What to Do With an Alcoholic Son

Start the conversation well

The NIAAA Alcohol Treatment Navigator gives these steps for talking to a loved one:

• Think about what you will say first and stick to the facts you have learned.
• Choose the right time. Avoid holidays and moments when he has been drinking.
• Use a nonjudgmental tone so he feels supported, not threatened.
• Do not gang up on him or back him into a corner.
• If he is in crisis, call 911.

Know what you are dealing with

NIAAA says a person with alcohol use disorder has a medical problem, not a lack of willpower. Its symptom list includes drinking more than intended, failed attempts to cut down, and continuing to drink despite trouble with family. Only a health professional can diagnose it.

Treatment and support

• NIAAA lists three FDA-approved medicines (naltrexone, acamprosate, disulfiram), behavioral counseling and mutual-support groups.
• People with severe use disorder may need medical help to avoid withdrawal, which can be dangerous.
• If he refuses every option, the Navigator suggests a break from the discussion and searching together later.
• For you: family therapy, Al-Anon, and SMART Recovery for Family and Friends are listed for families.

Relapse is common and can be a temporary setback, according to NIAAA. Use the Navigator to find providers.