Alcoholism: Causes, Risk Factors, and Symptoms (2024)

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What is alcoholism, or alcohol use disorder?

Alcoholism has been known by a variety of terms, including alcohol abuse and alcohol dependence. Today, it’s referred to as alcohol use disorder.

It occurs when you drink so much that your body eventually becomes dependent on or addicted to alcohol. When this happens, alcohol becomes the most important thing in your life.

People with alcohol use disorder will continue to drink even when drinking causes negative consequences, like losing a job or destroying relationships with people they love. They may know that their alcohol use negatively affects their lives, but it’s often not enough to make them stop drinking.

Some people may drink alcohol to the point that it causes problems, but they’re not physically dependent on alcohol. This used to be referred to as alcohol abuse.

The cause of alcohol use disorder is still unknown. Alcohol use disorder develops when you drink so much that chemical changes in the brain occur. These changes increase the pleasurable feelings you get when you drink alcohol. This makes you want to drink more often, even if it causes harm.

Eventually, the pleasurable feelings associated with alcohol use go away and the person with alcohol use disorder will engage in drinking to prevent withdrawal symptoms. These withdrawal symptoms can be quite unpleasant and even dangerous.

Alcohol use disorder typically develops gradually over time. It’s also known to run in families.

Although the exact cause of alcohol use disorder is unknown, there are certain factors that may increase your risk for developing this disease.

Known risk factors include having:

  • more than 15 drinks per week if you’re male
  • more than 12 drinks per week if you’re female
  • more than 5 drinks per day at least once a week (binge drinking)
  • a parent with alcohol use disorder
  • a mental health problem, such as depression, anxiety, or schizophrenia

You may also be at a greater risk for alcohol use disorder if you:

  • are a young adult experiencing peer pressure
  • have low self-esteem
  • experience a high level of stress
  • live in a family or culture where alcohol use is common and accepted
  • have a close relative with alcohol use disorder

Symptoms of alcohol use disorder are based on the behaviors and physical outcomes that occur as a result of alcohol addiction.

People with alcohol use disorder may engage in the following behaviors:

  • drinking alone
  • drinking more to feel the effects of alcohol (having a high tolerance)
  • becoming violent or angry when asked about their drinking habits
  • not eating or eating poorly
  • neglecting personal hygiene
  • missing work or school because of drinking
  • being unable to control alcohol intake
  • making excuses to drink
  • continuing to drink even when legal, social, or economic problems develop
  • giving up important social, occupational, or recreational activities because of alcohol use

People with alcohol use disorder may also experience the following physical symptoms:

  • alcohol cravings
  • withdrawal symptoms when not drinking, including shaking, nausea, and vomiting
  • tremors (involuntary shaking) the morning after drinking
  • lapses in memory (blacking out) after a night of drinking
  • illnesses, such as alcoholic ketoacidosis (includes dehydration-type symptoms) or cirrhosis

Sometimes it can be hard to draw the line between safe alcohol use and the misuse of alcohol. The Mayo Clinic suggests that you may misuse alcohol if you answer “yes” to some of the following questions:

  • Do you need to drink more in order to feel the effects of alcohol?
  • Do you feel guilty about drinking?
  • Do you become irritable or violent when you’re drinking?
  • Do you have problems at school or work because of drinking?
  • Do you think it might be better if you cut back on your drinking?

The National Council on Alcoholism and Drug Dependence and AlcoholScreening.org offer more comprehensive self-tests. These tests can help you assess whether you misuse alcohol.

Your doctor or healthcare provider can diagnose alcohol use disorder. They’ll do a physical exam and ask you questions about your drinking habits.

Your doctor may ask if you:

  • drive when you’re drunk
  • have missed work or have lost a job as a result of your drinking
  • need more alcohol to feel “drunk” when you drink
  • have experienced blackouts as a result of your drinking
  • have tried to cut back on your drinking but couldn’t

Your doctor may also use a questionnaire that assesses alcohol use disorder to help diagnose your condition.

Typically, a diagnosis of alcohol use disorder doesn’t require any other type of diagnostic test. There’s a chance your doctor may order blood work to check your liver function if you show signs or symptoms of liver disease.

Alcohol use disorder can cause serious and lasting damage to your liver. Your liver is responsible for removing toxins from your blood. When you drink too much, your liver has a harder time filtering the alcohol and other toxins from your bloodstream. This can lead to liver disease and other complications.

Treatment for alcohol use disorder varies, but each method is meant to help you stop drinking altogether. This is called abstinence. Treatment may occur in stages and can include the following:

  • detoxification or withdrawal to rid your body of alcohol
  • rehabilitation to learn new coping skills and behaviors
  • counseling to address emotional problems that may cause you to drink
  • support groups, including 12-step programs such as Alcoholics Anonymous (AA)
  • medical treatment for health problems associated with alcohol use disorder
  • medications to help control addiction

There are a couple of different medications that may help with alcohol use disorder:

  • Naltrexone (ReVia) is used only after someone has detoxed from alcohol. This type of drug works by blocking certain receptors in the brain that are associated with the alcoholic “high.” This type of drug, in combination with counseling, may help decrease a person’s craving for alcohol.
  • Acamprosate is a medication that can help re-establish the brain’s original chemical state before alcohol dependence. This drug should also be combined with therapy.
  • Disulfiram (Antabuse) is a drug that causes physical discomfort (such as nausea, vomiting, and headaches) any time the person consumes alcohol.

You may need to seek treatment at an inpatient facility if your addiction to alcohol is severe. These facilities will provide you with 24-hour care as you withdraw from alcohol and recover from your addiction. Once you’re well enough to leave, you’ll need to continue to receive treatment on an outpatient basis.

Recovering from alcohol use disorder is difficult. Your outlook will depend on your ability to stop drinking. Many people who seek treatment are able to overcome the addiction. A strong support system is helpful for making a complete recovery.

Your outlook will also depend on the health complications that have developed as a result of your drinking. Alcohol use disorder can severely damage your liver. It can also lead to other health complications, including:

  • bleeding in the gastrointestinal (GI) tract
  • damage to brain cells
  • cancer in the GI tract
  • dementia
  • depression
  • high blood pressure
  • pancreatitis (inflammation of the pancreas)
  • nerve damage
  • changes in mental status, including Wernicke-Korsakoff syndrome (a brain disease that causes symptoms such as confusion, vision changes, or memory loss)

You can prevent alcohol use disorder by limiting your alcohol intake. According to the National Institute on Alcohol Abuse and Alcoholism, women shouldn’t drink more than one drink per day, and men shouldn’t drink more than two drinks per day.

See your doctor if you begin to engage in behaviors that are signs of alcohol use disorder or if you think that you may have a problem with alcohol. You should also consider attending a local AA meeting or participating in a self-help program such as Women for Sobriety.

Alcoholism: Causes, Risk Factors, and Symptoms (2024)

FAQs

What are the causes and effects of alcoholism? ›

Typically, alcoholism is caused by a combination of genetic and environmental influences. This form of addiction usually causes damage to a person's mental, physical, and emotional health, and will require professional help to overcome.

What is the most important risk factor for alcoholism? ›

Known Specific Risk Factors

Consuming more than 15 drinks per week for men or 12 drinks per week for women. Binge drinking (consuming more than 5 or more drinks in a 2-hour period for men or 4 or more drinks in a 2-hour period for women). Having a biological family member with alcoholism or drug addiction.

What are the 5 most common causes of alcoholism? ›

5 Most Common Causes of Alcoholism (And What to Do Next)
  • Environment.
  • Age.
  • Mental Health.
  • Combining Substances.
  • Family history.

What are the five symptoms of an alcoholic? ›

Some of the most common symptoms of alcohol abuse are:
  • Experiencing temporary blackouts or short-term memory loss.
  • Exhibiting signs of irritability and extreme mood swings.
  • Making excuses for drinking such as to relax, deal with stress or feel normal.
  • Choosing drinking over other responsibilities and obligations.
21 Sept 2022

What are the cause of alcohol? ›

Several of the most common causes of alcoholism are: biological factors, environmental factors, social factors and psychological factors. Here's a breakdown of how each one plays a role in the development of alcohol abuse.

What are effects of alcoholism? ›

High blood pressure, heart disease, stroke, liver disease, and digestive problems. Cancer of the breast, mouth, throat, esophagus, voice box, liver, colon, and rectum. Weakening of the immune system, increasing the chances of getting sick. Learning and memory problems, including dementia and poor school performance.

How does alcoholism affect people's lives? ›

Alcohol abuse may worsen some health problems like diabetes, osteoporosis, memory loss, high blood pressure and mood disorders. It may also increase the likelihood of accidents such as falls and fractures.

How does alcohol affect people's behavior? ›

Alcohol affects the part of your brain that controls inhibition, so you may feel relaxed, less anxious, and more confident after a drink. But these effects quickly wear off. The chemical changes in your brain can soon lead to more negative feelings, such as anger, depression or anxiety, regardless of your mood.

What are 4 risk factors for addiction? ›

Risk factors
  • Family history of addiction. Drug addiction is more common in some families and likely involves an increased risk based on genes. ...
  • Mental health disorder. ...
  • Peer pressure. ...
  • Lack of family involvement. ...
  • Early use. ...
  • Taking a highly addictive drug.
4 Oct 2022

How can you prevent alcoholism? ›

How to Prevent Alcohol Misuse
  1. Don't Keep Alcohol At Home. If you don't have alcohol at home, you can't drink it. ...
  2. Know Your Drinking Limits. ...
  3. Surround Yourself With Non-Drinkers. ...
  4. Know The Consequences Of Excessive Alcohol Use. ...
  5. Tell Loved Ones Your Concerns. ...
  6. Treatment Is Always an Option.
25 Jul 2022

How can you avoid the risk of being an alcoholic? ›

The following tips can help keep your drinking low risk and manage high risk situations.
  1. Avoid drinking situations. ...
  2. Count your drinks. ...
  3. Slow down your drinking. ...
  4. Take less alcohol with you. ...
  5. Make every second drink a non-alcoholic drink. ...
  6. Eat before or while you are drinking. ...
  7. Avoid top-ups. ...
  8. Drink water with a meal.
20 Jul 2020

What defines alcoholism? ›

What is alcoholism? Alcoholism is the most serious form of problem drinking at a level that causes harm to your health. It describes a strong, often uncontrollable, desire to drink. Alcoholism is also known as alcohol addiction or alcohol dependence.

What are the risk factors can cause chronic alcoholism except? ›

  • Family History. Family history plays a large part in what causes alcoholism. ...
  • Drinking from an Early Age. ...
  • Mental Health Disorders. ...
  • Stressful Environments. ...
  • Taking Alcohol with Medication. ...
  • Peer Pressure. ...
  • Frequent Alcohol Consumption Over Time. ...
  • Trauma.
19 Apr 2020

How many types of alcohol are there? ›

The 4 types of alcohol are isopropyl alcohol, methyl alcohol, undistilled ethanol, and distilled ethanol. Alcohol is the primary active ingredient in some of the most popular drinks on the planet.

What are the 3 types of alcoholic? ›

In chemistry, an alcohol exists when a hydroxyl group, a pair of oxygen and hydrogen atoms, replaces the hydrogen atom in a hydrocarbon. Alcohols bind with other atoms to create secondary alcohols. These secondary alcohols are the three types of alcohol that humans use every day: methanol, isopropanol, and ethanol.

How much alcohol is too much? ›

For men, binge drinking is 5 or more drinks consumed on one occasion. Underage drinking: Any alcohol use by those under age 21. Heavy drinking: For women, heavy drinking is 8 drinks or more per week. For men, heavy drinking is 15 drinks or more per week.

What is drug of abuse? ›

(...uh-BYOOS) The use of illegal drugs or the use of prescription or over-the-counter drugs for purposes other than those for which they are meant to be used, or in excessive amounts. Drug abuse may lead to social, physical, emotional, and job-related problems.

What are the 7 effects of alcohol? ›

For those that drink heavily, it is important to know the effects of alcohol on the body.
...
Alcohol is also known to cause:
  • Salivary gland damage.
  • Gum disease and tooth decay.
  • Esophageal ulcers.
  • Acid reflux and heartburn.
  • Stomach ulcers and gastritis.
  • Internal bleeding.
  • Hemorrhoids.
11 Jan 2019

What are 10 negative effects of alcohol? ›

They include:
  • high blood pressure.
  • stroke.
  • pancreatitis.
  • liver disease.
  • liver cancer.
  • mouth cancer.
  • head and neck cancer.
  • breast cancer.

What are the social effects of alcohol? ›

Other social consequences of drinking too much can include:
  • financial problems due to excessive spending on alcohol.
  • limited career opportunities due to a conviction for an alcohol-related offence.
  • impacts on work performance.
  • losing friends because of the way you act when you're drunk.

Who is affected by alcohol? ›

Regardless of your age, ethnicity, religion, profession, or daily activities, alcohol can severely impact every corner of your life. Even more, Alcoholism is a disease that affects many people, not just the one addicted. Families, friends, and entire communities feel the impact.

Does alcohol affect the memory? ›

Alcohol primarily disrupts the ability to form new long–term memories; it causes less disruption of recall of previously established long–term memories or of the ability to keep new information active in short–term memory for a few seconds or more.

How does alcohol affect the heart? ›

The cardiovascular system is affected by alcohol. At the time of drinking, alcohol can cause a temporary increase in heart rate and blood pressure. In the long-term, drinking above the guidelines can lead to on-going increased heart rate, high blood pressure, weakened heart muscle and irregular heartbeat.

What are 5 social effects of alcohol? ›

A few of the more dangerous societal effects of alcoholism include increased injuries to self, aggression against others, violent crimes, child abuse, spouse abuse and traffic fatalities.

What are 3 physical effects of alcohol? ›

Drinking a lot over a long time or too much on a single occasion can damage the heart, causing problems including:
  • Cardiomyopathy – Stretching and drooping of heart muscle.
  • Arrhythmias – Irregular heart beat.
  • Stroke.
  • High blood pressure.

Does alcohol cause mental illness? ›

Alcohol abuse can cause signs and symptoms of depression, anxiety, psychosis, and antisocial behavior, both during intoxication and during withdrawal. At times, these symptoms and signs cluster, last for weeks, and mimic frank psychiatric disorders (i.e., are alcohol–induced syndromes).

What are the types of risk factors? ›

In general, risk factors can be categorised into the following groups:
  • Behavioural.
  • Physiological.
  • Demographic.
  • Environmental.
  • Genetic.

What are some examples of risk factors? ›

Risk factor examples
  • Negative attitudes, values or beliefs.
  • Low self-esteem.
  • Drug, alcohol or solvent abuse.
  • Poverty.
  • Children of parents in conflict with the law.
  • Homelessness.
  • Presence of neighbourhood crime.
  • Early and repeated anti-social behaviour.
17 Dec 2015

What is individual risk factors? ›

Individual-level risk factors may include a person's genetic predisposition to addiction or exposure to alcohol prenatally. Individual-level protective factors might include positive self-image, self-control, or social competence.

Why should we prevent alcohol? ›

Preventing Excessive Alcohol Use

It is linked to over 200 diseases and injuries, resulting in 3.3 million deaths globally each year. About 261 Americans die each day from excessive alcohol use. Excessive alcohol consumption can lead to alcohol use disorders.

When should you stop drinking alcohol? ›

People Who Shouldn't Drink At All

The Guidelines note that some people should not drink alcohol at all, such as: If they are pregnant or might be pregnant. If they are younger than age 21. If they have certain medical conditions or are taking certain medications that can interact with alcohol.

How can we prevent teenage drinking? ›

Work to change community attitudes about underage drinking. Focus as much community attention on underage drinking as on tobacco and drug use. Work with State, Tribal, and local groups to reduce underage drinking. Make it easier for young people who are involved with or at risk for underage drinking to get help.

What are the risks of drinking alcohol as a teenager? ›

Disruption of normal growth or sexual development. Physical and sexual violence. Increased risk of suicide and homicide. Alcohol-related motor vehicle crashes and other unintentional injuries, such as burns, falls, or drowning.

What are the risk factors can cause chronic alcoholism except? ›

  • Family History. Family history plays a large part in what causes alcoholism. ...
  • Drinking from an Early Age. ...
  • Mental Health Disorders. ...
  • Stressful Environments. ...
  • Taking Alcohol with Medication. ...
  • Peer Pressure. ...
  • Frequent Alcohol Consumption Over Time. ...
  • Trauma.
19 Apr 2020

What are the stages of becoming an alcoholic? ›

If you or your loved ones need help to identify the signs of problem drinking, four stages of alcoholism have been identified: pre-alcoholic, early alcoholic, chronic alcoholic, and end-stage alcoholism.

How can you avoid the risk of being an alcoholic? ›

The following tips can help keep your drinking low risk and manage high risk situations.
  1. Avoid drinking situations. ...
  2. Count your drinks. ...
  3. Slow down your drinking. ...
  4. Take less alcohol with you. ...
  5. Make every second drink a non-alcoholic drink. ...
  6. Eat before or while you are drinking. ...
  7. Avoid top-ups. ...
  8. Drink water with a meal.
20 Jul 2020

Which factor can potentially increase a teenager's alcohol use? ›

Family factors, such as parent-child relationships, discipline methods, communication, monitoring and supervision, and parental involvement, can significantly influence alcohol use among youth (Bry et al.

What are effects of alcoholism? ›

High blood pressure, heart disease, stroke, liver disease, and digestive problems. Cancer of the breast, mouth, throat, esophagus, voice box, liver, colon, and rectum. Weakening of the immune system, increasing the chances of getting sick. Learning and memory problems, including dementia and poor school performance.

How does alcoholism affect people's lives? ›

Alcohol abuse may worsen some health problems like diabetes, osteoporosis, memory loss, high blood pressure and mood disorders. It may also increase the likelihood of accidents such as falls and fractures.

What is the best definition of alcoholism? ›

Alcoholism is defined by alcohol dependence, which is the body's physical inability to stop drinking and the presence of alcohol cravings.

Do alcoholics sleep a lot? ›

Abstinent alcoholics tend to sleep poorly, with decreased amounts of SWS and increased nighttime wakefulness that could make sleep less restorative and contribute to daytime fatigue (22). Resumption of heavy drinking leads to increased SWS and decreased wakefulness.

How much do alcoholics drink? ›

Alcoholics generally drink excessively, often much more than four drinks per day and in a manner they can't control.

What do we call a person who is addicted to alcoholic drinks? ›

Alcoholism, now known as alcohol use disorder, is a condition in which a person has a desire or physical need to consume alcohol, even though it has a negative impact on their life.

How do you stop drinking alcohol? ›

  1. Make your intentions known. Tell your family and friends that you're aiming to stop drinking alcohol and explain why. ...
  2. Avoid temptation. In the early stages, it's a good idea to avoid situations where you may be tempted to drink. ...
  3. Try something new. ...
  4. Reward progress. ...
  5. Enjoy the benefits.

How can we reduce the effect of alcohol? ›

Eating before, during, and after drinking can help slow the absorption of alcohol into the bloodstream. Drinking plenty of water can also assist with dehydration and flushing toxins from the body.

How does alcohol affect teenage behavior? ›

Teens who drink are also more likely to get into fights and commit crimes than those who don't. People who drink regularly also often have problems with school. Drinking can damage a student's ability to study well and get decent grades, as well as affect sports performance (the coordination thing).

How does alcohol affect social development? ›

Drinking alcohol clearly has important effect on social behaviors, such as increasing aggression, self-disclosure, sexual adventuresomeness, and so on. Research has shown that these effects can stem from beliefs we hold about alcohol effects. Less is known about how alcohol itself affects these behaviors.

How can we prevent teenage drinking? ›

Work to change community attitudes about underage drinking. Focus as much community attention on underage drinking as on tobacco and drug use. Work with State, Tribal, and local groups to reduce underage drinking. Make it easier for young people who are involved with or at risk for underage drinking to get help.

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