Understanding Alcohol Addiction

Learn About Alcohol Addiction

The most commonly abused substance in the United States, alcohol is an addictive central nervous system depressant that is created by fermenting yeast, starches, and sugars. The abuse of alcohol can be problematic both as a single occurrence and as a chronic behavior.

Alcohol intoxication can cause lowered inhibitions, diminished judgment, and impaired coordination, which can lead to myriad negative outcomes. As a chronic behavior, alcohol abuse can put an individual at risk for a host of physical and emotional problems, including the development of alcohol use disorder, or AUD. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (or DSM-5), an alcohol use disorder may be present if an individual meets two or more of the following criteria within a 12-month period of time:

Having strong desires or cravings to use alcohol
Using alcohol in increasingly larger amounts or over longer periods of time than intended
Persistently desiring to reduce or control one’s drinking, yet being unsuccessful when attempting to do so
Spending a considerable amount acquiring, using, or recovering from the effects of alcohol
Failing to fulfill obligations in school, at work, or at home because of alcohol use
Using alcohol even after having experiencing negative social or interpersonal problems as a result of alcohol use
Using alcohol despite having experienced physical or psychological problems as a result of alcohol use
Abandoning or decreasing participation in social, occupational, or recreational activities because of alcohol use
Using alcohol in situations where it is physically hazardous to do so
Developing tolerance, or needing to consume larger amounts of alcohol to achieve the desired effect
Experiencing withdrawal symptoms when ceasing or reducing one’s alcohol use

The good news is that alcohol use disorder, which is often also referred to as alcoholism, is a treatable condition. With effective professional treatment, individuals who are abusing alcohol or who have developed alcohol use disorder can overcome their dependence on this dangerous drug and make the changes that will allow them to live healthier and more productive lives.

Statistics

Alcohol Addiction Statistics

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that among adults ages 18 and above in the United States, more than 85% have used alcohol at least once in their lives, and that about 30% have engaged in either binge drinking or heavy drinking in the past 30 days.

Experts estimate that more than 10 million men and nearly six million women in the U.S. meet the criteria for alcohol use disorder, but less than 1% of these people have received treatment for their disorder.

Alcohol-related death is the third leading preventable cause of death in the United States. Globally, alcohol is involved in more than 3 million annual deaths and has been linked to more than 200 diseases and injury-related health problems.

Causes and Risk Factors

Causes and Risk Factors for Alcohol Addiction

Considerable research suggests that both genetics and environment can be contributing factors to the development of alcohol abuse and alcohol use disorder.

Genetic: Having a family history of alcohol abuse puts a person at increased risk for engaging in similar behavior. When one’s parents or siblings have had problems with alcohol, that risk is magnified. Recent advancements in genetic research has led to the identification of several genes and gene clusters that scientists believe play key roles in determining whether or not a person is likely to become addicted to alcohol or another drug.

Environmental: Alcohol abuse and alcohol use disorder within in one’s family can also be environmental influences. Individuals who grew up among family members who regularly abused alcohol are much more likely to also engage in this behavior than are people who were raised in alcohol-free households. Having been abused, assaulted, or otherwise traumatized can also increase a person’s risk for abusing alcohol. Other environmental factors include poverty, living in an area where alcohol is readily available and commonly abused, and experiencing significant stresses and pressures.

Risk Factors:

Being male
Family history of substance abuse and/or mental illness
Personal history of substance abuse and/or mental illness
Abuse, neglect, assault, or other trauma
Poor self-esteem or self-image
Poor stress management capabilities
Poverty
Associating with peers who engage in alcohol abuse

Signs and Symptoms

Signs and Symptoms of Alcohol Addiction

Depending upon the nature and severity of a person’s problems with alcohol, alcohol abuse and alcohol use disorder may reveal themselves via a variety of signs and symptoms, including the following:

Behavioral symptoms:

Frequent unexplained absences from work or school
Decline in performance at work or in school
Deception or secretiveness regarding one’s drinking habits
Drinking early in the day or throughout the day
Increased interpersonal conflicts and unprovoked aggressiveness

Physical symptoms:

Vision problems
Excessive sweating
Loss of appetite
Nausea and vomiting
Abdominal cramps
Gastritis
Reddened nose and cheeks
Jaundice
Headaches
Insomnia
Slurred speech

Cognitive symptoms:

Inability to focus or concentrate
Impaired problem-solving skills
Poor judgment
Short-term amnesia
Hallucinations

Psychosocial symptoms:

Anhedonia
Depression
Nervousness, irritability, and/or agitation
Suicidal ideation
Mood swings
Psychosis
Withdrawal from family and friends

Effects

Effects of Alcohol Addiction

Untreated chronic alcohol abuse and alcohol use disorder can lead to devastating effects, some of which may be irreversible. The following are among the more common negative outcomes that are associated with the long-term abuse of alcohol:

Amenorrhea
Kidney inflammation
Heart disease
Anemia
Muscle weakness
Breathing problems
Recurring chest infections
Pneumonia
Ulcers
Gastrointestinal bleeding
Pancreatitis
Cirrhosis of the liver
Strained or destroyed interpersonal relationships
Job loss and chronic unemployment
Family dysfunction, separation, and divorce
Legal problems

Co-Occurring Disorders

Alcohol Addiction and Co-Occurring Disorders

The following are among the disorders that are commonly experienced by individuals who are also dealing with alcohol use disorder:

ADHD (attention-deficit/hyperactivity disorder)
PTSD (posttraumatic stress disorder)
OCD (obsessive-compulsive disorder)
Anxiety disorders
Bipolar disorder
Depressive disorders

Withdrawal and Overdose

Effects of Alcohol Withdrawal and Overdose

Effects of alcohol withdrawal: Withdrawal occurs when a person who has become dependent upon a substance either drastically reduces or completely stops using that substance. People who experience withdrawal symptoms such as the following should seek professional help to ensure that they are able to stop using alcohol in a safe manner:

Anxiety
Tremors, twitches, and other signs of shakiness
Excessive sweating
Increased body temperature
Hallucinations
Confusion and/or disorientation
Nausea and vomiting
Seizures
Irregular heartbeat

Effects of alcohol overdose: Drinking more alcohol than a person’s body can safely metabolize can result in alcohol overdose. This can occur the first time a person drinks or after years of chronic alcohol abuse. Alcohol overdose can cause permanent damage, including death. If a person who has been drinking heavily demonstrates the following symptoms of overdose, medical attention should be sought immediately: