
PARENTING PARENTS
As Mary grew up, her parents had a happy marriage, and both held down well-paying jobs. Both parents suffered from alcoholism and smoked, but in most other ways, they were good parents. They always attended school functions and generally provided for a sound education, her good health, and her happiness. In high school, Mary dealt with some anxiety about her parents’ health by attending Al-Anon meetings to help her understand their addiction. She was comforted by her parents’ ability to continue functioning well despite their addiction, and Al-Anon’s suggestions for dealing with their choices.
After Mary left for college, however, she noticed changes in her parents. When she came home winter break from college, she noticed that her parents had new prescriptions for strong narcotic pain medication for “back pain,” which they had never suffered from before. They now used the medication as an additional intoxicant with their alcohol, and often in excess of the recommended dosage, clearly in violation of the warning labels. Mary felt as though her parents were abusing the drugs, and brought this up with them. They replied that there was nothing wrong with the medication, that it was legally prescribed, and that they had no intention of quitting use of the drug.
Over time, she noticed that their prescriptions increased in quantity and potency, and she became increasingly concerned. During summer vacation, she noticed that they would take the medication first thing in the morning, and continue taking it all day long. One morning, her mother forgot to take the medication and was sick by lunchtime. Mary felt certain that this was a side effect of strong addiction, and that something had to be done.
Mary was worried about how her possible actions might affect her relationship with her parents. She was concerned about the effects on her older brother, his wife, and two children. She knew that her parents were active in the community and at church, and she didn’t want to damage their reputations. She also wondered whether her parents’ doctor would even discuss their health with her given current privacy laws and doctor-patient privilege. Additionally, Mary was concerned that, if her parents lost a legal source for the medication, given the addiction she suspected they suffered from, they might seek similar drugs on the street which would be more costly and much more dangerous.
What should Mary do about her parents’ apparent abuse of and addiction to prescription drugs and alcohol?