Codependency Treatment for Partners: You Have Options

The term “codependency” describes a condition that was first identified in the context of alcoholism and chemical dependency. The family dynamics of alcoholics were actually playing a role in preventing them from becoming or staying sober.

Researchers began to study the spouses or intimate partners and members of the alcoholics’ families and identified a distinct disorder that exists alongside of addiction and makes it worse.

This disorder was labeled codependency. Discovering and defining codependency has led to the creation of treatment programs that work alongside addiction treatment. Professionals assess and treat family dynamics as well as the person struggling with addiction. Mental Health America defines codependency this way:

“Codependency is a learned behavior that can be passed down from one generation to another. It is an emotional and behavioral condition that affects an individual’s ability to have a healthy, mutually satisfying relationship. It is also known as ‘relationship addiction’ because people with codependency often form or maintain relationships that are one-sided, emotionally destructive and/or abusive. Huntington Beach Christian Counseling offers support for individuals dealing with codependency.”

The disorder was first identified about ten years ago as the result of years of studying interpersonal relationships in families of alcoholics. Codependent behavior is learned by watching and imitating other family members who display this type of behavior.”

A codependent person has an unusually high desire for emotional intimacy. To fulfill this desire, they play the part of caregiver or rescuer. They often find themselves in relationships with unreliable or abusive partners.

When a person is repeatedly attracted to unstable partners, this is a red flag for codependency. People who struggle with alcoholism or other forms of addiction are in dire need of help and rescuing. From an unhealthy perspective, they need a partner who will enable their addiction.

The addiction model describes the process of gratification followed by a withdrawal that addicts experience. The concept of codependency explains how codependents are also trapped in this cycle. They want to be passionately engaged with their partners, and if their partner creates distance, the codependent can go through withdrawal symptoms such as anxiety and desperation.

What causes the alcoholic to create distance? It’s when their cycle reaches the binge phase of self-indulgence in their chosen substance. Once they’ve achieved their fix or high, they inevitably face the consequences. At this point, the codependent can seek his or her own “fix,” achieving a sense of intimacy and being needed by “helping” the alcoholic and saving them from the consequences.

Outside of the cycle description, this dynamic has also been compared to a dance between the addict and the codependent. The codependent accepts a one-way relationship, but it doesn’t only hurt them. It also hurts the addict and contributes to the addiction taking a stronger hold in their life.

Not all experts agree that codependency should be called an addiction. Amir Levine, M.D., and Rachel Heller, M.A., in their book Attached, describe it this way:

“While the teachings of the codependency movement remain immensely helpful in dealing with family members who suffer from substance abuse (as was the initial intention), they can be misleading and even damaging when applied indiscriminately to all relationships.”

According to Levine and Heller, a seemingly excessive attachment need can be rooted in evolutionary biology. Their book describes codependency as a social construct based on a cultural norm of independence and self-reliance.

Research no longer supports the idea that healthy parent-child bonding requires complete self-reliance on the part of the child. Levine and Heller claim that codependency concepts, applied indiscriminately to non-addictive relationships, make even healthy dependency patterns seem questionable.

Attached posits a theory called “New Science of Adult Attachment,” suggesting that dependency is based on our DNA, not on addiction.

Christians may relate the theory of healthy dependency to the book of Genesis, which says, “A man will leave his father and mother and be united to his wife, and the two will become one flesh.” Levine and Heller claim that we actually do receive happiness from our partners, not just from within ourselves:

“Numerous studies show that once we become attached to someone, the two of us form one physiological unit. Our partner regulates our blood pressure, our heart rate, our breathing, and the levels of hormones in our blood. We are no longer separate entities.

The emphasis on differentiation that is held by most of today’s popular psychology approaches to adult relationships does not hold water from a biological perspective. Dependency is a fact: it is not a choice or a preference.”

In Attached, the concept of “mutual reactivity” is described as an example of normal dependency. Partners become upset on each other’s behalf and respond to each other’s emotions and experiences like they are their own. But this description of mutual reactivity is viewed as a lack of boundaries or emotional enmeshment by codependency experts and the mental health community.

Attached does acknowledge the possibility of over-attachment, which the authors call an “activated attachment system.”

“Remember, an activated attachment system is not passionate love. Next time you date someone and find yourself feeling anxious, insecure, and obsessive – only to feel elated every once in a while – tell yourself this is most likely an activated attachment system and not love! True love, in the evolutionary sense, means peace of mind. ‘Still waters run deep’ is a good way of characterizing it.”

Attached proposes a more balanced approach than the common mental health emphasis on differentiation and emotional independence. Instead, the authors say we should acknowledge that we have an inherent need for attachment and dependence on our partners, and when this need is met, we will feel secure.

“Attachment principles teach us that most people are only as needy as their unmet needs. When their emotional needs are met, and the earlier the better, they usually turn their attention outward. This is sometimes referred to in attachment literature as the ‘dependency paradox’: the more effectively dependent people are on one another, the more independent and daring they become.”

This newer approach suggests that we simply recognize that looking to others to fulfill our needs is natural human behavior. Meanwhile, the concept of codependency sounds the warning that our attachment needs could be based on harmful patterns learned in childhood and that they may become addictive.

In both theories, the solution is similar: seek out the right partner, one that is emotionally available and willing to meet your needs.

Levine and Heller describe a needy person differently than an addiction expert might. In addiction circles, the needy party will be called a codependent or an addict. But those who speak in terms of attachment, such as Levine and Heller, would instead use words like anxious or avoidant.

Either way, the dance between the needy person and their partner looks the same. The person who says, “Love me, please!” and the person who says, “Go away” are often attracted to one another and end up in relationships.

Terry Gaspard, MSW, LICSW, has written an article called “Overcoming Codependency: Reclaiming Yourself in Relationships.” She says:

“Many people stay in self-defeating relationships too long because they are fearful of being alone or feel responsible for their partner’s happiness. They may say they want out – but they end up staying. Others may leave but repeat the same or a similar self-destructive pattern in a new relationship.

The adrenaline rush that they experience when they feel passionate toward someone can be addictive. For many people, the reason behind excessive emotional reliance on a partner is codependency – a tendency to put others’ needs before their own.”

The authors of Attached say that this neediness is rooted in biology, but that doesn’t mean recognizing its legitimacy will solve all our problems:

“The question is what happens when the person we rely on most–and in fact depend on emotionally and physically–doesn’t fulfill his or her attachment role?

After all, our brain assigns our partner the task of being our secure base, the person we use as an emotional anchor and a safe haven, the one we turn to in time of need. We are programmed to seek their emotional availability. But what if they aren’t consistently available?”

Gaspard lists several obstacles to finding true love, including self-defeating thoughts, self-sabotage, fear of rejection, self-judgments, and a lack of support. Levine and Heller offer explanations of different attachment styles to help people navigate competing needs in their relationships.

They devote several chapters to explaining the nuances of the different styles and how you can identify which one describes you and which describes your partner. They also give examples of how different types of attachment look in real life, along with solutions for improving your relationship and resolving conflict.

So what are the attachment styles Levine and Heller have identified? There are three: anxious, secure, and avoidant. (You may recognize that these are similar to the addiction model of codependent, interdependent, and detached.)

If you have an anxious attachment style…

You will place a high value on being close and intimate with your partner. You will fear to lose your partner. You will be attuned to the subtleties in your partner’s nonverbal communication, and you may take everything personally. This style can be overly sensitive, prone to getting upset and saying things they’ll regret.

If you have a secure attachment style…

You’ll be a loving partner who feels comfortable and secure in your relationship, balancing your sense of freedom with a healthy level of intimacy. You will also be good at communicating what you need and reading your partner’s emotional cues.

If you have an avoidant attachment style…

You will place a high value on your autonomy and independence. This doesn’t mean you won’t desire intimacy, but too much might make you feel uncomfortable. Your partner might often complain that you seem detached or don’t open up enough.

Levine and Heller suggest that the concept of codependency is more useful in relationships characterized by substance abuse, while their theory of attachment styles is better for non-addictive relationships.

Considering both theories can offer us a helpful balance and suggest relationship patterns to avoid, such as those described by Gaspard. Can you identify any of these patterns in your relationship?

  • Poor boundaries. Do you have trouble saying “no” to requests? Do you let others take advantage of you?
  • Ignoring red flags. Are you unwilling to confront major problems such as dishonesty, jealousy, or destructive habits?
  • People-pleasing. Do you overachieve just to make other people happy or win their approval? Are you afraid to bring up problems because you don’t want your partner to reject you?
  • Staying in a destructive relationship. Have you been abused or neglected in your relationship and felt like you couldn’t leave?
  • Giving too much. Are you in a one-sided relationship? Do you neglect self-care? Do you think that taking time for yourself is inherently selfish?
  • Defining your self-worth by what others think of you. Are you so focused on other people’s opinions that you don’t value your own opinion of yourself?

The theories in Attached are helpful ways to describe problematic relationship patterns in otherwise healthy couples. This avoids the stigma surrounding codependency and concepts that are intended to address issues related to substance abuse.

If you are not yet in a relationship, you can benefit from reading Attached and understanding how to find a partner who is willing to meet your emotional needs. If you are already married, Attached can help you identify the attachment styles in your relationship and how to overcome problems to have a more fulfilling connection.

Where family dynamics are extremely toxic or affected by substance abuse, the concept of codependency offers a road to freedom from destructive relationship patterns that affect both children and adults. Christian Counselors at Huntington Beach Christian Counseling can provide guidance and support in addressing these challenges.

If you feel that there are attachment or codependency issues in your relationship, it may be helpful to make use of tools to assess any addiction problems in your family, such as:

  • The alcoholism/drug addiction self-test at the National Center for Alcoholism and Drug Dependence
  • The sexual addiction screening or other tests at the International Institute for Trauma and Addiction Professionals

Once the presence of addiction has been ruled out, Attached can be a helpful resource for understanding and growth of relationships.

Photos

“Face-off”, Courtesy of Silvia and Frank, Pixabay.com; CC0 License; “Hold My Hand,” courtesy of Ezra Jeffery, magdeleine.co, CC0 Public Domain License; “Lean on me,” courtesy of Rosie Ann, peels.com, CC0 License; “Green spaces,” courtesy of jean_mingmo, Flickr Creative Commons, CC0 License

Do Not Battle Alone: Seek Help for Depression

The LORD himself goes before you and will be with you; he will never leave you nor forsake you. Do not be afraid; do not be discouraged. Deuteronomy 31:8

Among the psychological struggles plaguing people in the US, depression is one of the more common ones. The ADAA.org states that “MDD [Major Depressive Disorder] affects more than 16.1 million American adults, or about 6.7% of the U.S. population age 18 and older in a given year.”

And even for adolescents, depression is an issue. “In 2015, an estimated 3 million adolescents age 12 to 17 in the United States had at least one major depressive episode in the previous year, according to the National Institute of Mental Health.” (ADAA.org)

These statistics are not surprising, however, given that life is so unpredictable. Negative experiences like the death of a loved one, separation, illnesses and accidents, failure at work or school, and other forms of emotional or physical harm can readily cause severe depression. Huntington Beach Christian Counseling can help individuals cope with these challenges.

Fortunately, it can be overcome.

The Various Ways to Get Help for Depression

Because depression is a common issue, much research has been done to discover ways to battle depression. Here are some things to do to receive help for depression.

1. Talk to somebody

One important step is to open up to someone about the problems causing the depression. The more a person stays isolated, the more hopeless the situation becomes. Speaking to a trusted family member, friend, or colleague can do wonders to lift the emotional burdens. Just the feeling of being cared for through their concern can make a sufferer feel that they are not alone.

Professional counseling is another way as some loved ones are unsure of what to say, especially if the issue is very complicated or life-threatening. Professional counselors can better probe the issue to get to the true root of the problem. If needed, counselors may also prescribe medicines to combat the problem.

2. Get diagnosed

There are different forms of depression such as major depressive disorder, seasonal affective disorder (SAD), postpartum depression, premenstrual dysphoric disorder, persistent depressive disorder, and even depression due to medical conditions. Each one has its own characteristics.

Since depression recovery requires the willing cooperation of the sufferer, it helps that the sufferer feels that they are in good hands. This is more quickly done if the type of depression is known so that the counselor knows how to objectively explain what the sufferer is going through.

3. Join a support group

For many people undergoing struggles – emotional or physical, it helps to know that you are not alone. In a support group, experiences are shared, and emotions are unburdened.

4. Contact a crisis worker

In case depression leads to suicidal thoughts, it is imperative that the sufferer speaks to somebody about this. Sadly, many are not able to as they feel ashamed to reach out to a loved one or there may be no loved ones around to speak to. Fortunately, there are hotlines specifically for this need.

  • One may call the suicide prevention lifeline at 1-800-273-8255 or visit their website https://suicidepreventionlifeline.org
  • One may also text 741741 and be connected immediately to a crisis worker for no charge.

5. Learn more about depression

A sufferer of depression can proactively choose to deal with their situation by learning more about what they are going through. There are many available resources (e.g. blogs, articles, videos and books) that deal with this, many of which written by people who dealt with depression themselves.

Here are some helpful options:

While there are several good books out there discussing depression, two very good Christian books on surmounting depression are:

  • When the Darkness Will Not Lift by John Piper
  • Spurgeon’s Sorrows: Realistic Hope for Those Who Suffer from Depression by Zack Eswine

Take Care of Yourself

As with any mental issue, help from others is important in order to address what is causing the suffering. But there are also things that a sufferer must do for themselves to take care of their physical, mental and spiritual health. Failure to do so will make the depression will feel even more insurmountable.

1. Exercise and diet

Just like in other sicknesses, mental issues or injuries, if the physical body is not well, then overcoming the problem becomes more difficult. A weak body can affect the mind and soul. While a depressed person may not “feel” like taking care of themselves, it is important that this is still done. For example, a quick jog around the neighborhood or a trip to the gym can give the sufferer a healthy change of scenery to uplift their mood.

Additionally, a proper diet is necessary to prevent sickness and ensure that one’s mood does not become even more morose, adding to the depression.

2. Yoga

In recent years, yoga has become quite popular in Western culture as a way to keep the body and mind strong.

The physical discipline required to do it, as well as the emphasis on deep breathing and mindfulness of one’s body and thoughts, do wonders for obtaining self-control and peace of mind. Research has even shown that yoga can positively combat anxiety.

3. Keep a journal

Similar to the methods of Cognitive Behavioral Therapy (CBT), journal writing allows a person to focus on their mental process and how that may be affecting them. When thoughts are written down, a sufferer may look at them objectively to unlock the negative thoughts behind their mental issues. Journal writing may also work as an “eraser” or “editing marker”, allowing a person to remove negative ideas or perhaps view them in a different light.

But even if journaling does not allow them to see the roots of their negativity, at least it may serve as an outlet for emotional release.

3. Listen to healing music

Music can be a means to heal if the melody and message are right. The following are some Christian artists whose songs can help heal.

  • Sleeping at Last

Try the songs “Saturn”, “Emphasis”, and “You are Enough.”

  • Bellarive

The song “Tendons” is about the act of grace committed on the cross.

  • Josh Garrels

The songs “Beyond the Blue,” “Farther Along,” and “Born Again” are very helpful.

  • Needtobreathe

Many of their light-hearted tunes contain much depth for the soul.

4. Read the Bible and Pray

I waited patiently for the LORD; he inclined to me and heard my cry. He drew me up from the pit of destruction, out of the miry bog, and set my feet upon a rock, making my steps secure. He put a new song in my mouth, a song of praise to our God. Many will see and fear, and put their trust in the LORD. – Psalm 40:1-3

All over Scripture, it is clearly seen that there is an on-going spiritual battle for our souls. Prayer and Bible reading are direct ways to fight the darkness’ powers that threaten to turn us away from God.

When depressed, a sufferer may feel that their spirit is at an all-time low, making it easier to succumb to negative thoughts about self-harm (e.g. suicide, alcohol or drug abuse) or breaking relationships (e.g. divorce, running away, isolation). This is why it is very important for the sufferer to reconnect with God.

Another helpful spiritual activity is to have someone pray for you or pray with you. As earlier stated, opening up to others is already a helpful step when battling depression.

It helps to know that somebody cares about your situation. But corporate prayer is also a powerful method in dire circumstances as there are two or more of you seeking God’s wisdom and help through Christ.

As stated in Matthew 18:19-20, “Again I say to you, that if two of you agree on earth about anything that they may ask, it shall be done for them by my Father who is in heaven. For where there are two or three gathered together in My name, I am there in their midst.”

Our Savior knows what is like to be human and what it means to struggle. If there is anyone that can help, it is He.

Depression is a serious issue indeed. It saps a person’s emotional, physical and spiritual energy, causing them to look at life from darkly tinted lenses.

If you or someone you know is suffering from it, it is best to get help soon. The abovementioned methods should be reviewed and applied. However, if professional counseling seems to be the best path, then you should get into contact with a professional Christian Counselor at Huntington Beach Christian Counseling who can listen to your concerns while applying Scripture to heal both mind and soul.

Photos
“Tearful”, Courtesy of Kat J, Unsplash.com; CC0 License; “Group Effort”, Courtesy of Rawpixel.com, Unsplash.com; CC0 License; “Yoga”, Courtesy of Matthew Kane, Unsplash.com, CC0 License; “His Word,” Courtesy of jclk8888, Pixabay.com, CC0 License