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By Bonnie Adams, LMFT | Off the Beaten Couch | Series: The Truth About Addiction and Abuse
“He’s not abusive when he’s sober.”
It’s a line that many survivors, therapists, and family members have heard and often believe. When violence, manipulation, or emotional cruelty shows up alongside alcohol or drugs, it feels almost natural to assume one causes the other. After all, substances change people, right? But here’s the truth backed by decades of research:
Addiction doesn’t cause abuse.
It may amplify it. It may excuse it. But it doesn’t create it.
Let’s start with what the data tells us. Multiple studies including work by Evan Stark, Lenore Walker, and John Gottman, have shown that abuse is about power and control, not intoxication.
Alcohol and drugs don’t implant abusive tendencies.
They reveal and intensify the ones already there.
The idea that “the drugs made them do it” serves everyone except the survivor.
Many survivors describe a painful truth: “When he got sober, he stopped drinking but he didn’t stop controlling me.”
This happens because addiction can mask the true source of harm. In early recovery, when the substance is gone, what remains is the belief system beneath it — the entitlement, manipulation, or emotional dominance that defined the relationship all along. Without addressing those relational patterns, sobriety simply removes the cover.
For survivors:
You are not imagining the abuse. You’re not overreacting. And you’re not responsible for someone else’s violence; drunk or sober.
Safety and healing begin when we stop tying someone’s cruelty to their consumption. For helpers and clinicians:
We must stop conflating substance recovery with relationship recovery.
A partner who is newly sober may still be emotionally unsafe. Recognizing coercive control and patterns of domination is just as critical as relapse prevention. For families:
Hope doesn’t have to die with accountability. In fact, real hope begins when denial ends.
Recovery means more than abstinence it means dismantling the power dynamics that harm.
Addiction can be devastating. Abuse is devastating.
But they are not the same. Believing that substances cause abuse blurs the line between harm that is chemical and harm that is intentional.
When we see that distinction clearly, we open the door for both truth and healing at the same time.
If you or someone you know is experiencing abuse:
This article and series are for educational purposes only.
They are not a substitute for therapy, medical care, or legal advice.
If you are in danger, please contact local emergency services.

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.