Addiction is a deeply personal struggle, but it also affects relationships in profound ways. When both partners in a relationship are dealing with substance abuse or a spouse's addiction, seeking treatment together can seem like an appealing option. 

The good news is that many rehab facilities do allow couples to attend addiction treatment together, offering specialized programs designed to help both individuals recover while also repairing their relationship. 

This resource breaks down what you the details you need to know on getting help together for alcohol and substance abuse and finding a stable path to sobriety.

Understanding Addiction and Its Impact on Marriage

Addiction is a disease that affects the entire family, not just the individual struggling with substance use disorder. The impact of addiction on marriage can be devastating, leading to relationship problems, divorce, and a range of other negative consequences. According to the Mental Health Services Administration, addiction affects 1 in 5 families, making it a widespread issue that requires attention and support.

Addiction is a disease that affects the entire family

Addiction is a chronic disease that affects not only the individual struggling with substance use disorder but also their loved ones. Family members may experience emotional distress, financial strain, and social isolation as a result of their loved one's addiction. 

Substance use disorder can lead to relationship problems and divorce

Substance use disorder can lead to a range of relationship problems, including communication breakdown, trust issues, and intimacy problems. If left untreated, addiction can ultimately lead to divorce. According to the American Community Survey, 1 in 5 divorces are attributed to substance abuse. 

Signs of Addiction in a Spouse

Identifying the signs of addiction in a spouse can be challenging, but it's essential to recognize the warning signs to provide timely support and intervention. Some common signs of addiction in a spouse include:

Behavioral changes, such as increased secrecy and dishonesty

Behavioral changes, such as increased secrecy and dishonesty, can be indicative of addiction. A spouse struggling with addiction may become withdrawn, isolated, and defensive, making it challenging to communicate effectively. They might start hiding their substance use, lying about their whereabouts, or becoming unusually secretive about their activities. 

Benefits of Attending Rehab as an Addicted Spouse

Attending addiction treatment with a spouse can provide emotional support and reinforce shared goals. Alcohol abuse can have a profound impact on relationships, particularly marriages, leading to emotional fallout, conflict, and ultimately divorce. Many couples who enter treatment together find that working through addiction in tandem strengthens their bond and helps them develop healthier coping mechanisms.

When Is Couples Rehab a Good Choice?

Couples rehab can be an excellent choice for partners who are both committed to sobriety and willing to engage in therapy together. Recognizing signs of drug addiction in a spouse is crucial for seeking timely help and support. It is particularly beneficial when:

  • Both partners struggle with addiction and want to recover together
  • The relationship is generally supportive and free from ongoing abuse
  • The couple is open to working on relationship dynamics that may contribute to substance use
  • Both individuals meet the medical and psychological requirements for treatment

That said, not all relationships are suitable for joint treatment. If there is a history of domestic violence, severe codependency, or untreated mental health issues, attending rehab separately may be the better option to ensure both individuals receive the care they need.

Types of Substance Abuse Treatment Programs for Couples

There are various types of addiction treatment programs available for couples, each with different levels of intensity and structure.

  • Inpatient Rehab: This type of inpatient treatment involves living at a facility for a period of time, typically ranging from 30 to 90 days. A treatment facility provides a controlled environment with 24/7 medical supervision, which is beneficial for severe addictions or those with a history of addiction. Couples undergo individual and joint therapy, group counseling, and medical detox if needed.
  • Outpatient Treatment: In this setting, couples attend scheduled therapy and treatment sessions while living at home. This option allows them to continue work or family responsibilities while receiving care.
  • 12-Step and Support Groups: Some couples choose to engage in 12-step programs such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) together. There are also support groups specifically designed for couples in recovery.

Healthcare Coverage for Couples Seeking Substance Abuse Treatment

One of the most common concerns for couples considering rehab is how to cover the cost of treatment. Fortunately, many health insurance plans offer coverage for addiction treatment, though the specifics depend on the provider and the policy.

American Addiction Centers, known for their reputable accreditations, offer comprehensive care that can be covered by many insurance plans.

If both partners are covered under the same insurance plan, it's important to check whether the plan includes coverage for inpatient or outpatient treatment. Some policies cover detox, medication-assisted treatment, and therapy sessions, while others may require pre-authorization or referrals. Employers offering insurance benefits may also provide Employee Assistance Programs (EAPs), which can help cover some of the costs associated with addiction treatment.

Alternative Funding and Coverage Options

If insurance coverage is limited or unavailable, there are alternative ways to fund treatment. Many rehab facilities offer payment plans, sliding scale fees, or financial aid to help make treatment more accessible. Some nonprofit organizations and government programs provide grants or subsidies for addiction treatment. Medicaid and Medicare also offer coverage for addiction services, though eligibility and benefits vary by state.

Making the Right Choice for Couples Recovery Success

Deciding whether to attend addiction treatment with a spouse is a personal choice that depends on individual and relationship dynamics. While joint treatment can offer support and strengthen a couple's recovery journey, it's crucial to ensure that both partners are ready and willing to commit to the process. 

Substance abuse, such as drugs or alcohol, can erode trust and intimacy between partners, making it essential to address these issues during treatment.

Seeking professional guidance from an addiction specialist can help determine whether couples rehab is the best option. 

Regardless of whether partners attend treatment together or separately, the most important factor is prioritizing recovery to build a healthier, substance-free future.