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While alcohol is legal for over-21s, any form of alcohol abuse can lead to the development of alcohol addiction.
Each year, SAMHSA (Substance Abuse and Mental Health Services Administration) publishes data from NSDUH (National Survey on Drug Use and Health). Alcoholism, clinically described as alcohol use disorder has been on the rise in the United States since 2019:
This guide highlights how addiction to alcohol develops, explores the issue of alcohol abuse vs dependence and addiction, and shows you how to recover from addiction to alcohol.
Alcohol is a chemical compound that is colorless and highly flammable. It is also the most abused addictive substance worldwide.
The most common type of alcohol is known as ethyl alcohol or ethanol. Produced through fermenting sugars with microorganisms like yeast, alcohol is most commonly consumed in beverages like beers, wines, and distilled spirits. The following are examples of a standard alcoholic drink that contains 14g of alcohol:
Alcohol is classified as a CNS depressant for the way it affects the central nervous system, leading to:
If you adhere to moderate drinking guidelines, consuming alcohol is typically safe. Any abusive or excessive patterns of alcohol consumption, whether heavy drinking or binge drinking, can trigger effects on your physical and mental health. Alcohol abuse may also cause liver damage and other serious health complications.
Yes, alcohol is addictive. Alcohol is a psychoactive substance that influences the brain’s reward and pleasure centers – the nucleus accumbens – leading to a sense of euphoria and relaxation.
Regular or heavy drinking can prompt changes in brain chemistry and an increased tolerance to alcohol, both of which can contribute to the development of alcohol addiction.
Like all addictions, alcohol use disorder is defined as a chronic, relapsing brain condition. Central to alcohol use disorder is the compulsive intake of alcohol regardless of adverse outcomes. If untreated, alcoholism can be damaging both physically and emotionally. Chronic alcohol abuse may also cause permanent structural and functional brain changes.
While there is no cure for alcohol use disorders, a combination of pharmacological treatments and behavioral interventions typically delivers positive treatment outcomes.
Alcohol is a depressant of the CNS that inhibits brain activity by increasing the activity of a neurotransmitter and amino acid known as GABA (gamma-aminobutyric acid).
GABA serves as the primary inhibitory neurotransmitter or chemical messenger in the brain. Substances like alcohol that increase GABA signaling are indicated as sedatives, muscle-relaxants, and anti-anxiety medications. This enhanced signaling also leads to those who consume excessive amounts of alcohol suffering blackouts and memory loss, slurring their speech, and becoming unsteady on their feet.
In the event of sustained alcohol abuse, the brain adapts to increased inhibitory signaling by increasing excitatory signaling through glutamate and other neurotransmitters. It is through these neural adaptations that tolerance to alcohol builds. This often triggers a vicious cycle of increased consumption, physical dependence, and alcohol addiction.
Beyond this, alcohol also boosts the release of endorphins, naturally occurring chemicals associated with relaxation and euphoria. The way alcohol interacts with endorphins may contribute to its addictive properties.
The causes of alcohol addiction, also known as alcoholism or alcohol use disorder, are complex and vary from person to person. With so many factors that can contribute to the development of alcohol use disorder, it is often challenging to pinpoint a single primary cause. Some of the factors that can contribute to alcohol addiction include:
While there are many alcohol abuse symptoms, a diagnosis of alcohol use disorder is made based on the diagnostic criteria outlined in DSM-5-TR. The symptoms of alcohol addiction are as follows:
Alcohol use disorder is diagnosed according to the number of symptoms that present as mild (2 or 3 symptoms), moderate (4 or 5 symptoms), or severe (6 or more symptoms).
Alcohol addiction can trigger many negative effects on your physical and mental health, as well as impacting your personal and professional lives. Some of the most common effects of alcohol addiction include:
Alcohol addiction can significant impair your health and well-being, as well as your ability to function in your everyday life. Treatment may help you to achieve and maintain sobriety before alcohol addiction becomes an all-consuming force.
One of the most common and straightforward alcohol addiction tests is the CAGE questionnaire. The questionnaire consists of the following four questions:
Two or more positive responses indicate a possible problem with alcohol abuse that warrants evaluation by a medical professional.
Here is another short quiz you can attempt if you are concerned about alcohol abuse and addiction:
Most people with an active addiction will tell you that life becomes chaotic. The very first step of the 12-step Alcoholics Anonymous program states that: “We admitted that we were powerless over alcohol, that our lives had become unmanageable.”
For anyone with a busy lifestyle, an alcohol addiction can easily lead to meltdown. After all, you can only juggle so many balls before some start tumbling to the floor. Make sure you focus on the things that count in life before alcohol abuse takes center stage.
If you find yourself letting responsibilities slide at home, work, or school in favor of alcohol use, this is a common red flag indicating that dependence is building.
Ask yourself searchingly how much of your time is being sucked away on obtaining, using, and recovering from alcohol. If your daily routine is being adversely impacted, you may consider reassessing your priorities.
Denial often accompanies addiction. Anyone concerned about their alcohol use has likely probably been asked questions by concerned loved ones about their consumption. When someone asks how much you drink, do you answer honestly, or do you try to play down your alcohol intake?
If you start lying about your alcohol consumption, or if you start concealing the evidence of your alcohol use, a more serious problem could be developing.
Alcohol has the potential to disrupt your sleeping patterns when abused.
Short-term lack of sleep makes you irritable and fatigued, but
long-term sleep deprivation can trigger serious health consequences.
Maybe you have a stressful job and work long, demanding hours. If so, and if you appear to be functioning fully, maybe a bottle of wine or a few beers with dinner seems acceptable or justifiable.
To determine whether you might be using alcohol as a coping mechanism, ask yourself this: could you just as easily go without alcohol? If that idea seems unpalatable or, worse, unmanageable, it might be worth consulting your healthcare provider and requesting a referral for an assessment and diagnosis.
How much of your income do you use for alcohol?
Maybe you are going without things in order to buy alcohol, or perhaps you are solvent but eating into your cash reserves. Either way, if you find your financial situation being impaired, this could be an early warning marker of alcohol addiction developing.
Note: online alcohol addiction screening tests are not a replacement for evaluation by a healthcare provider. If you are concerned about your alcohol consumption, seek help from a qualified medical professional or mental health professional. To shortcut the process, reach out to Gratitude Lodge.
Don’t Let Alcohol Addiction Hold You Back
The most effective alcohol addiction treatment typically begins with a supervised medical detox, and we can help you achieve this at Gratitude Lodge in Southern California.
We have pet-friendly rehab centers located in Long Beach, Newport Beach, and near San Diego. Our supervised detox program streamline alcohol withdrawal and minimizes the chance of cravings or withdrawal symptoms derailing your early recover. After a week or so, you can move directly into one of the following treatment programs:
All treatment programs at Gratitude Lodge involve a personalized combination of science-backed and holistic interventions that include:
Medication-assisted treatment may be effective both during detox and throughout ongoing treatment for alcohol addiction. When you are ready to begin your journey to sober living, call Gratitude Lodge at 888-861-1658 for immediate assistance.
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adults in the U.S. had alcohol use disorder in 2019.
people in the U.S. suffer from liver disease due to alcohol.
increased chance of stroke for binge drinkers vs. non-bingers.
Alcohol is commonly paired with cigarettes and caffeine. Many rehab centers for alcoholics see numerous combinations with stronger substances. Both caffeine and Adderall are stimulants, which can lead to blackouts because a drinker may not feel the effects of alcohol during consumption. Other drugs such as painkillers and cocaine are commonly mixed but should not be because the result can be fatal.
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