Home The Pelagus Method Our Team For Clinicians Colin's Story Journal Book A Call
The Atlantic coast on Achill Island, Co. Mayo
Families

Supporting a young adult in recovery: what often helps between 18 and 25

Colin Healy· ·6 min read

When someone you love aged 18 to 25 is finding their way into recovery, most families do the same thing. They draw closer. They check in more, ask less of them, and clear the path ahead. It comes from love and from fear, and it makes complete sense.

In Ireland, more people are seeking help for drug use than at any time on record, and for people in their twenties, cocaine is now the most common reason.1

It can also, without anyone meaning it to, make the next stage harder.

This isn’t about loving less. It’s about what young adults in recovery often need from the people around them, and why that can look different from what our instincts suggest. Whether they have come through a treatment programme, community support or a route of their own, the pattern is often the same.

Get the free family guide

A different stage of life, not just a different problem

Most advice for families is written with older adults in mind: someone with a career, a settled sense of who they are, and a life to go back to. A 21-year-old in recovery often has none of those yet. They aren’t returning to who they were. They are working out who they are going to be, while also staying well.

That changes what support looks like. For someone older, rest and stability can be exactly right. At this age, too much stillness can leave a gap where direction should be.

It’s also worth knowing that recovery takes more than one shape. Large studies in the US and UK suggest that roughly half of people who overcome a drug or alcohol problem do so without formal treatment, often with the help of mutual support groups or people around them.2 And in any given year, fewer than one in ten people with an alcohol or drug problem in Europe and North America receive treatment at all.3 Treatment matters, particularly when problems are more serious. It just isn’t the only route in.

Where the protective instinct can backfire

The worry doesn’t go away once the crisis has passed, so it tends to come out in small ways. A text to check where they are. A suggestion to leave the job search for now. A question about how they’re feeling, asked once more than it needs to be. A decision quietly made on their behalf.

Each of these is kind on its own. Together, they can send a message nobody meant to send: we’re not sure you can manage. Young adults usually hear that clearly. Some push back. Some go quiet. Some start keeping things to themselves, which is the last thing a family wants.

Comfort can also turn into waiting. A young person with nothing asked of them isn’t always resting. Sometimes they are drifting.

What often helps instead

Three things come up again and again.

Something to do. Structure, a reason to get up, and a day with some shape to it. At this age, momentum isn’t a distraction from recovery. It is often where confidence starts to come back.

People their own age. A group of other young people in recovery can carry more weight than any conversation at the kitchen table. Families can often help most by making it easy to get there.

Hard things they choose. A long walk, a new skill, a demanding physical practice. Challenge a young person picks for themselves tends to do more for their sense of who they are than reassurance does. The choosing matters as much as the doing.

There’s research behind this, too. A review of nearly 200 studies of adventure therapy found that participants tended to improve, particularly in how they saw themselves, and that those changes usually held over time. Interestingly, older participants tended to benefit more, not less.4 It isn’t a substitute for clinical care, and research on recovery specifically is still growing, but it’s part of why this approach makes sense for young adults.

None of this means stepping away. It means moving from holding on to backing them. And where they have a clinical team, its advice comes first.

The guide covers what to say, and what to say less of, in full. Get When They Come Home, free.

Small changes in what you say

The words don’t need to be perfect, but the direction matters. Questions that assume they have a plan (“What’s on this week?”) tend to land better than questions that assume they’re fragile. Asking them to tell you how something went, rather than whether they’re okay, gives them something to report instead of something to reassure you about.

The guide goes further, with the specific lines that often help and the well-meant ones worth saying less.

This isn’t only about them

Families in this position are often worn down in ways nobody else sees. Sleep goes. Every change in tone gets read for what it might mean. And alongside the fear there can be feelings that are harder to say out loud: frustration, grief for the life you expected you’d both have, even relief when they’re out of the house, followed by guilt about the relief.

None of that makes someone a bad parent, partner or sibling. It usually means they have been under pressure for a long time, with very little room to set any of it down.

Looking after yourself isn’t a distraction from supporting them. It’s part of what makes that support last. The guide has two pages on this: one on what families often carry, and a practical one on where to start, including free family support in Ireland.

If you are ever worried about someone’s safety right now, don’t wait for a good moment. Contact their clinical support, their GP, or emergency services.

About the guide

When They Come Home is a short, free guide from Colin, co-founder of Pelagus Vitae, for families of young adults in recovery. It covers why the years between 18 and 25 call for a different approach, what to say and what to say less of, which signs to notice and which to act on straight away, what families often carry, and how to look after yourself along the way. It applies whatever route your young person’s recovery is taking.

Those three ideas, something to do, people their own age and hard things they choose, are what we built Achill Wild around. It is a small-group, adventure-led programme for young adults on Achill Island, with a clinical team alongside, designed to sit with the work that comes before rather than replace it. It is open to young people whatever route their recovery has taken so far.

Sources

  1. Health Research Board (2025). Drug treatment demand in Ireland 2024. National Drug Treatment Reporting System.
  2. Kelly, J. F. et al. (2017). Prevalence and pathways of recovery from drug and alcohol problems in the United States population. Drug and Alcohol Dependence; and the UK National Recovery Survey (2024).
  3. As cited in the UK National Recovery Survey (2024), BJPsych Open.
  4. Bowen, D. J. & Neill, J. T. (2013). A meta-analysis of adventure therapy outcomes and moderators. The Open Psychology Journal, 6, 28-53.