Codependency Treatment
What is codependency and how does it affect relationships? Codependency develops when one personās sense of identity and emotional well-being become entwined with anotherās, often leading to patterns of sacrifice, reliance, and emotional strain. Over time, these dynamics can strain relationships, obscure healthy boundaries, and diminish personal growth.
Understanding Codependency: Definition, Signs, and Therapies
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By: Jennifer Williams, MSW, LCSW, TF-CBT, QPR
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Editor: Steven Dixon, M.Psy., LMFT
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Clinical Reviewer: Dr. Ash Bhatt, MD, MRO
Dr. Ash Bhatt, M.D., M.R.O., FASAM
Table of Contents
Navigating the realm of codependency reveals a psychological landscape where one personās behavior entwines with anotherās, often resulting in a dangerous dance of enablement and reliance.
Read more to discover what codependency treatment is, how it negatively impacts individuals, and how to treat it.
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What Is Codependency?
Codependency is a psychological concept that deals with relationships in which one individual enables another individualās self-destructive behavior. Although many mental health experts treat codependency as a unique condition, there is no formal set of characteristics that define it.
Codependency treatment describes a dysfunctional relationship pattern where one personās needs and desires become entwined with another personās, to an excessive and unhealthy degree. Codependency can occur in any relationship between two individuals, but it is most associated with romantic, familial, and friendship-based relationships.
Codependency can be especially problematic because it often appears to be a strong and close relationship based on love and care. However, the underlying relationship dynamics are much more complex and can be extremely damaging to both members of the codependent relationship.
āCodependent relationships can be really toxic. Theyāre all about relying too much on the other person for your emotional well-being, self-worth, and validation. This can make you lose sight of who you are and neglect your own needs,ā says psychiatric mental health nurse practitioner (PMHNP)Ā Valerie Puffenberger.
Signs of a Codependent Relationship
Because codependent relationships often appear to be healthy and happy, they can be hard to detect, especially for the people involved in them.
However, codependent relationships typically include two major roles: the ācaretakerā and the ātaker.ā If there is a clearly identifiable ācaretakerā and a ātakerā in the relationship, it is likely a codependent relationship.
In a codependent relationship, the ācaretakerā is the individual who sacrifices for the other individual. Caretakers may give up their needs, their goals, and even their own happiness and mental health in favor of those of the ātaker.ā
The ātakerā is the individual who takes from and feels a need to control the other person.
Caretakers will often do anything for and tolerate anything from the taker. In turn, takers often feel they can do anything to the caretaker without risking them leaving.
Signs You Are the āCaretakerā
These are the potential signs that you could be the ātakerā in a codependent relationship:
- Excessive sacrifice:Ā You consistently prioritize the needs, goals, happiness, and health of your loved one over your own to the extent that it impacts you negatively and reduces the quality of your life.
- Control issues:Ā You find yourself continuously attempting to manage and control every aspect of your loved oneās life because you believe your actions are necessary for their happiness, success, or well-being.
- Lack of boundaries:Ā You do not set or maintain healthy boundaries with your loved one, allowing them to āwalk all over you,ā and you have difficulty saying no or asserting your own needs.
- Emotional roller coaster:Ā You experience extreme emotional highs and lows based on how your loved one is feeling because your identity is so interconnected with theirs.
- Low self-esteem:Ā One of the most common traits that caretakers share is a lack of self-esteem. For example, the commonly held belief that the caretaker could not ādo betterā than the taker or that they do not deserve a more mutually beneficial relationship.
Signs You Are the āTakerā
Caretakers will often do anything for and tolerate anything from the taker. In turn, takers often feel they can do anything to the caretaker without risking them leaving.
- Dependency:Ā You are heavily reliant on your loved one to fulfill your needs, especially your emotional needs. As a result, you are constantly seeking their approval because you need it for your own validation and self-esteem.
- Manipulative behavior:Ā You want to ensure that your loved one continues to focus on you and your needs, so you employ a variety of manipulation tactics, such as making them feel guilty for not paying attention to you.
- Avoidance of responsibility:Ā You routinely blame your loved one for your emotions, thoughts, and behaviors to avoid taking responsibility for your own actions.
- Lack of autonomy:Ā You find it difficult to make decisions for yourself or to take any independent action because your sense of self has become so intertwined with your loved one that you have lost a sense of your own unique and distinct identity.
- Low self-esteem:Ā Takers frequently suffer from low self-esteem, and their self-esteem is often lowered as a result of their relationship because they are not achieving anything on their own and may feel as if they need their partner to function.
What Are the Dangers of Toxic Codependency?
Codependency can quickly evolve into a toxic downward spiral that harms both members of the relationship.
āThese kinds of relationships can actually support destructive behaviors and keep that cycle of dysfunction going. When boundaries are blurry and power is uneven, it can lead to a lot of emotional and psychological stress,ā says Puffenberger.
As the caretaker gives more, they become more invested in the well-being of the taker, and they become increasingly willing to give more. Conversely, as the taker takes more, they become increasingly dependent on the caretaker to meet all their needs, and they become increasingly unable to function without them.
The many negative consequences and dangers of toxic codependency treatment include:
- Stagnation of personal growth:Ā Each party in a codependent relationship damages the otherās ability to achieve personal growth. The caretaker enables the negative behavior of the taker to continue with no improvement, and the taker steals energy, time, effort, and resources from the caretaker.
- Relationship damage:Ā Putting your entire sense of happiness on another person puts a great deal of pressure on them, which can lead to resentment and conflict.
- Damage to mental health:Ā Codependency can damage mental health in many ways. Caretakers enable the negative behavior and beliefs of takers, often allowing their mental health conditions to worsen. Both parties are likely to experience anxiety, depression, and low self-esteem due to the nature of the relationship, as well as the fact that they are basing their self-worth on the validation of others.
- Escalation of addiction:Ā Caretakers often enable the addictive behaviors of the taker. Takers often motivate the substance use of the caretaker because of the mental stress they cause them and, sometimes, in a deliberate attempt to control them.
How to Overcome Codependency
To overcome codependency, an individual needs to make deliberate, determined efforts to change. Codependency treatment is not something that disappears overnight. It takes time, especially for extremely codependent relationships.
Luckily, there are many strategies for overcoming codependency that fall into two general categories:
- Self-care and setting boundaries
- Seeking professional help
āItās super important to tackle codependency head-on and work towards building healthier relationship patterns,ā says Puffenberger. āThatās where personal growth and well-being come into play.ā
Self-Care and Setting Boundaries
Unraveling the ties of a codependent relationship can be a complex and painful process. Practicing self-care and setting clear boundaries can help the process along while setting you up for long-term success.
Here are some strategies to consider:
- Prioritize self-awareness:Ā Know your own needs, desires, and emotions. Develop a deeper understanding of what motivates you and how your actions impact others.
- Establish and maintain boundaries:Ā Set healthy boundaries in your relationships that will not cause you to tolerate behavior that is harmful to you. You must firmly communicate your boundaries to your partner and make sure they suffer the consequences if they do not respect them.
- Practice self-compassion:Ā Show the same compassion and love that you do to others to yourself. Enhance your emotional well-being through self-care practices like writing down what youāre grateful for, celebrating your accomplishments (big and small), and embracing failure as a learning opportunity.
- Take care of yourself:Ā Make it a top priority that your medical, mental health, personal hygiene, fitness, social, recreational, and financial needs are met.
Seeking Professional Help
Getting out of a codependent relationship can be extremely difficult, especially if youāre attempting to do it on your own. A licensed mental health professional will have the tools to help you overcome codependency.
There are different types of professional options for codependency treatment to consider:
- Therapy and counseling: Group, individual, and couples therapy sessions are a great way to learn more about yourself and ways to change your behavior. Therapy and counseling are the most important steps you can take to change codependent behavior patterns and develop healthier relationships.
- Addiction treatment: Addiction is one of the most severe consequences of codependency treatment and one of the hardest to treat. Luckily, there are thousands of drug and alcohol addiction treatment programs that specialize in helping patients regain their sobriety and improve the quality of their relationships.
- Support networks: Join and actively participate in support groups such as Co-Dependents Anonymous orĀ Al-Anon.
Find Your Independence
If you or a loved one is trapped in a codependent relationship, it can seem like there is no escaping the downward spiral. Luckily, nothing could be further from the truth. There are thousands of mental health professionals and treatment programs that can help you rediscover yourself.
At Legacy Healing Center, weāre ready to help you gain your independence. Our mental health program uses the right mix of therapy, group support, and medication (if needed) to help you on your path to mental wellness.
CallĀ 888-534-2295 today to speak with a treatment staff member to learn more about your options for treating codependency.
Get Help with Your Substance Use Disorder
Codependency treatment is an extremely effective part of recovery. Through codependency treatment, clients learn to set boundaries, rebuild trust, and develop healthy behaviors at home. Combining addiction care with codependency treatment allows both the individual and the family to heal together, providing lasting recovery and hope for a better future. To learn more about the treatment we offer, contact usĀ atĀ 888.711.5891.
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Frequently Asked
Questions about Recovery
What are the signs and symptoms of codependent behavior?
While signs may look different from one relationship to another, common patterns include difficulty setting boundaries, relying on another person for self-worth, or feeling responsible for managing someone elseās emotions. Recognizing these codependent behavior symptoms is often the first step toward breaking free of them.
How does codependency contribute to addiction or relapse?
When caretaking turns into enabling, substance use can feel reinforced rather than challenged. Codependent dynamics may allow addictive behaviors to continue unchecked or create the emotional stress that drives relapse. This is why addressing both codependency and addiction together is so important in recovery.
What are the ways emotional codependency can impact mental health?
Living in a cycle of over-giving or over-reliance can lead to chronic stress, anxiety, depression, and a diminished sense of identity. For many, this emotional strain is as damaging as the relationship itself, underscoring the need for treatment that supports both mental and relational health.
How can therapy help with codependency recovery?
Therapy for codependency provides a safe space to explore the roots of these patterns and begin practicing healthier ways of relating. Skilled clinicians help clients establish boundaries, strengthen self-esteem, and reframe relationships in ways that foster independence without sacrificing connection.
What treatment options are available for codependency?
Codependency treatment is most effective when it integrates individual therapy, group support, and, when needed, family therapy. In a dual diagnosis setting, these services are paired with mental health and addiction care, creating a comprehensive approach that allows both individuals and families to heal.
Can codependency be treated at the same time as addiction and other mental health concerns?
Yes. In fact, treating codependency alongside addiction and mental health is often essential. By addressing all conditions together, clients learn to break cycles of enabling, manage underlying mental health symptoms, and rebuild healthier, more balanced relationships.
How long does codependency treatment usually take?
The timeline depends on the depth of the relationship patterns and whether codependency occurs alongside addiction or other mental health challenges. Some clients begin to see meaningful change within weeks, while lasting transformation often unfolds gradually through ongoing therapy and continued support.
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Read MoreAbout The Contributors
Jennifer Williams, MSW, LCSW, TF-CBT, QPR
Clinical Director
Jennifer comes to Legacy with years of experience in program development and clinical services for a wide variety of populations including adults, veterans, children, and adolescents in services for b oth mental health and substance use. Jennifer has worked in a variety of levels of care, including outpatient, IIC, IOP, Partial Care, and Residential, acting as both clinical director and therapist.
Steve Dixon, M.Psy., LMFT
Clinical Director
Steve Dixon, LMFT, serves as the Los Angeles Clinical Director at Legacy Healing Center, bringing over a decade of experience in the treatment of mental health and substance use disorders. As a licens ed marriage and family therapist with extensive clinical and leadership experience, Steve specializes in treating the complex intersection of family systems, trauma, and addiction.
Dr. Ash Bhatt, MD, MRO
Chief Medical Officer
Dr. Ash Bhatt, MD, MRO is a quintuple board-certified physician and certified medical review officer (AAMRO) bringing over 15 years of experience treating substance use disorders and co-occurring ment al health conditions. Dr. Bhatt is board certified in Brain Injury Medicine, Addiction Medicine, Preventive Medicine, Adult Psychiatry, and Child & Adolescent Psychiatry by the ABMS.
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