How to Help an Alcoholic

Supporting an alcoholic? Discover how to provide hope and help for your loved one on their journey to recovery.

Leora B.H. Staff

April 17, 2024

Understanding Alcohol Use Disorder

Alcohol Use Disorder (AUD) is a chronic condition characterized by a compulsive, problematic pattern of alcohol use that persists despite negative consequences on health, job, and relationships. It is diagnosed when a person meets at least two specific criteria within a 12-month span [1]. Individuals with AUD struggle to control their drinking, experience a preoccupation with alcohol, and continue to use it despite personal and professional consequences.

Definition and Characteristics

To be diagnosed with AUD, a person must exhibit symptoms such as:

Drinking more or for a longer period than intended
Unsuccessful attempts to cut down or control drinking
Spending a significant amount of time obtaining, using, or recovering from alcohol use
Cravings or a strong desire to drink
Continued alcohol use despite causing or exacerbating physical or psychological problems
Neglecting important social, occupational, or recreational activities due to alcohol use
Withdrawal symptoms when alcohol use is reduced or stopped

These symptoms indicate a loss of control over alcohol consumption and a physical and psychological dependence on alcohol.

Impact on Mental and Physical Health

Alcohol misuse can have detrimental effects on both mental and physical health. Over time, heavy alcohol use can change the normal function of brain areas associated with pleasure, judgment, and self-control, leading to alcohol cravings and a reduced ability to control behavior. This can result in negative emotions such as anger, depression, or anxiety, as well as impaired cognitive function and decision-making.

Long-term alcohol misuse is associated with various physical health conditions, including heart disease, stroke, high blood pressure, liver disease, and cancer. It can also contribute to social problems such as relationship break-ups, unemployment, financial difficulties, and homelessness, which can further impact mental health.

There is a strong link between alcohol consumption and mental health problems. People who drink alcohol are more likely to develop mental health issues, and individuals with severe mental illness are more likely to have alcohol problems. This may be due to self-medication to cope with difficult feelings or symptoms.

Understanding the definition and impact of Alcohol Use Disorder is essential for providing support to individuals struggling with alcoholism. By recognizing the characteristics of AUD and its effects on mental and physical health, we can approach the issue with empathy and take steps towards helping those in need.

Statistics and Effects of Alcohol Misuse

Understanding the statistics and effects of alcohol misuse is crucial in comprehending the severity of the issue and the importance of providing support for those dealing with alcohol use disorder (AUD).

SAMHSA National Helpline Data

The SAMHSA National Helpline plays a vital role in assisting individuals struggling with alcohol misuse. In 2020, the helpline received 833,598 calls, marking a significant increase of 27 percent from the previous year, where it received 656,953 calls. These numbers highlight the growing need for support and resources for individuals affected by alcohol use disorder.

Long-Term Consequences of Heavy Alcohol Use

Long-term heavy alcohol use can have detrimental effects on both mental and physical health. It can lead to learning and memory issues, worsen existing mental health conditions, and increase the risk of developing alcohol use disorder (AUD) [1].

Excessive alcohol consumption has also been linked to brain shrinkage, particularly in the hippocampus region. Research has shown that individuals who consume four or more drinks a day have nearly six times the risk of hippocampus shrinkage compared to nondrinkers. Even mild and moderate drinkers exhibit more shrinkage of the hippocampus compared to abstainers.

Furthermore, chronic alcohol misuse can lead to the development of alcohol use disorder (AUD), characterized by a compulsive and problematic pattern of alcohol consumption despite negative consequences on health, work, and relationships. To diagnose AUD, specific criteria must be met within a 12-month span.

The impact of alcohol misuse extends beyond the individual struggling with AUD. It affects families as well, with 1 in 10 children living in a home with a parent who has a drinking problem.

Addressing alcohol misuse requires understanding the statistics and recognizing the long-term consequences associated with heavy alcohol use. By offering support, education, and treatment options, we can help individuals struggling with alcohol use disorder on their journey to recovery.

Supporting a Loved One with Alcohol Use Disorder

When a loved one is struggling with alcohol use disorder (AUD), it can be challenging to know how to provide support. However, there are strategies you can employ to help them on their journey to recovery. This section covers two essential aspects: education and understanding, as well as communication and approach strategies.

Education and Understanding

One of the most important steps in supporting a loved one with alcohol use disorder is educating yourself about the condition. Understanding the disease of addiction can provide valuable insight into what your loved one is going through and help you approach the situation effectively. It can also assist in identifying the signs and symptoms of alcohol use disorder, allowing you to recognize if your loved one is struggling.

By familiarizing yourself with alcohol use disorder, you can better comprehend the challenges your loved one may face. This knowledge will enable you to approach the situation with empathy and compassion, reducing the stigma associated with addiction. Additionally, educating yourself about the available treatment options and support resources will empower you to provide informed guidance to your loved one.

Communication and Approach Strategies

When discussing your concerns with your loved one, it's crucial to approach the conversation with care and consideration. Proper communication can foster understanding and openness, increasing the chances of your loved one being receptive to your support. Here are some strategies to keep in mind:

Prepare and Practice: Before engaging in a conversation, prepare what you want to say and how you want to express your concerns. Being prepared allows you to articulate your thoughts effectively and avoid confrontational or judgmental statements. Practice your approach to ensure you convey your message calmly and compassionately.
Use "I" Statements: When expressing your concerns, use "I" statements to avoid sounding accusatory. For example, say "I am worried about your well-being" instead of "You need to stop drinking." This approach emphasizes your feelings and encourages open dialogue.
Choose the Right Setting: Select a quiet and safe place for the conversation where your loved one is sober and able to fully hear and comprehend your concerns. Avoid discussing the matter when they are under the influence of alcohol. By creating a calm environment, you increase the chances of constructive communication.
Listen with Empathy: Allow your loved one to express themselves openly without interruptions. Practice active listening, showing empathy and understanding. This approach helps build trust and reassures your loved one that you are there to support them.
Consider Professional Intervention: If your loved one is resistant or unwilling to acknowledge their alcohol use disorder, it may be necessary to involve a professional. An intervention led by a trained specialist can provide a structured and supportive environment for addressing the issue and encouraging your loved one to seek help.

Remember, supporting a loved one with alcohol use disorder is a long-term commitment. It's essential to approach the situation with patience, understanding, and a non-judgmental attitude. Encourage your loved one to seek professional help and consider attending support groups or therapy sessions designed for families affected by alcohol use disorder. Together, you can navigate this journey towards recovery.

Seeking Help for Alcohol Use Disorder

When it comes to helping someone with alcohol use disorder, seeking professional help is crucial for their recovery journey. There are various treatment methods available that can provide the necessary support and guidance. In this section, we will provide an overview of treatment methods and the role of medications and behavioral treatments in addressing alcohol use disorder.

Treatment Methods Overview

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), there are several treatment methods available for alcohol problems. These include:

Behavioral Treatments: Behavioral treatments aim to modify unhealthy behaviors and develop coping mechanisms to maintain sobriety. They may involve individual counseling, group therapy, family therapy, or cognitive-behavioral therapy. These treatments address the underlying psychological and behavioral aspects of alcohol use disorder.
Medications: The U.S. Food and Drug Administration has approved three medications for treating alcohol dependence: Naltrexone, Acamprosate, and Disulfiram. These medications can be prescribed by healthcare professionals to help individuals reduce heavy drinking, maintain abstinence, and prevent relapse. Medications can play a vital role in the recovery process by addressing the physiological aspects of alcohol use disorder.
Mutual-Support Groups: Mutual-support groups like Alcoholics Anonymous (AA) provide a supportive and understanding community for individuals struggling with alcohol use disorder. These groups offer a safe space for individuals to share their experiences, gain support, and work towards maintaining sobriety.

Medications and Behavioral Treatments

Medications and behavioral treatments are two essential components of alcohol use disorder treatment.

Medications such as Naltrexone, Acamprosate, and Disulfiram can help individuals reduce their alcohol consumption, maintain abstinence, and prevent relapse. Naltrexone and Acamprosate work by reducing cravings and the pleasurable effects of alcohol, while Disulfiram creates an unpleasant reaction when alcohol is consumed.

Behavioral treatments, on the other hand, focus on modifying behaviors and addressing the psychological aspects of alcohol use disorder. These treatments may involve individual counseling, group therapy, or family therapy. Cognitive-behavioral therapy (CBT) is a common approach that helps individuals identify and change negative thought patterns and behaviors associated with alcohol use. Family therapy can also play a crucial role in improving communication, understanding, and support within the family unit.

It's important to note that treatment approaches may vary depending on individual needs, preferences, and the severity of alcohol use disorder. A healthcare professional experienced in alcohol treatment can provide guidance on the most suitable treatment plan for a person struggling with alcohol use disorder [3].

If you're concerned about someone who may have alcohol use disorder, consider seeking advice from a professional experienced in alcohol treatment on how to approach the person [3]. Remember, an intervention from loved ones can sometimes help individuals recognize and accept that they need professional help to overcome alcohol use disorder.

Preventing Alcohol Relapse

Preventing alcohol relapse is a critical aspect of supporting someone with alcohol use disorder. Acknowledging triggers and implementing strategies to manage cravings are essential in maintaining a sober life and reducing the risk of relapse. In this section, we will explore the importance of identifying triggers and effective strategies for managing cravings.

Identifying Triggers

Triggers for alcohol relapse can vary from person to person, but they generally fall into four categories: people, places, things, and emotional states. Identifying and understanding these triggers is crucial to extending recovery and preventing relapse. Here are common examples of triggers:

Category Examples

People: Friends or acquaintances with whom the person used to drink
Places: Bars, clubs, or specific locations associated with drinking
Things: Items like bottles or alcohol-related paraphernalia
Emotional States: Negative emotions (anger, sadness, anxiety) or positive emotions (happiness, excitement)

Source: GoodRx

By recognizing these triggers, individuals can be better prepared to manage the urge to drink and take necessary action to prevent relapse.

Strategies for Managing Cravings

To effectively manage cravings and prevent relapse, individuals can employ various strategies tailored to their needs. Here are some recommended approaches:

Developing a support system: Maintaining contact with supportive loved ones, attending self-help meetings, and participating in group therapy sessions can provide a network of encouragement and understanding.
Practicing relaxation techniques: Engaging in activities such as deep breathing exercises, meditation, yoga, or mindfulness can help reduce stress and promote overall well-being.
Identifying negative consequences: Focusing on the negative aspects of alcohol use and reminding oneself of the detrimental effects it had on their life can help deter cravings.
Engaging in alternative activities: Finding healthy alternatives to drinking, such as pursuing hobbies, exercise, or creative outlets, can distract from cravings and provide a sense of fulfillment.
Creating a relapse prevention plan: Developing a personalized plan that outlines steps to take when confronted with triggers can help individuals respond proactively and effectively.

By implementing these strategies and tailoring them to individual needs, individuals can enhance their ability to manage cravings and reduce the risk of relapse. It's important to remember that seeking professional help, such as therapy or counseling, can provide additional guidance and support throughout the recovery process.

Understanding the relationship between alcohol and mental health is crucial when supporting someone with alcohol use disorder. Alcohol consumption can contribute to the development or exacerbation of mental health issues, and individuals with severe mental illness may be more susceptible to alcohol problems. Therefore, it is essential to address both the alcohol use disorder and any co-occurring mental health conditions to ensure comprehensive support and recovery.

It's worth noting that if drinking is a concern and affecting mental health, seeking help from a healthcare professional, such as a GP, is important. They can provide support, connect individuals with local services for alcohol addiction, and explore treatment options that may include support groups, talking therapies, and medications for safe cessation of alcohol consumption.

Alcohol and Mental Health

Understanding the relationship between alcohol and mental health is essential when supporting someone with alcohol use disorder. Alcohol can have a profound impact on mental illness, exacerbating existing conditions or inducing new ones. Additionally, long-term alcohol misuse can have significant effects on overall health and well-being.

Relationship Between Alcohol and Mental Illness

Alcohol affects the brain by disrupting the balance of neurotransmitters, which can have a profound impact on feelings, thoughts, and behavior. It can lead to negative emotions such as anger, depression, or anxiety. The consumption of alcohol can also slow down the brain's ability to process information, making it harder to understand feelings and consequences of actions.

Research indicates a strong link between alcohol consumption and mental health problems. People who drink alcohol are more likely to develop mental health issues, and individuals with severe mental illnesses are more prone to alcohol problems, possibly due to self-medication to cope with difficult feelings or symptoms.

Long-Term Effects on Health and Well-Being

Long-term alcohol misuse can result in serious health conditions that not only impact physical well-being but also have significant implications for mental health. These health conditions include heart disease, stroke, high blood pressure, liver disease, and cancer. The social consequences of alcohol misuse, such as relationship break-ups, unemployment, financial difficulties, and homelessness, can also contribute to mental health problems.

Excessive alcohol use can have lasting negative effects on the brain. It can lead to brain shrinkage, particularly in the region called the hippocampus. Studies have shown that individuals who consume four or more drinks a day have almost six times the risk of hippocampus shrinkage compared to nondrinkers. Even mild and moderate drinkers showed more shrinkage of the hippocampus compared to abstainers [1].

Moreover, excessive alcohol use can exacerbate pre-existing psychiatric disorders such as depression and anxiety, or even induce these conditions in some individuals. It can lead to memory loss, learning problems, dementia, and severely hindered mental functioning in severe cases. Seeking alcohol addiction treatment is crucial in preventing or reducing these negative effects on the brain.

Understanding the impact of alcohol on mental health and overall well-being is vital when providing support to individuals with alcohol use disorder. By recognizing the connection between alcohol and mental illness, we can effectively address the complex needs of those struggling with alcohol addiction and promote a holistic approach to recovery.