First, we need to talk about who the alcoholic is. If the alcoholic is a parent, then the disease will have greater effects on a child. Many children of alcoholics or COA's develop low self-esteem, loneliness, fears of abandonment, and chronic depression. A COA also may feel responsible for problems of the alcoholic parent. Older COA's also have symptoms of perfectionism or hoarding (Huffner).
Second, what does the alcoholic do? In many cases the alcoholic is very abusive