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How do I know if I have a problem with alcohol?

Author:
Nzinga Harrison, MD
January 19, 2020

Alcohol is a part of many cultures across the world and has been used as a way to celebrate, relax, or socialize for hundreds of years. Even though alcohol use is commonplace, it’s not always easy to tell if someone has a problem with alcohol. Not everyone stays at a bar all-day or struggles to keep their life together. Some people appear “high-functioning” but privately, they may face constant struggles with their alcohol use.

If you are wondering whether you have a problem with alcohol, taking this quiz is a good place to start. Keep in mind that this is not a diagnostic tool. It serves as a self-assessment to prompt awareness and reflection. If you think you might have alcohol use disorder (AUD), look for help from a qualified healthcare professional. They can advise on treatment and how to approach your diagnosis.

Understanding Alcohol Addiction

Alcohol use disorder varies from person-to-person.If you have AUD, you might not display all of the signs associated with the condition. This is because this often varies depending on the severity of the case. Reflecting the impact of alcohol in your life and whether you can drink safely or control how much you drink can help you figure out where you stand.

What are the symptoms of alcoholism?

Symptoms of alcohol use disorder point towards a difficulty in controlling your alcohol intake and drinking getting in the way of work, relationships and social lives. Alcohol use disorder also causes distinct withdrawal symptoms and can cause or worsen mental health conditions. The severity of AUD is determined by your symptoms.

Severity of Alcohol Use Disorder

Mild AUD: People with mild AUD display early signs of problematic drinking, such as occasional loss of control or drinking despite mild consequences. Alcohol use may start to interfere with daily responsibilities or relationships but not significantly.

Moderate AUD: Alcohol intake starts to have a noticeable impact on life, such as increasing difficulty in managing responsibilities or relationships. Cravings, tolerance, or withdrawal symptoms may be present. For example, people might miss work or neglect family obligations due to drinking or its aftereffects.

Severe AUD: At this point, alcohol use dominates daily life, with frequent risky behaviors and serious health, legal, or social consequences. The person has developed a strong physical dependence, including significant withdrawal symptoms when not drinking. People with severe AUD might drink throughout the day, ignore major responsibilities, and experience severe health or interpersonal issues.

Recognizing the severity of AUD will help determine the most effective treatment approach to help you regain control over alcohol use. Mild AUD can progress over time and become more difficult to manage. This is why it’s so important to engage in treatment as soon as possible.

What Is a High Functioning Alcoholic?

A high-functioning alcoholic is someone who appears to maintain a normal life despite having Alcohol Use Disorder (AUD). They may excel at work, maintain relationships, and fulfill daily responsibilities, all while struggling with problematic drinking. This term is not a clinical diagnosis but rather a description of a person’s behavior and how their alcohol use is masked by their outward success.

You don’t need to hit “rock bottom” to be diagnosed with an alcohol addiction. For high-functioning alcoholics, their issues with alcohol may affect other areas of their lives outside of work and relationships, or their condition may not have progressed to a point of life impairment.

Is Binge Drinking the Same Thing as Alcohol Addiction?

Although these terms are sometimes used interchangeably, binge drinking refers to drinking a large amount of alcohol at one time. For men, it’s drinking five or more drinks within two hours. For women, it is four or more drinks within two hours. Drinking excessively from time to time does not mean someone has an alcoholism but it does put them at a higher risk for developing it over time.

Knowing When To Seek Help For AUD

Many people believe that addiction is caused by a person’s moral weakness or lack of self-control. In reality, medical research has proven that addiction is a complex brain illness that can affect any person, regardless of their character, strength, or lifestyle. Oftentimes, individuals with great strength and motivation give in to addiction and willpower alone is not enough to prevent relapses.

It can be difficult to admit to potential problems with your own behavior but recognizing the signs early on is one of the most important steps towards a successful, long-term recovery. No matter what your challenges are with alcohol, addiction treatment can help you regain control over alcohol and rebuild your confidence throughout the recovery journey.

At Eleanor Health, we provide outpatient treatment for AUD and other substance use disorders. All of our services are available online, and we also have in-person appointments available at most locations. Learn about your treatment options in Florida, Illinois, Louisiana, Massachusetts, North Carolina, New Jersey, Ohio, Texas and Washington.

Nzinga Harrison, MD

Dr. Harrison serves as the Chief Medical Officer for Eleanor Health with more than 15 years experience practicing medicine. She is a double-board certified physician with specialties in general adult psychiatry and addiction medicine. Dr. Harrison has spent her career as a physician treating individuals from marginalized communities with substance use and other psychiatric disorders. As a physician executive, she has served as Senior Vice President and Chief Medical Officer roles committed to creating and improving systems-based delivery of psychiatric and substance abuse care. She is a vocal advocate for stigma reduction, and is passionate about the necessity for whole-person care as individuals and communities seek to recover from and prevent substance use disorders.

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