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Rebuilding Trust After Parental Substance Use

  • Writer: Monica Pineider
    Monica Pineider
  • 3 hours ago
  • 5 min read

When parental substance use enters a home, it rarely happens suddenly. It creeps in quietly, reshaping routines, relationships, and emotional safety. Laughter fades. Conversations become cautious. Children start avoiding certain topics.


Families are living systems. All can feel a hiccup on the part of one of the members. The use of substances by parents disturbs this balance and every individual is forced to adjust.


Effective drug rehab programs address these family-wide impacts, providing children with support to process trauma while parents work toward recovery. They aim to restore the health of individuals and harmonious living in a family.


Four people sit on a sofa in a cozy living room surrounded by plants, engaging in a calm discussion about parental substance use, with one woman gesturing as others listen attentively.
Open conversations about parental substance use can help families heal, rebuild trust, and strengthen emotional connection.


Table of Contents




Understanding Parental Substance Use and Family Stress


The use of drugs by the parents imposes massive pressure on the whole family. The parents are expected to offer safety, order and affection. As soon as addiction comes into the picture, that stability begins to break down.


Children become devoid of foretelling. Spouses lose trust. Long-term kin feel powerless. Little everyday things like missed dinners, school pickups that were forgotten, arguments cumulate in the long run. The family as a whole starts restructuring around the addiction.




The Family System Under Stress


All families have the rules and roles which work unspoken. Parents lead. Children grow. The use of substances by parents reverses this relationship.


Plans are made on whether Mom or Dad is sober on that particular day. Children get to know how to remain silent when the mood changes. One of the parents may turn out to be over-controlling and the other parent completely giving up. The house alternates between disorder and quietness.


Roles that are common in families which are impacted by parental substance use are:


  • The Enabler: Hides the issue and blames.

  • The Hero: Overshines in order to save the family reputation.

  • The Scapegoat: Behaves in a manner that seeks to avoid concentration on the addiction.

  • The Lost Child: Reticent and evading.

  • The Mascot: Relies on humor to relieve tension.


These are roles that are acquired over time. The parents who were formerly imposing rules start negotiating with substance-using teens. Children are taught that being honest is a bother. A wife or husband can assume all the responsibilities.


This causes emotional hyper-vigilance in all people over time, as they are always searching the moods of the other person to prevent conflict. The home no longer feels safe.


Discussions become calculus: What should I say that will not make the situation even worse?



How Children Experience Parental Substance Use


The parental substance use is a silent witness to children. They observe it all, even at the time when adults think that they conceal the issue.


Many kids blame themselves. They reason, Well, then maybe, mom would stop drinking, if I were so good. It becomes a part of life to get confused and fearful.


They begin scanning the room to see if it is dangerous. Were they to request homework now—or in the morning? Will Dad yell? Will Mom cry?


The performance in school declines as stress sets in. You can hardly concentrate on math knowing that a parent is not okay. There are those children who isolate themselves. Others turn into nurturers—preparing meals, preparing siblings and providing cover to neglected duties.


In one study, children of substance use disorder parents had three to four times higher chances of developing the same addiction. They are also likely to be abused, neglected, and traumatized emotionally.


Red flags that indicate that a child is exposed to substance use by his/her parents include:


  • Poor performance or frequent absenteeism.

  • Social withdrawal or isolation.

  • Bearing adult responsibilities at an early age.

  • Fear, depression, or aggression.

  • Problems with sleeping or attention.

  • Being younger than they are.


Such children are taught to make ends meet and not to flourish. Most people have been raised with the understanding that love has to be unstable.



Partnerships Under Pressure


Parental substance use is devastating to marriages. Emotional exhaustion occurs as a result of frustration.


Reliability is destroyed with unmet promises, money lies, and secrecy. Addiction is a burden on resources, which increases financial strain. Absentees cause loss of jobs and accumulating debts.


Spouses usually say that they live in the circle of hope and disappointment. Every word to quit is another heartbreak. Lying becomes reflexive. Bank statements become detective. The dialogues change to suspicion instead of love.


In the course of time, codependency develops. The sober partner assumes the role—hiding keys, calling in sick on behalf of his spouse and clearing messes. These measures are made out of love yet tend to facilitate further use. The psychological burden may be overwhelming.


Intimacy fades. Connection with secrecy is removed and addiction takes the third party in the marriage. The sober partner has to raise children as well as the addicted adult.



Effects on Extended Family and Social Life


The use of substances by the parents does not remain in the house. It influences grandparents, relatives, neighbours and friends.


Grandparents find it hard to cope with guilt and helplessness. They might be willing to assist, but they are afraid of empowering the addiction. Family meetings get strained.


Holidays become stressful occasions where everyone pays attention to the activities of the addicted individual.


The stigma of society is another source of pain. Neighbours gossip. Teachers make assumptions. When other children know that a parent has been arrested or was drunk in a public place, the children may be bullied. Shame alienates the families even more and cuts off the support that would help them recover.


The community involvement is lost. Families cease going to church, school events and social life. The network that was formerly a loving, interconnected chain turns into a secret club of fatigue and weariness.



Monetary and Operational Interruptions


Parental substance use poses severe financial pressure. Substance costs alone can reach hundreds or thousands of dollars each month. Lost income and legal fees can deepen the crisis.


Families face:


  • Loss of jobs and low incomes.

  • Law fees because of DUIs or arrests.

  • Increasing health care expenses due to over-doses or accidents.

  • Repair and damage of property.

  • Bad credit and accruing debt.


With the scarcity of resources the families are forced to forego basic needs. They miss rent or mortgage payments. Utilities get cut off. Children can't do extracurricular activities or get savings in higher education.


Survival at last substitutes normalcy. Birthday parties stop. Vacations vanish. Even little pleasures such as movie nights or dinners with the family become an exception.



Rebuilding Family Dynamics After Parental Substance Use


Parental substance use does not only have sobriety as a recovery. It is building trust, communication, and safety.


Family therapy has an important role in this all process. It assists every member in realizing how addiction transformed their roles and learns new and healthier relationships.


In the case of children, therapy provides room to release anger, confusion, and grief. In the

case of spouses, it offers information on how to set boundaries without being guilty. Parents learn how to establish authority without fear or shame.


Healing takes time. Families which spent years walking on eggshells cannot hope to have their peace overnight. It takes a long time to regain trust—by being honest and reliable.



New traditions can take the place of painful memories. Connection can be restored with a shared dinner, a family game night or a trip on the weekend.


It will take time and professional assistance to recover. Families can rise above survival to stability—and eventually, to strength with compassion, therapy and time.


At the Canadian Centre of Addictions, we are of the opinion that recovery is a family process. To deal with parental substance use is to deal with the after-effects of the substance use. Once an individual is healed the entire family starts to heal.

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