Alcohol has long been a significant part of our culture. Go to a social gathering, and it is likely that alcohol will be served, and drinking plays a major role in celebrating special occasions. For most people, drinking is not an issue. In 2014, 87.6 percent of adults over 18 stated they drank at some time in their lives, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Nevertheless, alcohol is an addictive substance, and it presents a problem for many people in the US.
What Is Alcohol Abuse?
Alcohol abuse, more formally termed an alcohol use disorder, is a major problem for many. Not everyone who drinks, of course, is an alcohol abuser, though up to 30 percent of people in the US have abused alcohol at some point in their lives, per WebMD. Most people are moderate, social drinkers, and this type of drinking usually doesn’t develop into a problem. Moderate drinking is typically no more than one drink per day for women and two drinks per day for men, according to NIAAA.
Drinking more than this may define alcohol abuse. Once alcohol abuse takes place on a regular basis, it can indicate an addiction is present. An alcohol use disorder is characterized by a maladaptive drinking pattern that results in negative medical, work, legal, educational, and/or social consequences.
The Effects of Alcohol
Alcohol affects the body and brain in a variety of ways. As a drug, alcohol is a central nervous system depressant. This means that it is a substance that slows the transmission of signals in the brain by affecting the balance of neurotransmitters that relay information throughout the brain. These effects can cause mood and behavior changes, including slowing of motor functions, agitation, depression, memory loss, and seizures.
Alcohol consumption triggers pleasurable, euphoric brain effects and unpleasant brain effects as a negative reaction to symptoms of intoxication. Those who develop an alcohol use disorder typically begin by attempting to recreate the euphoric experiences they associate with drinking. At least part of the toxic effect of drinking is related to the amount of unprocessed alcohol in the brain and body. Additional toxic effects begin when the liver starts to break down alcohol, triggering the accumulation of a poisonous alcohol byproduct called acetaldehyde.
Drinking initiates effects in the brain involving the pleasure center. In spite of unwanted effects from intoxication, those who continue to drink in a maladaptive manner do so as they try to continue to produce those euphoric effects. Excessive drinking leads to having more alcohol in the system than can be properly processed. As the liver breaks down the alcohol, acetaldehyde is produced.
Each individual’s brain responds differently to the effects of alcohol. Among the important factors are how much and how often a person drinks. Other factors can affect the likelihood of an alcohol addiction forming, such as the age at which a person first began drinking and the length of the drinking history along with overall physical health and genetic factors, such as a history of alcoholism in the family.
Statistics on Alcohol Abuse, Binge Drinking, and Alcohol Use Disorders
According to NIAAA, in 2014, approximately 16.3 million or 7 percent of adults suffered from an alcohol use disorder. This number includes 5.7 million women and 10.6 million men. Among adolescents aged 12-17, it was projected that 679,000 experienced an alcohol use disorder.
Per the Centers for Disease Control and Prevention, binge drinking is drinking with the intention of becoming intoxicated. It is generally characterized by consuming at least five drinks in a two-hour period for men and at least four drinks in that time period for women. Binge drinking significantly increases the likelihood of developing alcohol dependence. In 2014, NIAAA statistics showed that 24.7 percent of adults 18 and up indicated they binge drank during the previous month.
The Impact of Alcohol Abuse
Often, those suffering from alcohol abuse or addiction do not realize their drinking has become a problem. After all, with the often gradual, insidious progression of addiction, it’s common for those who are affected by this disease to continue to believe they remain more functional than they actually are, which is called denial.
When thinking of someone with an alcohol addiction, a picture may come to mind of a person who regularly engages in heavy drinking episodes. The vision may be of someone with financial problems, broken relationships, difficulty maintaining a job, and overt health problems.
For at least 20 percent of those with an alcohol use disorder, this is not an accurate picture. Instead of being unemployed and homeless, functional alcoholics tend to be well-educated with a family and a successful career. They may work a regular schedule, carry out daily activities, and drink heavily late in the day. Others may see them as normal. Despite the ability of functional alcoholics to maintain “normal” life function, consequences of the ongoing alcohol abuse generally begin to appear over time. In addition, health problems often begin to bubble under the surface as a result of the chronic drinking.
Chronic alcohol abuse creates significant mental and emotional trauma on spouses and families of those who abuse alcohol. Divorce rates in couples where at least one spouse drinks are much higher than average. Resentment is common in these relationships. These relationships suffer from:
- Poor communication
- Increased anger and stress
- Reduced intimacy
- Increased marital abuse
- Depleted finances due to money spent on alcohol
Ultimately, it may be the enormous stress that alcohol abuse brings to the family unit that precipitates the person seeking treatment.
Oftentimes, those struggling with alcohol abuse may need to be confronted with the negative effects of their behavior. This discussion can be challenging, often due to anger, anxiety, guilt, and shame that is related to the abuse and its effects. When approaching a loved one, it’s important to be empathetic and caring. Here are some tips to facilitate the conversation:
- Educate yourself on addiction and recovery so you know how to speak knowledgeably on the subject.
- Let your loved one know you are concerned, and outline the impact the drinking is having on them and the family.
- Do not accuse or judge the person. Addiction isn’t anyone’s fault.
- Encourage the person to seek professional help. Ideally, pick out a treatment program beforehand to present to your loved one during the conversation.
- Set healthy boundaries. If the person doesn’t agree to get help, there may be consequences, such as you might withdraw financial support. Be ready to stand firm on the consequences you outline.
- Enlist the help of a professional. These conversations can be difficult, and more positive outcomes may result if a professional aids the process. An interventionist or family mediator can facilitate the conversation.
The following are some helpful resources for families:
- Al-Anon: for family members of alcoholics
- CoDA: for those dealing with codependency issues
- Adult Children of Alcoholics World Service Organization: for adult children of alcoholics and addicts
Medications and Therapies Used to Treat Alcohol Abuse
As stated, medical detox is needed to withdraw from alcohol. Medically assisted detox typically involves the use of specific medications to moderate dangerous physical withdrawal symptoms and help to prevent relapses. Several medications have been approved by the FDA for this purpose, including Antabuse, naltrexone, and Campral.
In addition to medical detox treatment, comprehensive therapy is needed. While various forms of therapy may be used, certain types have been shown to be effective in treating alcohol addiction. Cognitive Behavioral Therapy (CBT) focuses on identifying and modifying negative thought patterns. Motivational Enhancement Treatment (MET) helps those with alcohol addiction address their motivation to change and develop a personal plan to achieve those changes. A 12-Step model of recovery, such as that used in Alcoholics Anonymous, has also been shown to be effective.
Oftentimes, taking the first step of seeking help is the hardest. Without proper help, alcohol abuse and addiction can result in life-threatening effects for the drinker and have a serious impact on those around the person. But with professional help, complete recovery is within reach.
Individuals who complete addiction treatment are more likely to:
- Achieve sobriety
- Have fewer legal problems
- Experience fewer relapses
- Have better relationships with family, friends, and coworkers
Finding a Treatment Facility
There are a variety of treatment facilities available that serve clients on both an inpatient and outpatient basis. The determination between inpatient and outpatient treatment is made on an individual basis and dependent on the severity of the client’s abuse patterns, the person’s home environment, past history with substance abuse, and any co-occurring physical or mental health issues. There are many options available to establish a healthy foundation for recovery, enabling individuals to leave balanced, happy lives without the need for alcohol.
Get Help Now.
Has addiction stolen your loved one? Take action and call (401) 236-6944 or fill out this form to speak with a Treatment Consultant.