We serve individuals, couples, and families through virtual and in-person therapy in Maryland.
September 26, 2025

It’s one of the hardest conversations to start.
You’ve noticed changes. Something feels off. Maybe it’s subtle, maybe it’s not.
But every time you think about saying something, you hesitate.
You don’t want to make things worse.
You don’t want to be wrong.
You don’t want to push them away.
So you wait.
If you’re here, you’re probably already carrying that tension.
And the reality is—avoiding the conversation doesn’t usually make it easier.
Learning how to talk to a loved one about alcohol use isn’t about saying the perfect thing.
It’s about approaching the conversation in a way that actually gives it a chance to go well.
Talking about alcohol use is different from most conversations.
There’s uncertainty. Emotion. Sometimes fear.
You might be wondering:
These concerns are valid.
At the same time, waiting too long can allow patterns to continue or escalate.
That’s what makes this so difficult—you’re trying to balance care with risk.
Before getting into what to say, it’s important to understand what makes these conversations more effective.
In general, conversations tend to go better when they are:
Approaching the conversation with empathy and without judgment increases the likelihood that the person will actually hear you.
On the other hand, things that tend to backfire include:
Even when your concern is valid, delivery matters.
Timing is one of the most important parts of this conversation.
Try to talk when:
This is not a conversation to have in passing or in the middle of an argument.
Creating the right environment increases the chances of a productive conversation.
One of the most effective ways to begin is by focusing on what you’ve observed—not what you assume.
For example:
This keeps the conversation grounded in reality instead of accusation.
Try to avoid language like:
The goal is to open a conversation—not shut it down.
This is where a lot of conversations go off track.
It’s easy for concern to come out as pressure.
Instead of trying to control the outcome, focus on expressing care.
For example:
People are more likely to engage when they feel supported—not judged.
Even if the conversation is handled well, it may not go the way you hope.
They might:
This doesn’t mean the conversation failed.
It often means they’re not ready yet.
You can’t force someone to change their behavior—but you can create opportunities for awareness.
This part is important—and often overlooked.
You are not responsible for:
You are responsible for how you show up.
Trying to take on more than that often leads to burnout, stress, and frustration.
If this pattern feels familiar, you may also relate to: “Why boundaries feel so hard.”
Instead of telling them what to do, offer support.
This might look like:
Encouraging professional support—like therapy or group counseling—can be helpful, especially when they’re ready.
Supporting someone with alcohol use concerns can be emotionally draining.
It’s easy to focus entirely on them and ignore your own experience.
However, your mental health matters too.
You may need:
If you’re feeling overwhelmed, that’s not something to ignore.
If you’re struggling with how to navigate this, therapy can help you:
You don’t have to figure this out on your own.
At The JW Therapy Group, we work with individuals and families navigating the impact of substance use—both directly and indirectly.
Our therapists help clients:
We also offer a substance use therapy group, which provides:
The JW Therapy Group offers:
If you’re navigating this situation and want support, you can reach out through our contact us page.
The most effective approach is calm, nonjudgmental, and specific. Focus on what you’ve observed and express concern rather than trying to control the outcome.
Avoid labeling, blaming, or confronting them aggressively. Statements that feel like criticism often lead to defensiveness.
This is common. It doesn’t mean the conversation failed—it may just mean they’re not ready yet. Keeping the door open matters more than getting immediate agreement.
No. Change has to come from them. What you can do is express concern, offer support, and encourage help.
If the situation is affecting your stress, mental health, or relationship, therapy can help you navigate it in a more supported and sustainable way.
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