Alcoholism is an addiction that makes life incredibly difficult for the alcoholic and everybody else in their lives. The children of alcoholic parents, in particular, suffer emotional and psychological trauma as a result of growing up with dysfunctional parent-child dynamics.

The impact of having an alcoholic mother or father has both short and long-term effects that harm children by normalizing destructive, dangerous behaviors and irreparably damaging their relationships. These children need a lot of support to heal from their trauma, even when they become adults.

Immediate Effects of Having Alcoholic Parents

Parents have an enormous impact on their children’s development. Children go through several crucial developmental stages, from infancy to early childhood to adolescence, and neglectful, abusive, or emotionally absent parenting can stunt development or even cause children to regress.

Unfortunately, with approximately 3.3 million alcohol-related deaths occurring every year and millions more people living with alcohol use disorder (AUD), many children are suffering with alcoholic parents [1]

Research has proven that parental alcoholism causes immediate and sometimes irreversible effects on children’s physical and emotional development. There is a range of psychosocial symptoms that children of alcoholics immediately exhibit, which may include:

  • Anxious behaviors
  • Difficulties concentrating
  • Feelings of low self-esteem
  • Anger issues
  • Extreme emotional reactions to sensitive situations
  • Early use of alcohol and drugs [1]

Witnessing a parent rely on and abuse alcohol can be deeply traumatizing, negatively shaping a child’s emotional, psychological, and physical development. Such parents often fail to provide a safe, nurturing environment for their children, which can lead to long-term mental health issues that worsen with age and ongoing trauma [2]

Long-Term Consequences of Having Alcoholic Parents

The impact of growing up with an alcoholic parent often extends far beyond childhood. For many adult children of alcoholics, early exposure to instability and emotional neglect continues to shape their development and mental health well into adulthood. These long-term effects frequently influence how they form and maintain relationships, especially after years of being placed in caregiving roles or witnessing erratic behavior at home.

Hypervigilance

As a result of these experiences, many become hypervigilant, constantly alert to potential threats or emotional shifts in others. This heightened sensitivity often stems from years of hiding family struggles or enduring stigma and ridicule. They may also display traits such as impulsiveness, difficulty interpreting social cues, or controlling behavior, all of which can strain friendships and romantic relationships [3]

Mental Health Impact

Studies show that adult children of alcoholics are more likely to exhibit symptoms of mental health disorders, including anxiety, depression, panic disorder, agoraphobia, and other phobias. In some cases, they may also turn to alcohol or drugs themselves, perpetuating cycles of addiction and reinforcing patterns of emotional distress [4]

While not every child of an alcoholic parent will develop psychological issues, the trauma experienced in such environments can have profound and lasting psychological consequences. Recognizing these patterns is a vital step toward healing and breaking generational cycles. 

Common Coping Mechanisms and Behaviors

Children raised in homes affected by alcoholism often live in a constant state of emotional tension. To manage this chronic stress, they develop coping mechanisms meant to provide comfort or control. Unfortunately, these strategies typically evolve in unhealthy ways, shaped by the emotional chaos of their upbringing [5].

Perfectionism and the Need for Validation

Many children of alcoholic parents grow up striving for perfection in academics, work, or personal relationships. This often stems from a lack of praise or emotional support at home. Their self-worth becomes tied to external validation, making even minor failures feel devastating. While high achievement can seem positive, unchecked perfectionism often leads to anxiety, burnout, and a fragile self-image [3].

Emotional Guarding and Secrecy

In households where addiction is present, children are often taught (implicitly or explicitly) not to talk about their family’s struggles. As adults, they may avoid discussing their past or emotions, finding it difficult to open up and trust others. This secrecy can create a lifelong pattern of emotional isolation.

People-Pleasing and Conflict Avoidance

To avoid triggering outbursts or worsening family tension, many children of alcoholics become chronic people pleasers. They may suppress their own needs and opinions to keep the peace. While this behavior can reduce immediate anxiety, it often leads to long-term issues with boundary-setting, resentment, and emotional exhaustion.

Long-Term Emotional Consequences

These coping mechanisms, while adaptive in childhood, can undermine emotional health in adulthood. Difficulty regulating emotions, an inability to assert personal needs, and challenges in forming healthy relationships are all common outcomes. Recognizing and addressing these patterns is a crucial step in the healing process [3]

Is Alcohol Use Disorder Hereditary?

Alcohol Use Disorder (AUD) often stems from a combination of genetic predispositions and environmental influences. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), genetics contributes to about 60% of a person’s risk for developing AUD. At the same time, environmental factors also play a significant role in shaping drinking behaviors [5].

Children raised in households where alcohol dependency is normalized often grow up believing that excessive drinking is a typical coping mechanism. These exposure conditions cause them to view substance use as acceptable or even necessary, increasing the likelihood that they will develop unhealthy relationships with alcohol later in life.

Many turn to alcohol as a way to self-soothe or escape emotional distress. In some cases, drinking becomes a misguided attempt to empathize with or better understand their alcoholic parents’ behavior. This reliance can be an indicator of deeply rooted, long-term stress.

Any form of family dysfunction raises the risk of substance misuse, but growing up with a parent who abuses alcohol reinforces the behavior more directly. Alcohol-dependent parents often struggle to regulate their consumption and may be emotionally or physically unavailable, leaving children without proper guidance or support [6].

In these environments, conversations about healthy boundaries with alcohol rarely happen. As a result, children may begin experimenting with alcohol at a young age, often mirroring the problematic patterns they observed at home. Without intervention, the cycle continues into adulthood, making it challenging to break.

How to Protect Children from the Negative Effects of Alcoholism

One of the biggest challenges facing the children of alcoholic parents is that they are often forced into caretaker roles at a young age, sometimes at the cost of their childhood, education, and emotional well-being. However, these individuals can persevere and overcome adversity despite their dysfunctional upbringings [7].

There are a variety of support systems available for navigating childhood trauma and making essential changes in adulthood. The National Association for Children of Addiction (NaCoA) is one example of an excellent support system that specializes in the trauma that alcohol and drug addiction causes to families.

NaCoA offers programs and resources to help victims of parental alcoholism come to terms with their trauma and work on eliminating it. People can also consider seeing a therapist one-on-one to create healthy coping strategies and talk through their pain.

Support groups are also a great therapy option because they give the adult children of alcoholics a chance to meet people who have had similar circumstances and share their experiences. Hearing somebody else validate your trauma in such a personal way opens up avenues for collective healing.

Individuals are encouraged to consult their local Mental Health America Affiliate Resource Center to find specific support groups near them. There are also online support groups available on social media for those who grew up in alcoholic homes.

Breaking the Cycle: Healing and Recovery

The cycle of alcohol addiction is not easily broken, but many adult children of alcoholics find ways to overcome their past and lead healthy, fulfilling lives. Escaping the shadow of a parent’s addiction requires more than just time; it calls for intentional healing and a commitment to personal growth. For many, the first step involves acknowledging the trauma and recognizing how deeply it has influenced their behaviors, thought patterns, and relationships [8]

Healing often begins in safe, supportive environments where individuals feel validated and understood. Therapy, especially trauma-informed therapy and cognitive-behavioral therapy, can help unpack unresolved emotions and develop healthier coping mechanisms. Support groups such as Adult Children of Alcoholics (ACoA) provide community and connection with others who share similar experiences, helping to reduce feelings of isolation and shame [9].

Building strong, stable relationships also plays a critical role in recovery. Whether through friendships, romantic partnerships, or mentorships, these bonds can reinforce a sense of self-worth and demonstrate that trust and safety are possible. Establishing boundaries, practicing self-care, and learning emotional regulation skills are essential steps that empower individuals to reclaim control over their lives.

Breaking the cycle doesn’t mean forgetting the past; it means transforming pain into resilience. With the right tools and support systems, adult children of alcoholics can rise above the legacy of addiction and create a future defined by strength, self-awareness, and hope.

Building a Future Beyond Trauma

The children of alcoholic parents often carry emotional and psychological burdens well into adulthood, facing challenges that can affect every facet of their lives—from relationships to mental health and substance use. These lasting effects are not inevitable, but they do require conscious effort and support to address.

Breaking free from the cycle of trauma starts with awareness and acknowledgment. Access to therapy, peer support groups, and compassionate care empowers adult children of alcoholics to understand their past, heal from it, and reshape their future. Recovery is not linear, but with the right tools and a strong support system, it is entirely possible.

Healing does not erase the past, but it does transform how it defines a person’s life. By prioritizing their mental and emotional well-being, adult children of alcoholics can build resilient, fulfilling lives and, in doing so, stop the cycle of addiction from continuing into the next generation.

References
  1. Omkarappa, D. B., & Rentala, S. (2019). Anxiety, depression, self-esteem among children of alcoholic and nonalcoholic parents. Journal of Family Medicine and Primary Care, 8(2), 604. https://journals.lww.com/jfmpc/fulltext/2019/08020/anxiety,_depression,_self_esteem_among_children_of.51.aspx
  2. Raitasalo, K., Holmila, M., Jääskeläinen, M., & Santalahti, P. (2018). The effect of the severity of parental alcohol abuse on mental and behavioural disorders in children. European Child & Adolescent Psychiatry, 28(7), 913–922. https://link.springer.com/article/10.1007/s00787-018-1253-6 
  3. APA PsycNet. (n.d.). Psycnet.apa.org. https://psycnet.apa.org/fulltext/2008-06146-003.html
  4. Psychiatric disorders in adult children of alcoholics: data from the Epidemiologic Catchment Area project. (1993). American Journal of Psychiatry, 150(5), 793–800. https://psychiatryonline.org/doi/10.1176/ajp.150.5.793 
  5. National Institute on Alcohol Abuse and Alcoholism. (n.d.). Risk factors: Varied vulnerability to alcohol-related harm. U.S. Department of Health and Human Services https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/risk-factors-varied-vulnerability-alcohol-related-harm 
  6. Acosta, Y. (2021). CSUSB ScholarWorks CSUSB ScholarWorks Electronic Theses, Projects, and Dissertations Office of Graduate Studies The Experience of Trauma and Psychological and Behavioral Problems in Adult Children of Alcoholics https://scholarworks.lib.csusb.edu/cgi/viewcontent.cgi?article=2370&context=etd 
  7. Hussong, A. M., & Chassin, L. (2004). Stress and coping among children of alcoholic parents through the young adult transition. Development and Psychopathology, 16(04). http://www.journals.cambridge.org/abstract_S0954579404040106 
  8. No child should feel alone. (n.d.). https://www.childrenssociety.org.uk/sites/default/files/2020-10/young-carers-of-parents-who-misuse-substances_0.pdf
  9. Price, A. W., & Emshoff, J. G. (2024). Breaking the Cycle of Addiction: Prevention and Intervention With Children of Alcoholics. Alcohol Health and Research World, 21(3), 241. https://pmc.ncbi.nlm.nih.gov/articles/PMC6826802/
Author Erin L. George Medical Reviewer, Writer

Erin L. George, MFT, holds a master's degree in family therapy with a focus on group dynamics in high-risk families. As a court-appointed special advocate for children, she is dedicated to helping families rebuild relationships and improve their mental and behavioral health.

Published: May 14th 2025, Last updated: May 16th 2025

Medical Reviewer Dr. Brittany Ferri, Ph.D. OTR/L

Dr. Brittany Ferri, PhD, is a medical reviewer and subject matter expert in behavioral health, pediatrics, and telehealth.

Content reviewed by a medical professional. Last reviewed: May 14th 2025
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