Children with Alcoholism in the Family

One in five adult Americans lived with an alcoholic while growing up. Child therapists know these children are at greater risk for having emotional problems than children whose parents are not alcoholics. Alcoholism runs in families, and children of alcoholics are four times more likely than other children to become alcoholics. Most children of alcoholics have experienced some form of neglect or abuse.


A child in such a family may have the following problems:

  • Guilt: The child may see himself or herself as the main cause of the mother's or father's drinking.

  • Anxiety: The child may worry constantly about the situation at home. He or she may fear the alcoholic parent will become sick or injured, and may also fear fights and violence between the parents.

  • Embarrassment: Parents may give the child the message that there is a terrible secret at home. The child feels ashamed and does not invite friends home and/or is afraid to ask anyone for help.

  • Unable to form close relationships: A child who has been frequently disappointed by an alcoholic parent, does not trust others enough to form close relationships.

  • Confusion: An alcoholic parent will change suddenly from being loving to angry, regardless of the child's behavior. A regular daily schedule, which is very important for a child, does not exist because bedtimes and mealtimes are constantly changing.

  • Anger: The child feels anger at the alcoholic parent for drinking, and may be angry at the non-alcoholic parent for lack of support and protection.

  • Depression: The child feels lonely and helpless to change the situation.


Although the child tries to keep the alcoholism a secret, teachers, relatives, other adults, or friends may sense something is wrong. Child therapists advise that the following behaviors may signal a drinking or other problem at home:

  • Failure in school -- truancy;

  • Lack of friends -- withdrawal from classmates;

  • Delinquent behavior, such as stealing or violence;

  • Frequent physical complaints, such as headaches or stomachaches;

  • Abuse of drugs or alcohol, or;

  • Aggression towards other children;

  • Risk taking behaviors;

  • Depression or suicidal thoughts or behavior.

Some children of alcoholics may act like responsible "parents" within the family and among friends. They may cope with the alcoholism by becoming controlled, successful "overachievers" throughout school, and at the same time be emotionally isolated from other children and teachers. Their emotional problems may show only when they become adults.

Whether or not their parents are receiving treatment for alcoholism, these children and adolescents can benefit from educational programs and mutual-help groups such as programs for children of alcoholics, Al-Anon, and Alateen. Early professional help is also important in preventing more serious problems for the child, including alcoholism. Child therapists help these children with the child's own problems, and also help the child to understand they are not responsible for the drinking problems of their parents. At the Counseling Corner we can assist you with working through the vast range of issues that arise from alcoholism in the family.