How to Help an Alcoholic Spouse: A Guide for Concerned Partners

Watching someone you love struggle with alcoholism can be incredibly difficult, stressful, and isolating. As a partner, it’s tough to figure out how to help an alcoholic spouse without inadvertently enabling harmful behaviors while also prioritizing your own mental health. It’s completely normal to feel overwhelmed, frustrated, or even powerless as you observe the impact of alcohol abuse on both your spouse and your relationship.
However, hosting an intervention and approaching the situation with empathy, patience, and informed understanding is crucial for supporting your loved one on their path to recovery. Remember, you are not alone in this fight; alcohol use disorder (AUD) affects millions across various social classes, races, backgrounds, and cultures. Fortunately, help is available, and with the proper support, anyone can overcome alcohol addiction.
What Are the Struggles of Being Married to an Alcoholic?
Alcoholism impacts not just the person grappling with the addiction but also their partner and family members. It introduces a range of challenges that can strain both individuals and their relationships. A study published in the Industrial Psychiatry Journal revealed that wives of alcoholics often encounter difficulties in physical, emotional, and social areas, with emotional issues being the most common and physical violence the least reported.
The unpredictable behavior of alcoholics, including mood swings, aggression, and withdrawal, can lead to emotional turmoil, causing their partners to experience anxiety, stress, and feelings of loneliness. Trust often erodes due to broken promises, deceit, and sometimes infidelity. Partners of alcoholics frequently feel emotionally and physically exhausted as they become overly involved in attempting to manage the situation, which can foster codependency.
Financial challenges are also common, stemming from excessive spending on alcohol, neglect of financial obligations, or loss of income due to job instability. The high levels of stress faced by spouses can result in chronic depression or even physical health issues. Additionally, those in relationships with alcoholics are at a greater risk of experiencing domestic abuse, both physical and emotional.

How Do I Communicate With an Alcoholic Spouse?
Communication within a marriage can be quite challenging, even in the absence of significant issues. If you suspect that your partner may be struggling with alcohol addiction or is a high-functioning alcoholic, you might feel compelled to address the topic but find it hard to know how to begin.
Engaging with a spouse who has an alcohol problem can be particularly tough, especially when their drinking affects their emotions and behavior. Here are some helpful suggestions from PsychCentral for discussing your partner’s alcohol consumption:
- Learn About Alcohol Use Disorder – Before talking to your partner, take some time to research how alcohol use disorder (AUD) can affect their personality, behavior, and overall well-being. Alcohol use may be a way to cope with stress or other challenging emotions, which can make it difficult to stop drinking. Consider learning about alcohol withdrawal and addiction treatment as well.
- Find the Right Time – Try talking to them when they’re sober and calm rather than while they are intoxicated. If there have been recent conflicts, it might be wise to wait until your relationship feels more stable. Be patient, as they may not be ready to talk, but let them know you are there when they’re ready.
- Prepare Your Talking Points – Take notes on key topics you want to address and ensure the discussion remains grounded in facts. It’s wise to steer clear of blame or terms that could be perceived as stigmatizing, such as “addict” or “alcoholic.” Instead of casting blame, frame your concerns with “I statements,” like “I feel anxious when I notice your drinking habits.”
- Explore Possible Triggers for Their Drinking – Many individuals who drink heavily have untreated mental health conditions, such as anxiety or depression, or may have started drinking after a particularly stressful event. Consider discussing underlying issues as well as treatment options for your partner, such as a therapist.
- Be Open-Minded and Empathetic – Those dealing with addiction often bear a significant burden of shame and guilt. Try to view the situation from your partner’s perspective and approach them with sincere care and compassion rather than judgment. Make it a priority to listen actively and avoid using guilt, manipulation, or threats.
- Manage Your Emotions – It’s natural to feel frustrated during these discussions, but letting anger take over can worsen the situation. Aim to remain composed, communicate respectfully, and refrain from using derogatory language or phrases that could provoke further tension.
- Encourage Professional Help – Suggest they talk to a therapist, attend support groups like Alcoholics Anonymous (AA), or consider inpatient or outpatient treatment. Offer your assistance in finding the right resources, and let them know you’re willing to accompany them to meetings or appointments if they’d like.
What Are Examples of Boundaries to Set With Alcoholic Spouses?
Dealing with a spouse who struggles with alcoholism can be incredibly difficult and can take a significant toll on your emotional and mental health. It’s crucial to prioritize your well-being and cultivate a healthy relationship by establishing clear boundaries. These boundaries help define acceptable behavior and promote mutual respect. Here are some key boundaries to consider:
- No Alcohol Consumption at Home – This sets a firm guideline regarding alcohol use in your shared space, shielding you from the adverse effects of drinking. If this rule is broken, consequences might include leaving for the night or choosing not to share a bedroom.
- Do Not Cover for Their Actions – Make it clear that you will not lie or make excuses for their behavior to spare them from embarrassment, such as justifying their absence from work due to drinking.
- Establish Financial Boundaries – Communicate that you will not financially support their drinking habits and that you will manage your finances independently if their alcohol use jeopardizes your financial stability.

What Are the Psychological Effects of Living With an Alcoholic Person?
Witnessing a loved one battle alcoholism can be both heartbreaking and frustrating, and living with one can create a challenging and emotionally taxing environment. Coexisting with someone who has an alcohol dependency or who has the characteristics of adult children of alcoholics can profoundly impact one’s mental health, resulting in distressing feelings such as shame, fear, anger, and self-reproach, as noted by HelpGuide.org.
The unpredictability and tension that accompany such a situation can lead to persistent anxiety for their loved ones. Additionally, the erratic and sometimes volatile behavior associated with alcoholism can leave those living with the individual feeling perpetually on edge and hypervigilant.
The stress of navigating this problematic landscape can foster feelings of sadness, helplessness, and even depression. In some cases, individuals living with an alcoholic may experience symptoms similar to post-traumatic stress disorder (PTSD), particularly if they endure ongoing emotional or physical abuse.
How to Help an Alcoholic Spouse Through Addiction Treatment at WhiteSands Treatment
Being married to someone who struggles with alcoholism can be an incredibly tough and emotionally exhausting journey. If you’re struggling with how to help an alcoholic spouse, know that you’re not alone—there are resources and support systems available to help both of you navigate the recovery journey.
At WhiteSands Treatment, we recognize the intricate nature of addiction and the significant impact it can have on relationships. Our caring team is dedicated to assisting not just the person undergoing treatment but also their loved ones. Through family education, counseling, and tailored treatment plans, we equip you with the necessary tools to promote healing, restore trust, and build a strong foundation for lasting recovery.
If you’re ready to take the next step in supporting your spouse’s recovery, contact WhiteSands Treatment today at 877-855-3470 to discover more about our programs and how we can assist you both in beginning the healing journey together.
External Sources
- Industrial Psychiatry Journal – Living with an alcoholic partner: Problems faced and coping strategies use by wives of alcoholic clients
- PsychCentral – Talking with Your Partner About Their Alcohol Use: 8 Tips
- HelpGuide.org – How to Help an Alcoholic
If you or a loved one needs help with abuse and/or treatment, please call the WhiteSands Treatment at (877) 855-3470. Our addiction specialists can assess your recovery needs and help you get the addiction treatment that provides the best chance for your long-term recovery.