The Financial and Emotional Toll of Addiction
While the focus of addiction often falls on the individual battling substance abuse, the devastating financial and emotional damage it inflicts on families, children, and even the wider economy is immense and often overlooked. It’s a crisis that touches many lives, particularly here in South Africa, where it’s estimated that up to 20% of the population struggles with addiction to substances, including alcohol.
“There’s not one person that is not affected, and that’s why we call it a family disease because unfortunately, with addiction and the path of addiction, it changes everybody’s behaviours to allow the addiction to survive within that context,” explains Kate Saxton, a psychologist in private practice and the group practice director and counselling psychologist at Changes Addiction Rehab in Johannesburg*.
The financial impact
Beyond the obvious expenses of purchasing substances, the financial toll of addiction often erodes family stability.
According to Saxton, this includes “increased debt, loss of jobs, loss of income, and even depriving children and families of their ability to survive.” She further points out the financial strain of “addicts stealing from their own families, bailing them out of jail, and the significant costs of supporting them through rehab.”
The emotional burden
The emotional burden of addiction is equally, if not more, profound.
“What happens within the family is people take on different roles and they begin to enable the behaviour of the addicts… the whole focus is on the addict, and all resources are devoted to that addict,” Saxton notes.
Children in addicted households often bear the brunt of this emotional neglect, experiencing trauma, instability, and an increased risk of developing addiction themselves. Spouses grapple with loneliness and resentment, while parents wrestle with guilt and a desperate desire to fix their child. As Saxton points out, families often isolate themselves, further compounding the emotional strain: “The more isolated you stay, the more you’re buying into the lie that it’s not too bad, because you’re not confronting the reality of the consequence it’s presenting to you until it’s almost too late.”
The instinct to help a loved one in distress is deeply ingrained. However, this compassion can inadvertently fuel the addiction.
“It goes against everything innate within us in terms of our parenting styles. Our parenting styles are to help them, to protect them, to keep them safe,” Saxton points out.
Love and concern, guilt and shame, the unwavering hope for recovery, and the paralysing fear of loss all contribute to this cycle.
“As long as you are perpetuating that, you are enabling the addiction. The biggest fear is that addiction is life-threatening. So, by thinking that you’re saving them… the reality is you are not protecting them from that. You are enhancing the chances of them dying due to their addiction,” Saxton warns.
Breaking free
While the path is challenging, families are not powerless. Establishing and maintaining firm boundaries, both financial and emotional, are crucial for their wellbeing and can ultimately create an environment that encourages recovery. Saxton offers practical advice, emphasising that boundaries must be “clear, communicated well, manageable and achievable,” and consistently maintained.
- Seek support: “Consult with a therapist, support group, or counsellor to understand addiction and develop a plan for setting boundaries.” Don’t navigate this alone. Professionals and support networks offer invaluable guidance and understanding. Saxton specifically advises loved ones to “understand and work with somebody who is an addiction professional on learning how to set those boundaries effectively.”
- Understand enabling behaviour: “Recognise how your actions may be enabling the addict’s behaviour and take steps to change them.” Honest self-reflection is the first step towards breaking the cycle. A key aspect of this, according to Saxton, is to “stop rescuing them, stop trying to do recovery for them. Do your own recovery.”
- Clearly communicate boundaries: “Specify what behaviours are and aren’t acceptable, and the consequences for crossing those boundaries.” Be clear, direct, and avoid ambiguity.
- Set specific consequences: “Establish clear consequences for when boundaries are not respected and be prepared to enforce them.” Empty threats are counterproductive.
- Prioritise self-care: “Focus on your own physical, emotional, and financial well-being.” You cannot effectively help someone else if you are depleted.
- Avoid rescuing or enabling: “Refrain from providing financial or emotional support that may enable the addict’s behaviour.” Saxton strongly cautions against “mopping up after them as it sustains the addiction.” She stresses that families sabotage recovery when they, for example, “pay the debt of an addict to get them back on track instead of allowing the individual to face and experience the consequences.”
- Utilise available resources: For those who cannot afford private therapy, Saxton emphasises the value of support groups like Alcoholics Anonymous or Al-Anon that offer help and support to both recovering addicts and their families. She also encourages families to “read up about addiction and use platforms like the online addiction family support group Changes Rehab whose support groups are offered on Thursday evenings.
“For families and individuals grappling with addiction, know that recovery is possible. Don’t lose hope. Actively seek support from professionals, organisations, and fellow travellers on this journey. Empower yourselves with knowledge and the resources needed to navigate the path towards healing and lasting recovery,” Saxton concludes.
If you need help with addiction in your family, don’t hesitate to reach out to LifeAssist.