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She Secretly Struggles with Bulimia and Alcohol

Dominique Simon November 16, 2018
bulimia
Her high-functioning daughter secretly struggles with bulimia and alcohol. As her daughter is looking for help with a loan to buy a home, mom wonders about striking a deal: treatment in exchange for co-signing…
*This post originally appeared on our Member Site blog, where experts respond to members’ questions and concerns. To sign up for our special offer and benefit from the Allies in Recovery eLearning program, click here.

“My 24-year-old daughter struggles with Bulimia and alcohol, both of which she denies and refuses to admit she needs help. I even started emailing her info and leaving helpful information lying around the house (which only ended up in the garbage).

On the outside, everything looks great – she has a full time job, a stable boyfriend and shares a nice apartment on a golf course with a childhood girlfriend. But her addictions still haunt her and I have much less influence now that she has moved out. I have been praying and waiting for an opportunity to help her. And I think the opportunity has arrived, but I need advice.

 

She wants to purchase a house, but has no credit to get a loan. Therefore, we could go in with her and put the down payment on the house. We would all be on the mortgage, but she would be responsible for the payments. She IS financially responsible. She graduated college and holds a job with medical insurance. We have no doubts that she would be able to manage the payments.

My question is, can I tell her that for us to help her with the house, she would need to get counseling? She has already walked away from multiple car accidents, of which three vehicles were completely totaled. I fear that either she, or the driver of the other vehicle, will not walk away from the next one. Please advise.”

Dominique Simon-Levine agrees that this mother could work out a deal in order to help her obstinate daughter.

Welcome to the site. Your daughter is drinking alcohol in ways that don’t seem to affect her job or friends. She has, however, totaled three cars and you worry about the next time this happens. She is also bulimic.

Bulimia and drinking is a growing problem in young women. Combined, the two can accelerate the harm caused by purging.

You are asking whether helping her purchase a home might be sufficiently rewarding that she would agree to treatment.

Let’s start with the Bulimia

Before addressing the purchase of a home, I wonder if you have provided her also with treatment options for eating disorders? She could be more willing to address the bulimia than the drinking to start. Leaving treatment information lying around is a good idea. Perhaps you put it all together in one document and provide it to her in a moment when she is more willing to listen. Learning Module 8 (available to our members)  talks about these moments, and how to orchestrate a planned talk. You can also read this blog post on recognizing motivation in your loved one.

Should that planned talk include an offer to help with the house purchase? CRAFT suggests rewards as positive reinforcements for non-use. The reward should be easy for you to give, and easy for you to take away. Co-signing and help with a down-payment are not easy to take back. (Read more on Rewards here)

Your daughter can say all the right things now to convince you to help purchase the home, but down the road continue to use, struggle with bulimia and refuse to seek help.

You are unwilling to help with the purchase of the home if she doesn’t seek help.

Make a deal

I wonder if your daughter would be willing to complete a program and agree to follow its aftercare plan BEFORE you sit down and sign papers.

This idea is less a reward as CRAFT suggests, but a straight up deal between you. Your daughter would get treatment, skills, and education about her eating problem and the drinking; she would be much more aware going forward of what she is doing. You would have given her insight, to the degree she is willing to listen, and provided her with a way out, should she start using and purging again. She would know about treatment and self-help, where to go. In AA, they say you will be messing up her drinking because when she uses in the future, she will have a belly full of booze and a head filled with AA.

There is a difference between someone who is legitimately unaware of the effects and dangers of what they are doing, who doesn’t have, or has not experienced, behaviors of healthy living….and someone who has. When and if they go back to problem drinking and bulimic purging, they are doing it with the knowledge of the mechanism inside them that fuels this, and of the solutions available to them when they lapse.

Your daughter needs both the drinking and bulimia addressed in an integrated way. Would you be willing to co-sign and help with the down-payment AND pay (possibly, depending on insurance) for a quality long-term dual diagnosis program? It doesn’t need to be inpatient necessarily but may have to be in the case of bulimia (I know less about evidence-based programs for bulimia). Your daughter follows the program and the aftercare for 6 months or so, then you sit down and sign papers.

It will take time and require patience

You may not have a totally recovered daughter at the end of this but you will have moved her to the next stage of recovery: an informed young woman who has experienced a pause in the progression towards a more chronic situation.

Your daughter has aspirations, she sounds creative and capable. This is the moment for her to make a choice as to how she wants to live. It’s an intersection of sorts…you are willing to help if she is willing to experience living a healthy lifestyle for 6 months. What she does afterwards is up to her. You will still love her and be there to help, regardless.

You are looking to provide her with a huge step up towards her goals…the goals however are stunted if she continues to lead a secret and self-harming double life. The moment is now. Suggest to her that you as her parents are willing to make this deal. She can go back to her old life afterwards, and she will now have a house. You are aware of this possibility. You are providing her a critical piece of education by striking this deal. She has to expose herself to another way of life through the program (don’t say “treatment” anymore, sounds like she has a knee jerk reaction to the word)…that is what you ask in exchange for helping her obtain the house.

BTW: she will probably see problems doing this with her job. She will need to ask for a health leave of absence. Yes, it is that serious.

Yes, the family DOES have a role to play. Your stance, behavior, and choices DO make a difference. At Allies in Recovery we are absolutely convinced of this. “Tough love” is not a successful technique. Our learning platform is set up to help family members learn the techniques that will reduce conflict, build that bridge of communication, and be effective in guiding your loved one into treatment. Together we will move your loved one towards recovery. Learn more here.

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Categories: Communication, Rewards
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Dominique Simon
Dominique launched Allies in Recovery in 2003. Her work has been featured on HBO and NPR. She is a facilitator and a trained speaker on issues of addiction and the family. She has worked extensively developing and evaluating federally-funded substance abuse programs for organizations and clinics throughout Massachusetts and New York. With an interest in recovery and substance abuse that spans 20 years, she sees a huge need to help families develop the skills to help a loved one recover fully in a supportive, whole, and lasting way in their families and in their communities. Her mission is to have Allies in Recovery fill that gap.

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When your loved one is abusing alcohol or drugs, engaging in dangerous activities, or making life decisions you dislike, the natural impulse is to try and change your loved one’s behavior…. But as Allies in Recovery’s online program teaches, you cannot change other people. You can only change yourself.

chaucer-2 July 29, 2016

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