Dealing With Addiction Denial


We’ve all met stubborn people. They can leave us tearing our hair out, wondering why they won’t take advice, no matter how obvious it seems. But when it comes to someone refusing addiction help, should we simply chalk it up to stubbornness? Not quite. What you may be witnessing is addiction denial: a powerful force that creates and maintains serious challenges.

We’ll explore what addiction denial is, how it works and where you or your loved one can turn for the support you need.

Young man sleeping in alcohol addiction

What is addiction denial?

Addiction denial happens when someone finds it hard to accept the truth about their relationship with drugs, alcohol or compulsive behaviours. It doesn’t have to be a stern “no” when you ask them to stop doing whatever it is they’re addicted to. Often, it’s quieter and more subtle, which can appear as excuses and efforts to consistently downplay the situation.

To the outside world, the signs may be obvious but for the person experiencing it, denial can feel like a lifeline holding everything together.

This reaction is, in many ways, protective. By denying the existence or severity of a problem, the person shields themselves from the fear and shame that an addiction can bring. Unfortunately, this protection comes at a cost. While denial may reduce immediate discomfort, it blocks the path toward recovery, leaving the addiction free to cause harm.

For loved ones, this can feel like banging your head against a brick wall, with conversations looping back to the same deflections time and time again.

The truth is that denial is rarely a sign of ignorance or wilful arrogance. It is a complex psychological response that plays a powerful role in keeping someone trapped in a cycle they can’t fully see.

What causes addiction denial?

Denial can stem from many sources, each adding a layer of resistance to facing reality. There’s usually never one clear reason for the denial and often, it might be a mixture of many different reasons.

The fear of being stigmatised
One common driver is fear of stigma. Admitting to an addiction means opening the door to judgement from colleagues, friends, family and, in many cases, the whole society around them. For someone who has built their identity around being reliable or successful, the thought of losing that image can be too much to bear.
A lack of awareness
Not everyone recognises their behaviour as addiction, especially if the person views themselves as ‘not as bad’ as others with deeper addictions. For example, many picture addiction in extremes, like living on the streets or losing everything and when their own life doesn’t match that image, it becomes easy to dismiss concerns.

Someone who holds down a job or maintains outward appearances may truly believe they’re fine, even while their use quietly escalates.

The fear of change
Substances often serve as coping mechanisms that can provide temporary comfort in times of stress or pain. Acknowledging an addiction means accepting the idea of life without that crutch, which can feel overwhelming.

For example, if a person quitting heroin becomes reliant on methadone, it can be daunting to admit they have an issue with the one thing that was giving them a ‘lifeline’. The unknown can seem more frightening than the familiar struggles they already face.

Young man denail alcohol

Common phrases a person in addiction denial might say

Spotting denial often comes down to listening closely to the language someone uses. When you learn about what kinds of language are mostly used by someone in addiction denial, it becomes easier to spot it. It’s not meant as a “Gotcha!” moment, though. Try to remember that words can give away the battles they are fighting internally.

You may hear things like:

  • “I can stop whenever I want; I just don’t feel like it right now.”
  • “It’s not a big deal; everyone does this.”
  • “I’ve got everything under control.”
  • “I don’t need help; I can handle this myself.”
  • “I deserve this after the day I’ve had.”
  • “This isn’t as bad as what other people do.”

Each phrase carries the same theme: a determination to move attention away from the addiction and back to a version of events that feels less threatening. The person may genuinely believe what they are saying or they may be speaking from a place of fear.

Either way, recognising these statements for what they are, can help you approach the situation with patience and understanding rather than frustration alone.

I think my loved one is in addiction denial – what can I do?

Discovering that someone you love is likely in denial about their addiction is painful. It can leave you feeling powerless, unsure how to help without pushing them further away. While there is no single right answer, there are approaches that can ease the path forward.

Be mindful of the language you use
Accusations and ultimatums often make denial stronger, as the person feels attacked and retreats deeper into their defences. Instead, try to speak from your own perspective. Share observations and worries with a tone of care rather than confrontation.

Phrases like, “I’ve noticed you’ve seemed different lately and I’m worried,” can open the door without slamming them into a corner.

Listening is just as important
Allowing your loved one to express themselves without constant interruption helps reduce the sense of judgement. Even if their words are filled with excuses, the act of listening can plant seeds of trust that may matter later when they’re ready to hear more.
Set boundaries
Even though you’re doing this for the person you love, it’s vital to look after yourself. Supporting someone in denial is draining and without clear boundaries, you risk being pulled down emotionally. Boundaries centre around making sure that your care for them doesn’t come at the cost of your own well-being.

Letting them know how their actions affect you can be powerful. A simple, “I care about you but it hurts to see you going through this,” can strike a balance between compassion and self-protection.

If you don’t feel comfortable, speak to the professionals
In some cases, involving a professional can help. Addiction counsellors or intervention specialists can guide conversations in a way that feels less personal and more objective. Sometimes a message lands differently when it comes from someone outside the immediate circle. Even if your loved one isn’t ready, seeking advice for yourself can give you the tools and resilience you need.

Where can I find addiction support?

If your loved one is struggling with addiction and showing signs of denial, support is available. At Banbury Lodge, we provide comprehensive rehab services tailored to a wide range of addictions.

Our programmes include detox options where needed, therapy to address the underlying causes of addiction and aftercare to support long-term recovery.

We understand how difficult it is to watch someone you care about dismiss their struggles. Denial can feel impenetrable but the right environment can make all the difference. In rehab, your loved one will be met with understanding and guidance from professionals who know how to help break through denial safely and compassionately.

Whether you are seeking support for yourself or help for your loved one, reaching out is a powerful first step. Contact us today and together we can begin building a path toward a healthier, more hopeful future.

(Click here to see works cited)

  • Farhoudian, Ali, et al. “Barriers and Facilitators to Substance Use Disorder Treatment: An Overview of Systematic Reviews.” Substance Abuse: Research and Treatment, vol. 16, no. 16, Jan. 2022, https://doi.org/10.1177/11782218221118462.
  • Rogers, S. M., et al. “‘I Don’t Feel like I Have a Problem Because I Can Still Go to Work and Function’: Problem Recognition among Persons with Substance Use Disorders.” Substance Use & Misuse, vol. 54, no. 13, June 2019, pp. 2108–16, https://doi.org/10.1080/10826084.2019.1630441.
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