Answer Addiction

Tag: alcohol

  • Alcohol Addiction and Abuse

    Alcohol Addiction and Abuse

    ARTICLE SUMMARY: Alcoholism the #1 addiction in America. The social acceptance of drinking can often lead to denial. But if left untreated, a drinking problem has severe consequences.

    ESTIMATED READING TIME: 5-10 minutes.

    TABLE OF CONTENTS:

    New studies reveal that NO LEVEL OF ALCOHOL CONSUMPTION improves health. In other words, alcohol is not good for you.

    No Healthy Amount

    Most people drink for one of two reasons:

    1. People drink alcohol to cope with stress.
    2. People drink alcohol because of social influences.

    Indeed, alcohol is socially acceptable. Most of us drink it in various forms, including beer, wine, and hard liquor. And many of us think that there are health benefits associated with consuming up to two drinks per day. However, recent studies are finding that no level of alcohol consumption improves health. So, a drinking problem can occur… even if you think you’re drinking within reasonable limits.

    “Abuse” Definitions

    According to the Dietary Guidelines for Americans,1 moderate alcohol consumption is defined as having up to 1 drink per day for women and up to 2 drinks per day for men. However, the Dietary Guidelines do not recommend that people who do not drink alcohol start drinking for any reason. This is simply because alcohol is not good for you!

    Not everyone who drinks is an alcoholic. In fact, about half of all Americans are active drinkers. But if your life is negatively affected by alcohol on a consistent basis, you may have a problem.

    So, what does it mean to “abuse” alcohol? The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has a website Rethinking Drinking that defines what problem drinking is. And it’s not based on how much you drink, exactly. They say,”

    The more drinks you drink on any day and the more heavy drinking days over time, the greater the risk—not only for an alcohol use disorder, but also for other health and personal problems.

    Still, you can begin to suspect a drinking problem when…

    Men: You drink more than 4 drinks on any day OR you drink more than 14 drinks per week.
    Women: You drink more than 3 drinks on any day OR you drink more than 7 drinks per week.

    Image credit: NIAAA Rethinking Drinking

    So, if you are drinking like this, are you an alcoholic? According to the NIAAA, about 1 in 4 people who exceed these limits already has an alcohol use disorder (also called “alcoholism”). The remaining 3 in 4 people are at greater risk for developing these and other problems. Again, individual risks vary. People can have problems drinking less than these amounts, particularly if they drink too quickly.

    Use this NIAAA form to verify a drinking problem.

    DRINKING TOO MUCH + TOO OFTEN = TOO RISKY

    Definitions of a standard drink:

    Beer

    Beer is an alcoholic drink typically made from water, barley, hops, and yeast. Many people think that beer is safer to drink than wine or liquor. The Centers for Disease Control (CDC) describes the real story about beer on this alcohol FAQ page:

    Q: Is beer or wine safer to drink than liquor?
    A: No. One 12-ounce beer has about the same amount of alcohol as one 5-ounce glass of wine or 1.5-ounce shot of liquor.

    In fact, one beer may be your limit for the night, if you’re a man…and half a beer may be all you need if you’re a woman. It is the amount of alcohol consumed that affects a person most, not the type of alcoholic drink.

    But beer is a part of American culture. It can be hard to ignore the billboards and advertising around beer. There are drinking games based on beer, sporting events usually always have beer available, and beer is a part of post-work get together. Plus, the trend for microbrewed, craft beers is on the rise. However, even people who drink during social activities or who only drink craft beer can develop an alcohol use disorder.

    So, how do you know if you’re addicted to beer, or not?

    Signs of a problem may include continuing to drink when everyone else has stopped or feeling the need to drink during uncomfortable or boring situations. Basically, a drinking problem causes disruption in your life. So, if you’re facing beer addiction you may have difficulty making it to work on time, keeping up with schoolwork, or recovering from drinking the next day. To get help for a beer addiction now, please send us a message or give us a call.

    Wine

    Wine is made from fermented grapes. It is mostly sold as white wine or red wine with a variety of flavor profiles based on the type of grape used. For example, popular white wines include Sauvignon Blanc, Chardonnay, Pinot Grigio, and Riesling. Popular red wines include Cabernet Sauvignon, Merlot, Pinot Noir and Syrah / Shiraz.

    The percentage of alcohol in wine can vary widely; therefore, read the labels and adjust accordingly. When compared to beer, wine has a more concentrated amount of alcohol. Still, an average 5 oz. glass of wine is equivalent in alcohol content to 12 oz. of beer. An overpoured glass of wine, however, could contain much more alcohol than a standard drink.

    Wine is often consumed with meals. It has a status as a “classy” drink that can make it harder to spot a problem. Drinking wine may be a problem for you if any of these things are true:

    • Drinking wine causes trouble with your relationships, school, or work.
    • You can’t control how much wine you drink.
    • You’ve tried quitting drinking but cannot.
    • You feel anxious, irritable, or stressed when you aren’t drinking wine.

    If you or someone you care about has been drinking wine more frequently than intended or using it to combat anxious or depressive feelings, there may be a deeper issue at play. The earlier you get help for a wine addiction, the better! Wine problems are medical in nature and can be treated professionally.

    Liquor

    “Liquor” is the term used for hard alcoholic drinks or spirits like tequila, vodka, gin, rum and whiskey. Liquor has a much higher volume of alcohol than beer or wine: approximately 1.5 ounces of distilled spirits contain about 40% alcohol. Additionally, the type of spirit, recipe, and size of serving glass can impact the quantity of hard liquor in the drink. A mixed drink can contain from one to three or more standard drinks.

    Liquor can impact and speed up the development of a drinking problem. This is due to the way we metabolize alcohol. The Indian Health Service explains it like this…when a person drinks an alcoholic beverage, about 20% of the alcohol is absorbed in the stomach and about 80% is absorbed in the small intestine. The rate the alcohol is absorbed depends upon a few factors:

    1. The higher the concentration of alcohol, the faster the absorption.
    2. Carbonated drinks tend to speed up absorption of alcohol.
    3. Whether the stomach is full or empty. Food can slow down alcohol absorption.

    Basically, increased absorption of alcohol into the bloodstream can cause quicker intoxication. It’s like comparing oral vs. injection routes of drug administration. The quicker a drug hits your bloodstream and crosses the blood-brain barrier, the more addictive. Plus, the lower liquid content of shots make them easier to consume, leading to a higher risk of alcoholism.

    Regardless of the type of liquor consumed, alcohol of any kind possesses serious addiction potential. But you can get help for a liquor addiction now. Continue reading for more ideas.

    Binge Drinking

    Drinking too much at once is called “binge drinking”. As noted by the CDC, it is the most common way people drink too much in the U.S. But what does it mean to binge drink?

    The National Institute on Alcohol Abuse and Alcoholism defines binge drinking as a pattern of drinking that brings a person’s blood alcohol concentration (BAC) to 0.08 grams percent or above. Guidelines follow.

    Men: You binge drink when you consume 5 or more drinks on a single occasion and usually occurs within about 2 hours.
    Women: You binge drink when you consume 4 or more drinks on a single occasion and usually occurs within about 2 hours.

    While most people who binge drink are not alcohol dependent, binge drinking is the most common, costly, and deadly pattern of drinking too much. It causes injury and serious risk to health. It occurs frequently, with one in six adults binging about four times a month. And in many cases, prolonged binge drinking can develop into alcoholism.

    Mixing Alcohol with Drugs

    Because drinking is easily accessible, people often mix alcohol with other drugs. However, alcohol is both a central nervous depressant AND a stimulant… thereby posing a serious risk to your health when you mix it. For example, when mixed with benzodiazepines, opiates, or Rx painkillers, alcohol can trigger overdose effects. Alcohol on its own can be dangerous, but combining it with other substances can quickly prove lethal.

    When It Becomes Addiction

    Addiction occurs somewhere in a person’s drinking history. It can happen fast, within the span of a few months. Or, addiction can occur over the course of years. So when do you know you’ve crossed the line and become addicted to alcohol?

    Alcoholism (a.k.a. alcohol addiction) is marked by a craving for alcohol. This craving occurs after the first drink and compels you to drink more. Craving also occurs when you’re NOT drinking; it can drive you back to alcohol. People who are addicted also are unable to stop drinking, especially in the face of personal or social harm.

    Signs of an alcohol addiction include:

    • Alcohol dependence.
    • An increased tolerance (needing to drink more to feel drunk).
    • Frequently drinking more than intended.
    • Spending time getting alcohol, drinking it, or recovering from its effects.
    • Wanting to stop drinking but being unable to.

    High-Functioning Alcoholism

    Not all alcoholics are bottom of the bottle drinkers.

    In the early 2000’s researchers officially recognized a subset of drinkers called “high-functioning” alcoholics. Study author Howard B. Moss, M.D., NIAAA Associate Director for Clinical and Translational Research said, “We find that young adults comprise the largest group of alcoholics in this country, and nearly 20 percent of alcoholics are highly functional and well-educated with good incomes.”

    The problem with high-functioning alcoholism is that it can go undiagnosed. As people are able to keep their jobs, and experience relatively few harms…they often do not seek help. If you think you might have a drinking problem, ask for help. Here are some suggestions that we have for you:

    • Ask your friends and loved ones to support you.
    • Talk to a doctor or nurse if you are having a hard time cutting down on your drinking.
    • If one type of treatment doesn’t work for you, you can try another. Don’t give up!
    • Call 1-800-662-HELP (1-800-662-4357) for information about treatment.
    • To explore treatment options, visit the NIAAA Treatment Navigator.

    Statistics

    Alcohol use is a leading risk factor for disease burden worldwide, accounting for nearly 10% of global deaths among populations aged 15–49 years, according to the 2016 Global Burden of Diseases report. This 2011 study breaks down the most common disease categories that are entirely or partly caused by alcohol consumption, which can include:

    • Cancer
    • Cardiovascular disease
    • Diabetes
    • Infectious diseases
    • Liver and pancreas disease
    • Neuropsychiatric diseases (including alcohol use disorders)
    • Unintentional and intentional injury

    Why wait for things to get worse?

    Reach out and get help today.

    When to Get Help

    Getting help for a drinking problem early is best!

    So, if you think that you have a problem with alcohol, it’s best to assume that you do.

    Then, reach out for help.

    You are not alone!

    Many people who struggle with alcohol addiction find it difficult or impossible to quit on their own. There are many programs designed to get you the help you need. Or, you can increase your chance of a full recovery with the help of an alcohol rehab center. Get in touch with one today….and increase your chances for success and an alcohol-free life!

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  • Binge Drinking

    Binge Drinking

    ARTICLE SUMMARY: Drinking too much alcohol in one drinking session is known as “binge drinking”.  But bingeing is not same as alcoholism. How? We review here.

    ESTIMATED READING TIME: Under 10 minutes.

    TABLE OF CONTENTS:

    Binge Drinking Definition & Levels

    Binge drinking is known as drinking too much alcohol in a single setting. How much drinking qualifies for a “binge”?

    The amount of alcohol consumed at one drinking session that qualifies as a binge drinking is significantly more than a person would normally drink. More specifically, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines binge drinking as a pattern of drinking that brings blood alcohol concentration (BAC) levels to 0.08 g/dl or above. This usually happens after:

    • 4 drinks for females
    • 5 drinks for males

    …in a timeframe of 2 hours.

    To give more context, the Substance Abuse and Mental Health Services Administration (SAMHSA) considers binge drinking as 4 or more alcoholic beverages for women on one occasion or 5 of more alcoholic beverages for men (at the same time or within few hours) on at least 1 day in a month.

    Finally, binge drinking is not yet classified as disorder by the American Psychiatric Association (APA). As of now, this type of drinking refers to a behavioral pattern that can be a risk factor for developing alcohol dependence.

    Is Binge Drinking the Same as Alcoholism?

    No. Binge drinking is not same as alcoholism. However, prolonged binge drinking may lead to alcoholism.

    In fact, most people who binge drink are not dependent on alcohol. Still, binge drinking is considered to be the most costly and deadly pattern of consuming alcohol. Excessive alcohol use such as binge drinking can put your health at serious risk. Binge drinking is connected with many health conditions including:

    • Becoming alcohol dependent.
    • Demonstrating violent/aggressive behavior.
    • Developing cancer of the mouth, throat, esophagus, liver, colon, or breast.
    • Developing chronic diseases like high blood pressure, heart disease, or liver disease.
    • Having memory or learning problems.
    • Risky sexual behavior.
    • Unintentional injuries like falls, burns, car crashes, or alcohol poisoning.

    Why People Binge Drink

    Reasons for drinking vary…and can be quite different. Some people start bingeing to as stress-relief. Some binge drink out of curiosity, while others drink excessively because they are already having alcohol problems. Moreover, reasons for binge drinking when you are in college are different than the reasons for drinking when you are older.

    Some of the more common reasons for drinking too much at once include:

    Boost in self-confidence. People who are shy or introverts may find it difficult to communicate with other. Alcohol has the ability to help you feel disinhibited, and thereby, can boost your self-confidence. So, when you are under the influence you might easily mix with others.

    Changing your image. Men might binge drink to display dominance, strength, or a macho image. Moreover, some people claim that they feel sexy when they drink. This goes for both genders.

    Curiosity. One of the common reason for binge drinking is wanting to know how and what it ‘feels’ like. This mostly happens after someone brags about his/her wild night out.

    Forgetting problems. Most studies and surveys that investigate the reasons for drinking list this reason as in the Top 10. Letting go of stress, and forgetting your problems through binge drinking, may be okay for one night. But, if you start using binge drinking as a coping mechanism, and not dealing with the underlying issues, you may become dependent on alcohol.

    Fun. Most people want to forget their problems, let go of their thoughts, and just enjoy. Binge drinking is a common event on parties. Also, drinking games such as Beer Pong, Pennies, and Never Have I Ever are based on binge drinking and having fun.

    Peer pressure. Acceptance issues are most common among students in high school and college. If binge drinking can help you ‘fit in’, then so be it… this is the thought that can go through our minds. Unfortunately, this thought pattern can result in health, school, and work problems.

    Rebellion. Rebellion is a psycho-social developmental phase that most teens and college students go through. They use binge drinking as a way to rebel against their parents in order to break the rules, and show independence.

    Socialize. Some friends bond with each other because of their drinking habits. Sometimes, if you want to become a part of a certain group of people, the ‘only’ way to get in is through drinking. No one wants to be the cast out, so many individuals have decided to raise their glass than to be left out.

    The list of reasons why people binge drink is not limited to this… but scientists and experts also add that the family history of alcoholism – and genetics – plays a huge part in why some choose this pattern of drinking.

    One in four Americans aged 12 or older are binge drinkers. And 4 out of 5 binge drinks are consumed by men.

    How Many People Binge Drink?

    About 25% of Americans binge drink.

    According to the 2016 National Survey on Drug Use and Health, a number of 65.3 million people aged 12 or older were binge drinkers in the past month. This number corresponds to about 1 in 4 people.

    Moreover,  the Annual Total Binge Drinks Consumed by U.S Adults of 2015 announced that 1 in 6 adult Americans binge drinks about 4 times in a months, consuming about 7 drinks per drinking session. This makes a grand total of of 17.5 billion total binge drinks in a year, or 467 drinks per binge consumer.

    Moreover, the same analysis reports that binge drinking is popular among younger adults aged 18 -34 years, but more than a half of the total binge drinks are consumed by people aged 35 or older. Additionally, the Centers for Disease Control and Prevention reports that about 4 in 5 binge drinks are consumed by men,. The U.S. states with the most binge users are Arkansas, Mississippi, Kentucky, and Hawaii.

    Furthermore, Alcohol and Public Health: Alcohol-Related Disease Impact (ARDI) stated that during 2006 to 2010, excessive alcohol use was responsible for about 88,000 deaths. More than half of these deaths happen due to binge drinking.

    Excessive alcohol use was responsible for around 88,000 deaths between 2006-2010.

    Binge Drinking Among College Students

    Drinking among college students has become a tradition that most of students see as a rite of passage into the higher education experience. However, most enter into college life with well-established drinking habits that started in their teen years, usually around the age of 13. Then, binge drinking peaks in young adolescents aged 18 to 22, and slowly decreases.

    So, how many college students are current binge drinkers?

    According to SAMHSA’s NSDUH survey of 2014 , about 60% of college students drank alcohol in the past month, while 2 of 3 students engage din binge drinking.

    But binge drinking may cause serious problems to the health of these young lives…

    A survey published in the Journal of Studies on Alcohol and Drugs reported that about 1,825 college students between the ages of 18 and 24 die from alcohol-related unintentional injuries, including motor-vehicle crashes. Moreover, National Institute on Alcohol Abuse and Alcoholism reported that about 696,000 college students are assaulted by another student who has been drinking, while about 97,000 students report experiencing alcohol-related sexual assault or date rape.

    Additionally, this study reports that 1 in 4 college students had academic problems (missing classes, poor exams and papers, low grades, and/or fall behind in class) due to alcohol use. Also, binge college drinkers who had at least 3 drinking sessions per week were 6 times more likely to perform poorly on a exam or a project, and 5 times more to miss a class than students who drank but never binged.

    Tragically, NIAAA  reported that 20% of college students meet the criteria for alcohol use disorder.­

    It’s better to drink in moderation,than to binge drink.

    Don’t start to binge drink just to fit on your college campus, choose what’s best for you!

    For more information, visit College Drinking Prevention.

    When Binge Drinking Is a Problem

    Binge drinking may become a problem when you start bingeing too often and/or drinking too much.

    But it can be hard to tell the difference or to spot a real drinking problem. For example, some people may drink a lot in one session, but don’t have a drinking problem. The main point is that you have a drinking problem when drinking affects your life and causes negative consequences.

    Some main signs of having a drinking problem include when you:

    • Black out or have trouble remembering what you did while drinking.
    • Cannot cut back on drinking.
    • Continue to drink despite negative effects on your health.
    • Drink more than you intend.
    • Engage in dangerous activities such as violence or driving drunk.
    • Experience a strong urge for drinking.
    • Experience withdrawal symptoms when you quit/cut down.
    • Have an increased tolerance for alcohol.
    • Have tried but cannot quit drinking on your own.
    • Have problems at work/home/school due to drinking.
    • Have problems with family and friends because of your drinking.
    • Lose interest in hobbies and activities because you want to drink.

    If you have some of these signs, you may need to reach out for help. DON’T WAIT!

    Drinking too often + Drinking too much = RISKY DRINKING!

    Get Help for a Drinking Problem

    Do you think that you may have a drinking problem? Get help as soon as possible!

    Don’t be afraid, just reach out…

    It can be hard to quit alcohol on your own, but don’t lose hope… today’s treatment programs customize the experience to match your needs.

    So, where should you look for help?

    1. Find a therapist.

    Talk therapy is one of the most efficient for treating alcohol problems. You can learn how to find a therapist to talk through the issue by seeing this Psychology Today article here.

    2. Find an addiction specialist.

    Doctors who have specialize in addiction medicine can provide addiction diagnosis, prevention, intervention, screening, and treatment. Find a specialist certified by the American Board of Addiction here.

    3. Find a psychotherapist.

    You can ask for help from a psychotherapist for your drinking problems. This includes one-on-one therapy, family therapy, or couples therapy.  You can find a therapist via the American Psychological Association’s online therapist finder here.

    4. Ask help from a psychiatrist. 

    Psychiatrist are proven doctors that can help you deal with alcohol dependence. Find a qualified psychiatrist on the American Psychiatric Association (APA) website.

     5. Call our helpline. 

    If you have a hard time dealing with excessive alcohol use, call the number you see on our website. Our addiction recovery specialists can talk to you about your drinking problems, and can help you find a way to deal with it.

    Reference Sources: SAMHSA: Alcohol
    NIH: What is a standard drink? 
    NCBI: Undergraduate drinking and academic performance: a prospective investigation with objective measures. 
    CDC: Binge Drinking 
    NCBI: Annual Total Binge Drinks Consumed by U.S. Adults, 2015 
    CDC: Alcohol and Public Health: Data and Maps 
    NCBI: Defining “Binge” Drinking as Five Drinks per Occasion or Drinking to a 0.08% BAC: Which is More Sensitive to Risk? 
    NCBI: Binge Drinking: A Confused Concept and its Contemporary History 

    View the original article at

  • Alcohol Symptoms and Warning Signs

    Alcohol Symptoms and Warning Signs

    ARTICLE OVERVIEW: Drinking too much, too often is considered “alcohol abuse”. It can be a warning sign of a drinking problem. One major indication of alcoholism is physical dependence on alcohol. In this article, we review dependence and other symptoms of a true drinking problem… and offer suggestions on how can you deal with them.

    TABLE OF CONTENTS:

    Half of all Americans Drink Regularly

    Do you drink alcohol?

    If so, you are like half of all adult Americans. If truth be told, the National Survey on Drug Use and Health of 2015 found that 56% of people 18 aged 18 and older were current, past-month alcohol consumers. The survey also reports that 86% of all people aged 18 + said that they drank alcohol at some point in their lifetime.

    But, just because you drink regularly doesn’t mean that you have a drinking problem…

    Just to clear the air…

    In the U.S. a ‘standard drink‘ is any drink that contains about 0.6 fluid ounces or 14 grams of pure alcohol.

    And the AMOUNT you drink of these standard drinks does not – in an of itself – determine a problem. In fact, the development of a drinking problem varies from person to person. Some people may trigger a problem after only a few drinking sessions, while others may develop drinking problems after years of prolonged use. And some people only binge drink on parties…with little to no real consequences.

    A Drinking Problem, or Not?

    So, how do you know whether you have a drinking problem or not?

    The National Institute on Alcohol Abuse and Alcoholism(NIAAA) gives us the general definition for having a problem as follows:

    For women:

    • If you drink more than 1 drink per day.
    • If you drink more than 7 drinks per week.
    • If you drink more than 3 drinks on any single day.

    For men:

    • If you drink more than 2 drinks per day.
    • If you drink more than 14 drinks per week.
    • If you drink more than 4 drinks on any single day.

    But there are also two high-risk drinking patterns that can lead to a problem with booze.

    1. Binge drinking defined by the NIAAA is a pattern of drinking that elevates the blood alcohol concentration levels (BAC) to 0.08 g/dl, which is after 4 drinks for women and 5 drinks for men in a timeframe of about 2 hours.
    2. Heavy drinking defined by SAMHSA is binge drinking on 5 or more days in a period of one month.

    NIAAA’s Rethinking Drinking claims that about 1 in 4 people who exceed these limits can be diagnosed with alcohol use disorder, while the others are at great risk for becoming dependent to alcohol over time. The SAMSHA survey on drug use and health reported that in 2016, 15 million people aged 12 or older meet the criteria for being diagnosed with an alcohol use disorder. This means that 1 in 18 Americans have a drinking problem.

    Do you fit into this definition?

    If so, keep reading. Next, we review the common signs of alcohol abuse and dependence, and we provide help on what to do next. If you have any questions, please feel free to write them in the comments section at the end. We will try to respond personally and promptly to all legitimate inquiries.

    DRINKING TOO MUCH + TOO OFTEN + NEGATIVE IMPACT = Alcohol Abuse

    Signs of Alcohol Abuse

    As a socially acceptable psychoactive substance, alcohol is widely used. It’s safe to say that most social events are organized around a drink. But, when do you start to ‘abuse’ alcohol?

    Alcohol abuse is considered when you drink too much, and too often, and your drinking starts to have a negative impact on your life.

    BUT, alcohol abuse is not the same as being physically dependent on alcohol. These two drinking conditions are different. According to the DSM-IV Diagnostic Criteria for Alcohol Abuse and Dependence, you are abusing alcohol if you meet at least one of the following criteria within 12-month period:

    • Recurrent alcohol-related legal issues.
    • Recurrent drinking in situations that are dangerous, like driving under the influence.
    • Recurrent use of alcohol resulting in a failure to fulfill obligations at work, school, or home.
    • You continue to drink despite constant problems with family and friends due to alcohol use.

    Alcohol abuse is serious drinking condition that may lead you to dependence and addiction. However, this condition is treatable!

    Signs of Alcohol Dependence

    According to the “Neurobiology of Alcohol Dependence”, alcohol dependence is a chronic relapsing disorder that is progressive and has serious detrimental health outcomes. The DSM-IV states that you have alcohol dependence if you meet three or more of the following criteria in the same 12-month period:

    • A persistent desire for drinking.
    • Drinking in larger amounts or over a longer period than intended.
    • Experiencing withdrawal symptoms once you cut down or quit drinking.
    • Giving up or reducing important social, occupational, or recreational activities because of drinking.
    • You continue to drink despite having health problems.
    • You need to increased amounts of alcohol to achieve intoxication or desired effect.
    • You spend a great deal of time spent in activities necessary to obtain, to use, or to recover from the effects of drinking.
    • The diagnosis of liver disease, high blood pressure, or heart disease.
    • One or more unsuccessful efforts to cut down or control drinking.

    Alcohol dependence is a way more serious drinking condition than alcohol abuse. It is an indication that you may suffer from alcoholism.

    On the contrary of DSM-IV, the updated version DSM-V lists 11 criteria that one person needs to meet in order to be diagnosed with alcohol use disorder:

    1. Use alcohol in larger amounts, or longer than intended.
    2. Spend a lot of time using, and/or recovering from use.
    3. Experiencing strong urge/cravings to drink.
    4. Fail to perform normally at work/school/home due to drinking.
    5. Continue to drink despite the negative consequences caused in relationships with loved ones, friends, and family.
    6. Continue to drink despite being aware of harmful risks and side effects.
    7. Continue to drink despite the risk of developing health problems or worsen physical or psychological condition.
    8. Give up hobbies, recreational activities, or social interactions because of drinking.
    9. Experiencing withdrawal symptoms once the drinking is cut down or stopped. (dependence)
    10. Tried and failed to quit.
    11. Need to drink more in order to feel the desired effect (tolerance).

    Having at least two symptoms indicates a level of alcohol use disorder. The levels of severity are classified as following:

    • Mild disorder: Presence of 2 to 3 symptoms.
    • Moderate disorder: Presence of 4 to 5 symptoms.
    • Severe disorder: Presence of 6 or more symptoms.

    Recognizing an Alcohol Addiction

    Alcohol use disorder may be hard to spot it. How can you know whether someone is drinking in moderation or if they have a drinking problem?

    The best way to recognize any drinking problem is by learning the drinking patterns or habits mentioned earlier.

    Some patterns, such as binge drinking, are easy to spot, but for some you may need more insights.

    People who have drinking problems may:

    • Consume alcohol to feel the buzz.
    • Drink large amounts at social gatherings.
    • Drink throughout the whole day.
    • Drive under influence.
    • Engage in trouble like picking fights.
    • Have an urge to drink every day.

    You can always check out these online alcohol screening tools and questionnaires to assess a possible problem:

    Intervention for Alcoholics

    Intervention involves a group of individuals who are ready to confront the person who has drinking problems in order to persuade them to seek treatment. This group usually consists of family members, close friends, loved ones, or even close colleagues. The goals of an intervention are to:

    • Help the addict see the problem.
    • Help them find a treatment.
    • Help them follow through by setting up consequences.

    Interventions led by certified professionals are more effective that when you attempt to approach a loved one on your own.

    A successful intervention is best when it is planned and arranged with an intervention specialist. The 7 principles of intervention for alcohol use disorder include:

    1. Meet with a certified interventionist.
    2. Plan in advance.
    3. Choose the right people to take part.
    4. Choose the right time for the intervention.
    5. Speak with respect and love, but never with anger.
    6. Follow through.
    7. Take care of yourself.

    Here are two websites where you can find certified interventionists:

    Alcohol Withdrawal & Detox Symptoms

    Alcohol withdrawal is a set of symptoms that occurs when people who are dependent to alcohol cut down their drinking or quit for good. Why does this happen?

    Your brain and body have adjust to the constant presence of alcohol because is a nervous system depressant. So, once you cut back on drinking, your body needs time to adjust. Withdrawal syndrome is actually the manifestation of symptoms meant to “reverse” the effects of alcohol. It takes time for the brain’s chemistry to even out again…but can be dangerous by provoking seizures, hallucinations, or life-threatening situations.

    For this reason, always seek medical supevision when you detox off alcohol.

    Withdrawal usually occurs within 8 hours after last drink, but symptoms can last for days or weeks. Some of the most common symptoms include:

    • Agitation.
    • Anxiety.
    • Depression.
    • Difficulty concentrating.
    • Disorientation.
    • Fatigue.
    • Headache.
    • Heightened.
    • Irritability.
    • Jumpiness or shakiness.
    • Mood swings.
    • Nausea.
    • Nightmares.
    • Sweating.
    • Tremors.
    • Vomiting.

    Moreover, some individuals may experience post-acute or protracted withdrawal symptoms (PAWS). According to SAMHSA protracted withdrawal is the presence of withdrawal symptom beyond the general timeframe.

    Some PAWS include:

    • Anxiety.
    • Depression.
    • Increased blood pressure and pulse.
    • Increased body temperature
    • Increased breathing rate.
    • Sleep disruption.
    • Tremor.

    Check out our infographic to learn a detailed list of alcohol withdrawal symptoms, with timetable of their appearance.

    Alcohol Use Disorder Treatment

    Alcohol treatment is the process of treating alcoholism. There are two main types of treatment: inpatient  rehab you live at the facility with 24/7 medical surveillance and outpatient rehab where you come and go to the facility for several hours, a few days per week. The most successful rehabs are those that implement evidence-based strategies that include:

    1. Assessment.

    The first stage of any rehab is assessment. Doctors and staff should take your full medical history, perform a physical exam, interview you for an hour or more, and help you complete paper work. Also, you may be asked to submit a blood or urine sample for drug testing.

    During assessment, the medical staff will run both physical and psychological evaluations. This stage helps clinicians to plan out the treatment plan, which can be adjusted over time.

    2. Medical detox.

    This stage provides medical supervision while you are going through the process of withdrawal.

    3. Psychotherapy.

    During this stage of treatment, you will be invited to identify the roots and underlying issues for your drinking problems. Talk therapy will help you move towards a life without alcohol, and you will learn how to live without needing to drink. Most therapies that are used in rehabs include some form of:

    • Behavioral Therapy
    • Individual Therapy
    • Group Therapy
    • Family Therapy

    4. Pharmacotherapy.

    One way to address alcohol problems is with the help of medications. Medicine combined with talk therapy leads to best results. Medications included in the treatment of a drinking problem include:

    Acamprosate may be used to reduce symptoms of protracted withdrawal, such as insomnia, anxiety, restlessness, and dysphoria.

    Antabuse (disulfiram) is used to prevent future drinking; it can make a person sick if even a small amount of alcohol is consumed.

    Barbiturates can help manage withdrawal and address specific symptoms.

    Benzodiazepines are used to address symptoms of withdrawal. Sample regimen includes 3 days of long-acting benzodiazepine (such as lorazepam, diazepam, and chlordiazepoxide) intake on a fixed schedule.

    Naltrexone blocks the rewarding effects of alcohol.

    5. Education sessions.

    This stage helps people to learn how alcohol affects and changes the brain activity, and how can drinking destroy your life. Also, during this stage, patients will learn some coping mechanism to deal with stress, triggers, and avoid relapse.

    6. Aftercare.

    Aftercare services provide support to maintain sobriety in the mounts and years after you complete the program. Most common aftercare services include:

    • Coaching.
    • Counseling therapy.
    • Living in sober house.
    • Support Groups.

    Next Steps

    Do you think that you may have drinking problems? Don’t waste your time. Admit that the problem is real, and act!

    You can reach out for help with any of the following organizations:

    American Academy of Addiction Psychiatry
    401–524–3076

    American Psychological Association
    1–800–964–2000 (ask for your State’s referral number to find psychologists with addiction specialties)

    American Society of Addiction Medicine
    301–656–3920 (ask for the phone number of your State’s chapter)

    NAADAC Substance Abuse Professionals
    1–800–548–0497

    National Association of Social Workers
    (search for social workers with addiction specialties)

    National Institute on Alcohol Abuse and Alcoholism
    301–443–3860

    National Institute on Drug Abuse
    301–443–1124

    National Institute of Mental Health
    1–866–615–6464

    Substance Abuse Treatment Facility Locator
    1–800–662–HELP

    OR, CALL OUR HELPLINE.

    According to the 2016 National Survey on Drug Use and Health there are 21 million people aged 12 or older who need treatment for alcohol and/or drug use. But many people are not getting the help that they need!  NIAAA states that less than 10% of people who need help for drinking problems receive any treatment.

    Don’t wait to be a statistic!

    Get help today.

    Reference sources: NIDA: Evidence-Based Approaches to Alcohol Addiction
    SAMHSA: Alcohol
    U.S. Department of the Interior Signs and Symptoms Fact Sheet on Drugs and Alcohol
    NIAAA: Alcohol Facts and Statistics

    View the original article at

  • Drunk Driving

    Drunk Driving

    ARTICLE OVERVIEW: This article provides a brief review of the consequences you face if you get arrested for drunk driving. 

    TABLE OF CONTENTS:

    What’s the Drunk Driving Limit?

    Alcohol is a depressant. It works by slowing down the activity of the central nervous system. When you drink, information and activity across the brain is delayed. Plus, alcohol impairs cognitive and psychomotor skills. For these reasons, drinking and driving increases the risk of:

    • Car accidents
    • Injuries
    • Vehicular deaths

    So, what’s the official limit for drink driving?

    According to the National Highway Traffic Safety Administration (NHTSA), it is illegal to drive with blood alcohol concentration (BAC) of 0.8 g/dL or higher in all 50 states, the District of Columbia, and Puerto Rico. This means that your BAC needs to be lower than 0.8 g/dL if you drive. If you’re over that limit, you’re considered to be “alcohol-impaired”.

    Alcohol Impairment >= 0.8 g/dL BAC

    However, the current limit is up for debate. There is evidence that driving impairment may occur at lower BACs. This article published in the British Medical Journal  challenges us to accept even this alcohol limit for drunk driving. The authors think that 0/8 g/dL is high, and it needs to be much lower.

    Also, there is a zero tolerance for alcohol levels in drivers who are minors, under the age of 21. You can find more info about the state policies on underage drinking and driving here. Zero tolerance is also required for operators of a commercial motor vehicle, school bus drivers, and child care vehicle drivers.

    Levels of alcohol impairment are determined by a driver’s BAC at the time of arrest.

    DUI vs. DWI

    Drunk driving is known as both DUI or DWI. Both acronyms describe the illegal act of operating a motor vehicle while alcohol and/or drugs impaired. The main difference lies in the meaning of the letters:

    • DUI= Driving Under the Influence
    • DWI= Driving While Intoxicated

    NOTE: In some states, the term ‘Driving While Intoxicated’ is referred to as “Operating While Intoxicated,” or OWI.

    These terms may sound identical, but some states classify these two conditions as separate crimes. If you live in a state that classifies them separately, a DUI is considered  a lesser level of impairment, and is charge more leniently than a DWI. In other jurisdictions, DUI is only used when the driver is alcohol-impaired, while DWI is only used when the driver is under the influence of drugs. Other states have created a zero tolerance policy which means that there is no distinction between DUI and DWI. These states mandate that any BAC over the legal limit is a crime.

    Drunk Driving Dangers

    Driving after drinking can cause direct harm and can end in death. Getting behind the wheel after few drinks can be dangerous not only to you, but also to the other drivers and pedestrians.

    Approximately one-third of all traffic crash fatalities in the U.S. involve a drunk driver.

    Roughly, over 10,000 people die every year due to driving under influence. But death is not the only danger that you are facing when DUI. Some legal consequences may include:

    … and more.

    Drunk Driving Accident Statistics

    Statistically speaking, young men aged 21 to 35 are the critical target group for drunk driving. They are most likely to drive drunk. The Centers for Disease Control and Prevention reported that in 2010, 4 million U.S. adults reported that had at least one episode of drunk driving. 81% were men, and 32% were young men aged between 21 to 34.

    In 2016, more than 1 million drivers were arrested for DUI of alcohol or narcotics. To confirm these numbers, the Federal Bureau of Investigation found that in 2016, 1,017,808 drivers were arrested for driving under the influence of alcohol or drugs. However, this is only 1% of the 111 million self-reported episodes of DUI among U.S. adults each year.

     

    Finally, the financial impact is devastating: impaired driving crashes costs our American society $44 billion annually.

    An estimated 28% of all traffic fatalities occur due to drunk driving.

    Drunk Driving Death & Fatalities Statistics

    The National Highway Traffic Safety Administration reported just over 10k fatalities in motor vehicle crashes involving drivers with BACs of 0.8 d/dL or higher in 2016. To put it another way, 28% of all traffic fatalities in 2016 were due to alcohol impairment.

    1 person dies every 50 minutes due to alcohol-impaired driving.

    The top 5 states with the highest number of drunk driving fatalities in 2016 included:

    • Texas 3,776
    • California 3,623
    • Florida 3,174
    • Georgia 1,554
    • North Carolina 1,450

    Check out all state statistics in this NHTSA pamphlet on Traffic Safety Facts.

    Moreover, this NHTSA report looks into the innocent victims of drunk driving accidents. In 2016, a total of 1,233 children were killed in motor vehicle crashes, and of these fatalities, 214 children died in alcohol-impaired driving crashes. 45% of the time, the child’s own driver was under the influence of alcohol.

    Also, CDC reports that from all motor vehicles deaths:

    • 1.3% were children aged 0 to 20 who died due to drunk driving.
    • 6.7% were young adults aged 21 to 35 who died due to drunk driving.
    • 3.1% were adults aged 35+ who died due to drunk driving.

    Men are more likely than women to be driving in fatal accidents. In 2016, 21% of males were drunk in these crashes, while only 14% were females.

    Find state-specific fact sheets made by CDC here.

    About one in three traffic deaths in the United States involves a drunk driver.

    You know what?

    This cause of these deaths is preventable.

    Indentify a designated driver or plan a safe way home when you plan to drink.

    Drunk Driving Laws

    Laws about drunk driving are set up differently by state. This is why penalties and sentences vary in every state. Commonly, laws involve a combination of the following:

    • Enormous fines
    • Jail time
    • Loss of your driving license
    • Mandated treatment

    For instance, in North Carolina, there are five levels of DWI misdemeanor:

    • Level I being the most serious with a fine up to $4,000 and a minimum jail sentence of 30 days to a maximum of two years.
    • Level V being the least serious with a fine up to $200 and a minimum jail sentence of 24 hours and a maximum of 60 days.

    Another example is California with fours days in jail for the first offense, 90 days for a second offense, and 120 days for a third offense. Texas mandates three days of jail for the first offense, 30 days for the second, and two years for the third.

    Moreover, vehicular assault or vehicular manslaughter brings severe outcomes in most of the states. For example, a person convicted of vehicular manslaughter may face anywhere from zero to 10 years in prison in California. This state recognizes two different charges: Gross Vehicular Manslaughter While Intoxicated (facing 4-10 years in state prison), and Vehicular Manslaughter While Intoxicated (up to one year in the county jail or about 16 months in the state prison).

    Additionally, different states are more or less aggressive in their DUI and DWI arrest quota. A collection of 2014 DUI arrest research reported the following results after one year of tracking:

    • California had 214,828 arrests
    • Florida had 61,852 arrests
    • New York had 25,169 arrests
    • Texas had 90,066 arrests.

    Consequences of Driving Drunk

    What’s the price for having few drinks on a night out and then driving?

    If you get arrested, some legal consequences may include:

    • Going to jail.
    • Going into court-ordered alcoholism treatment.
    • Losing the custody of your children.
    • Losing your driving license.
    • Losing your job.
    • Paying a fine.

    Moreover, if your DUI arrest is combined with a manslaughter conviction, some consequences include the loss of:

    • Custody of children, and parental rights.
    • Employment in certain fields.
    • Government financial aid for college.
    • Jury rights.
    • Professional practice licensing
    • Public housing benefits.
    • Traveling abroad rights.
    • Voting rights.

    Drunk Driving Help and Treatment

    During a DUI court hearing, the defendant will  usually be required to be evaluated by a qualified court-appointed counselor for an alcohol use disorder assessment. The job of the counselor is to review the court’s records, to conduct the screening process, and to appoint the appropriate alcohol treatment options.

    The counselor will take into account:

    • BAC at the time of arrest.
    • History of substance use treatment.
    • The alcohol-impaired offenses.
    • Possibility of other drug use.
    • Possibility of presence of any other mental health disorders.

    A treatment referral will be made of one or a combination of the following:

    1. Medical detox.
    2. Outpatient rehab program.
    3. Inpatient rehab program.
    4. Support groups.

    Once the counselor’s observation is completed, the judge can refer the convicted driver to a host of many rehab programs, starting from a few sessions to structured programs that can last several weeks or months. In some severe cases, the court can order the driver to an inpatient program, while in other cases, the court may appoint only local community services, such as Alcoholic Anonymous meetings. Also, the judge may put the driver on probation.

    Court-ordered alcohol rehab is a concern for its effectiveness. Is rehab effective when it isn’t voluntary? Many studies have well established that recovery and willingness to change must come from within the individual. However, the National Institute on Drug Abuse supports the fact that court-appointed rehab can outcome with as positive results as those who enrolled into rehab on their own. Also, the persons who enrolled into rehab under legal pressure have higher rates of attendance, and stay in rehab for longer period.

    Your Questions

    Did we answer all the questions you have about a DUI or DWI? If not, feel free to post your specific question in the comments section at the end. We will try to answer to all legitimate inquiries personally and promptly.

    Reference Sources: NCBI: The Effectiveness of Drinking and Driving Policies for Different Alcohol-Related Fatalities: A Quantile Regression Analysis 
    CDC: Sobering Facts: Drunk Driving State Fact Sheets
    NHTSA: Drunk Driving
    CDS: Impaired Driving: Get the facts
    US Department of Transportation: Drunk Driving By the Numbers 

    View the original article at

  • Alcohol Withdrawal and Detox

    Alcohol Withdrawal and Detox

    ARTICLE OVERVIEW: Alcohol withdrawal can be severe and very uncomfortable. Some symptoms, such as delirium tremens, can be dangerous or fatal. How do medical professionals treat withdrawal? We review here.

    TABLE OF CONTENT:

    Always seek medical help when you are alcohol dependent and want to quit drinking.

    Medical Detox, or Not?

    To begin, you may be wondering, “Do I need a detox clinic, or can I handle withdrawal on my own?”

    If you have become physically dependent on alcohol, you should always seek medical help when you’re ready to stop drinking.

    When it comes to treating alcohol dependence, you must be monitored 24-7. This is because severe symptoms can be triggered unpredictably, usually even a few days after your last drink. For example, seizures occur in about 25% of all withdrawal cases.  If symptoms are left untreated, you risk serious health complications or even death.

    Keep reading to learn more about common medical protocols during detox. Then, we invite your questions at the end. If you have any questions feel free to post them in the comment section below the text.

    Detox Protocols

    Detox protocols for alcohol withdrawal are often administered in inpatient rehab settings to patients under 24/7 medical supervision. Each stage builds upon the previous one. Main stages of detox and protocols include:

    1. Alcohol dependence assessment.

    Before you start detox, you will need to fill-out paper work to include insurance or payment information, personal and family history, and your complete medical history. You’ll also go through a full assessment, often an interview, or two. You can plan on blood and urine testing as wll. Moreover, the medical staff will complete physical and psychological evaluations. This stage is helpful to clinicians to plan the course of treatment and to have a baseline of data in the case that treatment requires adjustment.

    2. Supportive care.

    Clincial guides to alcohol withdrawal state that non-pharmacologic interventions are the first-line approach and, sometimes, the only approach required. A quiet room without dark shadows, bright lights, noises, and other excessive stimuli is recommended. Main supportive care for this time usually includes:

    • Frequent reassurance
    • Nursing care
    • Orientation to reality

    Also, detox clinics should provide routine examination of alcohol concentration in your system, complete blood count, renal function tests, electrolytes, glucose, liver enzymes, urinalysis and urine toxicology screening. General supportive care in a detox setting should aim to address fluid depletion, hypoglycemia and electrolytes disturbances. In these cases, treatments include hydration and vitamin supplementation. In particular, thiamine supplementation and B-complex vitamins (including folates) are essential for the prevention of Wernicke’s encephalopathy.

    3. Medications.

    Alcohol withdrawal can be hard to handle. During this stage, you will be under medical care. The acute detox period can last up to a week or longer.

    Alcohol dependence is usually treated with help of medications. The most commonly used are benzodiazepines. In fact, benzos represent the gold standard treatment for detox for their high rate of efficacy and proven ability to prevent the complicated forms of seizures or delerium tremens. Other medications used in the treatment of alcohol withdrawal include:

    • Acamprosate
    • Alpha2-agonists, beta-blockers and neuroleptics
    • Baclofen
    • Barbiturates and propofol
    • Carbamazepine
    • Gabapentin
    • Naltrexone
    • Sodium oxybate
    • Topirimate
    • Valproate

    Alcohol Withdrawal Symptoms

    Alcohol withdrawal is a set of symptoms that occur when an individual who is alcohol dependent cuts down own their drinking or stops drinking for good. It occurs because your brain and body have adopted to the presence of alcohol as normal. So, when you cut down or stop drinking, your body requires time to readjust.  It takes time for the brain’s chemistry to even out again.

    But, keep in time that withdrawal may be dangerous. The best and safest way to treat it is via constant medical care.

    Some of the most common symptoms of alcohol withdrawal include:

    • Agitation.
    • Anxiety.
    • Depression.
    • Difficulty concentrating.
    • Disorientation.
    • Fatigue.
    • Headache.
    • Heightened.
    • Irritability.
    • Jumpiness or shakiness.
    • Mood swings.
    • Nausea.
    • Nightmares.
    • Sweating.
    • Tremors.
    • Vomiting.

    Delirium Tremens

    Delirium tremens (DT) is a severe form of alcohol withdrawal. According to this synopsis on delirium trements only a few, 3% to 5%, experience this form of withdrawal. Symptoms of DT usually happen as early as 48 to 96 hours after the last drink, and can last up to 5 days.

    Some of the symptoms include:

    • Autonomic hyperactivity
    • Agitation
    • Confusion
    • Increased heart rate
    • Instability
    • Hallucinations

    Delirium tremens was first recognized as disorder of excessive alcohol use in 1813, and it has an anticipated mortality of up to 37% without appropriate treatment.

    Delirium tremens could be fatal, so it is important to treat alcohol withdrawal under medical supervision.

    Protracted Withdrawal Symptoms

    Generally speaking, symptoms of alcohol withdrawal resolve within 5-14 days, but some of the symptoms may persist for weeks and months after the last use. This condition is know as post-acute or protracted withdrawal syndrome (PAWS). According to this SAMHSA’s advisory pamphlet protracted withdrawal is the presence of withdrawal symptoms beyond the general time period.

    Some protracted symptoms of alcohol withdrawal include:

    • Anxiety.
    • Depression.
    • Increased blood pressure and pulse.
    • Increased body temperature.
    • Increased breathing rate.
    • Reduced sexual interest
    • Sleep disruption.
    • Tremors.

    Duration of Withdrawal

    Usually, it takes about 5 to 14 days for symptoms of alcohol dependence to resolve. Still, the length of alcohol withdrawal is different for each individua. Final duration of time you’ll spend in detox depends upon several personal factors such as your:

    • Age.
    • Gender.
    • General health.
    • Level of dependence.
    • Amount of alcohol you were drinking.
    • Period of time you were drinking.

    Alcohol withdrawal is the worst in the first days after the last drink.

    The first symptoms of withdrawal usually start 6-14 hours after the last drink. In fact, the onset of detox appears once a person’s blood alcohol concentration (BAC) level starts to decrease. Tremors or muscle shaking are known to be the first signs of withdrawal. Physical symptoms tend to subside sooner than psychological symptoms. These symptoms – often related to mood, sleep, or craving – may last for months or years after the last drink.

    However, withdrawal can be hard, severe, and in extreme cases fatal. So, don’t risk your life.

    Always seek medical help.

    Alcohol Withdrawal Timeline

    Symptoms of alcohol withdrawal can be divided into three stages based on the severity of symptoms and time of their appearance. Below is a list of the most common symptoms with a timetable of their occurrence.

    Stage 1 (6 to 72 hours after the last drink)

    This is the period when the alcohol leaves the system. These initial withdrawal symptoms tend to be mild, and can last a few days or longer. The symptoms include:

    • Abdominal pain
    • Anxiety
    • Insomnia
    • Fever
    • Nausea
    • Restlessness
    • Tremors

    Stage 2 (2-5 days after the last drink)

    In this stage, you can expect more severe symptoms to appear such as:

    • Agitation
    • Autonomic instability
    • Confusion
    • Disorientation
    • Delirium tremens
    • Gross tremor
    • Hallucinations
    • Paranoia

    Stage 3 (5 to 14 days after the last drink)

    During this stage, the physical symptoms should resolve while the psychological may remain for longer period if not treated. Expect some of these symptoms to appear:

    • Brain fog
    • Depression
    • Mood swings
    • Nightmares
    • Nervousness
    • Shakiness

    Individuals who drink excessively for longer periods of time usually experience more intense symptoms than those who are only recently alcohol-dependent. You can find a detailed alcohol withdrawal timeline in our infographic here. This graph depicts the course of time during which alcohol withdrawal symptoms manifest, peak, and fade:

    Medications Used in Detox

    Alcohol withdrawal can be hard to deal with it. So, pharmacotherapy is often required. The most common medications used in alcohol detoxification process include:

    Acamprosate. This medicine addresses protracted withdrawal symptoms such as anxiety, dysphoria, insomnia, and restlessness.

    Barbiturates: These medications were widely used to manage alcohol withdrawal symptoms, but today, the therapy with barbiturates is replaced with benzodiazepines.

    Benzodiazepines. Treating alcohol with benzodiazepines is one of the most common therapies for addressing withdrawal. It is th “gold standard”. In general, the treatment includes 3 days of long-acting benzodiazepine use on a fixed schedule. The most comonly used benzos include:

    • Ativan (lorazepam)
    • Librium (chlordiazepoxide)
    • Valium (diazepam)

    Naltrexone. This medication blocks the rewarding receptors in the brain by diminishing the pleasurable effects of alcohol.

    Treatment for Alcohol Addiction

    Drinking too much may cause serious problems to health, home, and social life. Admitting that you have a problem is the first step of your recovery. But, enrolling into rehab can help you restart your life. There are two main types of treatment programs for alcohol addiction: inpatient and outpatient.

    1. Inpatient treatment.

    This treatment requires living at a rehab facility for a certain period of time, and it is usually recommended for people who are diagnosed with moderate to severe levels of alcoholism. Inpatient treatment is also suitable for people who do not have a home support network. During treatment, you can expect 24/7 medical supervision, educational sessions, and talk therapy. Moreover, the daily regimen includes regular meal times, sleeping hours, and exercise. Finally, community support is fits in the whole process. Inpatient program can last 30, 60, or 90 days. In some cases, it can last up to a year or more.

    2. Outpatient treatment.

    This treatment offers the same services, except that patients don’t sleep at the facility. They come and go to the center for a few hours a day, several days weekly. During the time there, you will meet with an addiction counselor for individual therapy. Also, you will have group therapy and education sessions. This treatment is more flexible because you can stick with a normal routine. Outpatient programs can be adjusted in length and may be extended for a period of a few months or a year.

    Is treatment for alcohol use disorder helpful?

    The answer is yes, always yes!

    According to the National Institute on Alcohol Abuse and Alcoholism most people with drinking problems can benefit from some form of treatment. About one-third of people who receive any treatment have no further symptoms one year later, while others substantially reduce their drinking.

    Moreover, alcohol treatment programs that are structured on evidence-based approaches are effective.

    So, don’t waste your time, admit that you have a drinking problem, and reach out for help! For more information, we recommend that you check out any of the following organizations:

    American Academy of Addiction Psychiatry
    401–524–3076
    American Society of Addiction Medicine
    301–656–3920 (ask for the phone number of your State’s chapter)
    NAADAC Substance Abuse Professionals
    1–800–548–0497
    National Institute on Alcohol Abuse and Alcoholism
    301–443–3860
    Substance Abuse Treatment Facility Locator
    1–800–662–HELP

    OR, CALL OUR HELPLINE.

     

    1 in 18 people aged 12+ had alcohol use disorder in 2016.

     

    Reference sources: NIAAA: Complications of Alcohol Withdrawal
    NIAAA: Introduction to Alcohol Withdrawal
    Medline Plus: Alcohol withdrawal

    View the original article at

  • The Genetics of Alcoholism

    The Genetics of Alcoholism

    ARTICLE OVERVIEW: Scientists still have not identified the combination of genes thought to increase risk of alcohol problems. In this article, we outline the possible risk factors and share some tips on how to protect yourself if you are genetically predisposed to becoming an alcoholic. Then, we welcome your questions at the end.

    ESTIMATED READING TIME: 10 minutes.

    TABLE OF CONTENTS:

    Alcohol Addiction and Genetics

    Alcohol is the #1 drug in the world. It’s consumed everywhere, from places of work to places of worship. But what can be causing alcoholism? And do your genes have something to do with it?

    Maybe.

    Genes are passed on by our parents, and some of those genes contain predisposition towards alcohol use disorder (AUD) and alcoholism. But just how much those genes influence us is still up for debate. According to the study Genetics and Alcoholism alcoholism is a complex genetic disease, with variations in a large number of genes affecting risk. So, what puts some people more at risk than others?

    Most of us can see that alcohol use disorder run in some families. For example, if you have a drinking problem and create a Family Map, you can probably identify multiple people across many generations that also struggle with alcohol. Further, among people who drink too much, those who are genetically predisposed have a higher risk of developing alcohol use disorder.

    However, even though people can have ‘the alcoholic gene’, it doesn’t mean that they will become alcohol dependent. Social and environmental factors play a huge role in becoming an addict.

    In sum, it is true that our genetic structure determines human traits such as physical characteristics (eye and hair color) and behavioral characteristics, including aggression and depression. But the truth is that there are many factors that create the perfect environment for alcohol problems. And our genes DO NOT INFLUENCE US AS MUCH AS WE THINK.

    Main Genetic Studies

    It ihas been established that genetics is responsible for alcohol use disorder about 50% of the time. However, genetic expression is more complex field then we think. How genetic material can influence the ‘final product’ of one person is still unknown. So, what landmark studies back this up?

    There are numerous studies that work on identifying the genes that can lead to alcoholism. The DRD2 gene was the first gene that showed promise of revealing the connection of alcoholism and genetics. Also, researchers at  the University of California in San Francisco UCSF are studying the fruit flies to find the genetic traits of alcoholism claiming that drunken fruit flies behave in the same way humans do when they drink.

    According to this study funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), Genetic Research: Who Is At Risk for Alcoholism? researchers concluded that many twin, adoption, and family studies conclusively demonstrated that genetic factors account for 50 to 60 percent of the variance in risk for developing alcoholism.

    And to move the field forward, the NIAAA started the Collaborative Studies on Genetics of Alcoholism (COGA), a large–scale family study designed to identify genes that affect the risk for alcoholism and alcohol–related characteristics and behavior. COGA holds data on more than 2,255 extended families and more than 17,702 individuals that struggle with alcoholism.

    If you like to learn more about the main studies that contributed to this topic check out this collection of studies: A Brief History Of Research on the Genetics of Alcohol and Other Drug Use Disorders. 

    Certain combinations of genes that hold alcohol dependency material may increase your risk of developing alcoholism. 

    The “Alcoholic Gene”

    Do you believe that only one gene is responsible for inheriting alcoholism?

    You are wrong!

    There are hundreds of genes in one’s DNA that can increase the risk of developing an alcohol use disorder. Each gene plays a different role in your personal traits, and certain combinations of these genes may hold the key of alcoholism. The study Genes Contributed to The Development of Alcoholism claims that the genes most strongly implicated are those encoding the key enzymes of alcohol metabolism: ADHs and ALDHs.

    Moreover, COGA lists several genes that are connected to the development of alcoholism. These can include:

    DNA Regions with Susceptibility Genes. Genetic analysis has provided evidence that regions on 3 chromosomes contain genes that increase the risk for alcohol use disorder. Regions on chromosomes 1 and 7 have the strongest evidence, while regions on chromosome 2 have more modest evidence.

    DNA Regions with Protective Genes. In cases where one sibling is dealing with alcoholism while the other is nonalcoholic, there is an evidence of a protective gene found in the region of chromosome 4. This means that variants of a gene or genes in this region may reduce risk of becoming alcohol dependent.

    DNA Regions Related to Symptoms of Alcoholism. Signs and symptoms that are used to diagnose alcohol use disorder are very diverse, and range from biological symptoms to social symptoms. However, each individual who deals with AUD holds a unique set of symptoms. Therefore, a diagnose for AUD does not have a strict uniform phenotype. This fact complicates genetic analyses, but COGA researchers have created more defined phenotypes that are focused on the level of severity of alcoholism. These data provide evidence of DNA regions on chromosome 16 associated with higher risk for more severe drinking problems.

    DNA Regions Associated with Co–Occurring Disorders. Many people diagnosed with depression also develop alcoholism. Depression and alcoholism are linked to a gene/or genes found in the region of chromosome 1.

    DNA Regions Linked with Electrophysiological Measures. Reduced electrophysiological variables, such as EEGs (that measure brain activity) and ERPs (are brain waves elicited as a response to specific stimuli) seem to be a heritable phenotypes found in many cases of alcohol use disorder.

    Candidate Genes. Some genes encode components of various brain chemicals such as dopamine and serotonin that allow communication among cells. If some of these routes of communications are disturbed, the person may be prone to using substances.

    You can find more information on genes that put you at risk of becoming alcohol dependent here:

    Main Findings

    Just to clarify, there is still no clear evidence of what genes you need to have to be prone to becoming alcohol dependent. Specialists create theories that need to be more thoroughlt tested and elaborated upon. Additional work is required.

    All theories and studies into the genetics of alcoholism share a common finding: alcohol changes in an addict’s brain activity.

    Many substances affect the ‘reward circuit’ of the brain by releasing larger amounts of dopamine. This circuit regulates the ability to feel pleasure, and encourages a person to repeat the action that cause pleasure. If a person repeats the action over and over again, the brain starts to change, adopting the action as a normal and losing the ability to resist intense impulses (cravings).

    And it is this change in brain function that makes it difficult to quit drinking. Here’s an explanation from the National Institute on Drug Abuse (NIDA) about how the brain responds to drugs like alcohol.

    Genetics are only 50% responsible for the development of an alcohol use disorder.

    Environment vs. DNA

    Only 10% of people who consume alcoholwill go one to develop physical or mental dependency on alcohol.

    So, how do genes affects alcohol addiction?

    Genetics only make up half of the whole alcohol problem. Environment plays a huge role in becoming dependent. For instance, some people cannot deal with stress, and are unable to cope with hard relationships or work. So, as a coping mechanism they choose drinking. Also, people who are exposed to substances for longer time, are more likelyto become dependent. Moreover, a traumatic event may be the cause for one individual to turn to alcohol.

    Some of the numerous environmental factors can include:

    • Attitudes and beliefs.
    • Bad parenting.
    • Culture background.
    • Financial status.
    • Life qualities.
    • Physical abuse.
    • Peer pressure.
    • School factors.
    • Sexual abuse.

    … and many more.

    The SAMHSA’s National Survey on Drug Use and Health report of 2016 estimated that 15.1 million people aged 12 or older had alcohol use disorder in the previous year. This means that 1 in 18 Americans had drinking problems. But, can we blame genetics for all these cases?

    Of course not.

    If you are genetically prone to developing alcohol use disorder, it doesn’t necessarily mean that you will become an alcoholic. As you begin to understand the genetics of addiction … you need to know that alcoholism is not an inevitability. Having genetic predisposition to alcohol problems simply means that you are at higher risk of a problem. And while drinking begins as a choice, many studies suggest that alcoholism is largely connected with an individual’s control.

    So, the choice to raise a glass is yours. You make the decision to try alcohol, or not. Even though you may hold a high genetic risk of AUD, most people are first driven to try alcohol by a nonhereditary factor, which is usually environmental in nature. Here’s a diagram of the relationship between genes and environment that might provide you with a visual aid to understand the interplay:

    Alcoholism Genetic Risk Factors

    Many factors play a role in developing a drinking problem. These factors interact differently for different people. So, the same factors might lead to alcoholism in some, and not in others. The risk factors are divided into two categories:

    External factors:

    • Age
    • Cultural norms
    • Education
    • Employment status
    • Environment
    • Family
    • Social norms
    • Religion

    Internal factors:

    • Drinking history
    • Genetics
    • Personality
    • Personal choice
    • Psychological conditions

    For example, findings published by the NIAAA show that children of alcoholics are about four times more likely to develop alcoholism than the general population. These children are also at high risk for many other behavioral and emotional problems. Genes are not the only factor in these cases, how alcoholic parents act and treat their children play a huge role in developing drinking problems. Some aspects that may increase the risk for alcoholism include:

    • An alcoholic parent is depressed or has other psychological issues.
    • Both parents drink alcohol and/or use other substances.
    • Conflicts because of alcohol use lead to aggression and violence in the family.
    • Parent’s alcohol use is severe.

    To repeat, a combination of these risk factors may be the cause of alcohol use disorder for some, but not for others. This fact makes it difficult to predict who might become alcoholic, and who will not.

    Avoiding a Problem

    So, how can you protect yourself from a drinking problem? How can you avoid alcoholism if it runs in your family? The first thing you need to do in order to protect yourself is to learn your family history regarding alcoholism. Make a Family Map with an addiction counselor or other behavioral health professional…or you can learn how to make a family map here.

    If you are among millions of people who have a parent, grandparent, or other close relative with drinking problems, there is a way to protect yourself by lowering these risks:

    Avoid underage drinking. Underage drinking is illegal at the first place. Second, studies show that the risk of developing alcohol use disorder is higher among people who started drinking at early age.

    Drink in moderation. Adults who choose to drink should drink in moderation. Not only because of the risk of alcoholism, but also because alcohol may cause many health problems.

    Consult with a health care professional. Never hesitate to ask for help! Discuss your issues with professionals. They can help you find a suitable treatment or groups that can help you manage your alcohol problems.

    The good news? Many children of alcoholics do not develop drinking problems. Awareness and action are key!

    What’s Your Risk of Alcoholism?

    Do you think that you may be at risk of developing alcohol use disorder? How can you be sure? The National Institute on Alcohol Abuse and Alcoholism outlines general guidelines.

    For women, problem drinking is:

    • Drinking more that 1 standard drink daily.
    • Drinking more than 7 drinks weekly.
    • Drinking more than 3 drinks on any single day.

    For men, problem drinking is::

    • Drinking more than 2 drinks daily.
    • Drinking more than 14 drinks weekly.
    • Drinking more than 4 drinks on any single day.

    Moreover, there are also two ‘at-risk’ drinking patterns that can lead to alcohol use disorders:

    1. Binge drinking – It is a drinking pattern that levels up the blood alcohol concentration (BAC) to 0.8 g/dl or above, which is usually happening after 4 drinks for women, and 5 drinks for men in a one drinking session of about 2 hours.

    2. Heavy drinking is a binge drinking on 5 or more days in one month period.

    Did you find yourself in some of these patterns?

    Don’t wait until it’s too late, reach out for help!

    Top 10 Alcohol and Genetics Facts

    If drinking problems run in you family, don’t worry… It doesn’t mean that you will become addicted to alcohol. After all, even though you may have the ‘alcoholic gene’, alcoholism does not need to be your destiny. You are just at risk.

    Below is a list of 10 facts about alcohol and genetics:

    1. Genetics is about 50% responsible for developing alcohol use disorder.
    2. One gene is not responsible for causing alcohol problems. A certain combination of hundreds of genes in individual’s DNA can increase the risk of developing alcoholism.
    3. Having the ‘alcohol gene’ doesn’t mean that you will become an alcoholic.
    4. Children with an alcoholic parent are four times more likely to develop alcohol use disorder.
    5. Only 10% of people who drink become alcoholics.
    6. Even though you may begenetically predisposed to alcoholism,your choice to try alcohol in the first place is usually triggered by envinronmental factors.
    7. A combination of external and internal factors may lead to drinking problems.
    8. Environmental factors play a huge role in developing alcoholism.
    9. Drinking excessively over a long period of time puts you at higher risk of a drinking problem, even if you are not genetically predisposed to alcohol use disorder.
    10. Scientists still haven’t identified which genes are responsible for increasing the risk of developing alcohol use disorder.

    Reference sourses: NIAAA: Genetics of Alcohol Use Disorder
    NIAAA: A Family History of Alcoholism
    NIAAA: Collaborative Studies on Genetics of Alcoholism – Study
    NCBI: Genetics and Alcoholism 
    NCBI: Genetic factors influencing alcohol dependence

    View the original article at

  • Alcoholism Causes and Risk Factors

    Alcoholism Causes and Risk Factors

    ARTICLE OVERVIEW: Many risk factors contribute to a drinking problem. We review the major ones, starting with psychological and then looking at genetic and cultural factors.

    ESTIMATED READING TIME: 5-10 minutes

    TABLE OF CONTENTS:

    Causes of Alcoholism

    Alcoholism is also known as “alcohol use disorder” (AUD). It is a chronic brain disease that can impact anyone no matter the gender, age, ethnicity, personality, nor body type. Everyone is at risk. But how does alcoholism begin?

    A drinking problem doesn’t usually happen over night. Most cases develop gradually over a period of time. While it can sometimes develop quickly and aggressively, an AUD usually takes a longer period to develop. According to SAMHSA’s national survey on drug use and health,over 15 million Americans aged 12 or older had an alcohol use disorder in 2016. What are the causes for this difficult disease?

    There is no fixed formula for the onset of an AUD. Many studies has shown that alcoholism is influenced by a variety of factors. These factors interact differently in each person causing alcohol disorder in some, and not in others. The risk factors can be divided into two categories:

    External factors:

    • Age
    • Cultural norms
    • Education
    • Employment status
    • Environment
    • Family
    • Social norms
    • Religion

    Internal factors:

    • Drinking history
    • Genetics
    • Personality
    • Personal choice
    • Psychological conditions

    The numerous risk factors make it impossible to predict whether any person will develop alcohol use disorder. They just increase the chance that a person will develop this disorder. Even if you have some of the risks factors it doesn’t mean that you will become an alcoholic.

    But, regardless of when the drinking problems start or what caused them, there are many options for treatment that can help you get back your life on track. Do not waste time, reach out for help as soon as possible.

    Psychological Factors

    People with certain psychological conditions are at higher risk of developing alcohol use disorder. Many people with psychological disorders turn to alcohol as a coping mechanism for their disorder. For instance, individuals with depression claim that alcohol elevates their mood, while those with schizophrenia claim that drinking quiets down the voice in their head. One study published in the journal BioMed Central estimated that:

    • More than 40% of people with bipolar disorder can develop a drinking problem.
    • More than 45% of people diagnosed with schizophrenia can develop a drinking problem.
    • More than 25% of people with major depression can develop a drinking problem.
    • More than 80% of people with anti-social personality disorder can develop a drinking problem.

    Personality Factors

    Person’s personality is clearly associated with drinking patterns. There are many theoretical models showing connection between effects of personality on alcohol use and its problems.

    Indeed, some personalities are more prone to developing alcohol use disorder than others. Numerous studies show links between specific personality traits and alcohol abuse. Some of the most common traits related to alcohol abuse include a person’s impulsiveness/ disinhibition and these five traits:

    • Agreeableness.
    • Conscientiousness.
    • Extraversion.
    • Neuroticism.
    • Openness to experience.

    Still, a recent meta-analysis suggests that among the five-factor traits only low conscientiousness, low agreeableness, and high neuroticism are significantly linked to alcohol use disorder.

    In sum, there are numerous theoretical models with varying degrees of empirical support whose goal is to answer the question how and why certain personality develop drinking problems. Keep in mind that these models are neither all-inclusive nor mutually exclusive. Check out this illustration of multiple pathways related to personality that show alcohol use disorder might develop:

    Personal Choice Factors

    The personal choice to start drinking is a risk factor of developing alcohol dependence. For example, an individual who has decided that they will never have a drink, can obviously not develop an AUD. Also, people who choose to avoid social situations where drinking occurs heavily, are less likely to develop dependence.

    On the contrary, people who love to socialize with few drinks, are more prone to developing alcoholism.

    Whether you are at risk of developing alcohol use disorder or not, the choice to try alcohol is yours. You make the decision to try it or not.

    Drinking History Factors

    An individual’s drinking history plays an important part of developing alcohol use disorder. People who started drinking at early age, and continue into their adulthood are at high risk of becoming alcohol dependent.

    Also, the National Institute on Alcohol Abuse and Alcoholism lists few drinking patterns that show drinking problems:

    For women, problem drinking is:

    • Drinking more that 1 standard drink daily.
    • Drinking more than 7 drinks weekly.
    • Drinking more than 3 drinks on any single day.

    For men, problem drinking is:

    • Drinking more than 2 drinks daily.
    • Drinking more than 14 drinks weekly.
    • Drinking more than 4 drinks on any single day.

    Binge drinking, by definition is a drinking pattern that builds up the blood alcohol concentration (BAC) to 0.8 g/dL or more. This usually happens after 4 drinks for women, and 5 for men in one drinking session. Heavy drinking is a binge drinking on 5+ days in a period of one month.

    Even though a person may have a genetic predisposition to developing alcohol use disorder, it doesn’t mean that they will become alcoholic.

    Genetic Factors

    NIAAA’s genetic research shows that genetic factors account for 50 to 60 percent of the variance in risk for developing alcohol use disorder. Moreover, children of alcoholic parents have an approximately four times greater risk of becoming alcoholic themselves.

    Still, there is no empirical data that identifies what genes are responsible for increasing the risk of becoming alcohol dependent.  However, there are many genes in person’s DNA that can increase the risk of becoming alcohol dependent. A combination of these genes with personality traits, and various environmental factors may have the key of alcoholism. Check out this diagram to help you see the relationship between genes and environment of developing AUD:

    Familial Factors

    If alcoholism runs in your family, the risk of developing alcohol use disorder is higher that for someone who does not have a family history of AUD. Growing up around a parent who struggles with alcohol problems may change your perspective: you may see drinking as normal, and fall victim to bad habits, or learn the negative effects of alcohol, and never touch it.

    Even though genetics and familial (heredity) are closely linked, there is a difference when discussing genetic versus familial diseases:

    • A person with genetic disease has abnormality in their genome.
    • A person with a familial disease has received a genetic mutation from their parents’ DNA.

    Environmental Factors

    Environment has a huge impact on becoming alcohol dependent. How? For example, if a person cannot cope with stress, they might choose drinking as a way to deal with the stress. Moreover, if an individual has experienced a traumatic event, the chances to turn to drinking are enormous.

    Some of the many environmental factors related to alcoholism include:

    • Attitudes.
    • Bad parenting.
    • Beliefs.
    • Culture.
    • Financial power.
    • Lifestyle.
    • Physical abuse.
    • Peer pressure.
    • Sexual abuse.

    Religious Factors

    Every religion has a different view towards alcohol use. Islam promotes total abstinence, while Catholicism have integrated alcohol use into some religious ceremonies. One study published in the journal Drug and Alcohol Dependency showed that individuals who viewed their religion as promoting abstinence were less likely to develop alcohol dependence. Also, drinking was highly associated with person’s religious commitment: if the religion promoted abstinence the percentage of reduced drinking was higher.

    Moreover, the U.S. National Alcohol Survey showed diverse patterns of abstention and drinking that shows that religion is important for drinking behaviors.

    Social and Cultural Factors

    Alcohol use varies across gender and ethnicity. Worldwide, men drink more than women. According to the 2013 National Survey on Drug Use and Health, American men drink more than women:

    • Regular drinking: 56% vs. 47%
    • Binge drinking: 30% vs. 16%
    • Heavy drinking: 9% vs. 3%.

    Among ethnic and racial groups, Caucasians report the highest rate of alcohol use among people aged 12+, while American Indian/Alaska Natives report the highest rate of binge drinking. Moreover, this SAMHSA’s report shows the following rate on demographics and addiction rates:

    • American Indian/Alaska Native: 14.9%
    • Native Hawaiian and Other Pacific Islander: 11.3%
    • Hispanic: 8.6%
    • Caucasian: 8.4%
    • African American: 7.4%
    • Asian: 4.6%

    Additionally, this analysis show that there are many underlying social and cultural factors contributing to the numbers above. For instance, people with high socioeconomic status tend to drink more frequently than others, while people with low socioeconomic status tend to drink in larger quantities of alcohol.

    On the other hand, cultural norms play a huge role in developing AUD. African Americans and Latinos report more conservative claims towards alcohol use compared with Whites. However, some studies have found out that drinking problems differ across Latino subgroups, such as higher rates of alcohol use disorder among Mexican-American and Puerto Rican men compared with Cuban Americans and Central and South Americans. As a cultural norm, machismo, which is a cultural influence for many generations of Latino male identity, suggest that Latino men attempt to appear strong and masculine because of cultural values, and drinking huge amounts of alcohol is one of the ways to show masculinity. On the contrary, Asians are believed to have higher abstention rates.

    Also, alcohol consumption can be linked to a complex array of factors overlapping with each other, ranging from individual to cultural and societal factors. High social status suggest that social networks and connection influence overall health. For example, people who have higher levels of social support are thought to be healthier because they have better links and access to health services, and greater financial support.

    Finally, this NIAAA pamphlet shows that the Native American population have a 60 percent lifetime prevalence rate for the development of alcohol use disorders and alcohol dependence.

    Read this study Social and Cultural Contexts of Alcohol Use published in the journal Alcohol Research: Current Reviews to find more social and cultural risk factors including:

    • Discrimination factors.
    • Immigration factors.
    • Community factors.
    • Societal Influences (advertising, marketing, and social media).

    Age Factors

    One of the important risk factors for developing alcoholism is the age when you start drinking. The earlier a person starts to drink, the bigger the chances are they continue to drink in future. Also, regular drinking increases the risk of developing alcohol use disorder.

    Even though it is illegal to drink before 21, many teenagers consume alcohol around 13 to 15 years old. According to this survey:

    • 26% of 8th graders reported drinking in the past month.
    • 40% of 10th graders reported drinking in the past month.
    • 51% of the 12th graders reported drinking in the past month.

    Moreover, binge drinking is a popular pattern among youngsters.

    Drinking at an early age increase the risk of alcohol abuse, but alcoholism as a disease doesn’t spare anyone. It can affect anyone at any age.

    Educational Factors

    According to this study, education levels affect your risk of a drinking problem. Individuals who dropped out from high school were about 6 times more to develop alcohol problems, while college dropouts were 3 times more to become alcohol dependent.

    Career Factors

    Careers can be exhausting, and many individuals seek coping mechanism in drinking. High levels of stress, long working hours, and strenuous tasks are only few factors that may produce negative effect on the person.

    According to this CBHSQ Report, 8.7 % of full-time workers aged 18 to 64 drank heavily in the past month. The highest rate of drinking was noticed in mining (17.5%) and construction industry (16.5%).

    How Alcoholism Risk Factors Affect Treatment and Relapse

    All risk factors for developing alcohol dependence affect the treatment on many levels. For example,

    • This study published in the Journal of Ethnicity in Substance Abuse found that Spanish speaking individuals are less likely to perceive a need for treatment and seek treatment services than the general public. Also, women face more barriers to access substance abuse treatment, and are less likely to seek help.
    • According to NIAAA, women tend to seek help in mental health or primary care settings rather than in specialized programs.
    • People with stressful and high-end professions may consider addiction as shame and stigma, while people that are uninsured or have low income may have troubles finding treatment to their standard.
    • Moreover, depression is a major trigger for relapse. But, relapsing does not mean that you have failed. Relapse means that you need to reevaluate your treatment, and find the one that fits your needs. Also relapse makes you aware of the triggers around you.

    However, treatment works!

    Evidence-based treatment that is customized by the needs of the patient is overwlehmingly successful. NIAAA has found that about one-third of people who are treated for alcohol problems have no further symptoms a year later, while many others have reduced their drinking habits.

    So, don’t put life on hold. Gelp help! Or, seek help for a loved one.

    The time to act is now.

    Reference sources: NCBI: The Multiple, Distinct Ways that Personality Contributes to Alcohol Use Disorders
    NCBI: Genetic factors influencing alcohol dependence
    NCBI: Religion and alcohol in the U.S. National Alcohol Survey

    View the original article at

  • Alcohol and the Liver

    Alcohol and the Liver

    ARTICLE OVERVIEW: Heavy drinking can result in serious alcoholic liver diseases including cirrhosis, hepatitis, fatty liver, and even cancer. But, liver damage can be reversed. How? We review here.  If you have additional questions, feel free to post them in the comments section at the end.

    TABLE OF CONTENTS:

    What is Liver Damage?

    The meaty, reddish-brown organ known as the liver has a huge role in filtering the blood, and is active in digesttion, absorbtion, and the processing of food. Moreover, it detoxifies chemicals or toxins that make their way into our bodies, and metabolizes drugs. How does alcohol cause liver damage?

    Alcohol stays in the bloodstream until it is metabolized by the liver, during which it can do much harm to this organ.

    Let’s explain the process a little more clearly. The liver can metabolize a certain amount of alcohol at any given time, But if you drink excessively, chronically, or too quickly, your liver cells struggle to process it. This can result in developing serious alcoholic liver diseases such as:

    • Alcoholic hepatitis
    • Cirrhosis
    • Fatty liver

    Alcohol liver disease is the development of liver damage as a result of heavy drinking.

    Risk Factors

    According to the Centers for Disease Control and Prevention there are 4.9 million adults diagnosed with liver disease, while just over 21K people died from alcoholic liver disease. So, who is at risk of developing liver disease?

    Typically, most heavy drinkers develop serious alcoholic liver disease. This is why alcohol consumption accounts for approximately 3.8% of all global deaths and 4.6% of global disability-adjusted life-years. Further, people who drink excessively are at a higher risk of developing an alcoholic liver disease. Those who do not follow the guidelines on standard drinking are directly exposed to liver diseases, which may have a fatal outcome.

    MedlinePlus reports that liver trouble is common in people between 40 and 50 years old, and men are more likely than women to develop liver disease. Keep in mind that women are not immune to alcoholic liver disease. In fact, they can develop this condition after less exposure to alcohol than men.

    Metabolism

    The liver is a filter of the human body: it breaks down and gets rid of harmful substances in the body. The liver further transforms vitamins, nutrients, and medicines into substances needed by the body. So, just how is alcohol metabolized in the liver?

    90% of alcohol is metabolized in the liver by oxidation via action of the enzyme called “alcohol dehydrogenase (ADH)”, while less than 10% is eliminated in breath, sweat, and urine. Alcohol is absorbed into the system more rapidly than it is metabolized, and this is the reason why alcohol levels build up in the body. In fact, one unit of alcohol stays in the body up to 2 hours after being consumed. This time frame increases with each drink. The higher the blood alcohol concentration, the longer it takes to process alcohol.

    How Alcohol Affects the Liver

    But the liver can only process a certain amount of alcohol at a time. So, when someone drinks too much, the alcohol that is unprocessed circulates through the bloodstream.

    Q: How much alcohol does it take to damage the liver?
    A: The amount of damage that alcohol causes depends on the drinker and individual factors.

    Experts know that heavy drinking (as well as chronic drinking) destroys liver cells, causing serious damages such as cirrhosis, alcoholic hepatitis, and the cellular mutation that leads to liver cancer. So, the American College of Gastroenterology has set out guidelines that state: “Prolonged abstinence is the most effective strategy to prevent disease progression.”

     

    Alcohol and Cancer

    Can alcohol cause liver cancer?

    YES!

    Drinking too much alcohol regularly can damage the liver, leading to scarring and inflammation, which also raises the risk of developing liver cancer. According to this NIAAA’s synopsis on alcohol liver diseases, people with alcohol-related cirrhosis are at much higher risk for development of liver cancer.

    Hepatocellular carcinoma (liver cancer) is the eighth most frequent cancer worldwide, accounting for approximately 500,000 deaths annually.

    How does alcohol cause liver cancer?

    Alcohol is converted in our bodies into the toxic chemical, acetaldehyde. This toxin can cause cancer by damaging DNA and stopping cells from repairing liver damage. Also, it makes liver cells grow faster than usual, and these cells are more likely to pick up changes in their genes. This is why the International Agency for Research for Cancer has classified acetaldehyde together with alcohol use as carcinogenic for people.

     

    However, scientists are still limited in their understanding. Even though there is much plausible evidence, the mechanisms about how alcohol causes carcinogenic effect have not been defined in depth.

    Alcohol and Cirrhosis

    One of the most serious alcohol liver diseases is cirrhosis. This disease replaces normal liver tissue with scar tissue, disrupting blood flow, and preventing the liver from working properly.

    Signs of cirrhosis include:

    • Abnormal accumulation of fat in normal liver cells.
    • Liver enlargement or inflammation.
    • Redness of the palms caused by capillary dilation.
    • Shortening of muscles in the fingers caused by toxic effects or fibrous changes.
    • Thickening and widening of the fingers and nails.
    • White nails.

    Why does alcohol cause liver cirrhosis?

    Currently, there are no empirical studies that adequately explain why and how alcohol consumption causes cirrhosis. Regardless, the correlation between drinking and this disease is strong. Our federal institute of health reports that between 40% to 90% of the 26,000 annual deaths from cirrhosis are alcohol-related.

    Even further, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that about 10% to 15% of people diagnosed with alcohol use disorder develop cirrhosis, and many are unaware that they have it. In fact, about 30%-40% of the cases with cirrhosis are diagnosed at autopsy. Moreover, the NIAAA states that 5-year survival rate of people with cirrhosis is about 90% for those who stopped drinking, while it is 70% of those who didn’t stop drinking.

    Symptoms of Liver Disease

    Some common early symptoms of liver disease include:

    • Abdominal pain.
    • Appetite loss, and weight loss
    • Energy loss.
    • Small, red spider-like blood vessels on the skin.

    As the function of the liver worsens, more serious symptoms take place:

    • Abdomen swelling.
    • Dark urine.
    • Discolored stool.
    • Confusion and problem thinking.
    • Itchy skin.
    • Fatigue.
    • Leg swelling.
    • Nausea and/or vomiting.
    • Readiness on the palms.
    • Unusual bruising.
    • Yellowish skin and eyes.

    Diagnosis of alcoholic liver disease is made with biopsies, but laboratory tests can help too. If you notice any of these symptoms, consult with a physician ASAP.

    Can the Damage Be Reversed?

    The only organ in the body that has the ability to regenerate its damaged tissue with new cells is the liver.  So, most people want to know, “Can alcoholic liver damage be reversed?”

    Yes, liver damage can be reversible… if you stop drinking.

    One study on alcohol-related cirrhosis found that alcohol abstinence is a key factor in the survival rate, even in the most severe cases. Its findings show that abstinence from alcohol at one month after diagnosis of cirrhosis was one of the most important factors determining survival: 7-year survival of 72% of people who stopped drinking in comparison with 44% of people who continue to drink.

    However, the liver may get overwhelmed, and it can lose the function to repair itself completely. This usually happens if it is still “under attack” from drug use, continued drinking, or a virus. In these cases, a scar tissue develops, which becomes difficult to reverse.

    Lifestyle changes can support the liver more than you think. You can start taking care of yourself (and your liver) with these simple life changes:

    • Stop drinking.
    • Eat a healthy diet low in salt.
    • Consult regularly with a healthcare provider.

    While there is no safe amount of alcohol beverage to consume, many reputable sources report that if you drink in moderation (one drink per day for women, and two for men) you will do less harm to the liver. But, liver disease due to alcohol consummation is avoidable. Why drink, and put yourself at risk, when you can do more for your health?

    The best way to take care of your liver is to stop drinking.

    Treatment for Alcoholism

    If you are struggling with liver disease, alcohol addiction can be trated. In these cases, it is important to find evidence-based treatment for alcoholism. There are two main types of alcohol rehab programs: inpatient and outpatient.

    Inpatient treatment provides constant medial care and supervision because patients live at the facility. This type of treatment is designed to help people with moderate to severe addictions. Some of the services include:

    • Detox services.
    • Educational classes.
    • Group therapy.
    • Individual therapy.
    • Medication and medical support.

    Outpatient treatment provides similar services, but patients do not live at the facility. They visit the rehab center for few hours at day, several days weekly. This treatment is designed for people who are willing to change, have mild cases of addiction, and have emotional support from loved ones at home.

    If you have drinking problems, don’t wait. Seek help as soon as possible. We can help, you only need to reach out. Feel free to leave us a question at the end…or give us a call.

    Reference sources: NCBI: Pathophysiology and Management of Alcoholic Liver Disease
    NIAAA: The Epidemiology of Alcoholic Liver Disease
    NIH: Exploring Alcohol’s Effects on Liver Function 
    NCBI: The Burden of Cancer Attributable to Alcohol Consumption
    NCBI: Alcohol Metabolism 
    NCBI: Reversal of liver cirrhosis: current evidence and expectations

    View the original article at

  • Booze on Campus: The Problem of College Drinking & Why It’s Bad

    Booze on Campus: The Problem of College Drinking & Why It’s Bad

    Why the ‘Age Excuse’ for College Drinking Is Toxic

    Is abusing alcohol a foregone conclusion when it comes to the college experience? Is binge-drinking on university campuses a product of tender age, a lack of supervision and supercharged hormones? And can we really expect our students to outgrow it in time to enter the workforce and figure out how to contribute something to society?

    Don’t mistake these questions for prudishness. When used responsibly, alcohol can be a fun addition to some social experiences. But for every peer-reviewed study that illuminates college drinking and how it affects our later lives, there’s another raft of disinformation or willful ignorance to contend with. When we’re not ignoring alcohol abuse at college, we’re letting it become a running joke in our movies, television shows and conversations.

    Alcohol abuse is not a foregone conclusion anywhere — whether you attend college or not. But everything about how we prepare our students for college, and how we encourage them to spend their time once they’re there, seem to have caused this problem to swell beyond all reasonable proportions.

    Suffice it to say, using age as an excuse for college drinking is misleading, toxic, and dangerous. Let’s look at why.

    What Physiology and Psychology Have to Say About It

    There are many years’ worth of scientific studies on this subject at this point. In 2002, one study came to the disheartening conclusion that about 31 percent of all college students engage in behavior that qualifies as “abusing” alcohol. Of these, the report said, about 6 percent exhibited signs of having a dependent relationship with alcohol.

    Another series of studies published in 2007 added to this growing body of knowledge by identifying several subtypes of alcohol dependency. The researchers defined and arranged these subtypes by the individual’s worsening frequency of use:

    • Young adult
    • Young antisocial
    • Intermediate familial
    • Functional
    • Chronic severe

    Among these, only the last two — “functional” and “chronic severe” — seem to jive with the stereotypical “picture” of an alcoholic. And yet, these types of alcohol abusers represent the smallest share of the five above types.

    That means we’re leaving a huge portion of the alcoholism “spectrum” out of our conversations about substance abuse, which is a mistake.

    College Is About Creating Habits

    It’s true — there’s a certain image that comes to mind in the collective unconscious when the words “alcoholic” or “alcohol dependency” come up. It’s also true many of us believe this image to be a typical or even routine part of the college “experience.” We expect college students to drink socially. We assume this behavior is normal and something students will manage to grow out of after four years without any trouble. Once they have their degree, we rationalize they’ll just “snap out of it” and everything will be different.

    Very few of these assumptions are true, unfortunately.

    To begin with, the idea that every college student drinks is, itself, fallacious — the number is closer to 60 percent. But the far worse part is the way these assumptions normalize the act of drinking alcohol, especially in an academic, pre-workforce setting, where these students are supposed to be setting themselves up for a successful future.

    Additionally, indulging too frequently in binge drinking trains the human brain to “phone it in” during our daily activities, responsibilities and commitments — both on campus and off. By trading delayed for immediate gratification, we’re training our bodies and minds to play first and work later. And the longer the cycle continues, the later “later” becomes.

    Finally, college is a place where we develop skills and habits to last a lifetime. If we accept alcoholism as a foregone conclusion in the college experience, we normalize its use to a dangerous degree and paves the way for dependence.

    If college is where people form lifelong habits, it makes a lot of sense that abusing alcohol in college correlates with the abuse of alcohol later in life.

    These students are developing habits because of a mindset they can’t kick when they go out into the real world, no matter how hard they might want to.

    Problem Drinking Does Not Work as a “Rite of Passage”

    By normalizing problem drinking as a “rite of passage”, we run the risk of losing touch with the purpose of attending a university, and why it’s so valuable: It represents the development of knowledge and practical skills, the accumulation of pro-social habits and the cultivation of a more thorough understanding of the larger human world and our place within it.

    In what way does using or abusing alcohol fit into these objectives? We seem to have agreed, collectively, to let alcohol become entwined in this otherwise idyllic-sounding venture. That is not to say alcohol is, fundamentally, a waste of time or, indeed, that it should be off-limits to college students who are of legal drinking age. Rather, it’s a reminder to do an accounting of our collective priorities.

    Because we failed to have regular discussions about the cost and value of education over the years, the price of attending college in the United States has spent the last generation spiraling out of control and out of reach. We have been equally unwilling to have frank conversations about the degree to which alcohol undermines a successful college education. Thankfully, science has already done the heavy lifting.

    The Science on Why Alcohol Undermines Educational Experiences

    Thankfully, you don’t have to take our word for it.

    Research tells us, for instance, that 25 percent of all college-goers attribute alcohol abuse to:

    • Poor academic performance
    • Missed classes
    • A lack of information retention during class
    • Lousy test scores to alcohol

    Based on national statistics, college students who drink three times per week or more are also more than six times as likely to perform poorly on a project or exam as a direct result of abusing alcohol.

    Altogether, individuals in college engage in binge drinking far more often than their non-college-educated peers and are more likely to drive under the influence.

    Why Do We Allow Risky Drinking in College?

    To be frank, it’s like we’re setting our college students up for failure. We don’t speak openly about alcohol — we either say nothing about it, or we celebrate and fetishize it. We’ve made it an inextricable part of incoming college students’ expectations when they arrive on campus and begin wondering what to make of themselves and how to budget their time.

    It’s true most college students have at least a passing familiarity with alcohol even before they leave home. But almost every part of the college experience and atmosphere seems to amplify the factors that encourage binge drinking in the first place: largely unstructured intervals of time, limited contact with family and existing points of contact and authority, and inconsistent or nonexistent enforcement of drinking laws on campuses all conspire to make college an ideal place for alcohol dependencies to flourish.

    Whether it’s because many of us arrive at college without solid plans for the future — and no immediate intention of using our time in an organized way to pursue those plans — or because we’re just reaching for comfort in uncertain surroundings, it’s clear college campuses are an almost uniquely attractive place for the abuse of alcohol.

    It’s an environment where people who are at awkward ages, and who are emotionally and financially vulnerable to an almost preposterous degree, get to make choices for themselves for perhaps the first time in their lives. The fact that so much problematic drinking happens at college isn’t a failure of higher learning, however — it’s an indictment of everything we do and don’t do to prepare our young people for a life at college and beyond.

    Do the Media Fuel Our Vices and How We Think About Them?

    The reason alcohol use among college students is simultaneously a taboo topic and a running joke might well have something to do with the mainstream media and its portrayal of alcohol.

    The problem is so pervasive, it’s challenging to pinpoint a specific example. As with cigarette culture, where we had to write laws to exorcise “personalities” like Joe Camel from our airwaves, removing the influence of alcohol on entertainment and marketing would take a major social and political effort. There’s no conspiracy, necessarily — binge drinking at college has become a part of our collective unconscious, whether it’s characters in a film drinking to excess or a tasteless beer ad encouraging the same.

    We banished Joe Camel from our televisions. Now he vapes. So how do we fix our society-wide habit of simultaneously ignoring our drinking problem and treating it like a pervasive running gag? And how do we make it stick?

    Why Is Alcohol Advertising Still Allowed?

    Science has observed portrayals of alcohol on television, at the movies and in music videos are relatively pervasive and largely paint alcohol as a benign, pleasurable or even pro-social experience. But researchers have been a little slower to conclude decisively that this fuels alcohol abuse.

    The nearest comparison is whether violent video games “cause” violent behavior. The verdict seems to be that there is a significant correlation, but not a causal relationship. Some violent children and adults happen to play violent videogames. Additionally, some individuals who see alcohol depicted in entertainment media tend to abuse it later.

    However, there is less of a gray area surrounding the influence of explicit alcohol advertisements. Adolescents and even young children who become aware of alcohol, and stay that way, through alcohol-related advertisements, tend to hold more positive feelings toward alcohol use in general. There is, therefore, limited evidence that alcohol advertisements aimed at youth — including pre-college and college students — “primes the pump,” so to speak, for the use and abuse of alcohol later in life.

    The advertisement of cigarettes on television is illegal in the United States. The direct marketing of unproven pharmaceuticals is legal, however — but causes just as much damage. So, why are we still allowing alcohol to be portrayed as harmless, fun, social, and pleasant?

    In Conclusion

    Alcohol occupies a controversial position in our society. We allow it to be bought, sold, and consumed without relative taxation or legislation. We normalize unhealthy patterns of drinking during early adulthood. And, our society permits the open promotion of alcohol as a social tool.

    However, an estimated 88,0008 people (approximately 62,000 men and 26,000 women) die from alcohol-related causes annually, making alcohol the third leading preventable cause of death in the United States.

    Until we’re more honest with ourselves about who benefits – and who stands to experience the most harm – we’re going to keep making excuses about college campus drinking instead of finding solutions.

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  • Top 10 Strongest Alcohols

    Top 10 Strongest Alcohols

     

    ARTICLE OVERVIEW: Alcohol acts as a depressant on the central nervous system and slows down brain function. Though all alcohol is potentially dangerous, it’s important to that understand some alcohol is more deadly than others. In this article, we’ve compiled a list of the strongest alcohols currently on the market. At the end of the article, we invite you to ask further questions.

    ESTIMATED READING TIME: Less than 10 minutes.

    Table of Contents:

    The general amount of alcohol contained within liquor is 40%.

    How Do We Measure the Strength of Alcohol?

    We measure the strength of an alcoholic drink based on its percentage of alcohol content. The general amount of alcohol contained within hard liquor is 40%.

    Since much of the alcohol mentioned on this Top 10 list is much stronger than what we normally drink, it’s helpful to have something to compare it to. The following are your most typical alcoholic beverages and the percentage of alcohol each contains:

    • Beer, 4% to 5% alcohol content
    • Wine, 12% alcohol content
    • Fruit liquors, 28% to 32% alcohol content
    • Gin, 35% to 40% alcohol content
    • Vodka, 35% to 46% alcohol content
    • Rum, 40% to 46% alcohol content
    • Whiskey, 55% to 60% alcohol content

    The National Institutes on Alcoholism and Alcohol Abuse have created this graphic to help visualize the difference.

    However,, the alcohol percentages listed above are the average. What we’re about to list below are the ten strongest alcohols in the world. It’s vital to remember that drinking this amount of alcohol is very dangerous towards your health and well-being. Especially when getting behind the wheel.

    Every kind of alcohol sold on the market must be labeled under the Federal Alcohol Administration (FFA) Act. These labels will usually tell you the percentage of alcohol within each drink. Or, the label will give the “proof count”. For example, you purchase a whiskey which advertises itself as 100-proof. This is the doubled percentage of the alcohol content. Therefore, the whiskey you purchased has 50% alcohol within it.

    Alcohol addiction is a very serious disease and shouldn’t be left untreated. If you or anyone you love is struggling with alcohol addiction, you need to seek help as soon as possible. The longer you wait, the more time alcohol can ruin your life. Furthermore, if you happen to find any of the following alcohols within your liquor cabinet, it’s highly suggested you get rid of them. Again, these are the strongest alcohols the world has to offer and, likewise, the most dangerous.

    #10 – Absinthe (up to 72% Alcohol)

    Up until 2007, Absinthe was banned in the United States. This is primarily due to prior associations with the alcohol inflicting criminal-like behavior in those who drank it. Think mafia or just plain gangsters. Absinthe has psychoactive properties which caused seizures, thought to be caused by the grand wormwood plant – the source of Absinthe – and its production of thujone, a chemical which afflicts sleeplessness, convulsions, and hallucinations. It can be a serious danger and a lethal drug-of-choice.

    #9 – Bacardi 151 (75.5% Alcohol)

    Typically, people who drink Bacardi 151 do so through a variety of mixed drinks, such as combining it with fruit juice. . It is considerably one of the strongest rums ever created.

    However, this brand of Bacardi has been discontinued. The reason it’s no longer available for purchase is that people too often ignored the warnings of the drink being highly flammable. Due to this lack of inspection, many ended up exposing the bottle to open flames and experienced burns. If you still have a bottle of this lying around, it’s important to understand the fire safety risks involved with this alcohol.

    #8 – Devil Springs Vodka (80% Alcohol)

    Another highly flammable alcoholic beverage is Devil Springs Vodka. Coming in at 15 times stronger than your average beer, it comes to no surprise that this drink has found a market for abuse. It is especially popular with people and cultures who prefer vodka compared to other alcoholic beverages.

    As we climb the alcohol content ladder, it’s vital to remember that the stronger the alcohol is, the more dangerous it becomes to your health and the more susceptible the user ends up in terms of abusing it.

    #7 – Balkan 176 Vodka (88% Alcohol)

    An alcoholic drink so strong, it requires 13 health warnings on the bottle. The strongest drink made in Scandinavian, Balkan 176 is distilled three times over and is considered to be absolutely tasteless. This is dangerous, as without any pungent taste most associate with alcohol, this can leave the drinker consuming more and more, not realizing the potential harm he/she’s putting him/herself into.

    In fact, there are numerous reports of people experiencing alcohol poisoning and death due from drinking too much strong liquor in a short period of time.

    #6 – Pincer Vodka (88.8% Alcohol)

    Being the strongest alcohol Scotland produces, it comes to no surprise Pincer Vodka has similar qualities as Balkan 176. However, one major appeal of Pincer is the fact that it has such a low calorie count. So much so, there are people out there who claim they don’t get hangovers as bad as your average liquor.

    There is an obvious danger in this. One of the many qualities of alcohol that turns a social drinker off is the fact that they have to handle a hangover the next morning. Considering the calorie count of alcohol and what it can do to one’s health, it’s understandable that a responsible adult only drinks on occasions. However, since Pincer doesn’t offer these negative alternatives, there’s lies a stronger chance for abuse.

    #5 – River Antoine Royale Grenadian Rum (90% Alcohol)

    There’s a certain quality to River Antoine Royale Grenadian Rum. That is, the people who make it distill over a long period of time through an old, traditional pot stilling method. In turn, this gives it a very prominent flavor not usually found in alcohol with such a high percentage count.

    #4 – Bruichladdich X4+1 Quadrupled Whiskey (92% Alcohol)

    Balkan 176 Vodka is distilled three times over. But Bruichladdich X4 is distilled four times over, which is what gives it is name and appeal. Furthermore, it has a distinct taste which doesn’t match to most alcohols due to the fact that it’s aged in new oak casks.

    Due to the high level of alcohol content, we’re beginning to endeavor into very dangerous territory. This kind of alcohol can do serious harm to someone in a matter of minutes and it’s important to be aware of the fatal consequences alcohol can have if you’re not careful or properly prepared.

    #3 – Golden Grain (95% Alcohol)

    Golden Grain is made by the same people who make the next alcohol on this list and both drinks are actually very similar in appearance, taste, and effects they have on the user. It should be noted Golden Grain is illegal in certain parts of the United States.

    #2 – Everclear (95% Alcohol)

    Everclear was one of a kind when it came out, as no alcohol prior had could be labeled 190 proof. Furthermore, just like Pincer Vodka, it’s absolutely tasteless. As already mentioned, there are numerous dangers involved for those who decide to drink Everclear. Just as with all the alcohols on this list, addiction can happen much more quickly due to the fact that you need less of the drink to feel its effects.

    Furthermore, there are instances when an alcohol like Everclear is placed in someone’s drink without them realizing – a concept known as “drugging”. Inevitably, getting them much more inebriated than they intended to be or putting them in a dangerous position without their
    knowledge.

    #1 – Spirytus Rektyfikowany (96% Alcohol)

    Spirytus contains the most alcohol content by volume in the world. In fact, it’s not even legal in most states, due its potency. Though this alcohol is rare in the United States, it can be found in Poland or Eastern Europe, where it’s manufactured. Spirytus is without a doubt the most dangerous alcohol to intake and if you happen to run into it, or any of the other alcohols on our list, you should be aware of the risks this can have on your health.

    Alcohol’s Risk on Your Health

    Alcohol’s risk factors can be divided into two sections – the short term risks (those of which will appear either immediately or soon after drinking) and the long term risks (those of which will appear after drinking for months on end).

    The short term concerns primarily lie around over-drinking to the point of being incapable of inducing alcohol poisoning which can be fatal. Other health risks involved from short term use are:

    • Bluish tint to skin
    • Coma
    • Confusion
    • Loss of consciousness
    • Low body temperature
    • Seizures
    • Slow breathing
    • Vomiting

    Some people react to alcohol differently and even get sick from it, especially when they take too much of a beverage they can’t handle. If someone has a sensitivity to alcohol, they may feel the following:

    • Diarrhea
    • Facial flushing
    • Low blood pressure
    • Nausea
    • Worsening of asthma
    • Vomiting

    However, over time, people who drink alcohol frequently will develop a dependence. If this happens, they face the same health risks as the short term effects and more. These complications can include:

    • Brain and nerve damage
    • Cancer
    • Cardiomyopathy (damage to heart muscle)
    • Immune system dysfunction
    • Liver disease
    • Mental health issues (such as anxiety or depression)
    • Osteoporosis
    • Pancreatitis
    • Peripheral neuropathy
    • Stomach ulcers
    • Vitamin deficiency

    As you can see, an alcohol addiction is very serious and can have consequences on your health and well-being. If you or anyone you love is currently struggling with an alcohol addiction, it’s vital to seek out treatment as soon as possible.

    Check out this NIAAA blood alcohol content chart for more.

    Basics for Alcohol Addiction Treatment

    If you think that you have a drinking problem, finding help can be a life changing experience. The goal of treating an alcohol addiction is to look at life through a new, clearer perspective. And to understand oneself without the use of drugs. Alcohol addiction treatment happens in two important stages; detox and continued treated.

    During detox, your body rids itself of alcohol’s chemicals and returns to its normal, organic functioning – a state known as homeostasis. If you’re a chronic drinker or have developed dependence on alcohol, you’re going to feel withdrawal symptoms. The severity of these symptoms and how long they last all depends on your level of addiction.

    A reputable treatment facility will give you a proper medical assessment which will determine your level of physical dependence. ALWAYS SEEK MEDICAL ATTENTION WHEN WITHDRAWING FROM ALCOHOL. Symptoms can become dangerous or life-threatening. Common withdrawal symptoms include:

    • Agitation
    • Anxiety
    • Depression
    • Difficulty concentrating
    • Disorientation
    • Fatigue
    • Headache
    • Heightened sensitivity to light and sound
    • Irritability
    • Jumpiness or shakiness
    • Mood swings
    • Nausea
    • Nightmares
    • Sweating
    • Transient hallucinations (in more serious cases)
    • Tremor
    • Vomiting

    After your body withdraws, you’re going to need to take the time address your thinking. Again, how long this will take and how difficult it will be all depends on your level of addiction. Generally speaking, most people go through intensive psychotherapy for an initial 3-6 month period. Ongoing weekly therapy then lasts upwards of a year or more.

    Where to Find Help

     If you’re unsure as to where to turn, there are a variety of options at your disposal. Here are some suggestions:

    If you’re looking to talk to someone immediately, check out the following helplines:

    • Drug Hotline 877-736-9802
    • National Council on Alcoholism and Drug Dependence HopeLine 1-800-475-HOPE (4673)
    • National Institute on Drug Abuse – Drug and Treatment Information 1-800-6224357
    • National Suicide Prevention Helpline 1-800-273-TALK (8255) or 800-SUICIDE (784-2433)
    • Substance Abuse Helpline (available 24/7) 1-800-923-4327

    Furthermore, you can always call us for more information on how to find the right treatment facility. The helpline number listed on this page will connect you to American Addiction Centers (AAC). The helpline is offered at no cost and with no obligation to enter treatment. Caring admissions consultants are standing by to discuss your treatment options. So, if you are ready to get help, reach out and pick up the phone.

    We’re happy to help!

    Your Questions

    If you have any further questions about the strongest alcohols or how to treat alcohol addiction, we invite you to ask them below. If you have any advice to give pertaining to these topics, we’d also love to hear from you. We try to reply to each question promptly and personally.

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