These questions offer insight into some ways children are affected by growing up in many kinds of dysfunctional households including but not limited to environments with problem drinking or drug use, dysfunctional food or sex issues, workaholism, mental illness, hypochondriaism, ritualistic beliefs, harsh punishment, extreme secretiveness, ultra-religiosity, militarism, sadism, neglect, abuse, perfectionism, or shaming where expectations are often too high and praise is tied to accomplishment rather than given freely.

1. Do you recall anyone drinking or taking drugs or being involved in some other behavior that you now believe could be dysfunctional?
2. Did you avoid bringing friends to your home because of drinking or some other dysfunctional behavior in the home?
3. Did one of your parents make excuses for the other parent’s drinking or other behaviors?
4. Did your parents focus on each other (or something else) so much that they seemed to ignore you?
5. Did your parents or relatives argue constantly?
6. Were you drawn into arguments or disagreements and asked to choose sides with one relative against another?
7. Did you try to protect your brothers or sisters against drinking or other behavior in the family?
8. As an adult, do you feel immature, like you are a child inside?
9. As an adult, do you believe you are treated like a child when you interact with your parents? Are you continuing to live out a childhood role with your parents?
10. Do you believe that it is your responsibility to take care of your parent’s feelings or worries?Do other relatives look to you to solve their problems
11. Do you fear authority figures and angry people?
12. Do you constantly seek approval or praise but have difficulty accepting a compliment when one comes your way?
13. Do you see most forms of criticism as a personal attack?
14. Do you ever over-commit yourself and then feel angry when others do not appreciate what you do?
15. Do you think you are responsible for the way another person feels or behaves?
16. Do you have difficulty identifying feelings?
17. Do you focus outside yourself for love or security?
18. Do you involve yourself in the problems of others? Do you feel more alive when there is a crisis?
19. Do you equate sex with intimacy?
20. Do you confuse love and pity?
21. Have you found yourself in a relationship with a compulsive or dangerous person and wonder how you got there?
22. Do you judge yourself without mercy and guess at what is normal?
23. Do you behave one way in public and another way at home?
24. Do you think your parents had a problem with drinking or taking drugs?
25. Do you think you were affected by the drinking or other dysfunctional behavior of your parents or family?

(ACA Red Book, pp. 18-20)