Author: John Carter
Alcohol use disorder Symptoms and causes
Many who practice it find that they are better at understanding how much they are drinking, are able to reduce or eliminate binge drinking, and suffer fewer negative consequences from alcohol abuse. Moderation gives you control of your drinking and allows you to take back control of your life. If you feel that avoiding alcohol completely is not for you, there are other options. Some people can get control over their drinking and drink safer levels of alcohol without having to quit entirely. If you plan to attempt to control your drinking, there are several steps you should take to assist you in this process. Here are some specific strategies to try, and you can add your own at the end.
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- How you feel when you stop drinking is largely based on how often and how heavily you drink.
- Alcohol use disorder can include periods of being drunk (alcohol intoxication) and symptoms of withdrawal.
- But maybe you’re unsure about quitting completely and don’t want to hold yourself to that goal.
- “You could use a calendar, journal or any number of tracking apps.” Drink Control Alcohol Tracker or Less are two examples of free tracking apps available on iOS devices.
- You may feel an uncomfortable pull in two directions or sense a loss of control.
- If you’re living with alcohol use disorder, treatment at a medical rehabilitation facility is your best option.
If you’re living with alcohol use disorder, quitting drinking is important for your health. But quitting on your own can pose risks to your health and is unlikely to be successful. Rehabilitation facilities can help you on your path to sobriety by addressing alcohol withdrawal symptoms and becoming involved in sober living support groups, like AA.
Recognize the signs of alcohol use disorder
Take this “getting back to normal” as a chance to rethink your relationship with alcohol. Doing a reality check with a simple online self-assessment might be the first step. Take the Alcohol Use Disorders Test (AUDIT) developed by the World Health Organization (WHO) online. Seek skilled guidance from an addiction psychologist to get feedback when selecting goals, assessing progress, and setting appropriate boundaries. John C. Umhau, MD, MPH, CPE is board-certified in addiction medicine and preventative medicine. For over 20 years Dr. Umhau was a senior clinical investigator at the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (NIH).
If you tend to drink too much whenever there is any alcohol in the house, get rid of it altogether, the NIAAA recommends. Food can absorb the alcohol in beverages, so eating before or even while you drink can dampen the effect and may make you want to drink less, says Crews. The compensation we receive from advertisers does not influence the recommendations or advice our editorial team provides in our articles or otherwise impact any of the editorial content on Forbes Health.
If you’re concerned about someone who drinks too much, ask a professional experienced in alcohol treatment for advice on how to approach that person. For comparison, regular beer is 5% alcohol by volume (alc/vol), table wine is about 12% alc/vol, and straight 80-proof distilled spirits is 40% alc/vol. If your body is used to a certain amount of alcohol, you may feel certain effects when you stop. How you feel when you stop drinking is largely based on how often and how heavily you drink. People who only drink occasionally probably won’t notice any physical or psychological symptoms.
Low-risk drinking
You can become conditioned to reach for a drink when your environment offers up certain cues. We all become conditioned to have certain responses to triggers throughout our lives. It’s normal for certain stimuli to cause a reaction in your mind and body without even being aware of it. She enjoys interviewing medical experts and researchers about their work and is passionate about communicating accurate and relevant health information to the public.
For many, it may be difficult to maintain low-risk drinking habits. This “increased risk” category contains three different drinking pattern groups. Overall, nearly 20% of people who drink in this category have alcohol use disorder. Consider tracking and analyzing your urges to drink for a couple of weeks. This will help you become more aware of when and how you experience urges, what triggers them, and ways to avoid or control them.
As you change your drinking, it’s normal and common to have urges or a craving for alcohol. The words “urge” and “craving” refer to a broad range of thoughts, physical sensations, or emotions that tempt you to drink, even though you have at least some desire not to. You may feel an uncomfortable pull in two directions or sense a loss of control. The following activity offers suggestions to support you in your decision to cut back or quit drinking. It can be used with counseling or therapy and is not meant as a substitute for professional help.
If you choose to try it on your own and at any point feel you need more help, then seek support (see Help Links). You may not need to completely reinvent your life to quit drinking, but making a few changes in your surroundings to help avoid alcohol triggers can make a big difference. Family and friends can provide encouragement and support when you stop drinking.
Special Health Reports
Therapy can help you understand why you drink and learn new habits so you can live a healthy lifestyle that doesn’t rely on alcohol as a crutch. It can also help you gain a new perspective as you consider how your life will change without alcohol. Ask your doctor or counselor for a referral and/or work together to develop strategies for controlling your alcohol consumption and drinking responsibly or quitting all together. Also write down any negative effects or situations that arose that you would like to avoid in the future. For example, “After my third beer, I got into an argument with Ben.” This will give you a good idea of the times, places, and people where your drinking tends to become excessive or problematic. Remember, those who struggle with alcohol use disorder want to be able to reduce or moderate their alcohol intake, but it’s not always something they can control despite their best efforts.
By avoiding alcohol, you’re taking a big step toward improving physical health. As you begin to notice those health benefits, you’ll likely feel more energized and inspired to keep up your progress. Becoming more aware of your alcohol triggers and reasons for drinking can help you plan ways to help manage the urge to drink. To stop drinking alcohol, you first need to understand your relationship with drinking. From there, you may need social support, consistent self-care, and new routines that can help redirect your mind.
If you decide together that moderation is the right goal, there may be a program or support group that will support you in your new lifestyle. There are also medications that can be helpful for people who want to reduce their drinking. If you feel that you sometimes drink too much alcohol, or your drinking is causing problems, or if your family is concerned about your drinking, talk with your health care provider. Other ways to get help include talking with a mental health professional or seeking help from a support group such as Alcoholics Anonymous or a similar type of self-help group.
But if you’re living with alcohol use disorder, drinking is more than a habit. People with alcohol use disorder can’t stop drinking even when it causes problems, like emotional distress or physical harm to themselves or others. When your drinking is under control, you may have the internal bandwidth to accept the professional psychological support that can help you develop healthier ways of coping. You could also get help to better manage your emotions, address past trauma, and understand how anxiety, depression, or other emotional difficulties have powered your alcohol abuse.
Medical Professionals
Research shows that most people believe that drinking can make them feel better. However, when alcohol makes up part of your typical routine, drinking can become something of an automatic response, especially when you feel stressed or overwhelmed. It’s possible to develop a better relationship with alcohol and make more mindful, informed choices about drinking without total sobriety. What’s most important is looking at your drinking habits and finding a way to cut back that works for you. Knowing why you drink is essential, says Cyndi Turner, LCSW, LSATP, MAC, a Virginia therapist specializing in addiction treatment and alcohol moderation.