Addiction & Codependency

Our nation is in the midst of a crisis. At present, nearly every American family has been affected by addiction in some manner, particularly with the rise of the opioid epidemic. Sadly, according to a recent US News Report, this public health emergency isn’t going to end as quickly as we would like. 

 The statistics are unsettling:  

In the wake of our national drug crisis, action is needed to help loved ones and their families find health and wellness. I am a fierce advocate for systemic change on the individual, family, and community levels. I believe it will take change on all three levels to affect the suffering this epidemic is causing.  


As an interventionist working with families and their loved ones, it is important for me to unpack and address the complex nature of these issues. Let’s start with a better understanding of the word “addiction.” According to the American Society of Addiction Medicine (March 2011), addiction is a chronic disease of brain reward, motivation, memory, and related circuitry. That means addiction is similar to diabetes and heart disease; it is chronic, progressive, and fatal if left untreated.

Addiction is typically characterized by:

Addiction can take a variety of forms, from alcohol and other drugs to process disorders. Addiction behaviors include shopping, sex, love, gambling, spending, disordered eating, and even digital addiction. Addictions often overlap with co-occurring mental health disorders. Another piece of the pie that fuels addiction is chronic pain. A simple prescription becomes an addiction and confuses family members, as they believe their loved one’s problems have a firm medical rationale. 

Addiction & Codependency

People often mistakenly believe addiction is an individualistic disease that only affects the one caught in its grip. In reality, addiction has a volcanic effect—slowly and steadily building pressure until eruption. The eruption is all too often a powerful force that destroys families and friends, colleagues and associates, business partners, coworkers, and everything else in its path.

Family members feel stuck in a spin cycle of destruction and despair, especially when one form of addiction bleeds into another. They want to help with a quick fix or another bailout for the person struggling with an addiction. Addiction and codependency become entangled, each holding the other hostage.  

Inviting Change

For those facing this crisis, know that change is possible. Despite the destructive and painful reality of addiction, there are steps that can be taken to find hope and healing, as individuals and within our communities.  

Movement truly starts with a willingness to change. That, combined with fierce love, commitment to family and loved ones, and the tools necessary to change, is the path back to healing. The great Martin Luther King once said, “We shall overcome,” and I believe we can overcome this crisis that has gripped our nation. It all begins with a conversation.

I am a LCSW l with 35 years’ experience in substance abuse, mental health disorders, chronic pain, and grief and loss. I have also been a university educator (SDSU & USD) and I am active in the Association of Intervention Specialists & an author, The Definitive Guide to Addiction Interventions (2018), Falling Up - A Memoir of Renewal (2016), trainer and blogger.


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