Questions to Ask Recovering Addicts
Questions for talking with a friend or family member in recovery: how to check in, what to agree on in advance, what to leave alone, and what to do if you are worried.
The questions
Open any question for the note
How are you doing today?
Why ask it
A plain check-in with nothing attached to it. It carries the most weight on ordinary days, rather than only after something has gone wrong.
What has your week been like?
Why ask it
Keeps the conversation on daily life rather than on recovery as a subject. People in early recovery often say they are tired of only ever being asked about the addiction.
Is there anything you would rather I did not ask about?
Why ask it
Asking for the limits up front hands control back to them and saves you guessing. Take the answer literally, and do not return to the topic later in the same conversation.
What has been helping most lately?
Why ask it
Specific supports get named here: a meeting, a routine, one person, a medication. It is also an easier question to answer than one about progress.
What is the hardest part of an ordinary day right now?
Why ask it
Relapse risk sits in ordinary moments: evenings, commutes, boredom, rather than in dramatic events. The answer often points at something you can help with directly.
How can I be useful to you, practically?
Why ask it
Concrete offers such as a ride, a call at a set time, or sitting with them at an appointment are far easier to accept than open-ended support. Do not offer more than you will actually do.
Is there anything I do without thinking that makes this harder?
Why ask it
Invites honest correction of your own behavior, which most people will not volunteer. Expect something small and slightly awkward, and thank them for saying it.
Do you want me to change what I drink or keep in the house when you are here?
Why ask it
Alcohol in the house is a common unspoken tension. Asking directly is better than either clearing the place out without discussion or assuming it makes no difference.
What do you want me to do if I am worried about you?
Why ask it
Agreeing this in advance prevents an argument in a bad moment, when concern easily reads as surveillance. Write down what you both agree to.
Who else knows, and who would you want me to call if something happened?
Why ask it
Names and numbers matter if there is an emergency, and knowing who already knows stops you from disclosing to someone they have not told.
What does your support look like now: meetings, a counselor, medication, a sponsor?
Why ask it
Arrangements differ widely, and medication for alcohol or opioid use disorder is treatment rather than a compromise. Asking without judgment signals you will not second-guess their plan.
How do you want to handle events where people will be drinking?
Why ask it
Weddings, holidays, and work parties need a plan: when to arrive, how to leave, who is driving. Making it together removes the need to decide anything under pressure.
What do you say when someone offers you a drink and you do not want to explain?
Why ask it
A line rehearsed in advance saves them explaining themselves all evening. You can also agree on what you will say on their behalf.
How do you want milestones marked, or would you rather they were not?
Why ask it
Some people want a sober date acknowledged and others find it exposing. Ask rather than organize something.
What have you picked up or gone back to that you enjoy?
Why ask it
Recovery frees up a great deal of time, and what fills it is a real part of the story. The question also treats them as a person with interests rather than a case.
What have you learned about yourself in the last year?
Why ask it
Reflective questions belong later, once it is clear you are not fishing for details. A short answer here is a complete answer.
Is there something people get wrong about recovery that you would want corrected?
Why ask it
Gives them the expert role, which they rarely get. Common corrections are that a relapse does not undo recovery, and that willpower is not really the mechanism.
Is there anything from before that you want to talk about, or leave alone?
Why ask it
Explicitly offers the choice not to discuss the past. Never ask for the story of the worst period unless they have offered it first.
What helps on a bad day: company, distraction, someone to call, or being left alone?
Why ask it
Bad days are predictable enough to plan for, and preferences vary a lot. Ask now so that you are not improvising when it happens.
What do you want the next year to look like?
Why ask it
Ends on their terms and on the near future rather than the past. Concrete answers such as a job, a course, or a relationship being repaired give you something to follow up on later.
Talking with someone in recovery
Practical guidance for the conversation itself
Before you ask anything
- Ask whether this is a good time. A check-in that arrives in the middle of a work shift or a family dinner rarely gets an honest answer.
- Ask one or two questions, not a list. A sequence of questions about recovery feels like an assessment, however kindly it is meant.
- Decide in advance that you will not pass on what you hear, including to other family members who mean well.
- Be prepared for a short answer. Not wanting to discuss it today is a legitimate reply and pushing past it costs you the next conversation.
Language
Follow their words
Some people describe themselves as an addict or as clean; others use in recovery, or a person with a substance use disorder. Use whichever terms they use about themselves and do not correct them.
Medication is treatment
Methadone, buprenorphine, and naltrexone are prescribed treatments. Describing someone on medication as not really sober is a common and damaging assumption, and it is a fast way to end the conversation.
Avoid framing sobriety as a favor to you
Saying how proud you are or how much it means to the family can add pressure and make a bad week harder to admit to. Asking how they are doing, without the family's expectations attached, is easier to answer honestly.
What not to do
- Do not test them, by offering a drink, leaving something out, or asking questions you already know the answer to.
- Do not check up on them covertly, through other people or their social media. If you are worried, use the plan you agreed on.
- Do not bring up things they did while using as a way of making a point. It is the fastest way to end honest conversation.
- Do not make recovery the only subject you ever raise with them. Ordinary conversation about ordinary things is part of what they are rebuilding.
- Do not offer advice you have read about unless they ask. Their treatment plan is between them and their clinicians.
If you are worried
- Say what you noticed rather than what you concluded. Naming a specific change is harder to argue with than an accusation.
- Ask directly and calmly whether they are struggling. Most people would rather be asked than watched.
- Treat talk of suicide, or signs of overdose risk, as urgent. In the US, 988 reaches the Suicide and Crisis Lifeline; elsewhere use your local emergency number.
- If opioids are involved, ask whether naloxone is in the house and whether you should know how to use it. It is available without a prescription in many places.
- Look after yourself too. Support groups exist for families and friends, and using one makes you steadier company.
If there is a relapse
- React as calmly as you can. Relapse is common in the course of recovery and shame tends to prolong it rather than shorten it.
- Ask what they want to do next and who they want to tell, rather than making the calls for them.
- Keep the practical door open: a meal, a bed, a lift to an appointment. Concrete help is more use than a conversation about disappointment.
- Hold whatever boundaries you had already set, plainly and without punishment. Boundaries and support are not opposites.