Raising the Bottom – Helping a Loved One Seek Recovery

Raising the bottom – it’s true – we don’t have to let a person “hit bottom.” There are healthy ways we can intervene to help a loved one raise their bottom. Why is this important? Addiction is a developmental disease and the earlier its progression is interrupted, the better.

Raising the Bottom – Helping a Loved One Seek Recovery

There is an age-old saying when it comes to offering reasons for why a person does not seek recovery or treatment or why a person relapses (goes back to drinking). Namely,  “He (or she) hasn’t hit bottom, yet.”

It’s long been held that the person has to “hit bottom” before treatment can work. The new brain research I present on this site and in my books shows this is not the case — especially for young people. Consider these statistics:

— 18-20 year olds have the highest rate of alcohol dependence of any age group in the U.S. (source: U.S. Surgeon General’s Call to Action to Reduce and Prevent Underage Drinking, 2007).

— Early use, independent of other risk factors, strongly predicts the development of alcohol dependence.  Of all people who have meet the diagnostic criteria for alcoholism in their lifetime, nearly half were addicted by age 21 and two-thirds by age 25.   (NIAAA, “Snapshot of Underage Drinking”)

The reason a person should not wait until a loved one hits bottom before they offer help is the fact that alcoholism (one of the diseases of addiction) involves a a combination of risk factors (genetics, early use, childhood trauma, mental illness, social environment and alcohol abuse). The drinking pattern, itself, follows a progression and begins with alcohol use, then moves to alcohol abuse and from there, to alcohol dependence (alcoholism).

Unfortunately, family and friends (and the person abusing alcohol) will go to the ends of the earth to rationalize a person’s alcohol abuse as something excusable for fear of the label alcoholic. Yet, it is the period of alcohol abuse that actually changes the chemical and structural make-up of the brain. Additionally, recognizing and dealing with a person’s combination of risk factors is critical. The earlier in the process you intervene in a healthy, productive manner, the better for your loved one’s brain health and recovery (although it is NEVER too late to start recovery).

The first step to understanding what it means to ‘help’ in a healthy, productive manner is to learn more. Please watch Dr. Kathleen Brady’s interview. Dr. Kathleen Brady is a professor of psychiatry at the Medical School of the University South Carolina and an expert in addiction and co-occurring psychiatric disorders. While on this site, you can browse further and learn a great deal of information about addiction, how to help, what’s involved in treatment and the like.



Lisa Frederiksen

Lisa Frederiksen

Author | Speaker | Consultant | Founder at BreakingTheCycles.com
Lisa Frederiksen is the author of hundreds of articles and 12 books, including her latest, "10th Anniversary Edition If You Loved Me, You'd Stop! What you really need to know when your loved one drinks too much,” and "Loved One In Treatment? Now What!” She is a national keynote speaker with over 30 years speaking experience, consultant and founder of BreakingTheCycles.com. Lisa has spent the last 19+ years studying and simplifying breakthrough research on the brain, substance use and other mental health disorders, secondhand drinking, toxic stress, trauma/ACEs and related topics.
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