Addiction affects relationships in powerful ways. When one or both partners struggle with substance use, trust, communication, and emotional connection begin to break down. Addiction treatment for couples focuses on repairing these areas by addressing substance abuse while strengthening the relationship itself. Through evidence-based counseling and structured therapy sessions, couples learn how to rebuild their partnership while supporting each other’s recovery.

At Rego Park Counseling, we provide outpatient addiction treatment programs in Queens, NY, for individuals, couples, and families. Our approach combines mental health and substance use treatment under one roof. We help partners improve communication, restore balance, and work toward lasting recovery with professional counseling and family involvement.

Understanding How Addiction Affects Relationships

Substance abuse impacts the emotional, physical, and financial stability of a relationship. When addiction becomes part of daily life, couples may face poor communication, frequent conflict, and emotional disconnection. Addiction can also harm family members and children, leading to stress and disrupted routines. The effects of drug or alcohol use often extend beyond the couple, influencing the entire family system.

Physical and emotional consequences are also common. Drug abuse and alcoholism can increase the risk of partner violence or intimate partner violence. In severe cases, domestic violence may result in injury requiring medical attention. Before any therapy session begins, safety must be addressed. If severe domestic violence is present, couples therapy is not recommended until the situation is stable and safe.

Behavioral Couples Therapy

Behavioral couples therapy (BCT) is an evidence-based treatment used to help couples recover from substance use disorder while improving relationship functioning. This approach treats the couple as a unit rather than focusing only on one partner’s addiction. It uses structured therapy sessions to build healthy communication skills, encourage abstinence, and reduce conflict.

According to review findings, couples who engage in behavioral couples therapy rather than only individual counseling show greater reductions in substance use, higher levels of abstinence, and improvements in relationship satisfaction and family functioning.

Couples receiving BCT have shown greater reductions in drug use and higher levels of abstinence compared to those who receive individual counseling alone. Multiple studies also show that BCT leads to more improvements in relationship satisfaction and family functioning. Behavioral couples therapy BCT can include both individual and group behavioral couples therapy formats, where three or four couples meet together to share experiences and learn coping strategies.

Goals of Couples Therapy in Addiction Treatment

The main goals of couples therapy in addiction treatment programs are to rebuild trust, strengthen communication, and create stability in the home. Therapists guide both partners to resolve conflicts and develop mutual support in recovery. Healthy communication skills and understanding are central to long-term success.

Couples begin by identifying triggers that lead to drug or alcohol use. They learn coping strategies that replace destructive habits with constructive behaviors. By focusing on teamwork, they rebuild their connection and reduce the risk of relapse. Over time, couples report higher levels of satisfaction and better relationship functioning as they work through their treatment plan together.

The Role of Family Therapy and Involvement

Family therapy is often included in addiction treatment for couples to strengthen family involvement and promote healing. Families learn how substance use affects everyone and how to support recovery in healthy ways. Family members gain tools to improve communication and reduce stress at home.

Improving family functioning has a direct impact on children’s psychosocial adjustment. When parents work on recovery together, children experience more stability and emotional safety. Family involvement also helps reduce patterns of enabling and reinforces accountability for both partners in recovery.

At Rego Park Counseling, we offer Couples Substance Use Treatment programs that help partners recover together through trust-building, open communication, and shared accountability. If you and your partner are looking for professional guidance to overcome substance use and strengthen your relationship, our outpatient programs in Queens, NY provide the support and structure needed to achieve lasting recovery together.

Types of Addiction Treatment Programs for Couples

Addiction treatment programs vary in structure and intensity. Outpatient treatment is one of the most flexible options, allowing couples to attend therapy sessions while continuing work, school, or family responsibilities. Outpatient treatment often includes both individual counseling and couples therapy to address personal and shared challenges.

More structured options like intensive outpatient programs (IOP) or partial hospitalization programs (PHP) provide more hours of care each week. These treatment programs may include detoxification, medications, and counseling for co-occurring mental health disorders. Recovery plans can also include vocational training and life skills education to help couples build independence and confidence during and after treatment.

When Couples Therapy May Not Be Appropriate

There are cases where couples therapy should be postponed or replaced with individual treatment. Active domestic violence, fear of harm, or injury requiring medical attention are signs that safety must come first. A therapist may recommend individual counseling or referrals to support services until both partners are ready for joint therapy.

Couples therapy also may not be suitable when one partner is unwilling to stop drug or alcohol use. For treatment to work, both partners must commit to change and take part in the recovery process. Therapists focus on safety, accountability, and progress before reintroducing shared sessions.

Steps for Couples to Begin Treatment

The first step in addiction treatment for couples is an assessment. During this stage, both partners are evaluated for substance use disorder, mental health concerns, and relationship issues. Individual counseling may be part of this process to identify personal goals and challenges.

After assessment, a personalized plan is created. This plan may include outpatient treatment, family therapy, or group behavioral couples therapy. Therapy sessions focus on improving communication skills, rebuilding trust, and supporting abstinence. Couples learn to manage triggers and develop coping strategies that promote a stable recovery environment.

Long-Term Support and Recovery Maintenance

Ongoing support after formal treatment helps couples maintain progress. Continued therapy, peer support groups, and family involvement are all helpful in preventing relapse. Many couples continue attending outpatient programs or periodic therapy sessions as part of their long-term plan.

Recovery is an ongoing process that depends on consistency and communication. Couples who remain involved in counseling, stay connected to support networks, and practice the skills learned in therapy maintain better outcomes in both sobriety and relationship satisfaction.

Conclusion

Addiction treatment for couples helps partners repair relationships, rebuild trust, and work toward shared recovery. By treating substance abuse as a relationship issue rather than an individual one, couples can rebuild communication and restore stability. Behavioral couples therapy, family involvement, and evidence-based addiction treatment programs all support long-term success and stronger family bonds.

At Rego Park Counseling in Queens, NY, we offer outpatient addiction treatment programs designed for couples and families. Our approach combines mental health, substance use, and relationship counseling to help partners heal together. If you or someone you care about needs help recovering as a couple, contact us to learn more about our couples therapy and outpatient treatment services.

FAQs

How to deal with addiction in a relationship?

Both partners should seek professional counseling to address substance use, communication problems, and emotional damage. Working together in behavioral couples therapy helps rebuild trust and create healthy routines.

What is the most successful treatment for addiction?

Behavioral couples therapy and integrated addiction treatment programs show higher success rates for long-term abstinence and improved relationship functioning.

What kind of therapy is best for couples?

Behavioral couples therapy is one of the most effective methods for treating substance use disorders within relationships because it focuses on both recovery and relationship repair.

How can couples get sober together?

Couples can get sober together by joining addiction treatment programs, attending therapy sessions regularly, and supporting each other through recovery goals and healthy lifestyle changes.