Marriage is typically thought of as a happy and fulfilling experience, leading to a life of stability and satisfaction. Unfortunately, it can also become an environment of addiction, with damaging and long-lasting consequences. Married and addicted people often feel alone and isolated, as many couples refuse to acknowledge the problem exists or don’t know how to address it. Practitioners and researchers agree that this is something that needs attention and intervention if it is to be properly managed.

Studies have found that married people are twice as likely to abuse substances—including drugs, alcohol and even prescription drugs—than those who are single. The statistics become more alarming when the couple is married and both suffer from addiction, as these individuals are at heightened risk of physical and psychological harm. Withdrawal symptoms, depression, financial issues and relationship difficulties are just some of the problems that can occur as a result of this dynamic.

For these married couples, addiction often serves as an escape from the reality of their circumstances. When family life becomes stressful or complicated, drugs, alcohol, or other substances offer a temporary relief from their problems. And while the short-term effects may seem pleasurable, the long-term effects can be disastrous.

While both married partners may be addicted, the underlying causes can vary. In most cases, one partner will “enable” the other by providing funds, resources, or support that enables the addiction to continue. This can be especially difficult to break, as the enabling partner does not want to be seen as irresponsible or to be responsible for a loved one’s problems.

There are also situations where both the husband and wife are addicted, but in different ways. For example, one may be addicted to alcohol while the other is addicted to gambling. This can create tremendous tension in the relationship, as each partner has different needs and ways to cope which are difficult for the other one to understand.

In addition to the physical and psychological harms associated with addiction, there are social harms as well. Couples who are married and addicted often suffer from public embarrassment and stigma as their behavior is seen as “inappropriate” or “unacceptable”, leading to alienation from family and friends. Even if only one partner is addicted, the behaviors of the addict can weigh heavily on the other partner, and they may feel judged and isolated.

Recovery is possible, and successful interventions are available for married couples who are struggling with addiction. Treatment often begins with a comprehensive assessment of each individual’s mental, physical and familial health, followed by an in-depth exploration of addiction and its causes. During treatment, couples are encouraged to engage in individual and joint therapy sessions, along with activities such as education, skill-building, and lifestyle changes. Additional interventions may include addressing underlying mental health issues, such as anxiety and depression.

Many couples find recovery together, setting a foundation for better romantic relationships. Although addiction cannot be resolved overnight, recovery is always possible. With the right support, married couples- and those in relationships- can gain a better understanding of the addiction and learn new ways to cope and live a life free from its grip.