Spring/Summer 2006

Substance Abuse and Couples


Finding Help for Couples
 
   

Behavioral couple’s therapy is one option couples can utilize to heal when one or both is abusing substances.  When couples participate in therapy they have lower divorce and separation rates in the first two years according to Dr. William Fals-Stewart, an investigator and researcher at Research Institute on Addictions.

Dr. Caroline Easton, an assistant professor of substance abuse and violence services at Yale University says that behavioral couple’s therapy is effective for decreasing substance abuse and domestic violence when both partners in a relationship are motivated to participate in treatment.

North Carolina Coalition Against Domestic Violence
http://www.nccadv.org/service_providers.htm

A recent study done by Dr. William Fals-Stewart showed that brief relationship therapy “is as effective as standard behavioral couple’s therapy in reducing the number of days of heavy drinking and almost as effective at increasing relationship satisfaction among couples.” Because it involves fewer sessions brief relationship therapy can be provided at a lower cost. Dr. Fals-Stewart cautions that couples with more extreme relationship problems or with a partner with long term alcohol dependence would need additional treatment.

Most effective substance abuse treatment is likely to include the family in counseling. According to the National Survey of Substance Abuse Treatment Services (N-SSATS), of the 280 substance abuse treatment facilities in North Carolina, 212 (76%) provide family counseling and 94 of the 280 provide domestic violence counseling services.

Just as the addict or alcoholic is often advised to attend Alcoholics Anonymous or Narcotics Anonymous on a regular basis in order to sustain his or her recovery, the spouse or partner is often advised by substance abuse professionals to attend Al-Anon or Nar-Anon.  These twelve step support groups are free, are held daily in some areas, and are confidential. Partners can talk with others who have also spent their time and energy trying to “fix” their partner. Al-Anon and Nar-Anon provide “non-professional, mutual support groups where members share their experience, strength, and hope.” According to a survey conducted in 2003 almost half of Al-Anon members have a current spouse who is an alcoholic. In that same study 78% of all Al-Anon members reported that a personal recommendation was an important factor influencing them to attend their first meeting.  40% of Al-Anons said that a referral from a professional was what brought them to Al-Anon.

2006 is the 55th Anniversary of Al-Anon. Currently 26,000 groups meet in 115 countries. To find a meeting one can call toll free 1-888-4AL-ANON or visit www.al-anon.alateen.org.   To find a Nar-Anon meeting call (800) 477-6291 or visit http://nar-anon.org/northcarolina.htm.

 


 

The Next Step
Editor: Leanne Murray
Writer: Cathy Swing
Designer: Virginia Hart

Partnership for a Drug-Free NC
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