How to Talk to a Loved One About Their Substance Abuse

How to Talk to a Loved One About Their Substance Abuse

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It’s one of the hardest conversations you’ll ever have—talking to someone you love about their substance abuse. Whether it’s drugs, alcohol, or both, confronting this issue head-on can feel overwhelming. You don’t want to push them away, but you can’t keep pretending everything is fine.

At Jaywalker, a men’s alcohol and drug rehab in Colorado, we’ve helped hundreds of families navigate this moment. And while there’s no script that works for everyone, there are ways to make the conversation more honest, compassionate, and effective.

If you’re not sure where to start, we’ve got your back.

Why Talking About It Matters

Substance abuse, whether it’s alcohol, opioids, or anything else, thrives in silence. When nobody says anything, the problem often grows. The person using might think no one has noticed—or that no one cares enough to say something.

Bringing it up lets them know that you see what’s going on and that you care. It opens the door to support, connection, and possibly even treatment. But more than that, it tells your loved one that they’re not alone.

Even if the conversation doesn’t go perfectly (and it probably won’t), saying something is usually better than saying nothing at all.

When Should You Say Something?

If you’re noticing things like mood swings, erratic behavior, financial issues, job loss, health problems, or strained relationships—those could all be signs of substance abuse. If alcohol or drugs are clearly getting in the way of their life, it’s time to speak up.

You don’t need to wait for rock bottom. In fact, waiting can make things worse. Early intervention can help prevent long-term damage and may even save their life.

How to Talk to Someone About Their Substance Abuse: 12 Tips That Can Help

Here’s a list of things you can do to make the conversation more productive and less explosive. You don’t need to follow every tip perfectly—just use what makes sense for your situation.
Timing matters. Don’t bring this up when they’re drunk or high. Don’t bring it up during a heated argument. Choose a quiet moment when you can both talk without distractions or time pressure. Privacy helps, too.
This isn’t easy, especially if you’re angry or scared. But yelling, blaming, or shaming won’t help. The calmer you are, the more likely they are to really hear you.
Instead of saying, “You’re ruining your life,” try, “I’ve been really worried about you lately.” It shifts the tone from accusation to concern and makes it less likely they’ll get defensive.

Speak from the heart. Let them know how their behavior is affecting you and others. Talk about specific things you’ve noticed without exaggerating or generalizing.

You might say something like, “I’ve seen how much you’ve been drinking lately, and I’m scared about what it’s doing to your health.”

This isn’t about proving a point or making them feel bad. It’s about connection. If it starts to sound like a lecture, they’ll probably tune you out.
Sometimes people just need someone to really listen. Ask open-ended questions like “How have you been feeling lately?” or “What’s been going on?” Then just… let them talk.
Denial is common. They might get angry, defensive, or completely shut down. That’s okay. Don’t take it personally. Stay calm and let them know the door is always open.

You want them to know you’re on their side. Offer to help them find resources or even go with them to talk to someone. Sometimes just knowing they’re not alone makes all the difference.

That said, if their behavior is putting others at risk—or if you’re being dragged down with them—it’s okay to set boundaries. You can support someone without enabling them.

Calling someone an addict or alcoholic might be technically accurate, but it can also shut the conversation down fast. Focus on their behavior, not their identity. Talk about what’s happening—not what they are.
One conversation probably isn’t going to fix everything. You’re planting a seed. Keep checking in, keep offering support, and celebrate any small steps they take in the right direction.
Learn about addiction, treatment options, and what recovery really looks like. The more informed you are, the more helpful you can be. That includes understanding how alcohol abuse and alcoholism differ—it’s not always obvious.

Helping someone through addiction is hard. It’s okay to feel exhausted, angry, or helpless. Make sure you’re getting support too—whether that’s from a therapist, a support group, or trusted friends.

What Not to Say

Sometimes it’s easier to know what not to say. Here are a few things that usually do more harm than good:

  • “Why can’t you just stop?”
  • “You’re being selfish.”
  • “If you loved me, you’d quit.”
  • “You’re just looking for attention.”
  • “You’re a failure.”

These kinds of comments shut people down. They can create shame, which often leads to even more drinking or drug use. Keep the focus on love and concern—not guilt and blame.

Real Talk: This Stuff Is Hard

There’s no perfect script. Every person and every situation is different. But if you’re showing up with love, honesty, and a willingness to listen—you’re doing more than you think.

Sometimes the person will get angry. Sometimes they’ll cry. Sometimes they’ll brush you off completely. But don’t let that stop you. Just showing up and starting the conversation can make a huge impact.

What If They’re Not Ready?

It happens. A lot. And it doesn’t mean you failed. Sometimes people need time to process. They might not be ready to quit or even admit there’s a problem. But don’t lose hope.

Keep the door open. Keep checking in. Let them know you’re there when they’re ready.

And in the meantime, protect your own peace. It’s okay to love someone and still take a step back to protect your own mental and emotional health.

When to Consider Rehab

If the drinking or drug use keeps escalating—or if your loved one is putting themselves or others in danger—it might be time for more serious help. Rehab isn’t a punishment. It’s a lifeline.

Programs like Jaywalker offer specialized care for men who are struggling with drugs, alcohol, or both. Rehab is a place where guys can take a break from the chaos, figure out what’s really going on, and start building a better life.

Treatment can look different for everyone. It might include therapy, group sessions, medical detox, or long-term recovery planning. The point is, real help is out there.

A Word to the Loved Ones

Watching someone you love struggle with alcohol or drug use is one of the hardest things you’ll ever go through. You can’t fix them. You can’t control them. But you can speak up. You can love them through it. And you can take care of yourself, too.

Don’t wait for things to get worse. If your gut says something’s wrong, listen to it.

And if your loved one is ready to talk about getting help, we’re here.

Jaywalker Is Here When You’re Ready

Jaywalker is a rehab in Colorado built for men who are ready to stop running, face the truth, and start fresh. Our program combines therapy, community, adventure, and structure to help guys take their lives back—from alcohol, from drugs, and from the pain they’ve been carrying for way too long.

If someone you love is struggling, or if you’re the one who needs help, don’t wait.

Reach out today.

author avatar
Stefan Bate, MA, LAC, CCTP Chief Clinical Officer
Stefan Bate, BA, MA, LAC holds a Master's Degree in Applied Psychology from Regis University and is a Licensed Addiction Counselor in the state of Colorado. Stefan has wide-ranging experience in the field of addiction recovery including: working as a recovery coach, therapist, and program director.

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