Alcohol Addiction

alcoholism

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Kerry Canning, MBChB
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What is Alcoholism?

“Alcoholism,” now considered an outdated term, is often referred to as alcohol use disorder, alcohol addiction, or alcohol dependence. It describes the uncontrollable desire to drink alcohol and the inability to stop despite negative consequences.

It is difficult to determine the exact cause of alcohol addiction, as it is a complex process that depends on biological and environmental factors.1

Alcohol addiction also causes many problems for individuals and their families, for example:

  • Heavy drinking can lead to a blackout, which risks personal safety and the safety of others
  • Self-directed violence or violence towards others
  • A negative impact on relationships as most of your time is devoted to drinking than your partner or children
  • Financial strain due to the expensive costs of alcohol
  • Secretive drinking and untrustworthy behaviour resulting from feelings of shame and guilt

Who Does it Affect? 

Alcohol addiction is often referred to as the “family disease,” as it affects not only the individual but also those around them. Family members, work colleagues, old friends, and recreational acquaintances can all experience significant emotional and practical disruption due to the erratic behaviour associated with alcohol misuse. In some cases, desperate loved ones may enable the sufferer, driven by misplaced kindness or fear of more severe consequences.

A crisis, such as job loss or a driving conviction, often serves as a turning point, prompting individuals to seek help and begin the recovery process. While some may remain in denial despite compelling reasons to change, there is help available for those ready to embrace recovery.

Definition of an Alcoholic

The term “alcoholic” is used to describe a person suffering from alcohol addiction, a chronic disease characterised by an uncontrollable urge to consume alcohol despite its negative effects on their health, relationships and social standing. However, “alcoholic” is now considered outdated and carries negative connotations. It is more respectful and accurate to use terms like “individual with alcohol use disorder” or “person with alcohol dependence.”

A person dependent on alcohol exhibits several key symptoms:

  • Increased tolerance to alcohol, requiring more to achieve the same effects.
  • Withdrawal symptoms when not drinking, such as:
    • Shaking
    • Nausea
    • Anxiety
  • Inability to limit or stop drinking, worsened by alcohol cravings.
  • A significant amount of time spent:
    • Trying to obtain alcohol
    • Using alcohol
    • Recovering from the effects of alcohol.

Alcohol-dependent individuals often continue drinking even when it causes physical harm or exacerbates existing health issues. This condition goes beyond excessive drinking and is considered to be a serious mental health disorder. It can lead to a range of harmful physical and psychological consequences and often requires professional treatment to overcome.

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Signs & Symptoms of Alcohol Addiction

People living with alcohol addiction may struggle to identify or accept they have this problem. However, even moderate daily drinking can cause significant long-term harm to your physical and mental health.

The Diagnostic and Statistical Manual of Mental Disorders (DSM) has created a helpful symptom checker to help diagnose alcohol addiction. Widely used by clinicians and psychiatrists, the latest edition, DSM 5, refers to alcohol use disorder with mild, moderate and severe subclassifications. 

Review the following symptoms to assess your situation.

2 or 3 symptoms mean you may have a mild alcohol use disorder

4 or 5 symptoms indicate a moderate alcohol use disorder

>5 symptoms suggest a severe alcohol use disorder

  • Carried on drinking more or for longer than you intended
  • Tried to cut down or stop drinking before but were unable to
  • Spent a lot of time drinking, being hungover or sick from drinking
  • Wanted a drink so badly that it was all you could think about
  • Drinking, or the effects of drinking, impacted on your relationship, family life or job
  • Carried on drinking even though it was becoming a problem with family and friends
  • Stopped an activity or pastime you enjoyed so you could drink
  • Risked your safety while drinking or drunk (e.g. by drunk driving or having unsafe sex)
  • Continued drinking even though it made you anxious or depressed or blackout
  • Had to drink more than you used to just to feel the same effect
  • Experienced alcohol withdrawal symptoms (e.g. shaking, sweating) when you stopped

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Alcohol Addiction Screening Questionnaires

The distinction between social drinking and alcohol dependence can be difficult to discern. If you suspect that you or a loved one may be drinking excessively, the CAGE questionnaire can provide valuable insight.

  • Have you ever felt you need to Cut down on your drinking?
  • Have people Annoyed you by criticising your drinking?
  • Have you ever felt Guilty about drinking?
  • Have you ever felt you needed a drink first thing in the morning (an Eye-opener)?

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Alcohol Addiction Success Stories

Peter’s Recovery Journey

Peter shares his journey of overcoming alcoholism and how Castle Craig helped him reclaim his life. Watch to hear more about his transformation and how his life has changed since finding recovery.

When is Alcohol Use Considered a Problem?

Alcohol is often intertwined with many aspects of social and recreational life, including dining, socialising with friends, dating, celebrating events, and watching sports. It can enhance relaxation, boost confidence, and contribute to enjoyment in these settings.

However, the transition from casual drinking to alcohol addiction is not marked by a specific symptom or event. If you find yourself making excuses for your drinking habits or notice that the negative consequences outweigh the positive experiences, it may be time to acknowledge the issue and seek professional help.

Fears about socialising without alcohol or concerns about losing friendships should not deter you from getting help. Addressing alcohol addiction is crucial for your overall well-being and the health of your relationships.

  • 7 Reasons You Might be Addicted to Alcohol

    There is great debate about the reasons for alcoholism and what causes it. It boils down to the question “why am I the way I am?” or “why am I different from my friends and family?”

    It is often the case that while one sibling in a family will be struggling with addiction to a drugs or alcohol, the others live completely free of addiction. There are however factors that occur regularly in the background of many alcoholics and these undoubtedly have a strong influence on a person’s future behaviour.

    1. Nature or nurture?

    Most experts believe that alcohol addiction is a disease. With enough emotional pain, anyone will turn to drink. For some, this will progress to addictive behaviour and this will happen without regard to age, gender, body type, personal beliefs or ethnicity.

    Addiction appears to seek out the vulnerable, those struggling with anxiety, depression, PTSD, grief or trauma But it can also claim those who are robust in body, mind and spirit. It has been seen as “the curse of the strong.”

    Free alcohol addiction assessment: If you think you may be suffering from alcoholism and just don’t feel like yourself anymore, reach out – get some help.

    Here are six common factors that are often found in the histories of people seeking help for their alcoholism.

    It would be too easy to say that these factors alone are responsible for a person becoming an alcoholic. Indeed, it is a vital part of recovery that one takes responsibility for one’s addiction rather than seeking to blame it on some outside influence.

    Nevertheless, it can be important to recognise and address any of these issues that may apply and at Castle Craig Hospital this will be a part of treatment.

    2. Hereditary Factors

    Many people believe that alcoholism is a genetic disease and is hereditary. Whilst this might sometimes be the case, there may be other considerations too  Such as trauma can sometimes be a multi-generational family issue. Again, if your dad and granddad were alcoholics, it might bypass you but affect your siblings, who may later need treatment for alcohol addiction.

    However just because addiction is in your genetic makeup does not mean you are predestined to develop an addiction yourself, end of story. It simply means that people in your family have shown a predisposition to react/cope with difficult life events by using substances.

    At the very least, this should put you on guard. It does not mean that your family are somehow ‘bad people’ but it might mean there is a genetic predisposition. Read more about addiction as a brain disease.

    However, in other families, addiction may have been present in an older family member but does not re-occur. There is no certainty here.  This can be seen as an example of a lack of traumatic events. Read our page: Can alcoholics drink casually?

    3. Biological Factors and Genetics/Family History

    Extensive research has shown a link between alcoholism and biology (mostly genetics and physiology).

    Some individuals will be able to limit the amount of alcohol that they drink, whereas some others will feel a stronger impulse to keep going. This would signify an issue with alcohol.

    Alcohol gives off feelings of pleasure, which encourages the brain to keep repeating the behaviour as it expects rewards. People who repeat the behaviour to get the pleasure, especially at an early age, become prone to developing alcoholism dependencies.

    It has also been discovered that there are certain chemicals in the brain that can make certain people more susceptible to alcohol misuse in the first place.

    Scientists have found 51 genes within various chromosome regions that can be passed down through the generations – which indicates that some family members might be more liable to addiction.

    4. Environmental and Social Considerations

    In more recent years, there have been newer studies exploring the connection between environmental settings and the risk of developing alcohol addiction.

    For example:

    • Proximity to an alcohol retailer or bar can affect your chances more greatly of alcoholism.
    • Those who live closer to alcohol establishments were found to have different and more positive outlooks on drinking.
    • People who are students or have hard-drinking friends often drink more.
      Being male means your drink more.
    • Being outgoing or more sociable can lead to heavy drinking habits.
      Stressful environments are also factors as people may turn to alcohol for relief. Those with stressful jobs, for example, might be encouraged to drink more heavily.

    All of the above means they were much more likely to participate in drinking and be at least around more alcohol. However, it does not explain why one person is a heavy drinker and another who may drink less or for different reasons is an alcoholic.

    5. Other Social Circumstances

    Culture, religion, family and career can influence many of your choices and behaviours – and this can include your drinking habits.

    The family dynamic often plays the biggest role in the likelihood of someone developing alcoholism.

    This is especially true for children who had been exposed to alcohol misuse early in their development years, which can put them at a higher risk of falling victim to dangerous drinking patterns themselves.

    If your parents teach you that if you have a problem take a pill or a drink then this can be an obvious red flag.

    When you begin university, start a new job or move to a new area, you are also more susceptible to alcoholism. This is because during these times you are looking to meet new people and develop friendships. The desire to fit in, be liked and participate in activities you usually would avoid, can result in you drinking more.

    When this turns into craving a drink after work, heading regularly to the pub at lunchtime, or never missing an evening out, this might be an indicator or warning sign of alcohol misuse.

    6. Psychological Issues

    Different people handle situations in their own way, but it’s important to bear in mind that how you cope with your feelings will impact certain behavioural traits.

    For example, those suffering from anxiety or depression are more likely to develop alcoholism, take drugs or develop other addictions like gaming, gambling, love addiction or eating disorders. This is because their brain is looking for a reward or simply some relief.

    Poor mental health is stressful. Often, substances like alcoholism suppress feelings and provide temporary relief to psychological disorders in the short term.

    If you turn to alcohol to ease your feelings of pain or hardship, then your body will get used to reacting in this way and will start to rely on the substance’s effects. More.

    7. Trauma and Life events

    Certain life events like bereavements, losing a job, financial issues or experiencing violent traumatic events have all been linked to the development of alcohol addiction.  People with no family history of alcoholism can find themselves in treatment. from normal drinking habits into uncontrollable drinking.

    Trauma itself is not black and white. Its effects are impacted by different factors. It depends on the person you are, your sensibilities, your strengths, your position in the community and the family, your self-esteem and the coping mechanisms that you may have already learnt.

    People respond to the same trauma in a variety of ways.

    Similarly, untreated stress and trauma surrounding major events can cause individuals to self-medicate, which can be the beginning of a long and harmful addiction battle.

What Should I Do if I Think Someone is Dependent on Alcohol?

alcohol addiction treatment

Getting Help with Alcohol Addiction

Alcohol use disorder treatment includes both outpatient or residential alcohol rehab programmes, however, given that alcohol is toxic to the body, heavy or dependent drinkers require detoxification before continuing with therapeutic treatment. Due to the complications that can occur as a result of alcohol withdrawal, a medically managed alcohol detox is always advised.

Residential alcohol rehab at Castle Craig typically involves three key components: detoxification, intensive therapy in a residential setting, and continuing care after discharge into the community. Although residential treatment can be more costly compared to other options, we have found that it yields better recovery outcomes.8

If you need emergency mental health advice or medical support please call the NHS 24 helpline as soon as possible on 111. The advice is free and could save a life.

If you need advice on accessing inpatient treatment for alcohol addiction, please call our Help Centre to arrange a free addiction assessment.

Are you looking to help a loved one with their drinking? Read our guide to helping someone else with their drinking.

Alcohol Addiction FAQs 

  • What is Considered Excessive Drinking?

    Excessive drinking refers to consuming alcohol in amounts that surpass recommended guidelines and pose a risk to health and well-being. It can vary depending on factors such as age, gender, weight, and overall health. Generally, for adults, excessive drinking is defined as:
    For men: consuming more than 4 drinks on any single day or 14 drinks per week.
    For women: Consuming more than 3 drinks on any single day or 7 drinks per week
    However, individual tolerance levels can vary, and excessive drinking can lead to a range of health issues, including liver disease, heart problems, and mental health disorders. It’s important to be mindful of alcohol consumption and seek support if drinking habits become problematic.

  • What Health Problems Are Associated with Alcohol Addiction?

    Long-term problems and chronic diseases linked to excessive drinking include:

    • High blood pressure, liver disease, heart disease, stroke, digestive problems.
    • Cancer of the breast, liver, voice box and digestive tract.
    • Weakening of the immune system.
    • Memory problems, depression and anxiety.
  • Is Alcohol Addiction Treatable?

    Yes, alcohol addiction is very treatable. At Castle Craig Hospital we believe that complete abstinence is essential to success. We have treated thousands of patients since opening in 1988. We do not doubt that anyone can be helped to live a happy sober life, regardless of their background provided they show honesty, openness and a willingness to change.

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With a wealth of knowledge and services to help you regain control of your life, request a call-back from one of our professionals today. The choice you make today could change your life forever.

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