A few months ago, someone provided a simple image of a spiral that helped clarify how and when a family member should help an addict. Spiralling downwards: don't touch (except, of course, for confronting your loved one with the problem and a solution). Spiralling up: give your full support. This image has helped me and my mom as we deal with a close family member struggling with alcoholism. We simply ask ourselves, "Is he spiralling up?", before we invest our time and energy. Our love for him is constant either way.