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Alcohol is commonly served at weddings, religious ceremonies, and other social occasions, and it can be found very easily in grocery and convenience stores. However, for many people, alcohol goes from being something to be enjoyed socially to something much more serious. If you start drinking more than you intended to, if you blackout from drinking, and if you continue drinking even though you are suffering from negative consequences, then you might have an alcohol use disorder.

The first step in getting help is understanding the characteristics of alcoholism and identifying the warning signs in yourself or in someone you love. At Agape Treatment Center, we use evidence-based practices for treating alcohol addiction through our comprehensive programming to assist individuals with achieving long-term recovery.

Key Points
  • Alcohol use disorder (AUD) affects more than 14 million adults in the United States.
  • Alcohol withdrawal is life threatening without medical supervision. People may experience seizures, hallucinations, and delirium tremens when withdrawing from alcohol.
  • Of those people who have an alcohol issue, only approximately 33% will seek treatment. However, treatment does work with the use of adequate support and evidence based treatment.
  • The DSM-5 describes 11 criteria used to evaluate AUD. Mild AUD is diagnosed at 2-3 criteria, moderate as 4-5 criteria, and severe as 6+ criteria. This illustrates that individuals don’t have to hit “rock bottom” in order to have an alcohol issue that requires attention.

Alcoholism, clinically known as alcohol use disorder, is a medical condition characterized by an impaired ability to stop or control alcohol use despite negative consequences. According to the National Institute on Alcohol Abuse and Alcoholism, AUD is a brain disorder that can range from mild to severe.[1]

The DSM-5 outlines 11 criteria for diagnosing alcohol use disorder, including drinking more or longer than intended, unsuccessful attempts to cut down, spending significant time obtaining or recovering from alcohol, cravings, failure to fulfill responsibilities, continued use despite social or interpersonal problems, giving up activities, using alcohol in hazardous situations, continued use despite physical or psychological problems, tolerance, and withdrawal symptoms.[2]

Healthcare providers diagnose mild AUD when 2-3 criteria are present, moderate AUD with 4-5 criteria, and severe AUD when 6 or more criteria are met. This spectrum reflects that alcohol problems are on a continuum—you don’t have to “hit rock bottom” to have a drinking problem that requires attention.

Understanding the reasons for excessive drinking and developing an alcohol addiction is complicated. There are a number of reasons that individuals select alcohol for self-medicating purposes:

  • Genetic Predisposition: Those with family histories of AUD are at 3-4 times greater risk to develop their own alcohol related issues.[3]
  • Mental Health Disorders: Many people use alcohol to self-medicate for depression, anxiety, post-traumatic stress disorder (PTSD), and other behavioral health issues. Unfortunately, while alcohol may provide temporary relief, it typically worsens the underlying disorder.
  • Environmental and Social Factors: Factors such as early initiation of drinking, peer pressure, cultural attitudes towards drinking, and stressful life events can substantially impact drinking patterns. Experiences of trauma or abuse during childhood can increase the risk of developing problematic drinking.
  • Brain Chemistry Changes: People who regularly consume large amounts of alcohol will begin to change how the brain operates.[4] Alcohol will negatively impact an individual’s neurotransmitters, including GABA (gamma-aminobutyric acid), resulting in relaxation and positive feelings. This can lead to a complete mental dependency on alcohol, making it extremely difficult to cease using without professional help.
  • Ease of Access: Unlike illicit substances, alcohol is legal, easily accessible, and socially acceptable. This makes it easier for many people to develop problematic drinking habits without recognizing the extent of their issues.

Understanding these risk factors isn’t about assigning blame—it’s about recognizing that alcohol addiction is a treatable medical condition, not a moral failing or lack of willpower.

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Commonly, alcoholism presents itself through specific behaviors and signs. Because alcohol use is common, it is sometimes hard to pinpoint whether or not you or a loved one are alcoholics. Warning signs of an alcohol use disorder include:

  • Consuming more alcohol than intended, or consuming in a shorter period than intended
  • Not being able to limit the amount of alcohol consumed
  • Drinking alcohol in secret, alone, or at an earlier hour
  • Binge drinking (consuming large quantities in a short time)
  • Having an increased tolerance (the need for larger quantities to feel the effects)
  • Experiencing withdrawal symptoms when not consuming alcohol
  • A change in physical appearance or grooming habits
  • A preoccupation with drinking or scheduling one’s life around alcohol consumption
  • Continuing to consume alcohol when there are negative consequences for doing so
  • Neglecting commitments having to do with work, school, or home
  • Trouble with relationships, legal problems, or financial issues due to alcohol use
  • Experiencing blackouts while consuming alcohol

Another big indication of an alcoholic is denial. Many individuals claim they have things under control when they do not. There are also functional alcoholics who maintain professional careers while battling dependence, often enabled by family members who make excuses for them.

Recovery rates vary, but research shows that with appropriate treatment, many people achieve long-term sobriety. According to studies, about one-third of people treated for alcohol use disorder remain abstinent one year later, and those who remain sober for a year are much more likely to maintain long-term recovery.[5]

The challenge is that only about one in ten people with AUD seek treatment, according to NIAAA data.[6] Many factors prevent people from getting help, including stigma, denial, lack of access to care, and not recognizing the severity of their drinking problem.

The good news is that treatment works. People who complete structured treatment programs like the one offered by Agape Treatment Center and stay connected to ongoing support have significantly better outcomes than those who try to quit on their own. The longer someone stays in treatment and the more comprehensive their care, the better their chances of lasting recovery.[7]

Facts about alcoholism recovery also show that relapse doesn’t mean failure. Between 40-60% of people in recovery experience at least one relapse, but this is viewed as part of the recovery process rather than treatment failure.[8] Each attempt at sobriety provides learning opportunities and increases the likelihood of eventual success.

If you or someone else has shown the above signs of alcoholism, do not procrastinate getting support. Alcoholism progresses and generally gets worse over time without help. The sooner you address the issue, the better your chance of rebuilding your life.

Below are the following ways you can get help for yourself or someone you love:

  • Speak with a Professional: Speak with your doctor or a healthcare professional who can provide assessments and referrals.
  • National Helpline: You can contact the SAMHSA National Helpline at 1-800-662-4357 for free, confidential information 24/7.
  • Agape Support: Our experienced team provides a no-judgment assessment and creates a personalized treatment plan for your unique needs.

At Agape Treatment Center, we understand how difficult it is to admit you need help. Our compassionate team provides judgment-free assessment and creates individualized treatment plans based on your specific needs. We work with most insurance providers and can verify your coverage before you begin treatment.

If you or someone you know suffers from addiction, Agape Wellness Retreat is here to help.

Recovery from alcohol addiction is possible. With evidence-based treatment, medical support, therapy, and ongoing commitment, you can break free from alcohol dependence and build a healthier, more fulfilling life.

FAQ

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Sources

[1] [2] [6] [8] National Institute on Alcohol Abuse and Alcoholism. (2023, April). Understanding alcohol use disorder. U.S. Department of Health and Human Services. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-alcohol-use-disorder

[3] National Institute on Alcohol Abuse and Alcoholism. (2023, April). Genetics of alcohol use disorder. U.S. Department of Health and Human Services. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-use-disorder/genetics-alcohol-use-disorder

[4] National Institute on Alcohol Abuse and Alcoholism. (n.d.). Alcohol’s effects on the body. U.S. Department of Health and Human Services. https://www.niaaa.nih.gov/alcohols-effects-health/alcohols-effects-body

[5] National Institute on Alcohol Abuse and Alcoholism. (2021). Treatment for alcohol problems: Finding and getting help. U.S. Department of Health and Human Services. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help

[7] National Institute on Drug Abuse. (2014). Principles of drug addiction treatment: A research-based guide (Third edition). National Institutes of Health. https://pmc.ncbi.nlm.nih.gov/articles/PMC4152944/