PTSD in Children of Alcoholics

In addition to the basics of food and shelter, children also need stability, consistency, and emotional care in order to thrive. Typically, at a young age, children form an emotional attachment with their caregivers and this has an influence on their development. The most important emotional attachment for a child is usually their parents. Children learn from their parents how to behave, how to function in life, and how to form other healthy relationships. When children grow up in unstable environments, it can disrupt normal development and lead to difficulties, such as mental health conditions.

Effects of Alcoholic Parents

One environment that can be challenging for children is a home in which one or both caregivers struggle with alcoholism. The characteristics of alcoholism can interfere with a person’s typical parenting abilities. They may have an unusual schedule that leads to instability in the child’s life and they may not be able to provide consistent care. They may act in unusual or harmful ways towards the child, including making hurtful statements or becoming violent while under the influence. Further, the parents may not be emotionally available, and therefore, the child is not able to have their emotional needs met.

Traumatic Effects on Children

Each child is unique and consequently may respond to such conditions in different ways. One outcome that some will develop is Post-Traumatic Stress Disorder (more commonly known as PTSD). Many of us associate PTSD with veterans or sexual assault survivors, but in fact, PTSD can grow out of any situation where a person experiences a shocking, scary, or dangerous event. Unfortunately, for children growing up with alcoholic parents, where the caregiving is unstable or even abusive, and this situation can represent a complex (or on-going) trauma experience. When children develop PTSD, it often appears different than it does in adults.

Many of us associate PTSD with veterans or sexual assault survivors, but in fact, PTSD can grow out of any situation where a person experiences a shocking, scary, or dangerous event.

PTSD Symptoms in Children

Many factors combine to affect the exact symptoms an individual with PTSD will exhibit. Specific factors can include the child’s intellectual development, presence of other caregivers, and amount of time spent in the traumatic environment. When adults experience PTSD, they often have symptoms of flashbacks and nightmares. Certain reminders of the trauma experience may serve as triggers that launch the person with PTSD into a cascade of difficult memories and psychological effects. However, the developmental level and dependence of children on caregivers can result in other symptoms.

When children experience trauma, they may feel helpless or they may take on responsibilities in the home, while still being unable to resolve the larger situation. They may withdraw or shut down. They may disconnect or dissociate from their surroundings. They may learn to exercise avoidance just to keep going. Other times, children want to seek out help and act out with tantrums or other behavioral problems. These may be methods they developed to help them survive the difficulty of home-life. Unfortunately, any of these behaviors can negatively affect children at school and in other settings.

Comorbid Mental Health Conditions

If left untreated, children of alcoholics (especially those who also experience PTSD) may develop other problems too. Many will also struggle with symptoms of depression or anxiety. Some will struggle with perfectionism and low self-esteem. These children may also have difficulties forming attachments and trusting other individuals in their lives. They may develop other more difficult disorders such as Reactive Attachment Disorder or Borderline Personality Disorder. These types of mental health conditions can make it difficult for individuals to form healthy relationships.

Risk for Personal Substance Use

Children who grow up in homes with alcoholic parents, experience trauma, and develop PTSD often go on to have their own issues with substance use disorders. The reasons for this are three-fold. First, these children may have a genetic predisposition towards substance use. Second, they have witnessed substance use and it was role modeled for them. Third, sadly, in their efforts to cope with their PTSD, they often turn to substances as a maladaptive means of coping. They may find that it helps them “numb out” or temporarily reduce their symptoms and set aside their traumatic memories.

Children who grow up in homes with alcoholic parents, experience trauma, and develop PTSD often go on to have their own issues with substance use disorders.

Adult Children of Alcoholics

For some individuals, who grow up in homes with alcoholic parents, their childhood is all about survival. They are just trying to get through each day, often taking care of themselves, younger siblings, the home, and even their parents. This survival mode may lead them to just keep functioning (at least on the surface). These children may not notice significant mental health problems until they are able to get themselves into a different situation (sometimes by entering college or moving out on their own). These adult children of alcoholics may then seek help to deal with their unresolved trauma.

Applying What We Know

Practically speaking, we want to use this information and here are some ways:

  • For parents struggling with their own alcohol problems, this may be your call-to-action to get help and improve not just your life, but also the lives of your children.
  • For adults who may see children in difficult situations, speak up and link them to help. Specially trained mental health providers can work with children to help them cope with trauma experiences and build their resilience for their lives ahead.
  • For adults, who grew up in homes with alcoholic parents and complex trauma situations, seek help. Some mental health providers have specialized training in working with trauma.

These providers will be best able to help you alleviate symptoms of PTSD and go on to a better life.

How The Meadows Can Help

The good news is there is hope for individuals who grew up around alcoholism. Research has identified ways that therapy can help. Having a collaborative therapeutic relationship with a skilled therapist will provide a space where you can learn new skills for coping, process through your history of trauma, and move forward into your own healthier life. Specific therapy approaches can be used to best match your personal situation and unique characteristics. You can explore these options with a therapist.

For over 35 years, The Meadows trauma treatment program has been helping trauma victims heal and learn the skills necessary to cope with the devastating, and often hidden, effects of trauma. The trauma treatment program at The Meadows was specifically designed for trauma survivors by Pia Mellody and a team of world renowned experts including Dr. Peter Levine, John Bradshaw, Dr. Jerry Boriskin, Dr. Bessel van der Kolk and Dr. Claudia Black.

We have helped over 45,000 clients to date, through workshops and inpatient treatment programs. To learn more about the trauma workshops and treatment programs at The Meadows, call us at 800-244-4949.

Getting Help For Alcohol Addiction

At The Meadows, we treat all phases of alcohol addiction. From detoxification to our primary treatment program, we build foundations for long-term abstinence and sobriety. We focus on making changes in the way one lives, faces problems and relates to others.

Recovery from alcohol addiction may not seem possible, but it is. Once a person admits to having a problem, he or she has started down the path of recovery. Many patients trust The Meadows’ Alcohol Treatment Program to help them begin their journey toward sobriety. For more information please contact us online or call 800-244-4949 to speak with a representative to discuss your needs.


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