Addiction Alcohol Use Children of Alcoholics How Having an Alcoholic Parent Can Affect a Child By Buddy T Buddy T Facebook Twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial process Updated on March 22, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Aron Janssen, MD Medically reviewed by Aron Janssen, MD LinkedIn Aron Janssen, MD is board certified in child, adolescent, and adult psychiatry and is the vice chair of child and adolescent psychiatry Northwestern University. Learn about our Medical Review Board Print Verywell / Brianna Gilmartin Table of Contents View All Table of Contents Psychological and Emotional Effects Interpersonal Effects Behavioral Effects How to Cope One misconception that many people have is that their drinking is not affecting anyone else. Of course, that's not true, and children of alcoholic parents can be among those most impacted. Parents struggling with alcoholism (which experts call "alcohol use disorder" or AUD) may be surprised or concerned to learn about the affect their drinking can have on their children now and through adulthood. Their kids, however, may find relief knowing what may have contributed to some of the issues they may face today. Dealing With a Relative Who Drinks Too Much During the Holidays Psychological and Emotional Effects Unfortunately, the effects of growing up around alcohol use are sometimes so profound that they last a lifetime. Living with a parent who has an alcohol use disorder affects the way kids, and kids-turned-adults, see themselves. 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 alcoholic parents 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. Alcoholic Fathers and a Child's Development 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. As a result of trust issues or the lack of self-esteem, adult children of parents with AUD often struggle with romantic relationships or avoid getting close to others. 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. Press Play for Advice On Building Confidence Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast shares how to build your confidence and self-esteem. Click below to listen now. Follow Now: Apple Podcasts / Spotify / Google Podcasts 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 become super responsible or perfectionists, and can become overachievers or workaholics. On the other hand, it is not uncommon for a person to go in the opposite direction, mirroring the same bad behaviors they may have witnessed during childhood. If a parent was emotionally or physically unavailable, the adult child can develop a debilitating fear of abandonment and, as a result, hold on to toxic relationships just because they don't want to be alone. Behavioral Effects While evidence is conflicting, there seem to be some behavioral changes in children, adolescents, and adults who had a parent with alcohol use disorder. Although it is difficult to separate out the role of genetics and other childhood experiences, these children may be more susceptible to substance use and other issues. Alcohol Use Some studies have shown that children of parents with alcohol use disorder are more likely to use alcohol themselves, in adolescence or adulthood. They may begin drinking alcohol at a younger age than other people, and to progress quickly to a problematic level of consumption. In families in which both parents have an AUD, teens may be at higher risk. Internal and External Behavior Issues Children of parents who use 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 one study of over 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 use. This could even be experienced as post-traumatic stress disorder (PTSD), similar to people who had different traumatic childhood experiences. Poor Academic Performance Some research has found an association between parents' use of alcohol and teens' lower performance in school. This could be related in part to the behavior issues seen among children of parents with an AUD. It could also be complicated by other family circumstances. How to Cope When a Parent Uses Alcohol The emotional and psychological scars that children of parents with AUD can develop can last well into adulthood. If you have an alcohol problem and you have children in the home, please try to find help. Focusing on the love of your children and how your drinking may be affecting them can go a long way toward motivating you to scale back your drinking or stop it altogether. They deserve that positive change—and so do you. And research shows that when parents reduce alcohol use, especially when children are very young, children do better. Likewise, if you are the partner or the child of a parent who has or had an alcohol use disorder (or other substance use problems), please seek out support. You are not alone. If you are experiencing one or more of the issues above or any other psychological distress, you deserve help and treatment. If you or a loved one are struggling with substance use or addiction, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. A Word From Verywell Research suggests that about 1 in 10 children lives with a parent who has an alcohol use disorder, and about 1 in 5 adults lived with a person who used alcohol when they were growing up. Parents with an AUD may have difficulty providing children 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. What Are Adverse Childhood Experiences (ACEs)? 9 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Haugland SH, Carvalho B, Stea TH, Strandheim A, Vederhus JK. Associations between parental alcohol problems in childhood and adversities during childhood and later adulthood: A cross-sectional study of 28047 adults from the general population. Subst Abuse Treat Prev Policy. 2021;16(1):47. doi:10.1186/s13011-021-00384-9 Eiden RD, Molnar DS, Colder C, Edwards EP, Leonard KE. A conceptual model predicting internalizing problems in middle childhood among children of alcoholic and nonalcoholic fathers: The role of marital aggression. J Stud Alcohol Drugs. 2009;70(5):741-50. doi:10.15288/jsad.2009.70.741 Park S, Schepp KG. A systematic review of research on children of alcoholics: Their inherent resilience and vulnerability. J Child Fam Stud. 2015;24(5):1222-1231. doi:10.1007/s10826-014-9930-7 UC Santa Cruz Counseling and Psychological Services. Adult child of an alcoholic (ACoA). Eiden RD, Godleski SA, Colder CR, Livingston JA, Leising MC, Leonard KE. Early childhood risk and protective factors predicting resilience against adolescent substance use. Adv Res Sci. 2020;1(2):107-119. doi:10.1007/s42844-020-00007-5 Wong MM, Brower KJ, Conroy DA, Lachance KA, Craun EA. Sleep characteristics and behavioral problems among children of alcoholics and controls. Alcohol Clin Exp Res. 2018;42(3):603-612. doi:10.1111/acer.13585 Berg L, Bäck K, Vinnerljung B, Hjern A. Parental alcohol‐related disorders and school performance in 16‐year‐olds—a Swedish national cohort study. Addiction. 2016;111(10):1795-1803. doi:10.1111/add.13454 Substance Abuse and Mental Health Services Administration (SAMHSA). Children living with parents who have a substance use disorder. American Academy of Child and Adolescent Psychiatry. Alcohol use in families. Additional Reading Ip KI, Jester JM, Puttler LI, Zucker RA. Alcoholic family marital heterogeneity aggregates different child behavior problems both pre- and postseparation. Dev Psychopathol. 2019;31(02):771-788. doi:10.1017/S0954579418000561 Lund IO, Moen Eilertsen E, Gjerde LC, et al. Maternal drinking and child emotional and behavior problems. Pediatrics. 2020;145(3):e20192007. doi:10.1542/peds.2019-2007 By Buddy T Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Get Treatment for Addiction Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.