend to display specific behaviors that can help you identify this problem:
- They restrict their drinking to specific times, situations, or beverages. You might hear a high-functioning alcoholic say, “I never drink on weeknights,” “I only drink at bars,” or “I only drink beer.” These self-imposed limitations might help the alcoholic convince himself that he is in control of his drinking when in fact, he often breaks his own rules.
- They ask friends or family to cover up for them. A high-functioning alcoholic might ask her husband to call in sick to work for her when she’s struggling with a hangover, or borrow money from a friend to pay bills when she’s spent too much on alcohol. In reality, high-functioning alcoholism is usually made possible through the enabling behavior of loved ones.
- They isolate themselves in their private time. High-functioning alcoholics may act sociable and outgoing at the office or at company parties. But when they’re not at work, they often prefer to spend their personal time drinking alone or at bars. They may even discourage their family from inviting guests to the house because they don’t want their drinking habits to be exposed.
- They break personal commitments because of their drinking. A functional alcoholic may receive awards at work for meeting high-performance standards, while forgetting an important anniversary or missing a family celebration because he or she was drunk or hungover.
- They secretly struggle with mental illness. Many high-functioning alcoholics use their substance abuse to mask psychological disorders like depression, social phobia, or an eating disorder. They may suffer from anxiety about their competency or their material security. When they’re not under the influence, they may be moody, withdrawn, tearful, or irritable. They might even talk about suicide or attempt to harm themselves. According to the National Institutes of Health, approximately 25 percent of functional alcoholics struggle with depression.
Functional alcoholics are often intelligent, hardworking, and well-educated. Their professional status or personal success can make it hard to approach them about having a “problem” with alcohol. However, it is impossible to continue drinking heavily for a long period of time without suffering the physical and psychological consequences of alcoholism, such as liver disease, heart disease, neurological damage, cancer, or depression.
- Making excuses for the alcoholic’s actions: “I’m afraid she’s too sick to come to your party,” or “He’s really not that mean all the time; he’s just under a lot of stress.”
- Covering the alcoholic’s expenses: Paying legal fees, traffic tickets, or fines that the alcoholic incurred
- Hiding the consequences of heavy drinking: Cleaning up messes or washing soiled clothes before the alcoholic is sober enough to see them
- Trying to manipulate the alcoholic into changing: Making emotional threats or using passive-aggressive behavior to make the alcoholic feel guilty
- Trying to control the alcoholic’s drinking: Keeping a large supply of alcohol at home or drinking with the alcoholic in order to keep an eye on him
- Pretending that your own needs don’t matter: Denying that the alcoholic has hurt you emotionally or physically, or that you weren’t disappointed by his or her failure to meet commitments
Consciously or unconsciously, the codependent may help the alcoholic to continue drinking in order to maintain the status quo. Many high-functioning alcoholics earn a good living and are able to support their families while continuing to drink. Intervening in the addictive behavior may be seen as a threat to the family’s financial security — even if the family must put up with emotional neglect or physical abuse.
The National Council on Alcoholism and Drug Dependence notes that 67% of victims of violence by a former spouse or partner indicated that the offender was under the influence of alcohol. Further, 40 percent of child abusers admitted that they were drinking when they committed their offenses.
The best cure for codependency is a strong, healthy sense of self. Individual therapy, combined with and marriage or family counseling, can strengthen your self-esteem and help you build a healthy, sober relationship.
Alcoholism affects everyone in a household — not just the individual who drinks. Alcohol abuse increases the risk of physical and emotional violence, as well as substance abuse in other family members. An addiction therapist can help you find positive ways to deal with the stress of living with functional alcoholism. If you have a problem with alcohol, a professional addiction treatment program is the most effective route to recovery.
Holding an intervention
If the consequences of high-functioning alcoholism have become overwhelming, and your loved one refuses to seek help for alcohol abuse, it could be time to plan an intervention. An intervention is a planned meeting in which the concerned parties confront the alcoholic about his or her behavior. The goals of an intervention include:
- Getting the alcoholic to see how drinking has harmed her and her loved ones
- Presenting the alcoholic with a plan for recovery
- Proposing consequences if the alcoholic refuses to seek treatment
- Helping the alcoholic take the right steps to go to treatment
The participants in an intervention could include the alcoholic’s spouse or partner, children, parents, friends, coworkers, employer, friends, and other individuals who have been affected. A substance abuse counselor, family therapist, or spiritual advisor may also attend to provide an objective presence and to keep the agenda on track.
Although an intervention can take many forms, many of these meetings open with each participant stating how the alcoholic’s behavior has harmed or disappointed them. The alcoholic is then presented with a plan of care, including a proposal of consequences if he or she decides to refuse. For instance, the alcoholic may be denied visitation rights or may be faced with a marital separation if he decides not to seek help. An alcoholic in denial may become extremely manipulative, tearful, angry, or hostile when faced with the need for alcohol treatment. An experienced intervention specialist can help the participants prepare for these reactions, so that they can respond effectively.
Alcohol treatment with Dr. Wandler
Getting the help you need
When you’re living with a high-functioning alcoholic, your own health is at stake as well as the welfare of your loved one. At The Recovery Village, we provide the support and encouragement you need to get your friend or family member into rehab. Our treatment programs include a full spectrum of alcohol recovery services, from acute medical detox to rehab, aftercare, and sober housing. When you’re ready to seek help, we’re here for you. Call our toll-free number at any time to learn more about our progressive plans of treatment.