Alcohol use disorder, or AUD, is another name for alcohol addiction. It occurs when someone does not have complete control over their drinking, which leads them to compulsively consume alcohol and experience negative emotional and physical states when they aren’t drinking. The impact of alcohol addiction in someone’s life can include:
A common misconception is that alcoholism is a “bad habit” that someone can break with the right amount of willpower. But the National Institute on Alcohol Abuse and Alcoholism points to science that demonstrates this type of alcohol abuse actually changes the way your brain works.
Scientists don’t know exactly what causes some people to develop a dependency on alcohol while others can drink it occasionally without entering an addictive cycle. Research has found links between alcoholism and numerous factors, including genetics, environment, and other mental health disorders. If your parents struggled with alcohol, for example, or you have been diagnosed with depression, you may be at greater risk of AUD.
While researchers can’t answer why some people may fall into a cycle of addiction while others don’t, they are beginning to understand much more about the biology of addiction. Alcoholism is a chronic disorder caused in part by biological changes in your body that foster physical dependence on the substance. This can be combined with psychological factors and changes that make it nearly impossible (if not impossible) for most people to work through recovery from alcohol on their own.
One example of how addiction rewires your brain is that it can turn your natural instincts against you. A healthy brain is wired to reward you for doing things that are good for yourself, such as spending time with loved ones or exercising. It’s also wired to alert you of danger by raising your anxiety and stress levels. When you’re dealing with addiction, the brain may reward you for using drugs or alcohol and cause you to feel as if you’re in danger when you’re not using.
The NIH estimates that around 16 million people in the United States struggle with alcoholism. But only around 6.5% adults suffering with AUD get treatment for it, and only 5.2% of youth who have AUD get treatment. According to an NIH report, only around 20% of people who reported experiencing alcohol addiction in their lifetime said they sought treatment for it.
According to the Substance Abuse and Mental Health Services Administration, alcohol accounts for the highest number of substance abuse disorders among adults.
The Monitoring the Future Survey indicates that alcohol is also the substance most youth are likely to experiment with, narrowly beating out marijuana and illicit drugs in most age ranges. The table below shows the percent of youth in different grades who tried alcohol within the past year as of 2018.
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The NIAAA’s Rethinking Drinking page offers a self-test checklist you can take if you’re worried you or someone you love might be dealing with alcohol addiction.
It can be important to research how to understand whether someone is dealing with an addiction or just enjoying a glass of wine with dinner from time to time. Someone drinking regularly to excess can be one indication that AUD is at play. But look at the big picture. Do any of the other symptoms sound familiar?
If you or someone you know is dealing with some of these symptoms, consider talking to a professional about treatment options and how you can break the cycle of alcohol addiction.
While there are best practices that are commonly used in treatment programs, addiction is a personal path that requires customized solutions. What works for one person might not work as well for another, which is one reason it’s important to reach out to professionals for help entering rehab. Some common treatment options for alcohol addiction include:
Approaches to alcoholism treatment differ. They can be sorted into two main categories, and you’ll find versions of each approach available in all of the above treatment levels.
This guide is for informational purposes online. It’s meant to educate people on alcoholism and is not recommending a specific treatment or providing medical advice. Always consult with your doctor and other medical professionals when facing addiction disorders or any other type of mental or physical health concerns.