Introduction Alcoholism impacts the lives of many individuals and results in substantial societal costs--monetary as well as emotional. The emotional impact of alcoholism can be especially costly for children growing up in an alcoholic home. According to the U.S. Department of Health and Human Services and SAMHSA (Substance Abuse & Mental Health Services Administration), we have an estimated 76 million adult children of alcoholics or ACOAs (2007) in this country. The very nature of many alcoholic homes increases the vulnerability of children to develop problems later as adults (Hall & Webster, 2007; Hall & Webster, 2002; Hall, Webster, & Powell, 2003; Johnson & Tiegel, 1991; Sher, Walitzer, Wood & Brent, 1991). While a substantial number of children of alcoholics (COAs) experience problems in adulthood, there are also other COAs who are successful as adults and show few or no signs of difficulty ((Centofanti, 1999; Goertzel & Goertzel, 1962; Goodwin, 1991; Johnson, Sher, & Rolf, 1991; Menees & Segrin, 2000; Wright & Heppner, 1991). Growing up in an alcoholic home does not necessarily mean an individual will develop problems, but it does serve as a very real and significant risk factor.