The most common cause is depression. It doesn’t happen very often for a person to ba an alcoholic without being depressed; moreover, drinking does nothing else but makes them feel even more depressed. Talk to your spouse and encourage to spill out the reason of their depression.
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Alcohol is not making you feel more depressed, but more like holding all the solutions in hands. In fact this is the worst of alcohol, finally the reason of addiction. The solution is to be able (or be helped) to realize that this “enhanced” feelings when drunk does not serve to anything, while drunk being in reality unable to do anything right (except the health’s destruction).
There is a simple solution that works for me and do know that it will work for many.
The simple treatment is: “Love”, with all that supposes, understanding, affection and a constant divertion of the attention from old addiction habits to things that prove the better way the life can be seen (nature, people, children).
Quite a challenge to love your spouse when he maltreats you every time he/she is drunk. Relying on the love of someone else might even out the path to longterm therapy, but I highly question whether ‘just’ relying on the love of somebody else is enough reason for an alcoholic to stop drinking, break with his habits of escaping reality.