How Children Are Affected By Parents With Alcohol Use Disorder

Alcoholic parents (now referred to as parents with alcohol use disorder or AUD) affect their children in many ways, some so profound that the kids never outgrow them. Here's a look at the psychological, emotional, interpersonal, and behavioral effects of being raised by parents who are struggling with alcohol use.

Unclear Sense of Normalcy

Children whose parents use alcohol may not have had a good example to follow from their childhood, and may never have experienced traditional or harmonious family relationships. So adult children of parents with AUD may have to guess at what it means to be "normal."

Because alcohol use is normalized in families with alcoholism, children can often struggle to distinguish between good role models and bad ones. As a result, many will end up feeling conflicted, confused, and self-conscious when they realize that drinking is not considered normal in other families.

Trust Issues

After growing up in an atmosphere where denial, lying, and keeping secrets may have been the norm, adult children can develop serious trust problems. Broken promises of the past tell them that trusting someone will backfire on them in the future.

If a child's parent was mean or abusive when they were drunk, adult children can grow up with a fear of all angry people. They may spend their lives avoiding conflict or confrontation of any kind, worrying that it could turn violent.

Self-Judgement

Some adult children of parents with AUD take themselves very seriously, finding it extremely difficult to give themselves a break. If they had a tumultuous upbringing, they may have little self-worth and low self-esteem and can develop deep feelings of inadequacy.

Children of a parent with AUD may find themselves thinking they are different from other people and therefore not good enough. Consequently, they may avoid social situations, have difficulty making friends, and isolate themselves.

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Interpersonal Effects

Growing up with a parent who has an alcohol use disorder can change how an adult child interacts with others. It can cause problems in their relationships with friends, family members, and romantic partners.

In addition to judging themselves too harshly, some adult children of people with AUD constantly seek approval from others. They can become people-pleasers who are crushed if someone is not happy with them and live in fear of any kind of criticism.

Perhaps to avoid criticism or the anger of their parent with AUD, many children tend to become super-responsible or perfectionistic overachievers or workaholics. On the other hand, people often go in the opposite direction, mirroring the same bad behaviors they witnessed during childhood.

Behavioral Effects

Although evidence is conflicting, some behavioral changes appear to occur in children, adolescents, and adults who had a parent with AUD. Although the roles of genetics and childhood experiences are intertwined, these children may be more susceptible to substance use and other issues.

Alcohol Use

Some studies have shown that children of parents with AUD are more likely to misuse alcohol themselves in adolescence or adulthood. They may begin drinking alcohol at a younger age than other people and progress quickly to a problematic level of consumption. When both parents have AUD, teens may be at still higher risk.

Internal and External Behavior Issues

Children of parents who misuse alcohol are at higher risk for anxiety, depression, and unexplained physical symptoms (internalizing behaviors). They are also more likely to display rule-breaking, aggressiveness, and impulsivity (externalizing behaviors) in childhood.

In a study of more than 25,000 adults, those who had a parent with AUD remembered their childhoods as "difficult" and said they struggled with "bad memories" of their parent's alcohol misuse. Some people experience this as post-traumatic stress disorder (PTSD), like other people who had different traumatic childhood experiences.

Poor Academic Performance

Parents' use of alcohol and teens' lower performance in school have shown an association in research. This could be related in part to the behavior issues among children of parents with an AUD. It could also be complicated by other family circumstances.

How to Cope When Your Parent Misuses Alcohol

If you're the child of a parent who has or had an alcohol use disorder or other substance use problems, seek out support, especially if you suspect it's causing issues for you. Therapists and other mental health professionals with experience dealing with addiction can help.

Keep in Mind

Research suggests that about one in 10 children lives with a parent who has an alcohol use disorder, and about one in 5 adults lived with a person who used alcohol when they were growing up. Parents with an AUD may have difficulty providing children with a safe, loving environment, which can lead to long-term emotional and behavioral consequences. If your family is affected by alcohol use, it is important to seek help.