What to Expect?
No two treatment-seeking couples are comparable, and each pair will require a unique therapy strategy. A couple’s rehab program, like any other treatment program, will generally follow a four-step process:
An admissions navigator will conduct a comprehensive medical and psychological evaluation on all incoming couples. This will aid in determining the appropriate degree of care and treatment course.
Detox: Some patients will require detox as part of their continuum of care, although this is not always essential.
Addiction treatment: Couples will often get a combination of behavioral, group, and individual counseling, as well as couples-based therapy, as part of their treatment plan. This might happen in either an inpatient or outpatient setting.
Aftercare: Once couples have completed the preceding phases, they will collaborate with a therapist to build an aftercare plan. Aftercare aims to sustain recovery, develop methods to avoid relapse, and live a life with purpose and meaningful relationships.
Effect of Addiction on Relationships
When one or both partners in a relationship abuse drugs or alcohol, it may lead to a number of significant problems and negative repercussions. Couples may face financial difficulties, housing troubles, job loss, health-related issues, poor communication, a lack of trust, and codependency tendencies. There is also a higher chance of verbal and mental abuse, as well as physical assault. A parent who uses drugs or alcohol is three times more likely to mistreat their child. Addiction can also have an effect on sexual functioning, making one or both partners feel rejected, unhappy, or unloved.
Intimacy and Substance Abuse
Substance misuse affects not just sexual functionality but also the emotional link between partners, which leads to emotions of intimacy and desire. Resentment may interfere with the attraction that one partner formerly had for the other. Couples counseling may assist in resolving these negative sentiments and regaining the closeness that their partnership previously possessed.
Drug and alcohol misuse have a detrimental impact on physical and mental health, as well as sexual performance, functioning, and intimacy. Men who are alcoholics have a higher risk of experiencing sexual issues such as lack of sexual desire, erectile dysfunction, and premature ejaculation. Even short-term excessive alcohol consumption might result in transient erectile dysfunction. Researchers discovered that severe alcohol consumption could have long-term consequences on a man’s sexual health, even after extended periods of abstinence. While some cocaine users experience enhanced sexual desire while using the substance, cocaine usage has been shown to impair sexual satisfaction in the long run. As per the research conducted by the University of Granada in Spain, all substances affect the sexual functioning of males who misuse cocaine, heroin, alcohol, and marijuana. Pleasure and orgasm were the two areas that suffered the most.
Importance of Couples Therapy
Addiction impacts more than just the person; it affects their family, friends, coworkers, and, perhaps most importantly, their marriages. Whether a couple is married, cohabiting, or merely in a relationship, having a drug use problem in one or both members of the relationship may be harmful to both parties and make it difficult to maintain a healthy and supportive connection. Even if the spouse with the drug use disorder seeks treatment and maintains their sobriety, it does not remove the relationship’s dysfunctional communication patterns, broken trust, and emotional anguish. Trust must be re-established, and both partners in the relationship must recognize their flaws and work together to overcome them. Without expert assistance, this can be challenging. Attending couples counseling may provide a safe space for both partners to communicate their experiences with each other and their thoughts about those experiences in order to work toward restoring a loving and healthy relationship.
It might be difficult to draw the line between being supportive of your spouse when they are addicted to drugs or alcohol and being an enabler. Even if your intentions are good, sheltering someone from the repercussions of their substance misuse, such as taking over their tasks, making excuses for them, and shielding them from legal penalties, is termed enabling. Setting boundaries and limitations may be challenging. Al-Anon, Nar-Anon, and Recovering Couples Anonymous are nonjudgmental self-help organizations for the spouse who is not using substances but is frequently hooked to their loved one’s actions, to receive support and advice from others who have dealt with similar difficulties. Couples counseling may help individuals get back to a healthy position of understanding, love, support, and trust both during and after treatment.