I Don’t Know What to Say

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Medically Reviewed By:

EricChaghouriMD-641h-e1758224525342

Dr. Eric Chaghouri

Medical Director

Dr. Eric Chaghouri is a distinguished forensic psychiatrist and addiction medicine specialist with a thriving private practice in West Hollywood and Century City, California. He specializes in the treatment of co-occurring psychiatric and addictive disorders and is recognized for his work with attorneys, courts, and legal teams in both civil and criminal litigation. He also provides expert consultation on psychiatric issues for major television networks and oversees a growing team of mental health clinicians.

Support That Truly Cares

Reach out for confidential support, no pressure, no judgment. We’re here to help you take the next step.

Every Conversation Feels Like You’re Walking Through a Minefield

Have you ever rehearsed a conversation in your head a dozen times before picking up the phone? Have you ever sat staring at the screen, wondering what on earth to say when they actually answer?

You are not alone.

Maybe every discussion turns into an explosive argument. Maybe they become instantly defensive, or shut you down with the familiar promise: “This is the last time, I can control this.”

After too many painful interactions, many families stop talking altogether because silence feels safer than another fight. Unfortunately, that silence quickly becomes the next barrier to recovery.

targeted relapse risk interventions

There Are No Perfect Words

Many families carry the heavy burden of believing they need to find one “magical” sentence that will finally click and convince their loved one to get help.

The truth is, there is no magic phrase.

Addiction is rarely caused by a lack of information. Most people struggling with alcohol or drugs are already acutely aware of the consequences. The physical and psychological pull of addiction is simply stronger than the fear of those consequences.

They know they have disappointed the people they love, and they often carry far more shame than their families realize. That is why lectures, guilt trips, and repeated reminders of their mistakes rarely create the change we hope for. To reach them, we have to look closely at our words, actions, and reactions to ensure we aren’t unintentionally driving them deeper into defensiveness.

Choosing Connection Before Correction

One of the most powerful things you can do is learn to listen, not because you agree with their destructive behavior, and not because you are giving up. You listen because people are far more likely to open up when they feel understood instead of judged.

This doesn’t mean you ignore the problem. It means you are choosing to build a bridge of connection before you attempt to correct the behavior.

You don’t need to memorize complicated scripts. Simply shifting the tone of your communication can make a world of difference:

Instead of saying…Try saying…
“You’re ruining your life!”“I love you, and I am really worried about you.”
“You need rehab!”“Can you help me understand what you’ve been going through lately?”
“You always do this!”“I’ve noticed some changes, and I want to support you.”

💡 The Goal: Instead of trying to win the argument, try to understand the person standing in front of you.

What Usually Doesn’t Help

When someone is actively under the influence, conversations can become emotionally charged in an instant. Whenever possible, try to avoid:

  • Arguing while they are intoxicated: Wait until their brain is clear.
  • Making empty threats: Never set a boundary or consequence you aren’t fully prepared to follow through on.
  • Name-calling or personal attacks: This only feeds their shame and defensiveness.
  • Bringing up past mistakes: Keep the focus on the present moment and the immediate future.
  • Forcing major decisions during a crisis: Panic rarely leads to sustainable, healthy choices.

If you have reacted this way in the past, please be gentle with yourself. Most of us have said these very things out of deep fear and exhaustion. Acknowledging that these responses don’t work simply allows us to choose a more effective path moving forward.

Boundaries Can Be Loving

Many people confuse compassion with giving in. They are not the same thing. You can love someone deeply while still saying: “I love you, but I cannot support choices that are hurting you.”

Healthy boundaries are not a form of punishment. They are one of the most loving gifts you can give to both yourself and your loved one.

1. Financial Boundaries

  • Instead of: “I’ll keep giving you money because I don’t want you to suffer.”
  • Try: “I will not give you cash; however, I am happy to buy you some groceries.”
  • Why this works: Never hand over cash or directly fund an account. It is even best to buy immediate groceries rather than gift cards, ensuring your help cannot be traded or sold to fund a habit.

2. Boundaries Around Substance Use

  • “I love you, but you cannot use alcohol or drugs in my home.”
  • “If you’re under the influence, I love you, but we will have to talk tomorrow when you’re sober.”
  • “You are always welcome here, when you are sober.”
  • Why this works: These boundaries protect the safety of your home while keeping the relationship open. You are saying “no” to the behavior, not to the person.

3. Respectful Communication

  • “I am entirely willing to talk with you, but I am not willing to be yelled at or insulted.”
  • “If we cannot speak to each other respectfully, I will need to end this conversation and we can try again later.”
  • Why this works: This isn’t about winning. It is about protecting your own peace and keeping both of you from saying things you will later regret.

4. Protecting Children

  • “I cannot allow the kids to ride in the car with you if you have been drinking or using.”
  • “I want you to have a strong relationship with them, but it has to be completely safe.”
  • Why this works: Children deserve absolute stability and physical safety, even when addiction is impacting the family.

If You Don’t Know What to Say… Start Here

Sometimes, the simplest words are the most powerful. If you are stuck, start with these:

  • “I love you.” (This carries more weight than you know.)
  • “I’m worried about you.”
  • “I’m right here whenever you are ready.”
  • “I truly believe things can get better.”
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You Don’t Have to Have All the Answers

One of the biggest misconceptions families face is believing they must become certified addiction experts before they can help their loved one. You don’t.

Sometimes, the most honest, loving thing you can say is:

“I don’t know how to help you anymore… but I am entirely willing to learn.”

That single shift in willingness can change everything.

At Changes Treatment Center, we spend our days helping families learn healthier ways to communicate, set life-giving boundaries, and support a loved one’s recovery without losing themselves in the process. You do not have to figure this out alone. We would be honored to walk alongside you.

You Don't Have to Carry This Alone.

Whether your biggest fear is an overdose, losing a job, declining health, damaged relationships, or simply not knowing what to do next, we want you to know that there is hope. Our team is here to answer your questions, help you understand your options, and support both you and your loved one. There is no pressure, no judgment, and no obligation, just caring professionals who understand how difficult this journey can be. The call is free.

Take the next step when you’re ready. We are here to walk this path with you. We also have free monthly informational and support meetings for you. Please click here for more information. It is a hybrid meeting, live in person and on-line for those who cannot make it to Costa Mesa.

Quiz: How Much Drinking Is Too Much?

Is your evening glass of wine a harmless habit, or is it starting to catch up with you? It’s not always easy to tell where “social drinking” ends and “too much” begins.

Take this quick, 2-minute quiz to check in on your relationship with alcohol and get clear, personalized insights.

If you answered "Yes" to more than one question:

Reflecting on your routine and finding balance

Answering "yes" to one or more of these questions can be a sign that alcohol might be starting to take up a bit more space in your mind, routine, or relationships than you would like. It is incredibly common for drinking habits to slowly shift over time, especially during stressful seasons, but realizing you want to look closer at those habits is a brave first step.

  • A gentle next step: You don’t have to make any major, life-altering decisions today. Simply giving yourself permission to talk openly and honestly about where you are can lift a massive weight.
  • Let's talk it through: We have compassionate, real people ready to listen and walk alongside you. Whether your goal is to cut back, take a temporary break, or just share your story, we are here with zero judgment and absolute confidentiality.

Want us to reach out to you?

Leave your details below and a caring member of our team will connect with you quietly and confidentially.

Quiz: Am I Depressed?

We all experience days when we feel down, exhausted, or just completely unmotivated. But when those heavy feelings start lingering, it can be hard to tell if you’re just going through a rough patch or if it’s something more.

This quick, confidential check-in is designed to help you pause and reflect on how you’ve actually been feeling lately. It is completely anonymous, entirely non-judgmental, and takes less than two minutes.

If you answered "Yes" to 3 questions or more:

Finding a gentle path forward

Answering "yes" to one or more of these questions can be a sign that a heavy mood, low energy, or a sense of exhaustion has started to weave its way into your daily life. Carrying this emotional weight is incredibly tiring, but acknowledging how much you have been holding inside is a profound and brave first step toward feeling like yourself again.

    • A gentle next step: You don’t have to navigate these heavy feelings or find the answers all on your own. Simply letting someone else help carry the weight for a moment can offer immense relief.
  • Let's talk it through: We have warm, compassionate people ready to listen and walk alongside you. Whether you are looking for guidance on how to start feeling better, or simply want a safe, confidential space to share what you've been going through—we are here for you.

Want us to reach out to you?

Leave your details below and a caring member of our team will connect with you quietly and confidentially.

Quiz: Do I Have a Substance Use Problem?

It’s common for habits to slowly shift over time, especially during stressful seasons. Often, we find ourselves using a substance to cope, unwind, or get through the day, only to realize it is starting to take up more space in our routine, thoughts, or relationships than we’d like.

This quick, 10-question check-in is a quiet space to reflect honestly on how your use is impacting your life. It is entirely anonymous, completely free of clinical judgment, and takes less than two minutes.

If you answered "Yes" to more than one question:

Reflecting on your routine and finding balance

Answering "yes" to one or more of these questions can be a sign that substance use might be starting to take up a bit more space in your mind, routine, or relationships than you would like. It is incredibly common for these habits to slowly shift over time, especially during stressful seasons, but realizing you want to look closer at those habits is a brave first step.

  • A gentle next step: You don’t have to make any major, life-altering decisions today. Simply giving yourself permission to talk openly and honestly about where you are can lift a massive weight.
  • Let's talk it through: We have compassionate, real people ready to listen and walk alongside you. Whether your goal is to cut back, take a temporary break, or just share your story, we are here with zero judgment and absolute confidentiality.

Want us to reach out to you?

Leave your details below and a caring member of our team will connect with you quietly and confidentially.

Quiz: Could It Be Both?

When we are struggling with deep stress, anxious thoughts, or a low mood, it is incredibly natural to look for immediate relief. Sometimes, we turn to alcohol or other substances just to quiet our minds, get some sleep, or feel normal for a night. 

This short self-assessment is designed to help you pause and look at how these two parts of your life might be influencing each other. It is entirely anonymous and takes less than two minutes.

If you answered "Yes" to more than one question:

Reflecting on how your experiences connect

Answering "yes" to one or more of these questions can be a sign that your mental health and substance use are deeply intertwined. When anxiety, depression, or stress connect with alcohol or drug use, they often feed into one another in a cycle. Recognizing this link is a powerful and brave step toward finding a path that heals both at the same time.

  • A gentle next step: You don’t have to separate these struggles or try to fix them one by one. True recovery looks at the whole picture, and starting with a simple, honest conversation can offer immense relief.
  • Let's talk it through: We have compassionate, real people ready to listen and walk alongside you. Whether your goal is to find balance, heal from trauma, or address both mental health and substance use together—we are here with zero judgment and absolute confidentiality.

Want us to reach out to you?

Leave your details below and a caring member of our team will connect with you quietly and confidentially.

Alcohol Self-Assessment

Take a moment to answer these questions honestly.
There are no right or wrong answers.

This assessment is not a medical diagnosis, but it can help you determine whether alcohol may be having a greater impact on your life than you realize.

In the past 12 months…

SCORE: 0 POINTS

Developed by Patrick Conod, LCSW, and Cari Lawyer, CATC I, on behalf of the Changes Treatment Center Clinical Leadership Team.

Is My Loved One Struggling with Alcohol?

A Self-Assessment for Family Members and Friends

Watching someone you love change because of alcohol can be confusing and heartbreaking. You may find yourself questioning what you’re seeing, wondering if you’re overreacting, or hoping things will get better on their own.

This assessment is designed to help you reflect on the behaviors you’ve noticed. It isn’t a diagnosis, but it may help you determine whether it’s time to seek guidance or support.

In the past 12 months…

Developed by Patrick Conod, LCSW, and Cari Lawyer, CATC I, on behalf of the Changes Treatment Center Clinical Leadership Team.