Denial is part of addiction. Don't argue about whether it's "a problem." Instead, focus on specific things you've noticed: missed work, money issues, health changes. It's harder to deny specifics than labels.
40%
of our calls come from family members
Every Day
we help families figure out their next step
Free Consultation
with one of our skilled medical providers
You’re not alone. Parents, spouses, siblings, and friends call us every day, asking the same question:
“How do I help someone who doesn’t want help?”
There’s no easy answer. But there are things that work and things that don’t. We can help you figure out which is which.
Signs Your Loved One Needs Help
You don't need to catch them using to know something is wrong. Trust what you're seeing.
Behavioral Changes | Physical Signs |
|---|---|
Unexplained money problemsMissing cash, selling things, borrowing constantly | Nodding off unexpectedlyDrowsy mid-day, falling asleep mid-sentence — common with opioids |
Social withdrawalAvoiding family, making excuses, pulling back socially | Unusually small or large pupilsPinpoint (opioids) or dilated (stimulants) |
Lack of responsibilityMissing work, unpaid bills, broken promises | Frequently sickFlu-like symptoms, sweating, anxiety — these are signs of withdrawal |
Constant lyingStories that don’t add up; gets defensive when asked | Track marks or burnsLong sleeves in summer, marks on arms or hands |
About FentanylHaving the Talk (Without Making It Worse)
You've probably already tried. Maybe it didn't go well. Here's what tends to work better.
What Helps
Pick a calm moment
Not when you're angry. Find a quiet time when you're both clear-headed and can have a real conversation.
Lead with concern, not accusations
"I'm worried about you" works better than "You have a problem."
Be specific about what you've noticed
"You've missed three family dinners" is harder to deny than "You're never around."
Listen more than you talk
They may open up if they don't feel attacked. Let them speak.
Have options ready
"I found a place that can help. Can I show you?" is better than "You need to get help."
What Doesn't Help
Ultimatums you won't keep
"If you don't stop, I'm leaving" only works if you mean it. Empty threats make things worse.
Shame and guilt
"Look what you're doing to this family" adds to shame they already feel. People don't quit using drugs because they feel worse about themselves.
Comparing them to others
"Your brother never did this" or "Why can't you be normal?" doesn't motivate anyone.
Trying to control everything
You can't lock them in a room. You can't follow them everywhere. Recovery has to be their choice.
Expecting one conversation to fix it
This is a process. You might have this conversation five or ten times before anything changes. Don't give up after one try.
Supporting vs Enabling: What's the Difference?
There's a common belief that families need to "stop enabling" by withdrawing support. Here's the truth: what others might call "enabling" is often necessary support. Your loved one needs your support regardless of where they are in their journey. The question isn't whether to support them, it's how to do it without losing yourself in the process.
Ways to Stay Supportive
What looks like "enabling" to others is often exactly what they need
Signs You Need to Protect Yourself
This is about YOUR limits, not about doing support "wrong"
When You've Reached Your Limit, We're Here
What If They Won't Get Help?
You can’t push someone into recovery, but that doesn’t mean you’re powerless.
Call us Anyway
We talk to families every day. We can help you explore options and educate you about what's available. Understanding your options is key.
Keep the Door Open
Let them know help is available when they're ready. Plant the seed. Many people come back months later.
Protect Yourself
Set boundaries. Take care of your own health. You can't help them if you're falling apart.
A note about "rock bottom": You may have heard they need to hit rock bottom before they'll change. That's not always true. For some people, rock bottom is death. Don't wait. Keep trying. Keep the conversation going. Many people accept help before they lose everything.

With Symetria Recovery, your loved one gets:
Treated like a person, not a number
89% success rate (2x industry average)
Same-day access to medication
No judgment if they slip up
*Based on internal data as of November 2024. Individual results may vary.
What Their First Visit Looks Like
So you can explain it to them and ease their fears about what to expect.
Call to schedule. You can do this for them. Same-day often available.
We'll verify insurance. We can do this with you, not just them.
They meet with a medical provider who specializes in addiction.
They can start medication the same day if appropriate.
They go home. Come back for follow-ups.
"It's about 3 hours for the first visit"
"You can feel better the same day"
"They can start treatment regardless of whether they're currently using"
"No one is going to lecture you"
"I can come with you if you want"
Don't Forget About You
Loving someone with an addiction is exhausting. You're allowed to take care of yourself too. In fact, you have to.
You're not selfish for setting boundaries
Boundaries protect your wellbeing and model healthy behavior.
Consider support for yourself
Al-Anon, Nar-Anon, or a counselor who understands addiction can help.
This is not your fault
You can't control it. And you can't cure it alone.
Resources for Family Members
Nar-Anon
Support groups for families of people struggling with drug addiction. Free meetings nationwide.
nar-anon.orgSAMHSA National Helpline
Free, confidential, 24/7 treatment referral and information service.
1-800-662-4357Talk to Us
Call Symetria anytime. We can talk through your situation even if your loved one isn't ready yet.
866-287-5921Find a Location Near You


Texas Locations
Insurance & Payment
Most insurance covers drug addiction treatment. We can check coverage before they come in.
Note: We accept commercial insurance and Medicare at all locations. Coverage varies by plan. Self-pay is also available.
Questions Families Ask
What if they say they don’t have a problem?
Should I give them an ultimatum?
Only if you're prepared to follow through. An ultimatum you don't keep makes future boundaries harder to enforce. If you say "get help or move out," you have to mean it.
Can I call on their behalf?
Yes. 40% of our calls come from family members. We can talk through your situation, explain treatment options, and help you figure out your next step. Even if they're unsure what to do next.
Do they have to want help for treatment to work?
Motivation helps, but it's not required. Many people start treatment because of pressure from family, work, or legal issues. They weren't ready when they started. Motivation often comes after they start feeling better.
What if they’ve tried treatment before and it didn’t work?
Returning to use is common and doesn't mean treatment failed. It often takes multiple attempts. What matters is trying again. Different approaches work for different people. We can try a different medication, more therapy, or adjust the intensity.
Can I come to their appointments with them?
If they want you there, yes. Many people bring a family member to their first visit for support. We also offer family therapy as part of treatment to help provide support and education throughout treatment.
Will I be told how their treatment is going?
Only if they sign a release allowing us to share information with you. Treatment is confidential by law. We encourage family involvement, but the patient decides what to share.
What if they overdose?
Call 911 immediately. If you have Narcan (naloxone), use it. Many pharmacies sell it without a prescription. If your loved one is using opioids or any street drug, having Narcan nearby could save their life.




