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He has to want to change. And it's impossible to come first, or anywhere near the top, of a junkie's list of priorities. The best you can do for him is to say you will be there when he hits rock bottom and wants help. But staying in his life while he continues this self destruction is just making things worse. He can't have his cake and eat it, too. My boyfriend of two years was abusing painkillers and I had to give him an ultimatum. To either stop, or I would leave. It took time to work through it, but he quit and now he can come to me to talk when he has a craving. But drugs completely change a person and their thoughts. Until he's not using, he is not really your brother.
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