Exploring Codependency: Understanding Symptoms, Recovery, and Strategies for Sustainable Healing

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Co-Dependency refers to a psychological construct involving an unhealthy relationship that people might share with those closest to them.

It was originally thought to involve families of substance abuse but has since grown to include other types of dysfunctional relationships. Read on to learn about what codependency is and how it can affect people, how to recognize signs of codependency, and resources for learning more about and overcoming codependency.

Before you continue, we thought you might like to download our three Positive Relationships Exercises for free. These detailed, science-based exercises will help you or your clients build healthy, life-enriching relationships.

This Article Contains

What Is a Codependent Personality Disorder?

Originally, “the term ‘codependent’ described persons living with, or in a relationship with an addicted person” (Lampis et al., 2017).

Modern understandings of codependency now refer to “a specific relationship addiction characterized by preoccupation and extreme dependence—emotional, social and sometimes physical—on another person” (Lampis et al., 2017).

The concept of codependency does still apply to families with substance abuse issues but is also used to refer to other situations too. The main consequence of codependency is that “codependents, busy taking care of others, forget to take care of themselves, resulting in a disturbance of identity development” (Knudson & Terrell, 2012).

As of the time of writing, the most recent (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), still only refers to dependent personality disorder (DPD), not codependency.

Codependency overlaps not only with DPD but also with borderline personality disorder (BPD), which is one reason codependency may not be classified as its own personality disorder. One study found, though, that while codependent people do share some overlap with DPD and BPD symptoms, there are also people who exhibit codependency without exhibiting symptoms of DPD or BPD (Knapek et al., 2017).

Codependency can be distinguished from DPD because codependent people depend on a specific person(s), while people with DPD depend on others in general. Codependency can be distinguished from BPD; while BPD includes instability in interpersonal relationships, it does not involve dependence on other people.

To sum up, codependency is a psychological concept that refers to people who feel extreme amounts of dependence on certain loved ones in their lives, and feel responsible for the feelings and actions of those loved ones. Codependency is not recognized as a distinct personality disorder by the DSM-5.

That said, research shows that while codependency does overlap with other personality disorders, it appears to constitute a distinct psychological construct. The best way to learn about codependency is to review some signs of codependency.

20 Signs of Codependency

What Is A Codependent Personality Disorder? Definition & MeaningWhat does codependency actually look like?

Some things that have been found to correlate with codependency include (Marks et al., 2012):

  • Low self-esteem
  • Low levels of narcissism
  • Familial dysfunction
  • Depression
  • Anxiety
  • Stress
  • Low emotional expressivity

Other signs of codependency include (Lancer, 2016; Mental Health America, n.d.):

  • Having a hard time saying no
  • Having poor boundaries
  • Showing emotional reactivity
  • Feeling compelled to take care of people
  • Having a need for control, especially over others
  • Having trouble communicating honestly
  • Fixating on mistakes
  • Feeling a need to be liked by everyone
  • Feeling a need to always be in a relationship
  • Denying one’s own needs, thoughts, and feelings
  • Having intimacy issues
  • Confusing love and pity
  • Displaying fear of abandonment

How to Overcome Codependency

Research has been conducted into group, individual, and family therapy modalities for overcoming codependency, with one systematic review showing a significant reduction in symptoms when long-term post-intervention follow-ups were conducted (Abadi et al., 2015).

The main emphasis of these various treatment modalities is on altering how the codependent person views themselves and their relationships.

This can involve interventions with various (or numerous) goals:

Building Self-Esteem

Low self-esteem is a well-established symptom of codependency (Cermak, 1986; Whitfield, 1991). Building the codependent person’s self-esteem is a main focus of many counseling interventions, with evidence supporting their efficacy (Abadi et al., 2015).

The following worksheets can help build self-esteem:

Improving Boundary Setting

Weak or unclear boundaries are another reason codependent people are often willing to compromise their personal needs and happiness to satisfy a partner.

Interventions aimed at building self-awareness, self-expression, and communication skills can help an individual’s ability to set and enforce healthy boundaries (Abadi et al., 2015).

Here are some useful worksheets for setting boundaries:

Encouraging Self Care

Boundary-setting is just one form of self-care. People with codependent tendencies can also benefit from learning to prioritize their self-care, needs, and happiness before taking care of others (Beattie, 2008).

These exercises can help you practice better self-care:

Codependency Treatment: 3 Codependency Worksheets

Codependency Treatment: 5 Codependency Worksheets

Books can be invaluable resources, but it can take some time to get through them.

For people who want to start right away, here are some useful worksheets for learning about codependency, as well as treating and overcoming it.

1. Codependency Questionnaire

This Codependency Questionnaire is a good option for a short overview of common behaviors and feelings linked to codependency. It contains 20 items designed to get people thinking about codependency in their own lives.

While not a substitute for clinical diagnosis, it can be a good starting point.

2. Shifting Codependency Patterns

This worksheet is a helpful way to identify some emotional and behavioral patterns and tendencies that are related to codependency. It contrasts unhealthy ways that people with codependency think about themselves, with healthier ways that people think about themselves.

This worksheet is an actionable way to shift thought and action patterns to begin recovering from codependency.

3. Codependent Relationships: Beliefs, Attributes, and Outcomes

Finally, Codependent Relationships – Beliefs, Attributes, and Outcomes is a brief, informal checklist examining codependent behaviors in relationships. While not a formal test, it is a good way to evaluate codependent behaviors and thoughts in one’s interpersonal interactions, as well more generally in life.

This delves into healthy versus codependent thought patterns and behaviors.

Codependent Parents: Consequences for Children

Codependent Parents: Consequences for ChildrenCodependency was originally conceived as a disorder that affected the children and spouses of alcoholics and substance abusers.

Research has shown that codependency is not unique to the children (or spouses) of alcoholics, though, as many types of family difficulties can lead to codependency (Cullen & Carr, 1999).

In fact, having a codependent parent can lead a child to codependency as well.

This is because of the tendency that people who have been “parentified” as children are more likely to be codependent (Wells et al., 1999). The concept of parentification refers to “the reversal of the parent-child role,” or when a child is forced to serve in a parental or care-taking role towards their own parent.

This is usually because of the parent not having had their own developmental needs met while they were growing up.

Since these codependent children grow up not having their developmental needs met either, this can create a cycle of codependency passed down from generation to generation.

Being codependent can be particularly harmful for parents of addicted children (Clearview Treatment Programs, n.d.). Codependent parents of addicted children can enable their children’s addictions, even when they think they are helping.

This is one way that codependency can be especially tricky – often people with these tendencies believe they are being helpful or that their actions are necessary for the other person in the relationship.

The most effective treatment for codependency is therapy, whether group or individual, to understand the ways in which someone feels they must take-care for another’s emotional state and understand that your emotional needs are not met by not allowing others get close enough to you.

This work can be hard to identify in ourselves, so having a supportive professional help us untangle these relationships can be crucial

A Take-Home Message

For years, the concept of codependency has been criticized for being poorly defined, but over the last few decades, the construct of codependency has become more well defined and well researched, as it has been fitted with an empirical base.

Most importantly, codependency has been recognized as a relationship dynamic that affects people with all sorts of childhood trauma, not just the children or spouses of alcoholics or substance abusers.

For people who are codependent, there are plenty of ways to overcome codependency. Aside from seeking professional help, there are many worksheets and books (such as the ones highlighted above) by people who have overcome codependency. The most important thing to remember is that while everyone has loved ones and feels responsible for those loved ones, it can be unhealthy when one hinges their identity on someone else.

Ultimately, everyone is responsible for their own actions and feelings.

What is your experience with codependency? Are there relationships in your life in which you or the other person exhibit codependent tendencies? Are their relationships from cultural movies or TV shows that provide examples of these kinds of relationships?

We would love to hear your input in the comments section below.

We hope you enjoyed reading this article. Don’t forget to download our three Positive Relationships Exercises for free.

 
Emotional codependency is when a person relies excessively on another for emotional support, validation, and a sense of identity. It involves an inability to function or feel secure without the approval or presence of the other person. Emotional codependents often prioritize their partner’s needs over their own, leading to a loss of self and unhealthy relationship dynamics.
Codependency can be harmful because it often leads to unhealthy, unbalanced relationships where one person sacrifices their needs and wellbeing for the sake of another. It can result in emotional exhaustion, resentment, and a lack of personal growth. However, recognizing and addressing codependent behaviors can lead to healthier and more fulfilling relationships.
  • Abadi, F. K. A., Vand, M. M., & Aghaee, H. (2015). Models and interventions of codependency treatment, systematic review. Journal UMP Social Sciences and Technology Management, 3(2), 572-583.
  • Beattie, M. (2008). The new codependency: help and guidance for today’s generation. Simon and Schuster. https://www.amazon.com/dp/1439102147/
  • Cermak, T. L. (1986). Diagnostic criteria for codependency. Journal of Psychoactive Drugs, 18(1), 15-20. https://doi.org/10.1080/02791072.1986.10524475
  • Clearview Treatment Programs. (n.d.). How being a codependent parent can hurt your addicted child. Retrieved from https://clearviewtreatment.com/resources/blog/codependent-parent/
  • Cullen, J., & Carr, A. (1999). Codependency: An empirical study from a systemic perspective. Contemporary Family Therapy, 21(4), 505-526. https://doi.org/10.1023/A:1021627205565
  • Friel, J. C. (1985). Codependency assessment inventory: A preliminary research tool. Focus on the Family and Chemical Dependency, 8(1), 20-21.
  • Friel, J. C., & Friel, L. D. (1987). Uncovering our frozen feelings: The iceberg model of codependency. Focus on the Family and Chemical Dependency, 46(1), 10-12.
  • Knapek, E., Balazs, K., & Szabo, I. K. (2017). The substance abuser’s partner: Do codependent individuals have borderline and dependent personality disorder? Heroin Addiction and Related Clinical Problems, 19(5), 55-62.
  • Knudson, T. M., & Terrell, H. K. (2012). Codependency, perceived interparental conflict, and substance abuse in the family of origin. American Journal of Family Therapy, 40(3), 245-257. https://doi.org/10.1080/01926187.2011.610725
  • Lampis, J., Cataudella, S., Busonera, A., & Skowron, E. A. (2017). The role of differentiation of self and dyadic adjustment in predicting codependency. Contemporary Family Therapy, 39(1), 62-72. https://doi.org/10.1007/s10591-017-9403-4
  • Lancer, D. (2016). Symptoms of codependency. Retrieved from https://psychcentral.com/lib/symptoms-of-codependency/
  • Marks, A. D. G., Blore, R. L., Hine, D. W., & Dear, G. E. (2012). Development and validation of a revised measure of codependency. Australian Journal of Psychology, 64(3), 119-127. https://doi.org/10.1111/j.1742-9536.2011.00034.x
  • Mental Health America. (n.d.). Co-dependency. Retrieved from http://www.mentalhealthamerica.net/co-dependency
  • Wells, M., Glickauf-Hughes, C., & Jones, R. (1999). Codependency: A grass roots construct’s relationship to shame-proneness, low self-esteem, and childhood parentification. American Journal of Family Therapy, 27(1), 63-71. https://doi.org/10.1080/019261899262104
  • Whitfield, C. (2010). Co-dependence healing the human condition: The new paradigm for helping professionals and people in recovery. Simon and Schuster. https://www.amazon.com/dp/155874150X/

How to differentiate between a healthy and a codependent relationship

In a healthy relationship, both individuals have a sense of autonomy and independence, and are able to maintain their own identities while still being connected to their partner.

While in a codependent relationship, one person may sacrifice their own needs and wants in order to please their partner, or they may become overly enmeshed and lose a sense of self.

Additionally, in a codependent relationship, there is often an imbalance of power, with one person being overly controlling or dominant.

Co-Dependency refers to a psychological construct involving an unhealthy relationship that people might share with those closest to them.

It was originally thought to involve families of substance abuse but has since grown to include other types of dysfunctional relationships. Read on to learn about what codependency is and how it can affect people, how to recognize signs of codependency, and resources for learning more about and overcoming codependency.

Before you continue, we thought you might like to download our three Positive Relationships Exercises for free. These detailed, science-based exercises will help you or your clients build healthy, life-enriching relationships.

What Is a Codependent Personality Disorder?

Originally, “the term ‘codependent’ described persons living with, or in a relationship with an addicted person” (Lampis et al., 2017).

Modern understandings of codependency now refer to “a specific relationship addiction characterized by preoccupation and extreme dependence—emotional, social and sometimes physical—on another person” (Lampis et al., 2017).

The concept of codependency does still apply to families with substance abuse issues but is also used to refer to other situations too. The main consequence of codependency is that “codependents, busy taking care of others, forget to take care of themselves, resulting in a disturbance of identity development” (Knudson & Terrell, 2012).

As of the time of writing, the most recent (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), still only refers to dependent personality disorder (DPD), not codependency.

Codependency overlaps not only with DPD but also with borderline personality disorder (BPD), which is one reason codependency may not be classified as its own personality disorder. One study found, though, that while codependent people do share some overlap with DPD and BPD symptoms, there are also people who exhibit codependency without exhibiting symptoms of DPD or BPD (Knapek et al., 2017).

Codependency can be distinguished from DPD because codependent people depend on a specific person(s), while people with DPD depend on others in general. Codependency can be distinguished from BPD; while BPD includes instability in interpersonal relationships, it does not involve dependence on other people.

To sum up, codependency is a psychological concept that refers to people who feel extreme amounts of dependence on certain loved ones in their lives, and feel responsible for the feelings and actions of those loved ones. Codependency is not recognized as a distinct personality disorder by the DSM-5.

That said, research shows that while codependency does overlap with other personality disorders, it appears to constitute a distinct psychological construct. The best way to learn about codependency is to review some signs of codependency.

20 Signs of Codependency

What Is A Codependent Personality Disorder? Definition & MeaningWhat does codependency actually look like?

Some things that have been found to correlate with codependency include (Marks et al., 2012):

  • Low self-esteem
  • Low levels of narcissism
  • Familial dysfunction
  • Depression
  • Anxiety
  • Stress
  • Low emotional expressivity

Other signs of codependency include (Lancer, 2016; Mental Health America, n.d.):

  • Having a hard time saying no
  • Having poor boundaries
  • Showing emotional reactivity
  • Feeling compelled to take care of people
  • Having a need for control, especially over others
  • Having trouble communicating honestly
  • Fixating on mistakes
  • Feeling a need to be liked by everyone
  • Feeling a need to always be in a relationship
  • Denying one’s own needs, thoughts, and feelings
  • Having intimacy issues
  • Confusing love and pity
  • Displaying fear of abandonment

How to Overcome Codependency

Research has been conducted into group, individual, and family therapy modalities for overcoming codependency, with one systematic review showing a significant reduction in symptoms when long-term post-intervention follow-ups were conducted (Abadi et al., 2015).

The main emphasis of these various treatment modalities is on altering how the codependent person views themselves and their relationships.

This can involve interventions with various (or numerous) goals:

Building Self-Esteem

Low self-esteem is a well-established symptom of codependency (Cermak, 1986; Whitfield, 1991). Building the codependent person’s self-esteem is a main focus of many counseling interventions, with evidence supporting their efficacy (Abadi et al., 2015).

The following worksheets can help build self-esteem:

Improving Boundary Setting

Weak or unclear boundaries are another reason codependent people are often willing to compromise their personal needs and happiness to satisfy a partner.

Interventions aimed at building self-awareness, self-expression, and communication skills can help an individual’s ability to set and enforce healthy boundaries (Abadi et al., 2015).

Here are some useful worksheets for setting boundaries:

Encouraging Self Care

Boundary-setting is just one form of self-care. People with codependent tendencies can also benefit from learning to prioritize their self-care, needs, and happiness before taking care of others (Beattie, 2008).

These exercises can help you practice better self-care:

Codependency Treatment: 3 Codependency Worksheets

Codependency Treatment: 5 Codependency Worksheets

Books can be invaluable resources, but it can take some time to get through them.

For people who want to start right away, here are some useful worksheets for learning about codependency, as well as treating and overcoming it.

1. Codependency Questionnaire

This Codependency Questionnaire is a good option for a short overview of common behaviors and feelings linked to codependency. It contains 20 items designed to get people thinking about codependency in their own lives.

While not a substitute for clinical diagnosis, it can be a good starting point.

2. Shifting Codependency Patterns

This worksheet is a helpful way to identify some emotional and behavioral patterns and tendencies that are related to codependency. It contrasts unhealthy ways that people with codependency think about themselves, with healthier ways that people think about themselves.

This worksheet is an actionable way to shift thought and action patterns to begin recovering from codependency.

3. Codependent Relationships: Beliefs, Attributes, and Outcomes

Finally, Codependent Relationships – Beliefs, Attributes, and Outcomes is a brief, informal checklist examining codependent behaviors in relationships. While not a formal test, it is a good way to evaluate codependent behaviors and thoughts in one’s interpersonal interactions, as well more generally in life.

This delves into healthy versus codependent thought patterns and behaviors.

Codependent Parents: Consequences for Children

Codependent Parents: Consequences for ChildrenCodependency was originally conceived as a disorder that affected the children and spouses of alcoholics and substance abusers.

Research has shown that codependency is not unique to the children (or spouses) of alcoholics, though, as many types of family difficulties can lead to codependency (Cullen & Carr, 1999).

In fact, having a codependent parent can lead a child to codependency as well.

This is because of the tendency that people who have been “parentified” as children are more likely to be codependent (Wells et al., 1999). The concept of parentification refers to “the reversal of the parent-child role,” or when a child is forced to serve in a parental or care-taking role towards their own parent.

This is usually because of the parent not having had their own developmental needs met while they were growing up.

Since these codependent children grow up not having their developmental needs met either, this can create a cycle of codependency passed down from generation to generation.

Being codependent can be particularly harmful for parents of addicted children (Clearview Treatment Programs, n.d.). Codependent parents of addicted children can enable their children’s addictions, even when they think they are helping.

This is one way that codependency can be especially tricky – often people with these tendencies believe they are being helpful or that their actions are necessary for the other person in the relationship.

The most effective treatment for codependency is therapy, whether group or individual, to understand the ways in which someone feels they must take-care for another’s emotional state and understand that your emotional needs are not met by not allowing others get close enough to you.

This work can be hard to identify in ourselves, so having a supportive professional help us untangle these relationships can be crucial

A Take-Home Message

For years, the concept of codependency has been criticized for being poorly defined, but over the last few decades, the construct of codependency has become more well defined and well researched, as it has been fitted with an empirical base.

Most importantly, codependency has been recognized as a relationship dynamic that affects people with all sorts of childhood trauma, not just the children or spouses of alcoholics or substance abusers.

For people who are codependent, there are plenty of ways to overcome codependency. Aside from seeking professional help, there are many worksheets and books (such as the ones highlighted above) by people who have overcome codependency. The most important thing to remember is that while everyone has loved ones and feels responsible for those loved ones, it can be unhealthy when one hinges their identity on someone else.

Ultimately, everyone is responsible for their own actions and feelings.

What is your experience with codependency? Are there relationships in your life in which you or the other person exhibit codependent tendencies? Are their relationships from cultural movies or TV shows that provide examples of these kinds of relationships?

We would love to hear your input in the comments section below.

We hope you enjoyed reading this article. Don’t forget to download our three Positive Relationships Exercises for free.

 
Emotional codependency is when a person relies excessively on another for emotional support, validation, and a sense of identity. It involves an inability to function or feel secure without the approval or presence of the other person. Emotional codependents often prioritize their partner’s needs over their own, leading to a loss of self and unhealthy relationship dynamics.
Codependency can be harmful because it often leads to unhealthy, unbalanced relationships where one person sacrifices their needs and wellbeing for the sake of another. It can result in emotional exhaustion, resentment, and a lack of personal growth. However, recognizing and addressing codependent behaviors can lead to healthier and more fulfilling relationships.
  • Abadi, F. K. A., Vand, M. M., & Aghaee, H. (2015). Models and interventions of codependency treatment, systematic review. Journal UMP Social Sciences and Technology Management, 3(2), 572-583.
  • Beattie, M. (2008). The new codependency: help and guidance for today’s generation. Simon and Schuster. https://www.amazon.com/dp/1439102147/
  • Cermak, T. L. (1986). Diagnostic criteria for codependency. Journal of Psychoactive Drugs, 18(1), 15-20. https://doi.org/10.1080/02791072.1986.10524475
  • Clearview Treatment Programs. (n.d.). How being a codependent parent can hurt your addicted child. Retrieved from https://clearviewtreatment.com/resources/blog/codependent-parent/
  • Cullen, J., & Carr, A. (1999). Codependency: An empirical study from a systemic perspective. Contemporary Family Therapy, 21(4), 505-526. https://doi.org/10.1023/A:1021627205565
  • Friel, J. C. (1985). Codependency assessment inventory: A preliminary research tool. Focus on the Family and Chemical Dependency, 8(1), 20-21.
  • Friel, J. C., & Friel, L. D. (1987). Uncovering our frozen feelings: The iceberg model of codependency. Focus on the Family and Chemical Dependency, 46(1), 10-12.
  • Knapek, E., Balazs, K., & Szabo, I. K. (2017). The substance abuser’s partner: Do codependent individuals have borderline and dependent personality disorder? Heroin Addiction and Related Clinical Problems, 19(5), 55-62.
  • Knudson, T. M., & Terrell, H. K. (2012). Codependency, perceived interparental conflict, and substance abuse in the family of origin. American Journal of Family Therapy, 40(3), 245-257. https://doi.org/10.1080/01926187.2011.610725
  • Lampis, J., Cataudella, S., Busonera, A., & Skowron, E. A. (2017). The role of differentiation of self and dyadic adjustment in predicting codependency. Contemporary Family Therapy, 39(1), 62-72. https://doi.org/10.1007/s10591-017-9403-4
  • Lancer, D. (2016). Symptoms of codependency. Retrieved from https://psychcentral.com/lib/symptoms-of-codependency/
  • Marks, A. D. G., Blore, R. L., Hine, D. W., & Dear, G. E. (2012). Development and validation of a revised measure of codependency. Australian Journal of Psychology, 64(3), 119-127. https://doi.org/10.1111/j.1742-9536.2011.00034.x
  • Mental Health America. (n.d.). Co-dependency. Retrieved from http://www.mentalhealthamerica.net/co-dependency
  • Wells, M., Glickauf-Hughes, C., & Jones, R. (1999). Codependency: A grass roots construct’s relationship to shame-proneness, low self-esteem, and childhood parentification. American Journal of Family Therapy, 27(1), 63-71. https://doi.org/10.1080/019261899262104
  • Whitfield, C. (2010). Co-dependence healing the human condition: The new paradigm for helping professionals and people in recovery. Simon and Schuster. https://www.amazon.com/dp/155874150X/

How to differentiate between a healthy and a codependent relationship

In a healthy relationship, both individuals have a sense of autonomy and independence, and are able to maintain their own identities while still being connected to their partner.

While in a codependent relationship, one person may sacrifice their own needs and wants in order to please their partner, or they may become overly enmeshed and lose a sense of self.

Additionally, in a codependent relationship, there is often an imbalance of power, with one person being overly controlling or dominant.

Co-Dependency refers to a psychological construct involving an unhealthy relationship that people might share with those closest to them.

It was originally thought to involve families of substance abuse but has since grown to include other types of dysfunctional relationships. Read on to learn about what codependency is and how it can affect people, how to recognize signs of codependency, and resources for learning more about and overcoming codependency.

Before you continue, we thought you might like to download our three Positive Relationships Exercises for free. These detailed, science-based exercises will help you or your clients build healthy, life-enriching relationships.

What Is a Codependent Personality Disorder?

Originally, “the term ‘codependent’ described persons living with, or in a relationship with an addicted person” (Lampis et al., 2017).

Modern understandings of codependency now refer to “a specific relationship addiction characterized by preoccupation and extreme dependence—emotional, social and sometimes physical—on another person” (Lampis et al., 2017).

The concept of codependency does still apply to families with substance abuse issues but is also used to refer to other situations too. The main consequence of codependency is that “codependents, busy taking care of others, forget to take care of themselves, resulting in a disturbance of identity development” (Knudson & Terrell, 2012).

As of the time of writing, the most recent (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), still only refers to dependent personality disorder (DPD), not codependency.

Codependency overlaps not only with DPD but also with borderline personality disorder (BPD), which is one reason codependency may not be classified as its own personality disorder. One study found, though, that while codependent people do share some overlap with DPD and BPD symptoms, there are also people who exhibit codependency without exhibiting symptoms of DPD or BPD (Knapek et al., 2017).

Codependency can be distinguished from DPD because codependent people depend on a specific person(s), while people with DPD depend on others in general. Codependency can be distinguished from BPD; while BPD includes instability in interpersonal relationships, it does not involve dependence on other people.

To sum up, codependency is a psychological concept that refers to people who feel extreme amounts of dependence on certain loved ones in their lives, and feel responsible for the feelings and actions of those loved ones. Codependency is not recognized as a distinct personality disorder by the DSM-5.

That said, research shows that while codependency does overlap with other personality disorders, it appears to constitute a distinct psychological construct. The best way to learn about codependency is to review some signs of codependency.

20 Signs of Codependency

What Is A Codependent Personality Disorder? Definition & MeaningWhat does codependency actually look like?

Some things that have been found to correlate with codependency include (Marks et al., 2012):

  • Low self-esteem
  • Low levels of narcissism
  • Familial dysfunction
  • Depression
  • Anxiety
  • Stress
  • Low emotional expressivity

Other signs of codependency include (Lancer, 2016; Mental Health America, n.d.):

  • Having a hard time saying no
  • Having poor boundaries
  • Showing emotional reactivity
  • Feeling compelled to take care of people
  • Having a need for control, especially over others
  • Having trouble communicating honestly
  • Fixating on mistakes
  • Feeling a need to be liked by everyone
  • Feeling a need to always be in a relationship
  • Denying one’s own needs, thoughts, and feelings
  • Having intimacy issues
  • Confusing love and pity
  • Displaying fear of abandonment

How to Overcome Codependency

Research has been conducted into group, individual, and family therapy modalities for overcoming codependency, with one systematic review showing a significant reduction in symptoms when long-term post-intervention follow-ups were conducted (Abadi et al., 2015).

The main emphasis of these various treatment modalities is on altering how the codependent person views themselves and their relationships.

This can involve interventions with various (or numerous) goals:

Building Self-Esteem

Low self-esteem is a well-established symptom of codependency (Cermak, 1986; Whitfield, 1991). Building the codependent person’s self-esteem is a main focus of many counseling interventions, with evidence supporting their efficacy (Abadi et al., 2015).

The following worksheets can help build self-esteem:

Improving Boundary Setting

Weak or unclear boundaries are another reason codependent people are often willing to compromise their personal needs and happiness to satisfy a partner.

Interventions aimed at building self-awareness, self-expression, and communication skills can help an individual’s ability to set and enforce healthy boundaries (Abadi et al., 2015).

Here are some useful worksheets for setting boundaries:

Encouraging Self Care

Boundary-setting is just one form of self-care. People with codependent tendencies can also benefit from learning to prioritize their self-care, needs, and happiness before taking care of others (Beattie, 2008).

These exercises can help you practice better self-care:

Codependency Treatment: 3 Codependency Worksheets

Codependency Treatment: 5 Codependency Worksheets

Books can be invaluable resources, but it can take some time to get through them.

For people who want to start right away, here are some useful worksheets for learning about codependency, as well as treating and overcoming it.

1. Codependency Questionnaire

This Codependency Questionnaire is a good option for a short overview of common behaviors and feelings linked to codependency. It contains 20 items designed to get people thinking about codependency in their own lives.

While not a substitute for clinical diagnosis, it can be a good starting point.

2. Shifting Codependency Patterns

This worksheet is a helpful way to identify some emotional and behavioral patterns and tendencies that are related to codependency. It contrasts unhealthy ways that people with codependency think about themselves, with healthier ways that people think about themselves.

This worksheet is an actionable way to shift thought and action patterns to begin recovering from codependency.

3. Codependent Relationships: Beliefs, Attributes, and Outcomes

Finally, Codependent Relationships – Beliefs, Attributes, and Outcomes is a brief, informal checklist examining codependent behaviors in relationships. While not a formal test, it is a good way to evaluate codependent behaviors and thoughts in one’s interpersonal interactions, as well more generally in life.

This delves into healthy versus codependent thought patterns and behaviors.

Codependent Parents: Consequences for Children

Codependent Parents: Consequences for ChildrenCodependency was originally conceived as a disorder that affected the children and spouses of alcoholics and substance abusers.

Research has shown that codependency is not unique to the children (or spouses) of alcoholics, though, as many types of family difficulties can lead to codependency (Cullen & Carr, 1999).

In fact, having a codependent parent can lead a child to codependency as well.

This is because of the tendency that people who have been “parentified” as children are more likely to be codependent (Wells et al., 1999). The concept of parentification refers to “the reversal of the parent-child role,” or when a child is forced to serve in a parental or care-taking role towards their own parent.

This is usually because of the parent not having had their own developmental needs met while they were growing up.

Since these codependent children grow up not having their developmental needs met either, this can create a cycle of codependency passed down from generation to generation.

Being codependent can be particularly harmful for parents of addicted children (Clearview Treatment Programs, n.d.). Codependent parents of addicted children can enable their children’s addictions, even when they think they are helping.

This is one way that codependency can be especially tricky – often people with these tendencies believe they are being helpful or that their actions are necessary for the other person in the relationship.

The most effective treatment for codependency is therapy, whether group or individual, to understand the ways in which someone feels they must take-care for another’s emotional state and understand that your emotional needs are not met by not allowing others get close enough to you.

This work can be hard to identify in ourselves, so having a supportive professional help us untangle these relationships can be crucial

A Take-Home Message

For years, the concept of codependency has been criticized for being poorly defined, but over the last few decades, the construct of codependency has become more well defined and well researched, as it has been fitted with an empirical base.

Most importantly, codependency has been recognized as a relationship dynamic that affects people with all sorts of childhood trauma, not just the children or spouses of alcoholics or substance abusers.

For people who are codependent, there are plenty of ways to overcome codependency. Aside from seeking professional help, there are many worksheets and books (such as the ones highlighted above) by people who have overcome codependency. The most important thing to remember is that while everyone has loved ones and feels responsible for those loved ones, it can be unhealthy when one hinges their identity on someone else.

Ultimately, everyone is responsible for their own actions and feelings.

What is your experience with codependency? Are there relationships in your life in which you or the other person exhibit codependent tendencies? Are their relationships from cultural movies or TV shows that provide examples of these kinds of relationships?

We would love to hear your input in the comments section below.

We hope you enjoyed reading this article. Don’t forget to download our three Positive Relationships Exercises for free.

 
Emotional codependency is when a person relies excessively on another for emotional support, validation, and a sense of identity. It involves an inability to function or feel secure without the approval or presence of the other person. Emotional codependents often prioritize their partner’s needs over their own, leading to a loss of self and unhealthy relationship dynamics.
Codependency can be harmful because it often leads to unhealthy, unbalanced relationships where one person sacrifices their needs and wellbeing for the sake of another. It can result in emotional exhaustion, resentment, and a lack of personal growth. However, recognizing and addressing codependent behaviors can lead to healthier and more fulfilling relationships.
  • Abadi, F. K. A., Vand, M. M., & Aghaee, H. (2015). Models and interventions of codependency treatment, systematic review. Journal UMP Social Sciences and Technology Management, 3(2), 572-583.
  • Beattie, M. (2008). The new codependency: help and guidance for today’s generation. Simon and Schuster. https://www.amazon.com/dp/1439102147/
  • Cermak, T. L. (1986). Diagnostic criteria for codependency. Journal of Psychoactive Drugs, 18(1), 15-20. https://doi.org/10.1080/02791072.1986.10524475
  • Clearview Treatment Programs. (n.d.). How being a codependent parent can hurt your addicted child. Retrieved from https://clearviewtreatment.com/resources/blog/codependent-parent/
  • Cullen, J., & Carr, A. (1999). Codependency: An empirical study from a systemic perspective. Contemporary Family Therapy, 21(4), 505-526. https://doi.org/10.1023/A:1021627205565
  • Friel, J. C. (1985). Codependency assessment inventory: A preliminary research tool. Focus on the Family and Chemical Dependency, 8(1), 20-21.
  • Friel, J. C., & Friel, L. D. (1987). Uncovering our frozen feelings: The iceberg model of codependency. Focus on the Family and Chemical Dependency, 46(1), 10-12.
  • Knapek, E., Balazs, K., & Szabo, I. K. (2017). The substance abuser’s partner: Do codependent individuals have borderline and dependent personality disorder? Heroin Addiction and Related Clinical Problems, 19(5), 55-62.
  • Knudson, T. M., & Terrell, H. K. (2012). Codependency, perceived interparental conflict, and substance abuse in the family of origin. American Journal of Family Therapy, 40(3), 245-257. https://doi.org/10.1080/01926187.2011.610725
  • Lampis, J., Cataudella, S., Busonera, A., & Skowron, E. A. (2017). The role of differentiation of self and dyadic adjustment in predicting codependency. Contemporary Family Therapy, 39(1), 62-72. https://doi.org/10.1007/s10591-017-9403-4
  • Lancer, D. (2016). Symptoms of codependency. Retrieved from https://psychcentral.com/lib/symptoms-of-codependency/
  • Marks, A. D. G., Blore, R. L., Hine, D. W., & Dear, G. E. (2012). Development and validation of a revised measure of codependency. Australian Journal of Psychology, 64(3), 119-127. https://doi.org/10.1111/j.1742-9536.2011.00034.x
  • Mental Health America. (n.d.). Co-dependency. Retrieved from http://www.mentalhealthamerica.net/co-dependency
  • Wells, M., Glickauf-Hughes, C., & Jones, R. (1999). Codependency: A grass roots construct’s relationship to shame-proneness, low self-esteem, and childhood parentification. American Journal of Family Therapy, 27(1), 63-71. https://doi.org/10.1080/019261899262104
  • Whitfield, C. (2010). Co-dependence healing the human condition: The new paradigm for helping professionals and people in recovery. Simon and Schuster. https://www.amazon.com/dp/155874150X/

How to differentiate between a healthy and a codependent relationship

In a healthy relationship, both individuals have a sense of autonomy and independence, and are able to maintain their own identities while still being connected to their partner.

While in a codependent relationship, one person may sacrifice their own needs and wants in order to please their partner, or they may become overly enmeshed and lose a sense of self.

Additionally, in a codependent relationship, there is often an imbalance of power, with one person being overly controlling or dominant.

Co-Dependency refers to a psychological construct involving an unhealthy relationship that people might share with those closest to them.

It was originally thought to involve families of substance abuse but has since grown to include other types of dysfunctional relationships. Read on to learn about what codependency is and how it can affect people, how to recognize signs of codependency, and resources for learning more about and overcoming codependency.

Before you continue, we thought you might like to download our three Positive Relationships Exercises for free. These detailed, science-based exercises will help you or your clients build healthy, life-enriching relationships.

What Is a Codependent Personality Disorder?

Originally, “the term ‘codependent’ described persons living with, or in a relationship with an addicted person” (Lampis et al., 2017).

Modern understandings of codependency now refer to “a specific relationship addiction characterized by preoccupation and extreme dependence—emotional, social and sometimes physical—on another person” (Lampis et al., 2017).

The concept of codependency does still apply to families with substance abuse issues but is also used to refer to other situations too. The main consequence of codependency is that “codependents, busy taking care of others, forget to take care of themselves, resulting in a disturbance of identity development” (Knudson & Terrell, 2012).

As of the time of writing, the most recent (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), still only refers to dependent personality disorder (DPD), not codependency.

Codependency overlaps not only with DPD but also with borderline personality disorder (BPD), which is one reason codependency may not be classified as its own personality disorder. One study found, though, that while codependent people do share some overlap with DPD and BPD symptoms, there are also people who exhibit codependency without exhibiting symptoms of DPD or BPD (Knapek et al., 2017).

Codependency can be distinguished from DPD because codependent people depend on a specific person(s), while people with DPD depend on others in general. Codependency can be distinguished from BPD; while BPD includes instability in interpersonal relationships, it does not involve dependence on other people.

To sum up, codependency is a psychological concept that refers to people who feel extreme amounts of dependence on certain loved ones in their lives, and feel responsible for the feelings and actions of those loved ones. Codependency is not recognized as a distinct personality disorder by the DSM-5.

That said, research shows that while codependency does overlap with other personality disorders, it appears to constitute a distinct psychological construct. The best way to learn about codependency is to review some signs of codependency.

20 Signs of Codependency

What Is A Codependent Personality Disorder? Definition & MeaningWhat does codependency actually look like?

Some things that have been found to correlate with codependency include (Marks et al., 2012):

  • Low self-esteem
  • Low levels of narcissism
  • Familial dysfunction
  • Depression
  • Anxiety
  • Stress
  • Low emotional expressivity

Other signs of codependency include (Lancer, 2016; Mental Health America, n.d.):

  • Having a hard time saying no
  • Having poor boundaries
  • Showing emotional reactivity
  • Feeling compelled to take care of people
  • Having a need for control, especially over others
  • Having trouble communicating honestly
  • Fixating on mistakes
  • Feeling a need to be liked by everyone
  • Feeling a need to always be in a relationship
  • Denying one’s own needs, thoughts, and feelings
  • Having intimacy issues
  • Confusing love and pity
  • Displaying fear of abandonment

How to Overcome Codependency

Research has been conducted into group, individual, and family therapy modalities for overcoming codependency, with one systematic review showing a significant reduction in symptoms when long-term post-intervention follow-ups were conducted (Abadi et al., 2015).

The main emphasis of these various treatment modalities is on altering how the codependent person views themselves and their relationships.

This can involve interventions with various (or numerous) goals:

Building Self-Esteem

Low self-esteem is a well-established symptom of codependency (Cermak, 1986; Whitfield, 1991). Building the codependent person’s self-esteem is a main focus of many counseling interventions, with evidence supporting their efficacy (Abadi et al., 2015).

The following worksheets can help build self-esteem:

Improving Boundary Setting

Weak or unclear boundaries are another reason codependent people are often willing to compromise their personal needs and happiness to satisfy a partner.

Interventions aimed at building self-awareness, self-expression, and communication skills can help an individual’s ability to set and enforce healthy boundaries (Abadi et al., 2015).

Here are some useful worksheets for setting boundaries:

Encouraging Self Care

Boundary-setting is just one form of self-care. People with codependent tendencies can also benefit from learning to prioritize their self-care, needs, and happiness before taking care of others (Beattie, 2008).

These exercises can help you practice better self-care:

Codependency Treatment: 3 Codependency Worksheets

Codependency Treatment: 5 Codependency Worksheets

Books can be invaluable resources, but it can take some time to get through them.

For people who want to start right away, here are some useful worksheets for learning about codependency, as well as treating and overcoming it.

1. Codependency Questionnaire

This Codependency Questionnaire is a good option for a short overview of common behaviors and feelings linked to codependency. It contains 20 items designed to get people thinking about codependency in their own lives.

While not a substitute for clinical diagnosis, it can be a good starting point.

2. Shifting Codependency Patterns

This worksheet is a helpful way to identify some emotional and behavioral patterns and tendencies that are related to codependency. It contrasts unhealthy ways that people with codependency think about themselves, with healthier ways that people think about themselves.

This worksheet is an actionable way to shift thought and action patterns to begin recovering from codependency.

3. Codependent Relationships: Beliefs, Attributes, and Outcomes

Finally, Codependent Relationships – Beliefs, Attributes, and Outcomes is a brief, informal checklist examining codependent behaviors in relationships. While not a formal test, it is a good way to evaluate codependent behaviors and thoughts in one’s interpersonal interactions, as well more generally in life.

This delves into healthy versus codependent thought patterns and behaviors.

Codependent Parents: Consequences for Children

Codependent Parents: Consequences for ChildrenCodependency was originally conceived as a disorder that affected the children and spouses of alcoholics and substance abusers.

Research has shown that codependency is not unique to the children (or spouses) of alcoholics, though, as many types of family difficulties can lead to codependency (Cullen & Carr, 1999).

In fact, having a codependent parent can lead a child to codependency as well.

This is because of the tendency that people who have been “parentified” as children are more likely to be codependent (Wells et al., 1999). The concept of parentification refers to “the reversal of the parent-child role,” or when a child is forced to serve in a parental or care-taking role towards their own parent.

This is usually because of the parent not having had their own developmental needs met while they were growing up.

Since these codependent children grow up not having their developmental needs met either, this can create a cycle of codependency passed down from generation to generation.

Being codependent can be particularly harmful for parents of addicted children (Clearview Treatment Programs, n.d.). Codependent parents of addicted children can enable their children’s addictions, even when they think they are helping.

This is one way that codependency can be especially tricky – often people with these tendencies believe they are being helpful or that their actions are necessary for the other person in the relationship.

The most effective treatment for codependency is therapy, whether group or individual, to understand the ways in which someone feels they must take-care for another’s emotional state and understand that your emotional needs are not met by not allowing others get close enough to you.

This work can be hard to identify in ourselves, so having a supportive professional help us untangle these relationships can be crucial.

Most importantly, codependency has been recognized as a relationship dynamic that affects people with all sorts of childhood trauma, not just the children or spouses of alcoholics or substance abusers.

For people who are codependent, there are plenty of ways to overcome codependency. Aside from seeking professional help, there are many worksheets and books (such as the ones highlighted above) by people who have overcome codependency. The most important thing to remember is that while everyone has loved ones and feels responsible for those loved ones, it can be unhealthy when one hinges their identity on someone else.

Ultimately, everyone is responsible for their own actions and feelings.

What is your experience with codependency? Are there relationships in your life in which you or the other person exhibit codependent tendencies? Are their relationships from cultural movies or TV shows that provide examples of these kinds of relationships?

We would love to hear your input in the comments section below.

We hope you enjoyed reading this article. Don’t forget to download our three Positive Relationships Exercises for free.

Frequently Asked Questions

Codependency can be harmful because it often leads to unhealthy, unbalanced relationships where one person sacrifices their needs and wellbeing for the sake of another. It can result in emotional exhaustion, resentment, and a lack of personal growth. However, recognizing and addressing codependent behaviors can lead to healthier and more fulfilling relationships.
 
Is codependency a personality disorder?
Co-Dependency is not classified as a personality disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is considered a behavioral condition that often stems from dysfunctional family dynamics such as growing up with a substance-abusing or emotionally unstable parent. It is characterized by a pattern of dependency on approval and validation from others.
  • Abadi, F. K. A., Vand, M. M., & Aghaee, H. (2015). Models and interventions of codependency treatment, systematic review. Journal UMP Social Sciences and Technology Management, 3(2), 572-583.
  • Beattie, M. (2008). The new codependency: help and guidance for today’s generation. Simon and Schuster. https://www.amazon.com/dp/1439102147/
  • Cermak, T. L. (1986). Diagnostic criteria for codependency. Journal of Psychoactive Drugs, 18(1), 15-20. https://doi.org/10.1080/02791072.1986.10524475
  • Clearview Treatment Programs. (n.d.). How being a codependent parent can hurt your addicted child. Retrieved from https://clearviewtreatment.com/resources/blog/codependent-parent/
  • Cullen, J., & Carr, A. (1999). Codependency: An empirical study from a systemic perspective. Contemporary Family Therapy, 21(4), 505-526. https://doi.org/10.1023/A:1021627205565
  • Friel, J. C. (1985). Codependency assessment inventory: A preliminary research tool. Focus on the Family and Chemical Dependency, 8(1), 20-21.
  • Friel, J. C., & Friel, L. D. (1987). Uncovering our frozen feelings: The iceberg model of codependency. Focus on the Family and Chemical Dependency, 46(1), 10-12.
  • Knapek, E., Balazs, K., & Szabo, I. K. (2017). The substance abuser’s partner: Do codependent individuals have borderline and dependent personality disorder? Heroin Addiction and Related Clinical Problems, 19(5), 55-62.
  • Knudson, T. M., & Terrell, H. K. (2012). Codependency, perceived interparental conflict, and substance abuse in the family of origin. American Journal of Family Therapy, 40(3), 245-257. https://doi.org/10.1080/01926187.2011.610725
  • Lampis, J., Cataudella, S., Busonera, A., & Skowron, E. A. (2017). The role of differentiation of self and dyadic adjustment in predicting codependency. Contemporary Family Therapy, 39(1), 62-72. https://doi.org/10.1007/s10591-017-9403-4
  • Lancer, D. (2016). Symptoms of codependency. Retrieved from https://psychcentral.com/lib/symptoms-of-codependency/
  • Marks, A. D. G., Blore, R. L., Hine, D. W., & Dear, G. E. (2012). Development and validation of a revised measure of codependency. Australian Journal of Psychology, 64(3), 119-127. https://doi.org/10.1111/j.1742-9536.2011.00034.x
  • Mental Health America. (n.d.). Co-dependency. Retrieved from http://www.mentalhealthamerica.net/co-dependency
  • Wells, M., Glickauf-Hughes, C., & Jones, R. (1999). Codependency: A grass roots construct’s relationship to shame-proneness, low self-esteem, and childhood parentification. American Journal of Family Therapy, 27(1), 63-71. https://doi.org/10.1080/019261899262104
  • Whitfield, C. (2010). Co-dependence healing the human condition: The new paradigm for helping professionals and people in recovery. Simon and Schuster. https://www.amazon.com/dp/155874150X/

How to differentiate between a healthy and a codependent relationship

In a healthy relationship, both individuals have a sense of autonomy and independence, and are able to maintain their own identities while still being connected to their partner.

While in a codependent relationship, one person may sacrifice their own needs and wants in order to please their partner, or they may become overly enmeshed and lose a sense of self.

Additionally, in a codependent relationship, there is often an imbalance of power, with one person being overly controlling or dominant.

Co-Dependency refers to a psychological construct involving an unhealthy relationship that people might share with those closest to them.

It was originally thought to involve families of substance abuse but has since grown to include other types of dysfunctional relationships. Read on to learn about what codependency is and how it can affect people, how to recognize signs of codependency, and resources for learning more about and overcoming codependency.

Before you continue, we thought you might like to download our three Positive Relationships Exercises for free. These detailed, science-based exercises will help you or your clients build healthy, life-enriching relationships.

What Is a Codependent Personality Disorder?

Originally, “the term ‘codependent’ described persons living with, or in a relationship with an addicted person” (Lampis et al., 2017).

Modern understandings of codependency now refer to “a specific relationship addiction characterized by preoccupation and extreme dependence—emotional, social and sometimes physical—on another person” (Lampis et al., 2017).

The concept of codependency does still apply to families with substance abuse issues but is also used to refer to other situations too. The main consequence of codependency is that “codependents, busy taking care of others, forget to take care of themselves, resulting in a disturbance of identity development” (Knudson & Terrell, 2012).

As of the time of writing, the most recent (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), still only refers to dependent personality disorder (DPD), not codependency.

Codependency overlaps not only with DPD but also with borderline personality disorder (BPD), which is one reason codependency may not be classified as its own personality disorder. One study found, though, that while codependent people do share some overlap with DPD and BPD symptoms, there are also people who exhibit codependency without exhibiting symptoms of DPD or BPD (Knapek et al., 2017).

Codependency can be distinguished from DPD because codependent people depend on a specific person(s), while people with DPD depend on others in general. Codependency can be distinguished from BPD; while BPD includes instability in interpersonal relationships, it does not involve dependence on other people.

To sum up, codependency is a psychological concept that refers to people who feel extreme amounts of dependence on certain loved ones in their lives, and feel responsible for the feelings and actions of those loved ones. Codependency is not recognized as a distinct personality disorder by the DSM-5.

That said, research shows that while codependency does overlap with other personality disorders, it appears to constitute a distinct psychological construct. The best way to learn about codependency is to review some signs of codependency.

20 Signs of Codependency

What Is A Codependent Personality Disorder? Definition & MeaningWhat does codependency actually look like?

Some things that have been found to correlate with codependency include (Marks et al., 2012):

  • Low self-esteem
  • Low levels of narcissism
  • Familial dysfunction
  • Depression
  • Anxiety
  • Stress
  • Low emotional expressivity

Other signs of codependency include (Lancer, 2016; Mental Health America, n.d.):

  • Having a hard time saying no
  • Having poor boundaries
  • Showing emotional reactivity
  • Feeling compelled to take care of people
  • Having a need for control, especially over others
  • Having trouble communicating honestly
  • Fixating on mistakes
  • Feeling a need to be liked by everyone
  • Feeling a need to always be in a relationship
  • Denying one’s own needs, thoughts, and feelings
  • Having intimacy issues
  • Confusing love and pity
  • Displaying fear of abandonment

How to Overcome Codependency

Research has been conducted into group, individual, and family therapy modalities for overcoming codependency, with one systematic review showing a significant reduction in symptoms when long-term post-intervention follow-ups were conducted (Abadi et al., 2015).

The main emphasis of these various treatment modalities is on altering how the codependent person views themselves and their relationships.

This can involve interventions with various (or numerous) goals:

Building Self-Esteem

Low self-esteem is a well-established symptom of codependency (Cermak, 1986; Whitfield, 1991). Building the codependent person’s self-esteem is a main focus of many counseling interventions, with evidence supporting their efficacy (Abadi et al., 2015).

The following worksheets can help build self-esteem:

Improving Boundary Setting

Weak or unclear boundaries are another reason codependent people are often willing to compromise their personal needs and happiness to satisfy a partner.

Interventions aimed at building self-awareness, self-expression, and communication skills can help an individual’s ability to set and enforce healthy boundaries (Abadi et al., 2015).

Here are some useful worksheets for setting boundaries:

Encouraging Self Care

Boundary-setting is just one form of self-care. People with codependent tendencies can also benefit from learning to prioritize their self-care, needs, and happiness before taking care of others (Beattie, 2008).

These exercises can help you practice better self-care:

Codependency Treatment: 3 Codependency Worksheets

Codependency Treatment: 5 Codependency Worksheets

Books can be invaluable resources, but it can take some time to get through them.

For people who want to start right away, here are some useful worksheets for learning about codependency, as well as treating and overcoming it.

1. Codependency Questionnaire

This Codependency Questionnaire is a good option for a short overview of common behaviors and feelings linked to codependency. It contains 20 items designed to get people thinking about codependency in their own lives.

While not a substitute for clinical diagnosis, it can be a good starting point.

2. Shifting Codependency Patterns

This worksheet is a helpful way to identify some emotional and behavioral patterns and tendencies that are related to codependency. It contrasts unhealthy ways that people with codependency think about themselves, with healthier ways that people think about themselves.

This worksheet is an actionable way to shift thought and action patterns to begin recovering from codependency.

3. Codependent Relationships: Beliefs, Attributes, and Outcomes

Finally, Codependent Relationships – Beliefs, Attributes, and Outcomes is a brief, informal checklist examining codependent behaviors in relationships. While not a formal test, it is a good way to evaluate codependent behaviors and thoughts in one’s interpersonal interactions, as well more generally in life.

This delves into healthy versus codependent thought patterns and behaviors.

Codependent Parents: Consequences for Children

Codependent Parents: Consequences for ChildrenCodependency was originally conceived as a disorder that affected the children and spouses of alcoholics and substance abusers.

Research has shown that codependency is not unique to the children (or spouses) of alcoholics, though, as many types of family difficulties can lead to codependency (Cullen & Carr, 1999).

In fact, having a codependent parent can lead a child to codependency as well.

This is because of the tendency that people who have been “parentified” as children are more likely to be codependent (Wells et al., 1999). The concept of parentification refers to “the reversal of the parent-child role,” or when a child is forced to serve in a parental or care-taking role towards their own parent.

This is usually because of the parent not having had their own developmental needs met while they were growing up.

Since these codependent children grow up not having their developmental needs met either, this can create a cycle of codependency passed down from generation to generation.

Being codependent can be particularly harmful for parents of addicted children (Clearview Treatment Programs, n.d.). Codependent parents of addicted children can enable their children’s addictions, even when they think they are helping.

This is one way that codependency can be especially tricky – often people with these tendencies believe they are being helpful or that their actions are necessary for the other person in the relationship.

The most effective treatment for codependency is therapy, whether group or individual, to understand the ways in which someone feels they must take-care for another’s emotional state and understand that your emotional needs are not met by not allowing others get close enough to you.

This work can be hard to identify in ourselves, so having a supportive professional help us untangle these relationships can be crucial.

A Take-Home Message

For years, the concept of codependency has been criticized for being poorly defined, but over the last few decades, the construct of codependency has become more well defined and well researched, as it has been fitted with an empirical base.

Most importantly, codependency has been recognized as a relationship dynamic that affects people with all sorts of childhood trauma, not just the children or spouses of alcoholics or substance abusers.

For people who are codependent, there are plenty of ways to overcome codependency. Aside from seeking professional help, there are many worksheets and books (such as the ones highlighted above) by people who have overcome codependency. The most important thing to remember is that while everyone has loved ones and feels responsible for those loved ones, it can be unhealthy when one hinges their identity on someone else.

Ultimately, everyone is responsible for their own actions and feelings.

What is your experience with codependency? Are there relationships in your life in which you or the other person exhibit codependent tendencies? Are their relationships from cultural movies or TV shows that provide examples of these kinds of relationships?

We would love to hear your input in the comments section below.

We hope you enjoyed reading this article. Don’t forget to download our three Positive Relationships Exercises for free.

Frequently Asked Questions

  • Abadi, F. K. A., Vand, M. M., & Aghaee, H. (2015). Models and interventions of codependency treatment, systematic review. Journal UMP Social Sciences and Technology Management, 3(2), 572-583.
  • Beattie, M. (2008). The new codependency: help and guidance for today’s generation. Simon and Schuster. https://www.amazon.com/dp/1439102147/
  • Cermak, T. L. (1986). Diagnostic criteria for codependency. Journal of Psychoactive Drugs, 18(1), 15-20. https://doi.org/10.1080/02791072.1986.10524475
  • Clearview Treatment Programs. (n.d.). How being a codependent parent can hurt your addicted child. Retrieved from https://clearviewtreatment.com/resources/blog/codependent-parent/
  • Cullen, J., & Carr, A. (1999). Codependency: An empirical study from a systemic perspective. Contemporary Family Therapy, 21(4), 505-526. https://doi.org/10.1023/A:1021627205565
  • Friel, J. C. (1985). Codependency assessment inventory: A preliminary research tool. Focus on the Family and Chemical Dependency, 8(1), 20-21.
  • Friel, J. C., & Friel, L. D. (1987). Uncovering our frozen feelings: The iceberg model of codependency. Focus on the Family and Chemical Dependency, 46(1), 10-12.
  • Knapek, E., Balazs, K., & Szabo, I. K. (2017). The substance abuser’s partner: Do codependent individuals have borderline and dependent personality disorder? Heroin Addiction and Related Clinical Problems, 19(5), 55-62.
  • Knudson, T. M., & Terrell, H. K. (2012). Codependency, perceived interparental conflict, and substance abuse in the family of origin. American Journal of Family Therapy, 40(3), 245-257. https://doi.org/10.1080/01926187.2011.610725
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How to differentiate between a healthy and a codependent relationship

In a healthy relationship, both individuals have a sense of autonomy and independence, and are able to maintain their own identities while still being connected to their partner.

While in a codependent relationship, one person may sacrifice their own needs and wants in order to please their partner, or they may become overly enmeshed and lose a sense of self.

Additionally, in a codependent relationship, there is often an imbalance of power, with one person being overly controlling or dominant.

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