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drug abuse

Enabling and Shame

As a harm reduction psychologist, it’s always a pleasure to work with parents who have the instincts and skills to maintain good communication with their teenager as well as the courage (and energy!) to set appropriate and consistent boundaries and limits.

Sometimes, however, these skills can be a double-edged sword and work against us, especially when the emotional and behavioral instability of our child keeps pushing us out of our parental ‘driver’s seat’ and into the passenger seat—or even worse, the back seat.

Being in the family back seat contributes to the fear that develops when we start losing control of a child’s behavior. This fear often motivates us to become even firmer in our resolve to ensure our child’s safety while keeping ourselves sane along with the rest of our family.

Enabling as a badge of failure

Parents learn about the ‘evils’ of enabling when support groups and counselors, in the interest in creating healthier boundaries, encourage us to directly confront our kids and not back down to the often self-destructive manipulating that at-risk teens will engage in.

Harm Reduction and Parenting Drug and Alcohol Users

Your child’s drinking or getting high is worrisome and often a challenge to figure out what steps to take.  Flexibility and being open to different approaches to prevention, counseling and treatment for substance use is crucial. Harm reduction approaches can offer you an approach allowing you to get back into the ‘driver’s seat’ of family control if you find yourself in the passenger seat—or even worse, the back seat.

The philosophy of harm reduction is based on our knowledge that human beings will always be engaged in behaviors that carry risks, like alcohol and other drug use and unsafe sex. Harm reduction embraces the value of each person’s dignity and the respect of a person’s right to make choices. This shifts the focus from attempting to restrict or prohibit risky behaviors to reducing the negative consequences associated with them.

Co-Occurring Disorders in Teens: Bipolar Disorder - The Great Imitator

Angry outbursts, erratic sleep patterns, sudden mood swings, and changes in personality. If you’re a parent of a teenager, these behaviors can be the status quo—actually, we often take these behaviors for granted. When teens are in trouble, when they are struggling to cope with issues that are too difficult for them to handle, drinking or getting high makes these behaviors worse often to the point of frightening us.

Symptoms of substance misuse often mimic other behaviors and make it hard to figure out exactly what’s going on in kids who are getting high. We know that kids (and adults) get high to help manage the difficult emotions associated with life’s challenges. And we know that adolescence presents them (and us!) with unique challenges.

Your parental instinct that something is wrong is often correct, but understanding the difference in the root causes of their erratic behavior will help you decide what course to take with your child.

Sometimes the issues are normal external pressures, like arguments with friends, academic expectations, real or perceived rejections by others.

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