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Am I Helping My Son or Enabling His Use?

man fishing

Member YellowSun and her husband want to support their older son without enabling his use of cannabis, alcohol, and quite possibly meth. How does one begin when three substances are involved? CRAFT-informed observation and communication, with a focus on the most dangerous substance first, offers a way.

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“My son is 30 years old; he works from 11:00 pm to 7:00 am. His father and I drive him to and from work and also to the lake. He goes fishing a few hours before work. I think he uses meth on his days off, but I am really not sure. I don’t know when he is on meth. He smokes dabs right before work and right before going to the lake, and drinks a beer or two at the lake. It appears that he uses the dabs and the beer to maintain between the meth.  

“I have been using CRAFT since mid-March. I am having trouble applying the use and non-use approach. Do I continue to drive him to the lake when I know he smokes the dabs right before? I am conflicted because I feel that the fishing is competing with the drug use. Do I continue to drive him to work when I know he smokes the dabs right before? We are tired of the drug use; if he does not seek help, my husband and I are considering helping him move out— rent a room and help with the first month’s rent. He will also need help obtaining his driving license, and his car needs to be fixed. Then, after that first month, he will be on his own. But is that really just enabling?” 

Welcome, YellowSun

One can easily see how complex the questions get when there are multiple drugs involved. In your case, your 30-year-old son is likely using methamphetamines. You think he does so on his days off. You are more certain he dabs cannabis before work and before he goes fishing. He also has a few beers while fishing.  

I can well imagine that your family has had enough of this going on under their roof. One response, as you suggest, would be to ask him to leave and to provide support to help him get a place to live and a working car. This is absolutely an option, but one I suggest we place within a set of options that you present to your son in a sit-down (see Module 8).  

STEP ONE: Please do only this for the next week or two: 

The first thing I would suggest is that you build your observational skills around the suspected methamphetamine use. Is he not sleeping on his days off? How does his behavior change? By working through Module 3, you can confirm your informed guess about his methamphetamine use. Please read about other stimulant drugs that it could be. This would also be a good time to start reading about the challenges involved in finding treatment for meth.   

Choose Your Battles Wisely 

My first concern for your son is the methamphetamine use (if confirmed). Meth is far more dangerous than cannabis or alcohol. We don’t know the quantity or frequency of his use, but this is where we suggest you focus your attention, for now.  

You must also be worried that the meth use could become more frequent and develop into a full-time habit. Encouraging your son to back away from the meth is the first priority.  

Apply a laser focus to his behaviors and yours around the meth-using patterns that Module 3 helped you identify. The scenario probably begins right before he knocks off for his weekend. He’s made moves to get the cash, meet the dealer, and buy the drug. The pattern ends perhaps with your son trying to get to sleep or sleeping excessively.  

In your description of your son’s use of the different drugs, you said “I am conflicted because I feel that the fishing is competing with the drug use.” This is an excellent observation. From what you can tell, he is not using meth when fishing. So yes, the idea of substituting a rewarding behavior (fishing) for the drug use can work. You didn’t say this, but I suspect his job also discourages drug use. It is likely that he doesn’t use meth before work but chooses to smoke cannabis instead. So, while it’s a critical question, it’s likely that his work hours of 11PM to 7AM are drug-free.  

Let’s see if we can back him away from using meth by sharpening up your focus on the behaviors and reactions around that use, substituting positive activities that compete with it and encouraging him to seek help when he is willing.  

Allow Him Space to Reflect on the Evaluation  

Your next question has to do with getting your son evaluated by a professional. It sounds like he is in agreement, if only to show you he is not addicted. This is an opportunity for your son to talk with a pro about his drug and alcohol use. It shouldn’t be used as  “show me” moment for his family. 

If your son has offered to get a Substance Use Disorder evaluation, I would encourage you to take him up on that. If his only reason is to prove you wrong, no problem! I suggest you take the lead and contact any reputable treatment facility in your area, find one or two with openings, and provide your son with the details to schedule an appointment. Evaluations are conducted by licensed professionals who follow strict guidelines determined by the state office of addiction services. It is not necessary for you to call ahead to provide additional information. The treatment provider will then make their recommendation based on several factors, including a UDS (urine drug screen). Your son is free to ignore the recommendations, but at least he’s had a solid talk with someone who understands addiction.  

You and I are assuming that the meth use is problematic, as indeed it is for many (overdose deaths from methamphetamines increased fivefold in the U.S. from 2011 to 2018). Your son disagrees, I take it. Using a drug once a week may sound infrequent and plausible. If your son doesn’t use meth during the work week, his tolerance for the drug may remain low.  When is use problematic? Your son and the professionals may agree that on its own his meth use doesn’t meet the threshold of addiction.  

You and I Are Going to Assume The Meth Use is Problematic, period 

Meth, however, quickly destroys lives. So I see your son’s forays into meth as the greatest risk to start with. The way you laid out your son’s week (clear if not very detailed) makes applying CRAFT easier to demonstrate but a little cookie cutter.  

Your son’s dabbing suggests he has a high tolerance for THC, the active drug in cannabis. This could signal problematic use. His drinking a couple beers does not sound problematic. Could his meth use be recreational? From his perspective, this is likely. He wants to be evaluated to show you his use of drugs are not a problem. Accept the offer.  

When he returns from the evaluation, can you step back and not ask him how it went? Just allow him to bring it up. When he does, listen to what he has to say and thank him for doing it. Avoid getting into the debate of whether or not he has active addiction. Consider the evaluation a pause in the action, a moment for your son to reflect. 

I’m going to suggest you focus solely on the meth use. I understand that you don’t approve of the cannabis and perhaps not the beer either. This can remain clear for you personally, but I encourage you not to react or respond when he uses cannabis or beer. For now, provided the use doesn’t increase, treat them as non-use.  

STEP TWO: Begin to Change How You Respond to the Meth Use 

In Module 5 (Segment 1) we talk about the fundamental question you should ask every time you see your son: Is my Loved One using right now, or is he not using right now? And remember the following: 

High = using 

Withdrawing = using 

Not high and not withdrawing = not using  

CRAFT teaches you to respond differently depending on whether the answer is yes (using) or no (not using). If the answer is no: reward, step in, be warm and bonding, keep it light and loving. Build that bridge between you. For now, this includes any together time, even dabbing in the car on the way to work.  

If the answer is yes (he’s using meth): remove rewards, allow natural consequences, remove yourself physically from the Loved One as neutrally as possible. Create a strong contrast between how you respond when your son’s using or not using meth. If he’s using now, do you feed him? Warn him about the mess his life is? Try to get him to help around the house, like he should?  

To these questions, the answer is no. All such responses can be considered supportive of his use, even though it appears otherwise. By completely backing away, not worrying about whether he is eating or sleeping, not repeating the same old line about what he is doing to his life, you are leaving him alone with his drug use. You are de-linking from his drug use behavior, which is his to own.  

Rewards vs. Natural Consequences 

Just to drive it home: your behavior toward him should depend on the answer to that question—Is he using?—informed by patterns you can now more easily identify.  

Step in when you don’t see use: “Hey, welcome home. How about we order a pizza from that place you like, and take it and the dog to the park?” Step away when you see use: “I’m sorry, I don’t feel like talking right now—or fighting. I’m going to my room.” 

We understand that applying CRAFT skills can feel like the opposite of what your instincts tell you to do. That’s OK. Just stick with the program, and over time you will see a shift in his behavior. In addition, you’ll gain the peace of mind that comes from letting go of trying to manage and control his use.  Let us know how Steps One and Two are going.  

We are always here to provide support and encouragement. Please continue to reach out to us if you need to. 

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He Won’t Agree to the Care We Know He Needs

Cwfranklin’s adult son smokes fentanyl. With his parents’ active support, he’s gone through various rounds of treatment. His recoveries have been substantial, but so far they haven’t lasted. Now his parents are considering “lines in the sand” to convince him to undertake a longer, multi-stage treatment plan. Allies CEO Dominique Simon-Levine suggests an alternative: CRAFT-informed engagement that returns responsibility to their Loved One, where it belongs. 

After So Much Hard Work, He’s Slipping. How Can I Help?

Your Loved One’s journey is in their hands. But CRAFT skills can make your vital support most effective. Renee’s son has been struggling with substance use for 15 years. He’s fighting hard for his own recovery, and that includes rebuilding his career. But lately, he appears to be slipping. For his parents, and for Allies writer Laurie MacDougall, this is something of an alarm bell. The good news is that Renee’s there to support him—and reaching out to Allies for the skills and support to do so.

“We Are Absolutely the Worst People” in Her Life: When Mental Illness, SUD, and Blame Collide 

Your CRAFT skills may be put to the test, but they’re still indispensable. Perhaps more than ever. At Allies in Recovery, we’re always impressed by the mutual support our members give each other—and wherever possible, we try to build on it. At the heart of this post is a conversation about how to take care of your emotions while staying connected with your Loved One (LO). It leads to a stark question many of us coping with SUD grapple with: how do you support a Loved One who blames, rages, and is verbally out of control? Laurie MacDougall tackles this vital, thorny issue. 

Does This Level of Violence Rule Out CRAFT?

Nohp’s husband of 48 years is struggling with heavy alcohol use. Recently his behavior has become more alarming, and even violent. Now she’s staying outside their home, and wondering if that violence means the CRAFT approach isn’t right for their circumstances. Allies CEO Dominique Simon-Levine thinks it probably is. While underscoring that no one can decide for her, she advises Nohp to explore the skills training and support resources offered through Allies in Recovery. Quite simply, they work, and have a track record to prove it.

Please Help Me Improve What I Say to Her

Words matter so much — both the ones we speak or write, and the one we choose not to. Fletcher921’s daughter uses meth and opioids, and was recently suspended from her job. She showed her mother the suspension letter from her employer — an act of real trust. Her mother put effort and heart into her reply, but wants to do even better next time. Allies’ Laurie MacDougall reflects on how CRAFT could help in this effort, and the possible benefits for daughter and mother alike.

Don’t Give Up Too Soon On Medication-Assisted Treatment

Elaine’s son is struggling to quit opioids, but the path is hard. He’s had many rounds of detox, and is now trying to self-medicate. An initial attempt at Suboxone treatment made him feel emotionless and flat. But did it have to be that way? Allies’ CEO Dominique Simon-Levine reviews the challenges and great promise of Medication-Assisted Treatment (MAT). MAT therapies often come with a period of adjustment for our Loved One’s.

It Feels Like Nothing Works With Him

If we focus on what’s ours to control, change is possible all the same. CRAFT skills can help you get there. Elaine’s son is back in the hospital, in a routine that’s become all too familiar to his parents. They’ve tried to help in many ways, but the health crises and the drug use that leads to them don’t seem to be changing, and Elaine’s begun to doubt they ever will. Laurie MacDougall gently challenges this idea. While a Loved One’s life isn’t ours to change, our own words, feelings, and behavior are. Allies in Recovery is committed to helping us learn to take control of these, and thereby give our Loved Ones the most effective support we can.

Do I Want to Have Children With Him?

There’s nothing simple about such a question. But here are some pointers in the search for answers. Whits wants children and loves her partner. But is she prepared to raise children with someone who’s progress with his SUD is uncertain? No one, of course, can answer that for her. But if there is a way forward together, it will require compassionate communication, as well as boundaries and self-care. That’s where the CRAFT approach can be so powerfully helpful.

The Discussion Blog on the Allies Website: Excerpts From One Member’s Journey

An important component of any member’s successful journey on the Allies website is participation in the expertly-moderated Discussion Blog. There, CRAFT/AIR trained staff interact with members by answering questions in both regular replies and in full, expert blog response posts offering guidance that any member can access. Members see other members sharing questions, frustrations, and successes similar to theirs, and also they often see how the Learning Modules are effectively used as referenced by our team experts and by members. We also offer dozens of supplementary podcasts by members of our Allied Team, discussing real situations with Loved Ones and using the CRAFT approach.

A Message from Founder, Dominique Simon-Levine

Founder & CEO, Dominique Simon-Levine, offers an update about the Allies in Recovery program, including new offerings and activities. Thank you all for being so patient as we navigated through the many hassles and challenges associated with developing and building our new website. We are so very grateful for YOU! (Pictured Left to Right: Nicole Castillo, Andrew Maxwell, Deborah Rodriguez, Sandra Munier)

You Don’t Have to Live in Manhattan to Access Recovery Services

And if AA isn’t what your Loved One’s after, there are usually alternatives
Kspring has been supporting her son on his recovery journey for years.
He’s come a long way, but the challenges still feel immense, and Kspring
is actively seeking new recovery resources that could offer a hand. Allies’
Laurie MacDougall did some digging. What she found underscores just
how much is out there—much of it independent of Zip code.

Learning Our Way Out of the Cycle of Recurrence

Even when a lot’s going right in our lives, the recovery process can be tough and painful. Outwardly, Bimba’s son’s life seems wonderful: good job, good relationship, education, financial security. Still, he only manages to remain abstinent for about 90 days at a time. While this stage of the recovery process is often brutal, there are resources and people ready to help. Sustained reinforcement —“getting the message about recovery”— is a vital piece of the puzzle.

She Really Is Making Progress. But There Are Days I Can’t Feel It.

We can’t resolve everything for our Loved Ones. That’s where reflective listening comes in.
Mgmcrosby’s daughter has multiple challenges, from substance use and problematic
relationships to depression and possible bipolar disorder. It’s no wonder that standing
beside her can sometimes be an overwhelming challenge. Reflective listening, one of
many CRAFT skills taught by Allies, can ease the burden.

LEAVE A COMMENT / ASK A QUESTION

In your comments, please show respect for each other and do not give advice. Please consider that your choice of words has the power to reduce stigma and change opinions (ie, "person struggling with substance use" vs. "addict", "use" vs. "abuse"...)