There are no items in your cart
Add More
Add More
| Item Details | Price | ||
|---|---|---|---|
By Bonnie Adams, LMFT | Off the Beaten Couch | Series: The Truth About Addiction and Abuse
December 09, 2025
When we think of abuse, we often picture shouting, violence, or threats.
When we think of addiction, we picture chaos, pain, or someone who’s “out of control.”
But what happens when those two realities overlap; not because one causes the other, but because both share something deeper: power and control?
In this episode of The Truth About Addiction and Abuse, we dig into a truth that’s often misunderstood; that addiction doesn’t make someone abusive. It can, however, intensify and expose the control that was already there.
It’s one of the most common statements I hear in therapy rooms:
“They’re not abusive, they just get mean when they drink.”
The truth is more complicated.
As researcher Lundy Bancroft explains, substances don’t cause an abuser to dominate, humiliate, or isolate their partner; they simply remove the filters that might otherwise hide that control.
Similarly, Evan Stark’s landmark work on coercive control shows that abuse is not a series of violent incidents. It’s a pattern of domination that erodes autonomy and safety over time. Alcohol or drugs might amplify it, but they don’t invent it.
So, when we say someone is “only abusive when they’re using,” what we’re often seeing is a flashlight turned on revealing beliefs and behaviors that were always present under the surface.
Many survivors describe moments that, on the surface, sound caring:
“I worry about you.”
“You shouldn’t hang out with them; they’re bad influences.”
“If you loved me, you’d help me stay sober.”
But beneath that language, there’s a quiet rewrite happening where the victim’s life starts revolving around the addict’s needs, moods, and recovery.
That’s not care.
That’s coercive control; the ongoing effort to dominate another person’s world through emotional pressure, guilt, or surveillance.
It’s what Lenore Walker identified decades ago in The Battered Woman: not just the presence of violence, but the cycle of tension, blame, reconciliation, and control that keeps a partner emotionally captive.
And when addiction enters the picture, that cycle can become even more confusing because the same person who harms also appears to be the one who needs saving.
Here’s where the nervous system becomes our best truth-teller.
Before the brain can label something as “manipulative” or “unsafe,” the body often sends subtle signals:
* A tightness in the chest when they “apologize.”
* A frozen feeling when you want to speak up but can’t.
* A deep fatigue that sets in after every argument.
* A racing heart when their tone shifts — even slightly.
These aren’t overreactions.
They’re survival responses and what trauma researchers call neuroception, the body’s way of detecting safety or threat beneath the words being spoken.
As John Gottman’s research on conflict shows, contempt and fear are physiological experiences long before they’re verbal ones. Your body’s reactions are data, not drama.
Victims often adapt in ways that seem like coping but are actually strategies to stay safe within control:
* You explain yourself more.
* You anticipate their moods.
* You minimize your needs.
* You keep the peace at all costs.
Each of these behaviors tells a story of survival.
As Bancroft notes, the abuser’s power depends on creating confusion — getting their partner to question their own memory, feelings, or reality.
When you start seeing your own patterns — not as flaws, but as signals — you begin reclaiming the clarity that control took from you.
Recovery and accountability are not the same thing.
Sobriety doesn’t automatically make someone safe.
And relapse doesn’t automatically make them abusive.
What makes the difference, as Stark and Bancroft both emphasize, is whether the person takes responsibility for the harm they’ve caused not just their substance use.
That means:
* No excuses based on intoxication.
* No deflection onto trauma, stress, or partners.
* No expectation that forgiveness is proof of healing.
Real accountability looks like humility, empathy, and behavioral change without conditions.
Start by asking:
* Do I feel smaller or freer after they express “care”?
* Do I feel guilty when I assert boundaries?
* Am I more focused on keeping them calm than feeling safe myself?
If the answer is “yes,” your nervous system may already know what your mind is still sorting through.
Remember: you don’t need proof of abuse to deserve peace.
Feeling unsafe is enough reason to seek support.
Addiction doesn’t cause abuse.
But when control and addiction collide, the damage deepens — not just because of what’s done, but because of how deeply it confuses love and fear.
The truth is, care that costs you your autonomy isn’t care at all.
And real recovery, for both survivors and those who do the harming, begins with accountability, not excuses.
If you or someone you know may be experiencing abuse or coercive control:
📞 National Domestic Violence Hotline: 1-800-799-SAFE (7233)
💻 www.thehotline.org — Free, confidential, and available 24/7.
For substance use support:
📞 SAMHSA Helpline: 1-800-662-HELP (4357)

Bonnie Adams
A Utah-based Marriage and Family Therapist specializing in addiction recovery for family and friends of those struggling with a substance use disorder. Bonnie has over a decade of experienced working in the field of addiction recovery and currently practices in Northern Utah.