Author: James Anderson
Stages of Alcoholism: When Is It A Problem?
This subtype makes up 19.5% of people addicted to alcohol in the U.S. Some people may drink alcohol to the point that it causes problems, but they’re not physically dependent on alcohol. At this point, you have an attachment to alcohol that has taken over your regular routine. You’re aware of the adverse effects, but no longer have control over your alcohol consumption.
- Alcohol use disorder can include periods of being drunk (alcohol intoxication) and symptoms of withdrawal.
- If you or someone you know is showing traits of alcohol use disorder, contact your healthcare provider.
- The NIAAA has identified five subtypes that can help you better understand alcohol use disorder and how it affects different individuals.
- “The Diagnostic and Statistical Manual of Mental Disorders” provides diagnostic criteria for identifying alcohol use disorder.
- If you find yourself regularly thinking about your next drink, or if you’ve tried to cut back on drinking and never quite succeeded, you may have an alcohol addiction.
This makes you want to drink more often, even if it causes harm. You may become more depressed, more anxious, or start losing sleep. You may start to feel sick from heavy drinking, but enjoy its effects too much to care. Many drinkers at this stage are more likely to drink and drive or experience legal troubles as a result of their drinking.
Stage #1: Occasional abuse and binge drinking
We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers. Many people use the terms “alcohol abuse” and “alcoholism” interchangeably. However, alcoholism refers to alcohol addiction or dependence, where the individual has a physical or psychological compulsion to drink alcohol. Alcohol abuse refers to a pattern of behavior where a person drinks excessively in spite of the negative consequences.
Stopping is impossible at this point without professional help because of the severe and potentially life-threatening withdrawal symptoms that would occur if they quit cold turkey. By this stage, their drinking is taking an obvious physical toll as well. They may appear red in the face or look bloated and generally unwell. The alcoholic probably isn’t sleeping or eating well at this point and may not be keeping up with personal hygiene. Alcoholics in this stage have a hard time controlling their drinking. They may begin drinking early in the day and plan their day around their drinking.
The end-stage alcoholic suffers from a host of physical problems, including severe damage to vital organs such as the liver. Alcohol, in fact, is the cause of more than 50 percent of liver-disease related deaths in this country, and alcohol-related liver disease costs more than $3 billion annually. Even though alcohol has become a significant part of everyday life, early-stage alcoholics often deny that they have a problem and may be defensive about their drinking. They may also rationalize, or make excuses, for their behavior and insist they can stop drinking whenever they feel like it. The mental and physical health of alcoholics are rapidly deteriorating at this stage, and unless they seek alcohol rehab, they may drink themselves to death. While every person’s alcohol addiction is unique, alcohol affects people in similar ways.
What’s Technically Considered Alcoholism?
While the condition might not develop for several years in some people, it might take only a few months for others. People in the latter category are often genetically predisposed to alcohol use disorder. “The Diagnostic and Statistical Manual of Mental Disorders” provides diagnostic criteria for identifying alcohol use disorder. For a person to be diagnosed with the condition, three of the following factors must have been present for at least twelve months. A person with AUD can lose control over the amount of alcohol they consume and continue to drink despite any adverse health, social or occupational consequences. Individuals in the intermediate familial subtype are, on average, age 38 and are usually employed.
The National Institute on Alcohol Abuse and Alcoholism estimates that 17 million American adults have alcohol use disorders. Another 855,000 Americans ages 12 to 17 years old have alcohol use disorders. It’s important to remember that alcoholism isn’t created overnight. Why is it that some people can drink socially and not become addicted while others become alcoholics?
Stages of Alcoholism
Too much alcohol affects your speech, muscle coordination and vital centers of your brain. A heavy drinking binge may even cause a life-threatening coma or death. This is of particular concern when you’re taking certain medications that also depress the brain’s function. If your pattern of drinking results in repeated significant distress and problems functioning in your daily life, you likely have alcohol use disorder. However, even a mild disorder can escalate and lead to serious problems, so early treatment is important. Discovering you aren’t just a casual drinker and are facing an alcohol problem can be shocking.
Your liver is responsible for removing toxins from your blood. When you drink too much, your liver has a harder time filtering the alcohol and other toxins from your bloodstream. Alcohol dependence also means that you have developed a tolerance to drinking. As a result, you may have to drink larger quantities to get “buzzed” or drunk.
Screening tests are available to help you assess your drinking habits and relationship with alcohol. Alcohol use disorder typically develops gradually over time. Talk to your doctor if you think you might have a drinking problem. This website is using a security service to protect itself from online attacks.
People who already suffer from high stress or psychological problems such as low self esteem and depression are at higher risk for developing alcoholism. Despite efforts to hide their addiction, their drinking problem is quite obvious to others. Work performance usually suffers at this stage, and impairment in the workplace is common.
A strong support system is helpful for making a complete recovery. Alcohol use disorder develops when you drink so much that chemical changes in the brain occur. These changes increase the pleasurable feelings you get when you drink alcohol.