When Addiction Enters a Relationship: Understanding the Emotional Toll of Substance Use
š āI Still Love Him, But I Donāt Know Who Heās Becomeā¦ā
When one person in a relationship struggles with alcohol, ganja, tobacco, or prescription pill use, the impact doesnāt stay limited to their body or brain. It begins to strain trust, communication, intimacy, and over timeāthe very foundation of the relationship.
In Chennai, where relationships often balance traditional roles, financial dependencies, and family expectations, substance use within couples or families can cause confusion, guilt, and silent suffering.
Whether itās a spouse hiding alcohol bottles, a partner misusing sleeping pills, or a young adult stuck in cannabis dependenceārelationships start to fray before anyone even realizes thereās an addiction.
ā ļø How Substance Use Affects Relationships
1. Trust Breakdowns
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Lying about use, hiding pills or alcohol
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Broken promises (āIāll stop from tomorrowā)
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Frequent disappearances or erratic behavior
2. Emotional Distance
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Mood swings, irritability, or emotional shutdown
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Replacing intimacy with substances
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Feeling āalone in the relationshipā even when physically present
3. Financial Stress
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Spending on substances, neglecting family responsibilities
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Job loss or poor work performance due to substance use
4. Co-dependence
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The non-using partner tries to fix, monitor, or control the user
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Eventually leads to exhaustion, resentment, and emotional burnout
5. Neglect and Abuse
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Verbal outbursts, emotional neglect, or even physical abuse during intoxication or withdrawal phases
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Children witnessing conflict or chaos at home
š©āā¤ļøāšØ Who Gets Affected?
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Spouses of alcohol or prescription drug users
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Partners of individuals with cannabis or gaming addiction
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Parents of young adults struggling with substance use
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Siblings or adult children caught between care and confrontation
Even when the user is āfunctioning,ā the emotional cost on their loved ones can be huge and lasting.
š” Why Many Partners Stay Silent
In Chennai, many partnersāespecially womenāsuffer quietly due to:
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Fear of social stigma (āWhat will people say?ā)
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Hope that āhe will changeā after marriage, childbirth, or career growth
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Pressure to preserve family reputation
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Financial dependence or lack of family support
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Misunderstanding addiction as a “bad habit” rather than a mental health issue
āHeās not a bad person. But Iāve lost the person I married.ā
āI keep forgiving him. But Iām breaking inside.ā
āOur home looks normal. But itās not okay.ā
š§ Healing Is Possible ā For Both the Individual and the Relationship
At Apollo Clinic, Velachery & Tambaram, we offer integrated treatment that addresses both substance use and relationship repair.
Treatment Plans Include:
š¹ Assessment of the addiction and emotional fallout
š¹ Detox or tapering (if needed) ā safe and structured
š¹ Cognitive Behavioral Therapy (CBT) ā for both substance use and emotional regulation
š¹ Couple counselling or family therapy ā to rebuild communication and boundaries
š¹ Relapse prevention plans with joint accountability
š¹ Support for the non-using partner ā to heal from emotional trauma
We treat addiction not just as a disease of the brain, but as a relationship disruptorāand recovery as a relationship rebuilder.
š Your Relationship Deserves a Second Chance
Whether you are the one usingāor the one affectedāyou donāt have to figure it out alone.
š Apollo Clinic ā Velachery & Tambaram
š± 8595155808
š www.srinivasaiims.com
āSubstance use can damage relationships. But with the right support, relationships can also become the reason people recover.ā
āļø About the Author
Dr. Srinivas Rajkumar T, MBBS, MD (Psychiatry)
Consultant Psychiatrist | Apollo Clinic, Velachery & Tambaram
Trained at AIIMS & NDDTC ā Indiaās Apex Institute for Addiction Psychiatry
Dr. Srinivas offers structured, compassionate addiction care that includes the emotional and interpersonal aspects of recovery. His work focuses on not just breaking the addiction cycleābut restoring trust, communication, and self-worth in families and couples affected by substance use.