This feeling of being a failure is EXACTLY what my W describes. I forgot to use that in my posts, but she says that all the time. She feels that going the drug route is the "looser" route, but somehow the alcohol route (also a drug mind you) is somehow much better...oh, yea, I remember, because with alcohol she can stop whenever she wants...um...never heard THAT before.
I am VERY sensitive to her feelings about this and have actually changed my approach because of it. I am trying VERY hard to validate her fears while at the same time trying to encourage her to get over them and do what she can to help herself. I have said things like "I know it's easy for me to say 'go get the drugs' because it's not me having to take them. It must be scary to think about doing that. All I can say is that if a doctor told me there was some way I could stop some pain I was feeling, I hope I would at least give it a try. Why not just do that? Give it a try and if it turns out to be a bad experience, then do something else. In any event, I know you're scared and I understand."
She responds to these kinds of things but still doesn't do anything.
I will keep trying with the encouragement of you and OT.