Advice
Coping with an alcoholic partner
Substance abuse is entrenched in LGBT culture


Michael,
I think my girlfriend is an addict and I am struggling with how to help her.
We met three years ago when we were both in our mid-20s, and Anna told me she had a history of drinking too much back when she was a teenager. But she said it was now totally under control.
Iād notice that sheād seem to drink a lot when we were out at a club but I trusted her that she no longer had a problem.
After about a year I started noticing that her drinking was increasing and not just when we were clubbing.
Once I was on a business trip and when I called her she seemed out of it, slurring her words and not making much sense. She said sheād spent the evening home alone. That really worried me that sheād be drinking by herself on a weeknight.
After that, I started really paying attention to how much she was drinking when we were together and I got alarmed. I raised it with her and she got angry. Then she got a DWI.
I tried to make a plan with her not to drink too much but told me not to tell her what to do. I donāt want to tell her what to do. I just want to help her get back to where she was when we met, and drinking wasnāt a problem for her.
Itās gotten so I donāt want to be with her anytime she might drink, because I get nervous and upset.
Last Tuesday she yelled at me to stop making her feel like sheās a drunk. Then she went to sleep in the guest room. When I left for work the next morning she was still asleep. I tried to wake her up so she wouldnāt be late for work but she was out cold. When I was leaving the house I saw three new empty bottles of wine in the recycling. She must have drunk them overnight.
Since then sheās barely talking to me. I am trying to be nice and not bring up anything about drinking but I know this isnāt good for her. She has already gotten written up for repeatedly being late to work and I am also worried about her getting another DWI because she has to drive a lot for work.
How do I approach this to help her without her getting angry? I feel we were on a really good trajectory and now it is derailing. Thank you.
Michael replies:
You canāt help Anna stop or reduce her drinking if she does not want to change her behavior. Nor can you find a way to approach this without Anna getting angry. Annaās anger is up to her. Iām sorry. Living with an addict who is using is frustrating, infuriating, and often very sad.
What you can do is find a better way to cope with Annaās drinking than letting it take over your life, as you are now doing when you monitor the recycling, try and keep her from being late to work, and search for ways to get her to cut back.
Can you accept that you are powerless over Annaās drinking, and enjoy being in this relationship with Anna as she is? This would mean that you stop trying to change her behavior and accept that Anna is responsible for her lifeājob loss, DWI, and all.
Practically speaking, if you stay with Anna under these terms, there may be times when you wonāt want to just stand by. You might try such strategies as taking away her keys so that she doesnāt drive drunk. Doing so might save her lifeāor someone elseās life. But a relationship where you play this role is not a love relationship of two equal partners.
If you donāt want to be with someone who drinks as much as Anna does, you can leave the relationship. But do not to threaten Anna with leaving unless she curtails her alcohol consumption. Threatening your significant other with consequences to get her to change her behavior will poison your relationship.
Whether you decide to stay with Anna or not, consider checking out Al-Anon, a support fellowship for families and friends based on the principles of Alcoholics Anonymous. You could use some help getting out of the role of wanna-be rescuer.
For Anna and anyone struggling with addiction: People abuse drugs and alcohol for complex, deep-seated reasons. But alcohol and other substance abuse is entrenched in LGBT cultureĀ Many of us drink and use other substances to block feelings of depression, anxiety, isolation and self-loathing. LGBT socializing is often alcohol-focused, which encourages and normalizes drinking to excess.Ā Reducing or stopping substance use isnāt easy, but it is possible. Consider getting support including through a 12-step group such as Alcoholics Anonymous, a harm reduction program, or a therapist.
Michael Radkowsky, Psy.D. is a licensed psychologist who works with LGBT couples and individuals in D.C. He can be found online atĀ michaelradkowsky.com. All identifying information has been changed for reasons of confidentiality. Have a question? Send it to [email protected].

Hi Michael,
When I came to D.C. for college and came out, I was idealistic about finding true love. I made gay friends at school and watched them hooking up all the time.
It seemed like the opposite of what I wanted. I dreamed of meeting āPrince Charmingā and living happily ever after. I thought I would put off sex until I met my special guy.
This went on for a while until I got too horny and impatient to keep putting off sex. The boyfriend wasnāt materializing so I went online and hooked up. Actually it was a lot of fun.
Soon I was hooking up as much as any of my friends were. I kept hoping Iād still find my prince.Ā But over time most of my energy shifted to finding guys to have sex with.
Now Iām 34. Iāve been at this a long time and I realized the other day that I donāt like my life.
I havenāt been on a real date in years but Iām hooking up multiple times a week. Iāve been with almost everyone I see on the apps whom I find attractive (where the feeling was mutual). And yes, Iāve been with a lot whom I didnāt find attractive because I was horny.
I look at myself and I think, yuk. I donāt like whom Iāve become.
I feel like I am addicted to hooking up. I just keep craving something. The release but mostly the attention, that the other person finds me hot. After I come, I feel like the whole thing was pointless, and a little disgusted with myself. Advice?
Michael replies:
Youāre using hookups not just for sex, but as a way to feel good about yourself by getting positive attention from others. Ā
But other-validation is like junk food, a sugary snack that staves off hunger for a few minutes and never really fills you up. All those guys you hook up with? The attention feels great, but as you wrote, that feeling lasts until your orgasm. And then youāre back to chasing it.
As with junk food, the other-validation you get when you hook up is a lot of empty calories. Having someone you donāt even know agree to have sex with you says nothing meaningful about your worth or even your attractiveness.Ā
Yet another problem: If you believe that you need other-validation, you will do all sorts of self-damaging behaviors to get itāsuch as hookups that leave you feeling empty and disgusted.Ā Iāve seen many people lose their self-respect in the service of getting other peopleās positive attention through behaviors that violate their own integrity. Doing things that make you feel bad about yourself in an attempt to feel good about yourself is ironic, and sad. Ā
The bottom line is that other people canāt āmakeā you feel good about yourself. Ā They might give you a small temporary boost, but your self-esteem actually has to come from you. Thatās why itās called self-esteem. Once you are past a certain age, if you donāt believe that you have value, no one else can get you there. You have to validate yourself.
Letās go big-picture for a moment: It is our parentsā job to teach us that we have value when we are little, and when that doesnāt happen, we often struggle with self-esteem throughout our lives, unless we can find a path to develop our own belief in our worth. In the meantime, we may chase other-validation in a futile attempt to fill ourselves up.
Other experiences we go throughāfor example, growing up gay in a hostile environmentācan also do a number on how we see ourselves, and leave us grasping for affirmation from others. It takes work to get through and get past the impact of these experiences.
So how do you get better at giving yourself the validation you are seeking? Thereās a great saying from the 12-step programs: If you want to have self-esteem, behave in esteemable ways.Ā
What would it mean for you to behave in a way that you respect? Your letter provides one answer that is true for you: Stop engaging in sexual encounters that leave you disliking yourself.
Far easier said than done, right? But that doesnāt mean itās impossible. Having gotten clarity that you donāt like the life youāve constructed for yourself, now you actually can do something about it. Keep in mind, though, that you will face some challenges if you stop hooking up.
First: You may find it isolating and scary to stop doing something that all or most of your friends are doing. You will have to reassure yourself that youāre doing whatās right for you; that you are taking good care of yourself by choosing to avoid behaviors that leave you feeling bad; and that itās OK to be different from āeveryone else.ā In other words, you are going to have to get much better at self-validation.
If you have some friends who donāt spend a lot of their time hooking up, they may be good supports for you. Some guys find camaraderie from attending a 12-step program like Sexual Compulsives Anonymous (SCA).
Second: People often use hookups (and sex) not just for sexual gratification, but to soothe anxiety, stress, depression, and other uncomfortable feelings. If you stop hooking up, you will likely need some other ways to keep yourself calm and to steady your mood. Exercise and meditation are two obvious means.
Youād be wise to figure out new ways to fill your time that give you a sense of meaning and connection. I canāt tell you what those might be; only you can figure out what is right for you. They might include developing or deepening warm friendships, taking good care of yourself, finding a new activity that interests you ā the list can go on and on.
If you still want to find your prince, this is the way to go about it. The clichĆ© is true: You canāt expect anyone to like you unless you like yourself. If you build a life rich in fulfilling pursuits that help you to feel good about who you are and the life you are leading, you will be transforming yourself into relationship material.
Keep in mind, though, that letting yourself get close to someone through a heart connection would mean having to confront all sorts of uncomfortable emotions, including feeling vulnerable, that you have avoided by limiting yourself to crotch attachments.
That said, working to become a more solid person would help you develop the strength to tolerate the ongoing challenges of a close relationship.
Michael Radkowsky, Psy.D. is a licensed psychologist who works with couples and individuals in D.C. He can be found online atĀ michaelradkowsky.com. All identifying information has been changed for reasons of confidentiality. Have a question? Send it toĀ [email protected].

Hi Michael,
Iām in a relationship I think I donāt want to be in.
Ed is very sweet and thatās part of the problem. He is always solicitous of me, caring, kind, agreeable. I donāt want to hurt his feelings, which I certainly would do if I dump him.
Weāve gotten into what is now a serious relationship because of him, not me. He kept asking me out on one date after another, and I kept saying yes. He proposed being exclusive, and I said yes.
I was lonely, Edās cute and a nice guy, and it felt good to be cared about.
Ed is great at planning a fun life. Dinners, vacations, socializing. My life is way more exciting than it used to be. Ed takes the initiative on everything and heās very good at it.
But I feel smothered, like I donāt have a say in how I live and what I do. We spend all our time together. And my friends are now āourā friends because he always joins me when I get together with them.
I canāt talk about this with him because I don’t think he can handle it. If he sees the least sign of me being upset, he says, āWhatās wrong? Are you mad at me?ā with this vulnerable tone in his voice. Heās told me heās afraid of losing me when Iāve shown any unhappiness.
Iām no longer attracted to him. I donāt know why, heās as cute as ever.
Sometimes I wonder whatās wrong with me. I have a good-looking, caring boyfriend. So many guys want this. I should be happy. But Iām not.
On the other hand, Iām afraid that if I break up with Ed I will be lonely all over again and maybe never find such a caring person.
Any guidance you have would be appreciated in how to think about this and sort it out.
Michael replies:
This relationship is giving you all sorts of opportunities to become a more solid person.
First point to consider: If you canāt set boundaries, you will spend your life twisting yourself into a pretzel to accommodate others. Thatās what is happening now with Ed.
When we are struggling to succeed at an important life skill, as you are here, itās helpful to think how our personal history may be contributing to our being stuck.
Some possibilities for you to consider: What example did your parents model? Perhaps they had trouble setting boundaries in their relationships, so you didnāt learn how to do so. Or perhaps when you were growing up, you didnāt have much say about what you could or couldnāt do, so you didnāt learn you could speak up about what is important to you.
Iām painting with a broad brush here, just to inspire your own thinking. While our lives arenāt rigidly determined by our pasts, the ways that we learned to relate as we grew up do have a powerful influence on how we live in the present. Having some sense of what has shaped our operating system can help us loosen up and try new ways of behaving.
Second (and related) point: You cannot go through life without ever disappointing anyone or you will (as noted above) start to resemble a pretzel. Yes, youāll likely upset Ed when you tell him that youāre unhappy in the relationship. But if Ed is going to address his clingy and needy behavior, he needs to hear this.
At their best, relationships challenge us to grow. This relationship is pushing you to tolerate disappointing someone you care about, in the service of saying what you need to say. And guess what? Your letting Ed know where you stand will challenge him to work on his own relational wobbliness. Very cool.
Third point: Why are you not stepping forward with your own ideas about what you want to do and how you want to live? You are letting Ed do all the work. What is up with that?
One obvious explanation: Your difficulty setting a boundary is stopping you from asserting what you want. In other words, your inability to say ānoā is leading you to feel stifled in this relationship. Good news: you have the power to change this.
Another possibility: Maybe you donāt actually have much in the way of interests or ideas for what you would like to do, and Ed is merely filling the void so that the two of you have some kind of life together.
If so, I encourage you to start thinking about what is meaningful to you. Developing a selfāfiguring out what is important to you, what you care aboutāis one of the great tasks and great joys of being alive. If you just keep doing what others around you wantāboyfriends, friends, familyāyou may keep feeling resentful and will squander your life.
I donāt know if you would actually enjoy being with Ed if you do the work to become a solid person who speaks up about what is important and brings his own agenda to the relationship. While itās your decision to do so or not, I urge you not to decide based on fear of stepping outside your comfort zone.
And please consider that this work would help you in any future relationship, if you end things with Ed.
One more point: Itās no surprise that youāve lost interest in having sex with Ed. Being enmeshed with someone as tightly as you describe your fusion with Ed is a desire-killer. Perhaps this would change if you give yourself some room to breathe.
Michael Radkowsky, Psy.D. is a licensed psychologist who works with couples and individuals in D.C. He can be found online atĀ michaelradkowsky.com. All identifying information has been changed for reasons of confidentiality. Have a question? Send it toĀ [email protected].
Advice
Navigating these uncertain times
You have no power over others, but you have a lot of power over yourself

For Valentineās Day, I was planning to write a column about shifts we can make in our attitudes and behaviors to strengthen our love relationships and deepen our connection with our partners.
Then, over the past few weeks, as Iāve been listening to many of my clients express their concerns about the state of our country and our world, I realized that much of what is required to have a great relationship can also help us get through the difficult times we live in.
So here are some principles that I hope will help you to navigate both the challenges of being in a close relationship and the challenges of uncertain times.
These principles overlap because they are all components of an approach to living that focuses on developing and maintaining agency over your life, and working to strengthen your resilience. The more solid you are, the better you can get through the hard stuff.
Strive to behave with integrity, in a way that you respect. You are likely to feel a lot better about yourself if you do what you believe is right, rather than betraying your values out of fear or to please others. The playwright Lillian Hellman, pressed to appear before the House Committee on Un-American Activities in 1952 and āname names,ā said it well: āI cannot and will not cut my conscience to suit this yearās fashions.ā (Of course, only you can decide how to balance possible consequences with the importance of honoring your principles.)
Stand up for what you believe in. Being quiet out of fear or concern for what others will think leaves us feeling like helpless victims. And you cannot have an intimate relationship when you donāt let your partner know important parts of who you are.
Strive to be non-reactive. Do your best to not let others (or circumstances) press your buttons so that you lash out, rather than responding thoughtfully and with deliberation, based on your values.
Strive to always soothe your anxiety. The philosopher Viktor Frankl wrote: āBetween stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.ā When someone or something is starting to make us crazy, the best first move we can make is to quiet ourselves. Doing so allows us to think how to best respond.
Thereās a great saying from Twelve Step programs: āIf you want to have self-esteem, behave in esteemable ways.ā You are more likely to do so when you first calm yourself, rather than exploding with anxiety or rage.
Strive to tolerate discomfort: Sometimes we canāt do much about what is making us uncomfortable or causing us distress. Our partner may not change in ways we would like; our job situation may be rough; we may face hostility in the outside world. Identifying how we can deal with challenges and difficult circumstances in a way that helps us become stronger and more resilient can often help us to weather them a bit more easily.
Strive to tolerate uncertainty: There really are no guarantees about anything important in life. Thatās the way it goes. We canāt know how things will turn out āneither our relationships nor our lives nor the fate of humanity. So if we are to construct a meaningful life, we have no choice other than to keep putting one foot in front of the other, doing our best to respond thoughtfully and to have an impact when and where we can, without knowing the outcome.
Strive to stay anchored in reality, not lost in feelings. When we let our feelings run the show, itās easy to get spun up and reactive. While our feelings are a source of information, they are not reality. All sorts of thingsāour pasts, the distortions of social media, what people around us are doing and sayingācan contribute to how we feel about a situation.
Yes, itās always a good idea to be aware of our feelings. But before acting on them, calm yourself, get some clarity about why you may be feeling what youāre feeling, and think about how reality lines up (or doesnāt line up) with what youāre feeling. In other words, aim to keep the big picture in mind.
Remember that you cannot change others, but you may at times be able to influence them. For example, when I first became vegetarian, I wanted to push my friends to adopt a vegetarian diet by āenlighteningā them about the misery of factory farms and the environmental cost of raising animals for food. I soon realized that lectures and judgment are not a great way to change minds. Serving delicious vegetarian food for a dinner is more helpful. So think about how you can reach out to someone or to others with different views, in a way that they are more likely to hear you.
Obviously, there are limits to this approach. There may be times when you arenāt going to be heard, no matter how you say what you have to say. The point at which we shift from reaching out to someone to taking a ādonāt tread on meā stance can be tricky to discern, and the decision to make that shift should be taken thoughtfully and with appreciation of possible consequences.
Keep your focus mainly on what you can do about a situation. Focus less on what the other person is doing wrong, or not doing. While you have little or no power over others, you have a lot of power over yourself. Thinking about what you can do to effect at least some of the change you would like, in your relationship or your community or our world, is an antidote to feeling powerless.
Michael Radkowsky, Psy.D. is a licensed psychologist who works with couples and individuals in D.C. He can be found online atĀ michaelradkowsky.com. All identifying information has been changed for reasons of confidentiality. Have a question? Send it toĀ [email protected].)
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