If your partner's drinking habits concern you, you may feel the need to discuss it with them but may not know what to say. It can be challenging to figure out how to broach the subject without upsetting or offending them.
If you're in this predicament, you're not alone. The National Institute on Alcohol Abuse and Alcoholism notes an increasing trend toward high-intensity drinking. In a survey conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) in 2019, approximately 25% of adults over 18 reported binge drinking in the previous month.
This article lists some signs that your partner has a problem with alcohol use and suggests some strategies that can help you discuss the issue with them.
Signs Your Partner Has a Problem with Alcohol Use
Dr. Peltier says these are some of the signs that your partner may have a problem with alcohol use according to the mental health diagnostic manual, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5):
Having strong urges or cravings to drink
Drinking more alcohol or for more extended periods than they intended
Spending a lot of time drinking or recovering from the effects of alcohol
Choosing to drink over other activities or missing out on things because they're recovering from the effects of alcohol
Trying but failing to stop drinking or cut down their alcohol intake
Needing more alcohol to achieve the same effects
Getting into risky situations while drinking or after drinking, such as drinking and driving
Experiencing depression, anxiety, memory blackouts, or other health conditions due to alcohol consumption
Experiencing withdrawal symptoms following alcohol use, such as shakiness, trouble sleeping, headaches, restlessness, anxiety, or nausea
Finding that their alcohol use interferes with their family life, social life, or responsibilities at home, work, or school
Continuing to drink despite adverse effects on their family, friends, or work
Depending on how many of these symptoms your partner has experienced in the past year, a healthcare provider can determine whether they have alcohol use disorder and how severe it is:
Mild alcohol use disorder: 2 to 3 symptoms
Moderate alcohol use disorder: 4 to 5 symptoms
Severe alcohol use disorder: 6 or more symptoms
How to Talk to Your Partner About Their Alcohol Use
Below, Dr. Peltier shares some strategies that can help you talk to your partner about their alcohol use:
Prepare what you want to say: If you are talking to your partner about their alcohol use, preparing what you want to say and practicing the conversation by yourself or with a friend can be helpful.
Find the right time: Find a time when you are calm and relaxed. Neither of you must be under the influence of alcohol or other substances when you have this conversation. Switch off or put away electronic devices, such as the television or cell phones, so there are no distractions.
Share your concerns: Explain to your partner what you have been observing. These observations should be recent and specific. Explain why you're feeling concerned. Listen to your partner's perspective.
Expect resistance: If your partner has also been thinking along the same lines, they may be open to your thoughts and willing to try to change their behavior. Otherwise, they may get defensive and refuse to engage in the conversation. A 2021 study notes that people often underestimate their drinking habits and fail to see them as problematic. Let your partner know you're worried about them and are there for them if they need your support.
Work on a plan: Work with your partner to develop a plan. The plan should be specific and easily measured. Examples can include setting goals for how many days per week your partner will drink or how many drinks they will consume per occasion.
Plan for activities involving alcohol: After you discuss with your partner, try to follow through with the plan you both discussed. It can be helpful to plan, especially around holidays or other events that might involve alcohol.
Look for alternatives that don't involve alcohol: Work on finding activities not centered around alcohol, such as going to the movies, hosting a game night with friends, or cooking dinner together.
Remove alcohol from your home: It can also be helpful to remove alcohol from your home so your partner is less tempted to drink.
Avoid passing judgment: It's important not to be confrontational or judgmental during this conversation. Avoid using labels such as "alcoholic" when discussing their drinking, as they can be hurtful and stigmatizing.
Encourage them to get help: Finally, and most importantly, encourage your partner to discuss their drinking with a healthcare provider.
It can often feel frustrating or hopeless when you see your partner struggling. Being positive and supportive can help foster helpful conversation and promote change.
— MACKENZIE PELTIER, PHD
How to Take Care of Yourself
Being with a partner who may have an alcohol use disorder can be difficult and stressful. A 2016 study notes that partners of people with alcohol use disorder often experience intense physical, psychological, and social trauma.
You may sometimes feel like there are two versions of your partner: the sober version and the inebriated version. You may enjoy spending time with your partner when they are sober but feel stressed, anxious, scared, or upset when they are drinking.
You may even find that you're shouldering more and more responsibility because they cannot do so. This can make you feel angry and frustrated with your partner.
It's important to evaluate your own health and emotional well-being at this time.
— MACKENZIE PELTIER, PHD
A mental health provider can be a great source of support and help you navigate stressful situations, says Dr. Peltier. Additionally, she says it can be helpful to join a support group for partners or family members of substance users, as they offer understanding, advice, and other resources to navigate this difficult situation.
Furthermore, if you ever feel unsafe, it is important to reach out and seek help, says Dr. Peltier.
If you or a loved one are a victim of domestic violence, contact the National Domestic Violence Hotline at 1-800-799-7233 for confidential assistance from trained advocates.
If your partner has been drinking a lot, it can be helpful to talk to them about their alcohol use. Being patient and supportive during this conversation is essential rather than critical or judgmental. Work with them to help them reduce their drinking and get the help they need.
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Courtesy: Sanjana Gupta
Published on November 28, 2022