Does tough love work with an alcoholic?

Not always: Nothing works in every situation. Many experts indicate that an alcoholic must "hit bottom" or have nothing else to lose before they are willing to seek help. There may come a time when family and friends have done all they can and have to sever ties with the alcoholic to prevent themselves from being harmed.

See below: In this case, how about we say "tough love" refers to setting firm limits while being understanding of the other's difficulties. Then, yes, if a friend or family member is addicted and unable to help themselves, tough love can be very helpful. However, a key step is the desire to change within the addicted individual.