Get Back on Your Feet With Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Head in a whirlwind after drinking alcohol? Turns out, it can be more than just the normal hangover spins. If you’ve ever had a little too much to drink then you’ll know that nausea, dizziness, and headaches can all be part of the painful aftermath. However, drinking can cause even more debilitating symptoms of vertigo for some. 

Vertigo can be an incredibly disorienting experience. Whether we have vertigo or would like to prevent the risk of experiencing any symptoms, learning more about how alcohol affects the body can shed some light on why alcohol and vertigo are commonly associated. Let’s take a closer look at the science behind the connection between vertigo and alcohol and provide some strategies to stay away from the spins.

What Is Vertigo?

Vertigo is a condition characterized by sensations of spinning or swaying. Despite the perception of movement, these sensations occur when we or our surroundings are completely still.

Imagine experiencing the whirling feeling of riding Disneyland’s infamous teacups while sitting quietly in a chair. 

To better understand the connection between alcohol and vertigo, let’s first look at how vertigo happens.

Symptoms of Vertigo

Vertigo can present with a wide range of uncomfortable symptoms. Not everyone will experience all the symptoms, and the severity of the manifestations will vary. Common vertigo-related experiences include:

• Dizziness. Vertigo causes intense sensations of dizziness when nothing is moving. Sufferers commonly report spinning or swaying sensations. 
• Nausea and/or vomiting. Intense dizziness from vertigo can cause feelings of nausea and in some cases vomiting. 
• Sweating. Excessive sweating can occur during or following an episode of vertigo.
• Difficulty balancing. This uneasiness on our feet can range from a mild feeling of unsteadiness to stumbling or falling.
• Headaches. Pounding headaches can come and go throughout an episode.
• Nystagmus. During an episode of vertigo, some of us may have difficulties controlling our eye movement, a condition known as nystagmus. This can include involuntary jerking, blinking, or blurry vision.

These symptoms can occur as a result of two different types of vertigo — peripheral or central vertigo. Let’s examine in further detail what causes the different types of vertigo.

Causes of Vertigo

Peripheral vertigo is caused by problems in the inner ear or the vestibulocochlear nerve that sends signals to the brain. Central vertigo is caused by impacts on the brainstem or cerebellum. Specific causes of vertigo include the following:

• Meniere’s Disease. This chronic inner ear disorder causes feelings of fullness in the ear, ringing, and vertigo symptoms. Vertigo attacks can be triggered by sudden movements and bright or flashing lights.
• Benign Paroxysmal Positional Vertigo (BPPV). BPPV is a condition that results from dislodged calcium crystals in the inner ear. The crystals flow into the fluid canals that sense rotation, leading to feelings of dizziness and spinning.
• Labyrinthitis. This inflammation of the inner ear is usually triggered by viral infection. Labyrinthitis affects the cochlear nerve and can cause imbalance, hearing loss, and vertigo symptoms.
• Vestibular neuritis. Similar to labyrinthitis, this condition results from inflammation of the nerve that connects the inner ear to the brain. It causes dizziness and vertigo but does not impact hearing.
• Migraines. Although headaches can be a symptom of vertigo, they can also be triggered by vestibular migraines — causing a debilitating cycle of pain. 
• Alcohol. Drinking alcohol can cause symptoms of vertigo, especially in those of us who have a history of vestibular sensitivities and inner ear disorders.


Can Alcohol Cause Vertigo?

After exploring the different causes of vertigo, we see that alcohol and vertigo are positively correlated. Let’s take a closer look at how alcohol affects our brain and systems in our body to understand how alcohol and vertigo are connected. 

Alcohol is categorized as a central nervous system depressant. The central nervous system is in charge of sending and receiving messages between the brain and body. Alcohol slows down the sensory input we need to orient ourselves in space. An extra few milliseconds can make a huge difference when it comes to standing up straight.

Additionally, alcohol is a diuretic, meaning it dehydrates us by stimulating urine production. This can affect the fluid of the inner ear that allows us to control our balance. This combination of sensory inhibition and inner ear fluid disruption directly causes vertigo. 

So what does that mean for those of us who are prone to experiencing this disorienting dizziness?

Can You Drink Alcohol If You Have Vertigo?

Ever have “just one more cheat day” that turns into a cheat week or month before starting a diet? Some of us may fall into the trap of black-and-white thinking, reasoning that since we already experience vertigo, having a drink or two won’t matter. However, drinking while already susceptible to vertigo will only make it worse and may lead to permanent damage. 

Let’s further examine the direct impacts that drinking alcohol has on vertigo. 

Impacts on Vertigo From Drinking Alcohol 

Now that we’ve acknowledged the direct correlation between alcohol and vertigo, let’s take a look at four ways that alcohol can impact vertigo.

• Increased frequency of episodes. Alcohol has effects on our body even days after drinking. Excessive drinking causes severe impairments to the systems that break down and process alcohol, giving the toxins more opportunities to create disruptions. Alcohol can increase bouts of vertigo during drinking, throughout the hangover, and in instances when alcohol is not even present. 

• Exacerbated symptoms. Alcohol can worsen existing vertigo symptoms by further disrupting the vestibular system and impacting areas of the brain that help us process information. The severity of symptoms can vary depending on our susceptibility, reaction to alcohol, and the amount of alcohol consumed. Severe vertigo symptoms may include extreme headaches, high temperatures, or the inability to walk or stand.

• Lengthened recovery time. Alcohol not only exacerbates vertigo symptoms but can also increase the time it takes to recover from an episode. In the short term, alcohol can extend the length of vertigo attacks while focusing its resources on alcohol metabolism rather than recalibrating the vestibular system. In the long term, continued exposure to alcohol will impact normal cell and organ function, leading to longer recovery periods. It’s similar to how hangovers tend to worsen with age as our organs slowly become less efficient. Lengthened recovery times can be especially challenging for those of us who experience frequent episodes of vertigo. 

• Vertigo and alcoholism. While we’ve touched on the short-term effects of alcohol on vertigo, excessive drinking can also cause long-term damages that should not be taken lightly. Chronic drinking can damage the auditory cortex and different parts of the brain. This can lead to hearing loss and chronic vertigo. 

Even small amounts of alcohol have the potential to elicit vertigo, especially for those of us who are more susceptible. Luckily, if you do experience vertigo after drinking alcohol, there are ways to help manage the unpleasant effects.

Managing Hangover Vertigo Symptoms

If you experience vertigo symptoms while drinking, it’s best to stop immediately. Focus on hydrating and resting while the body works to process and break down the alcohol. 

When vertigo symptoms appear during a hangover, it may exacerbate other hangover experiences. Some ways to help relieve vertigo symptoms include the following:

• Modified positioning. Although you may want to lay down and sleep the symptoms away, body position can play a role in mitigating vertigo symptoms. Lay slightly propped up and avoid laying on the affected ear. There are also specific maneuvers and exercises (depending on the type of vertigo) that can help relieve symptoms.  
• Proper hydration. Staying hydrated helps restore proper inner-ear fluid levels and reduce dizziness. It also helps reduce overall dehydration and lessen other hangover symptoms.
• Stress management. Among its many other health effects, stress is shown to promote vestibular dysfunction. Try stress-relieving strategies such as deep breathing, yoga, or meditation to help calm the nervous system. 
• Medication. There are over-the-counter medications that target symptoms of vertigo, but it is important to note that it can lead to other side effects and other health impacts from prolonged drug use. Taking medication can relieve symptoms temporarily, but that’s a lot like putting a Band-Aid on a wound that requires stitches.
• Changes to our environment. Vertigo impacts our overall balance and coordination, increasing our risk of falling. Making modifications such as maintaining appropriate lighting, getting rid of tripping hazards, and implementing stable supports in the home helps with creating a safe environment for risks associated with vertigo.

Strategies To Navigate Alcohol and Vertigo

While there are methods that can help relieve symptoms of vertigo, the solutions are only short term. Here are some things to try:

• Cutting back on alcohol. Drinking less alcohol reduces the chances of provoking a vertigo episode. Drinking less reduces stress on our vestibular system, reducing instances and severity of vertigo. 
• Quitting alcohol. Even minimal amounts of alcohol can trigger vertigo for anyone who is very sensitive. Quitting alcohol is the most effective strategy to prevent alcohol-induced vertigo.
• Identifying triggers. Alcohol is a trigger for vertigo, but other factors can also provoke symptoms. Stress, lack of sleep, certain foods, or medication can all lead to an increased risk for vertigo. Identifying personal triggers helps us minimize the chance of eliciting vertigo symptoms. 
• Prioritizing hydration. Drinking plenty of water helps combat the dehydrating effects of alcohol. Dehydration isn’t the only factor that causes vertigo, but maintaining more stable levels of inner ear fluid reduces dehydration-related balance issues and dizziness. 

Bringing It Back Around

Dizziness is often brushed off as a normal hangover symptom. But the link between vertigo and alcohol helps to explain why we may suffer from more than just the spins. Understanding how alcohol causes and worsens vertigo can motivate us to make more intentional decisions about drinking. There are plenty of ways to reduce alcohol-induced vertigo symptoms, but ultimately, decreasing alcohol intake will decrease the risk of vertigo. Settle the spins, and take back control of your relationship with alcohol!

Head in a whirlwind after drinking alcohol? Turns out, it can be more than just the normal hangover spins. If you’ve ever had a little too much to drink then you’ll know that nausea, dizziness, and headaches can all be part of the painful aftermath. However, drinking can cause even more debilitating symptoms of vertigo for some. 

Vertigo can be an incredibly disorienting experience. Whether we have vertigo or would like to prevent the risk of experiencing any symptoms, learning more about how alcohol affects the body can shed some light on why alcohol and vertigo are commonly associated. Let’s take a closer look at the science behind the connection between vertigo and alcohol and provide some strategies to stay away from the spins.

What Is Vertigo?

Vertigo is a condition characterized by sensations of spinning or swaying. Despite the perception of movement, these sensations occur when we or our surroundings are completely still.

Imagine experiencing the whirling feeling of riding Disneyland’s infamous teacups while sitting quietly in a chair. 

To better understand the connection between alcohol and vertigo, let’s first look at how vertigo happens.

Symptoms of Vertigo

Vertigo can present with a wide range of uncomfortable symptoms. Not everyone will experience all the symptoms, and the severity of the manifestations will vary. Common vertigo-related experiences include:

• Dizziness. Vertigo causes intense sensations of dizziness when nothing is moving. Sufferers commonly report spinning or swaying sensations. 
• Nausea and/or vomiting. Intense dizziness from vertigo can cause feelings of nausea and in some cases vomiting. 
• Sweating. Excessive sweating can occur during or following an episode of vertigo.
• Difficulty balancing. This uneasiness on our feet can range from a mild feeling of unsteadiness to stumbling or falling.
• Headaches. Pounding headaches can come and go throughout an episode.
• Nystagmus. During an episode of vertigo, some of us may have difficulties controlling our eye movement, a condition known as nystagmus. This can include involuntary jerking, blinking, or blurry vision.

These symptoms can occur as a result of two different types of vertigo — peripheral or central vertigo. Let’s examine in further detail what causes the different types of vertigo.

Causes of Vertigo

Peripheral vertigo is caused by problems in the inner ear or the vestibulocochlear nerve that sends signals to the brain. Central vertigo is caused by impacts on the brainstem or cerebellum. Specific causes of vertigo include the following:

• Meniere’s Disease. This chronic inner ear disorder causes feelings of fullness in the ear, ringing, and vertigo symptoms. Vertigo attacks can be triggered by sudden movements and bright or flashing lights.
• Benign Paroxysmal Positional Vertigo (BPPV). BPPV is a condition that results from dislodged calcium crystals in the inner ear. The crystals flow into the fluid canals that sense rotation, leading to feelings of dizziness and spinning.
• Labyrinthitis. This inflammation of the inner ear is usually triggered by viral infection. Labyrinthitis affects the cochlear nerve and can cause imbalance, hearing loss, and vertigo symptoms.
• Vestibular neuritis. Similar to labyrinthitis, this condition results from inflammation of the nerve that connects the inner ear to the brain. It causes dizziness and vertigo but does not impact hearing.
• Migraines. Although headaches can be a symptom of vertigo, they can also be triggered by vestibular migraines — causing a debilitating cycle of pain. 
• Alcohol. Drinking alcohol can cause symptoms of vertigo, especially in those of us who have a history of vestibular sensitivities and inner ear disorders.


Can Alcohol Cause Vertigo?

After exploring the different causes of vertigo, we see that alcohol and vertigo are positively correlated. Let’s take a closer look at how alcohol affects our brain and systems in our body to understand how alcohol and vertigo are connected. 

Alcohol is categorized as a central nervous system depressant. The central nervous system is in charge of sending and receiving messages between the brain and body. Alcohol slows down the sensory input we need to orient ourselves in space. An extra few milliseconds can make a huge difference when it comes to standing up straight.

Additionally, alcohol is a diuretic, meaning it dehydrates us by stimulating urine production. This can affect the fluid of the inner ear that allows us to control our balance. This combination of sensory inhibition and inner ear fluid disruption directly causes vertigo. 

So what does that mean for those of us who are prone to experiencing this disorienting dizziness?

Can You Drink Alcohol If You Have Vertigo?

Ever have “just one more cheat day” that turns into a cheat week or month before starting a diet? Some of us may fall into the trap of black-and-white thinking, reasoning that since we already experience vertigo, having a drink or two won’t matter. However, drinking while already susceptible to vertigo will only make it worse and may lead to permanent damage. 

Let’s further examine the direct impacts that drinking alcohol has on vertigo. 

Impacts on Vertigo From Drinking Alcohol 

Now that we’ve acknowledged the direct correlation between alcohol and vertigo, let’s take a look at four ways that alcohol can impact vertigo.

• Increased frequency of episodes. Alcohol has effects on our body even days after drinking. Excessive drinking causes severe impairments to the systems that break down and process alcohol, giving the toxins more opportunities to create disruptions. Alcohol can increase bouts of vertigo during drinking, throughout the hangover, and in instances when alcohol is not even present. 

• Exacerbated symptoms. Alcohol can worsen existing vertigo symptoms by further disrupting the vestibular system and impacting areas of the brain that help us process information. The severity of symptoms can vary depending on our susceptibility, reaction to alcohol, and the amount of alcohol consumed. Severe vertigo symptoms may include extreme headaches, high temperatures, or the inability to walk or stand.

• Lengthened recovery time. Alcohol not only exacerbates vertigo symptoms but can also increase the time it takes to recover from an episode. In the short term, alcohol can extend the length of vertigo attacks while focusing its resources on alcohol metabolism rather than recalibrating the vestibular system. In the long term, continued exposure to alcohol will impact normal cell and organ function, leading to longer recovery periods. It’s similar to how hangovers tend to worsen with age as our organs slowly become less efficient. Lengthened recovery times can be especially challenging for those of us who experience frequent episodes of vertigo. 

• Vertigo and alcoholism. While we’ve touched on the short-term effects of alcohol on vertigo, excessive drinking can also cause long-term damages that should not be taken lightly. Chronic drinking can damage the auditory cortex and different parts of the brain. This can lead to hearing loss and chronic vertigo. 

Even small amounts of alcohol have the potential to elicit vertigo, especially for those of us who are more susceptible. Luckily, if you do experience vertigo after drinking alcohol, there are ways to help manage the unpleasant effects.

Managing Hangover Vertigo Symptoms

If you experience vertigo symptoms while drinking, it’s best to stop immediately. Focus on hydrating and resting while the body works to process and break down the alcohol. 

When vertigo symptoms appear during a hangover, it may exacerbate other hangover experiences. Some ways to help relieve vertigo symptoms include the following:

• Modified positioning. Although you may want to lay down and sleep the symptoms away, body position can play a role in mitigating vertigo symptoms. Lay slightly propped up and avoid laying on the affected ear. There are also specific maneuvers and exercises (depending on the type of vertigo) that can help relieve symptoms.  
• Proper hydration. Staying hydrated helps restore proper inner-ear fluid levels and reduce dizziness. It also helps reduce overall dehydration and lessen other hangover symptoms.
• Stress management. Among its many other health effects, stress is shown to promote vestibular dysfunction. Try stress-relieving strategies such as deep breathing, yoga, or meditation to help calm the nervous system. 
• Medication. There are over-the-counter medications that target symptoms of vertigo, but it is important to note that it can lead to other side effects and other health impacts from prolonged drug use. Taking medication can relieve symptoms temporarily, but that’s a lot like putting a Band-Aid on a wound that requires stitches.
• Changes to our environment. Vertigo impacts our overall balance and coordination, increasing our risk of falling. Making modifications such as maintaining appropriate lighting, getting rid of tripping hazards, and implementing stable supports in the home helps with creating a safe environment for risks associated with vertigo.

Strategies To Navigate Alcohol and Vertigo

While there are methods that can help relieve symptoms of vertigo, the solutions are only short term. Here are some things to try:

• Cutting back on alcohol. Drinking less alcohol reduces the chances of provoking a vertigo episode. Drinking less reduces stress on our vestibular system, reducing instances and severity of vertigo. 
• Quitting alcohol. Even minimal amounts of alcohol can trigger vertigo for anyone who is very sensitive. Quitting alcohol is the most effective strategy to prevent alcohol-induced vertigo.
• Identifying triggers. Alcohol is a trigger for vertigo, but other factors can also provoke symptoms. Stress, lack of sleep, certain foods, or medication can all lead to an increased risk for vertigo. Identifying personal triggers helps us minimize the chance of eliciting vertigo symptoms. 
• Prioritizing hydration. Drinking plenty of water helps combat the dehydrating effects of alcohol. Dehydration isn’t the only factor that causes vertigo, but maintaining more stable levels of inner ear fluid reduces dehydration-related balance issues and dizziness. 

Bringing It Back Around

Dizziness is often brushed off as a normal hangover symptom. But the link between vertigo and alcohol helps to explain why we may suffer from more than just the spins. Understanding how alcohol causes and worsens vertigo can motivate us to make more intentional decisions about drinking. There are plenty of ways to reduce alcohol-induced vertigo symptoms, but ultimately, decreasing alcohol intake will decrease the risk of vertigo. Settle the spins, and take back control of your relationship with alcohol!

Alcohol Withdrawal Support at Your Fingertips — Download Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Alcohol withdrawal is common in those who’ve quit drinking after a period of chronically heavy consumption and/or dependence. Symptoms can range from mild discomforts to more severe physical and emotional disruptions. For those undergoing alcohol withdrawal, medical interventions can alleviate symptoms, help the body overcome cravings, and allow them to successfully quit drinking.

Gabapentin has emerged as a potential treatment for mild withdrawal symptoms. This prescription medication has shown promising effects in improving withdrawal symptoms, but it’s not for everyone. 

Read on to learn more about gabapentin and alcohol withdrawal. You’ll discover how the drug works, whether it’s something to bring up with your doctor, and what its potential interactions with alcohol are.

What Is Gabapentin?

Gabapentin, also known by the brand names Horizant, Gralise, and Neurontin, is a prescription drug. This medication is one of the most commonly prescribed in the U.S. It can treat seizures, nerve pain after shingles, and restless leg syndrome. There are also several off-label uses, including one for treatment of alcohol withdrawal (along with cravings, alcohol-related anxiety, and insomnia). 

This medication is classified as an anticonvulsant due to its role as a gamma-aminobutyric acid (GABA) analogue. GABA, a neurotransmitter, decreases the excitability within the brain’s neurons. These neurons, or nerve cells, play a key role in seizures and transmitting pain signals. Gabapentin essentially mimics GABA’s effects, calming these excited neurons.  

Using Gabapentin for Alcohol Withdrawal

It’s important to note that while gabapentin has been deemed effective for alcohol withdrawal, that applies only to mild alcohol withdrawal. In such cases, it can be an effective therapeutic modality — especially when used with other medications — for alleviating certain symptoms:

• Impulses to drink alcohol, particularly in the early stages of abstinence
• Alcohol cravings
• Mood issues
• Anxiety
• Insomnia
• Potential for relapse 

Studies on Gabapentin for Alcohol Withdrawal

Research indicates that gabapentin should be prescribed solely in cases where other treatments have been ineffective and only for those who aren’t at risk for abusing prescription, illicit, or opioid drugs. 

When it comes to alcohol withdrawal, benzodiazepines are a standard treatment method. These drugs calm the central nervous system and may prevent delirium tremens (DTs) and seizures. However, due to their heavy sedative effects, they may cause motor impairments, which can be dangerous in professional settings and on the road. Furthermore, benzodiazepines have a high risk of addiction, so they’re typically only used in the early stages of alcohol withdrawal. 

Gabapentin doesn't carry as much risk of addiction and can offer many of the same benefits as benzodiazepines. However, research on gabapentin for alcohol withdrawal is mixed.

Inpatient Clinical Trials

A study undertaken at a South Carolina psychiatric hospital evaluated the effectiveness of gabapentin in conjunction with benzodiazepines for treating alcohol withdrawal. This study compared two groups: one group of 40 patients received gabapentin along with a benzodiazepine-based alcohol withdrawal protocol, while the control group of 43 patients followed the protocol without gabapentin. Based on the results, gabapentin did not show any significant benefits. 

In another inpatient study, conducted in 2010, a team of German researchers explored gabapentin's potential role in treating severe inpatient alcohol withdrawal. This study examined 37 patients who scored high on the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar). Each patient took 800 mg of gabapentin; 27 patients showed improvements in symptoms within two hours and were labeled “early responders.” They continued to take a particular gabapentin dose for two more days before tapering off. Meanwhile, 10 participants didn’t respond at all to the gabapentin and actually had worsening symptoms, so they were shifted to standard treatments. It’s important to also mention that three early responders actually underwent symptom exacerbation later on, with two of them experiencing seizures. Based on all of the above, the researchers concluded that high gabapentin doses (3,200 mg in the first 24 hours) are only effective for milder alcohol withdrawal cases. 

Outpatient Clinical Trials

A 2009 study in Alcoholism: Clinical and Experimental Research focused on 100 outpatients seeking treatment for alcohol withdrawal. These patients were divided into four groups to compare the effects of different doses of gabapentin (600 mg, 900 mg, 1,200 mg) and lorazepam (6 mg), each with a four-day tapering window. The Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) was used to measure effectiveness. (Only 68 patients completed the follow-up until day 12, however). Based on the final results, gabapentin, specifically at 1,200 mg, was deemed to be effective in reducing alcohol withdrawal symptoms, particularly anxiety and cravings, and was better tolerated than lorazepam. Lorazepam users had a higher relapse risk and were more likely to continue drinking once treatment concluded. 1,200 mg of gabapentin also showed benefits in improving sleep, reducing anxiety, and enhancing work capability, while the 900 mg dosage was linked to less depression compared to lorazepam.

In another study in Annals of Pharmacotherapy, researchers conducted a randomized, double-blind study on 26 military veterans. This study specifically compared gabapentin and chlordiazepoxide in treating acute alcohol withdrawal in an outpatient setting. Patients received either gabapentin (1,200 mg initially, tapering to 300 mg) or chlordiazepoxide (100 mg initially, tapering to 25 mg). Based on the results, there were initial improvements in withdrawal scores for both groups, but the gabapentin group had better outcomes in terms of sleep and cravings in the later stages. Additionally, gabapentin triggered fewer sedative effects when compared to chlordiazepoxide.

Gabapentin Side Effects

While gabapentin can certainly be advantageous, it’s not without side effects. Here are some common ones: 

• Allergic reactions
• Dizziness
• Drowsiness
• Headaches
• Weakness
• Anxiety
• Depression
• Memory issues
• Swelling
• Constipation
• Diarrhea
• Acid reflux
• Weight gain
• Seizures

Stopping gabapentin without gradually tapering can lead to withdrawal symptoms, which may include sweating, pain, nausea, and vomiting. Always take gabapentin as prescribed to avoid any adverse issues. 

Gabapentin Interactions With Alcohol

Mixing alcohol and gabapentin is inadvisable. It’s important to understand the potential interactions, and the dangers shouldn’t be overlooked. 

Mixing gabapentin with alcohol may amplify effects of both substances, since they’re both central nervous system depressants. 

This combination may increase symptoms such as dizziness, drowsiness, and concentration difficulties. Some people may even notice impaired judgment and thinking. Furthermore, sedation may occur, which can be particularly harmful if someone is operating machinery or driving. 

Finally, gabapentin and alcohol use may trigger respiratory depression. In this situation, a person experienced slowed or labored breathing, which may be fatal in certain instances.

So, can you drink alcohol with gabapentin? The answer is no! If you’re consuming alcohol regularly and have been prescribed gabapentin, please consult your physician immediately. To avoid adverse risks, it’s essential to change your drinking habits, which can be done with the help of apps such as Reframe. If alcohol-gabapentin interactions are likely, your physician may prescribe a medication with a lower risk of contraindications. 

Alcohol and Gabapentin: The Takeaways

If you’re in the early stages of alcohol withdrawal, and your symptoms are mild, gabapentin may be an effective treatment method. This medication has been shown to alleviate common symptoms such as cravings, insomnia, and anxiety. However, gabapentin is not for everyone, and further research is needed to determine its efficacy, particularly in inpatient settings.

Talk to your doctor about potential treatment methods for alcohol withdrawal, including gabapentin, to see what’s best for you. Remember that with the right support, a speedy recovery is possible!

Alcohol withdrawal is common in those who’ve quit drinking after a period of chronically heavy consumption and/or dependence. Symptoms can range from mild discomforts to more severe physical and emotional disruptions. For those undergoing alcohol withdrawal, medical interventions can alleviate symptoms, help the body overcome cravings, and allow them to successfully quit drinking.

Gabapentin has emerged as a potential treatment for mild withdrawal symptoms. This prescription medication has shown promising effects in improving withdrawal symptoms, but it’s not for everyone. 

Read on to learn more about gabapentin and alcohol withdrawal. You’ll discover how the drug works, whether it’s something to bring up with your doctor, and what its potential interactions with alcohol are.

What Is Gabapentin?

Gabapentin, also known by the brand names Horizant, Gralise, and Neurontin, is a prescription drug. This medication is one of the most commonly prescribed in the U.S. It can treat seizures, nerve pain after shingles, and restless leg syndrome. There are also several off-label uses, including one for treatment of alcohol withdrawal (along with cravings, alcohol-related anxiety, and insomnia). 

This medication is classified as an anticonvulsant due to its role as a gamma-aminobutyric acid (GABA) analogue. GABA, a neurotransmitter, decreases the excitability within the brain’s neurons. These neurons, or nerve cells, play a key role in seizures and transmitting pain signals. Gabapentin essentially mimics GABA’s effects, calming these excited neurons.  

Using Gabapentin for Alcohol Withdrawal

It’s important to note that while gabapentin has been deemed effective for alcohol withdrawal, that applies only to mild alcohol withdrawal. In such cases, it can be an effective therapeutic modality — especially when used with other medications — for alleviating certain symptoms:

• Impulses to drink alcohol, particularly in the early stages of abstinence
• Alcohol cravings
• Mood issues
• Anxiety
• Insomnia
• Potential for relapse 

Studies on Gabapentin for Alcohol Withdrawal

Research indicates that gabapentin should be prescribed solely in cases where other treatments have been ineffective and only for those who aren’t at risk for abusing prescription, illicit, or opioid drugs. 

When it comes to alcohol withdrawal, benzodiazepines are a standard treatment method. These drugs calm the central nervous system and may prevent delirium tremens (DTs) and seizures. However, due to their heavy sedative effects, they may cause motor impairments, which can be dangerous in professional settings and on the road. Furthermore, benzodiazepines have a high risk of addiction, so they’re typically only used in the early stages of alcohol withdrawal. 

Gabapentin doesn't carry as much risk of addiction and can offer many of the same benefits as benzodiazepines. However, research on gabapentin for alcohol withdrawal is mixed.

Inpatient Clinical Trials

A study undertaken at a South Carolina psychiatric hospital evaluated the effectiveness of gabapentin in conjunction with benzodiazepines for treating alcohol withdrawal. This study compared two groups: one group of 40 patients received gabapentin along with a benzodiazepine-based alcohol withdrawal protocol, while the control group of 43 patients followed the protocol without gabapentin. Based on the results, gabapentin did not show any significant benefits. 

In another inpatient study, conducted in 2010, a team of German researchers explored gabapentin's potential role in treating severe inpatient alcohol withdrawal. This study examined 37 patients who scored high on the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar). Each patient took 800 mg of gabapentin; 27 patients showed improvements in symptoms within two hours and were labeled “early responders.” They continued to take a particular gabapentin dose for two more days before tapering off. Meanwhile, 10 participants didn’t respond at all to the gabapentin and actually had worsening symptoms, so they were shifted to standard treatments. It’s important to also mention that three early responders actually underwent symptom exacerbation later on, with two of them experiencing seizures. Based on all of the above, the researchers concluded that high gabapentin doses (3,200 mg in the first 24 hours) are only effective for milder alcohol withdrawal cases. 

Outpatient Clinical Trials

A 2009 study in Alcoholism: Clinical and Experimental Research focused on 100 outpatients seeking treatment for alcohol withdrawal. These patients were divided into four groups to compare the effects of different doses of gabapentin (600 mg, 900 mg, 1,200 mg) and lorazepam (6 mg), each with a four-day tapering window. The Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) was used to measure effectiveness. (Only 68 patients completed the follow-up until day 12, however). Based on the final results, gabapentin, specifically at 1,200 mg, was deemed to be effective in reducing alcohol withdrawal symptoms, particularly anxiety and cravings, and was better tolerated than lorazepam. Lorazepam users had a higher relapse risk and were more likely to continue drinking once treatment concluded. 1,200 mg of gabapentin also showed benefits in improving sleep, reducing anxiety, and enhancing work capability, while the 900 mg dosage was linked to less depression compared to lorazepam.

In another study in Annals of Pharmacotherapy, researchers conducted a randomized, double-blind study on 26 military veterans. This study specifically compared gabapentin and chlordiazepoxide in treating acute alcohol withdrawal in an outpatient setting. Patients received either gabapentin (1,200 mg initially, tapering to 300 mg) or chlordiazepoxide (100 mg initially, tapering to 25 mg). Based on the results, there were initial improvements in withdrawal scores for both groups, but the gabapentin group had better outcomes in terms of sleep and cravings in the later stages. Additionally, gabapentin triggered fewer sedative effects when compared to chlordiazepoxide.

Gabapentin Side Effects

While gabapentin can certainly be advantageous, it’s not without side effects. Here are some common ones: 

• Allergic reactions
• Dizziness
• Drowsiness
• Headaches
• Weakness
• Anxiety
• Depression
• Memory issues
• Swelling
• Constipation
• Diarrhea
• Acid reflux
• Weight gain
• Seizures

Stopping gabapentin without gradually tapering can lead to withdrawal symptoms, which may include sweating, pain, nausea, and vomiting. Always take gabapentin as prescribed to avoid any adverse issues. 

Gabapentin Interactions With Alcohol

Mixing alcohol and gabapentin is inadvisable. It’s important to understand the potential interactions, and the dangers shouldn’t be overlooked. 

Mixing gabapentin with alcohol may amplify effects of both substances, since they’re both central nervous system depressants. 

This combination may increase symptoms such as dizziness, drowsiness, and concentration difficulties. Some people may even notice impaired judgment and thinking. Furthermore, sedation may occur, which can be particularly harmful if someone is operating machinery or driving. 

Finally, gabapentin and alcohol use may trigger respiratory depression. In this situation, a person experienced slowed or labored breathing, which may be fatal in certain instances.

So, can you drink alcohol with gabapentin? The answer is no! If you’re consuming alcohol regularly and have been prescribed gabapentin, please consult your physician immediately. To avoid adverse risks, it’s essential to change your drinking habits, which can be done with the help of apps such as Reframe. If alcohol-gabapentin interactions are likely, your physician may prescribe a medication with a lower risk of contraindications. 

Alcohol and Gabapentin: The Takeaways

If you’re in the early stages of alcohol withdrawal, and your symptoms are mild, gabapentin may be an effective treatment method. This medication has been shown to alleviate common symptoms such as cravings, insomnia, and anxiety. However, gabapentin is not for everyone, and further research is needed to determine its efficacy, particularly in inpatient settings.

Talk to your doctor about potential treatment methods for alcohol withdrawal, including gabapentin, to see what’s best for you. Remember that with the right support, a speedy recovery is possible!

Develop Healthier Drinking Habits With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

When it comes to choosing a healthier alcoholic drink, wine has a particularly good reputation. Maybe you’ve poured yourself a glass of wine and justified it by saying it’s good for your health. Or maybe you’ve heard someone say that wine has heart health benefits. But is any of this true? Is wine really good for us — and if so, how much is too much? 

In this post, we’ll explore the health benefits of wine as well as the associated risks. We’ll also offer some tips for drinking wine in a healthy manner. Let’s dive in!

Is Red Wine Good for You?: The Benefits of Red Wine

First things first: whenever we hear or read something about the health benefits of wine, it usually has to do with red wine. Why? Well, unlike white wine, red wine contains a large amount of resveratrol — a natural antioxidant that comes from the skin of red grapes. 

Antioxidants are important because they help our body fight off free radicals — dangerous molecules that attack good molecules in charge of promoting essential body functions. If the level of free radicals in our bodies becomes too high, it can cause damage to our organs and tissues and result in various illnesses, such as diabetes, heart disease, cancer, and even Alzheimer’s. 

Since there are antioxidants in red wine, drinking it in small amounts can help protect our brain, heart, and body. In fact, studies have found that drinking red wine in moderation has been linked to reduced risk of cardiovascular disease, atherosclerosis, high blood pressure (hypertension), certain types of cancer (such as basal cell, colon, prostrate, and ovarian), and type 2 diabetes. It’s also been linked to reduced risk of dementia and depression. 

Resveratrol in particular has been linked with many health benefits, such as fighting inflammation and blood clotting, as well as reducing the risk of heart disease and cancer. For instance, studies have noted that resveratrol may reduce blood pressure and increase high-density lipoprotein (HDL) cholesterol — the “good” type of cholesterol. 

Similarly, a recent study reported that drinking red wine is linked with a lower risk of coronary heart disease, which is the leading cause of disease and death in the United States. It may also lower the risk of stroke. Furthermore, one study found that red wine may even contribute to a healthy gut by boosting healthy gut bacteria. 

Overall, research indicates that consuming small to moderate amounts of red wine does offer a number of health benefits. The key word here is moderation! Moderation is defined as one 5-ounce glass of wine per day for females and two glasses of wine for males. Overindulging in wine can bring with it a variety of health risks, as we’ll see below!

What are the Health Risks of Drinking Wine?

It’s worth repeating that only small to moderate amounts of red wine may bring health benefits. Drinking any amount of alcohol in excess — including red wine — can have the opposite effect, putting us at greater risk for a variety of health complications. Let’s take a closer look at the side effects of drinking wine every night:

• Liver damage. Regular alcohol consumption can cause liver damage or disease. In extreme cases, it can lead to liver cirrhosis, scarring of the liver that cannot be healed. However, prolonged alcohol consumption can also cause fatty liver disease and alcoholic hepatitis.
• Pancreatitis. Heavy consumption of alcohol can lead to acute or chronic pancreatitis, the inflammation of the pancreas. In fact, 70 to 80 percent of chronic pancreatitis is caused by chronic alcohol abuse. Chronic pancreatitis also puts us at risk for diabetes. 
• Heart problems. Regularly consuming alcohol can lead to a variety of heart issues, such as atrial fibrillation (AFib), which is when our heart beats abnormally. It can also put us at risk for hypertension (high blood pressure), and cardiomyopathy — a serious condition marked by a weakened heart muscle and inability to pump blood effectively.
• Diabetes. Drinking heavily can reduce our body’s sensitivity to insulin, which can lead to type 2 diabetes. Similarly, since wine is full of calories, the more we drink, the greater our risk of becoming overweight, which can also put us at risk of type 2 diabetes.
• Gastrointestinal issues. Heavy, long-term consumption of alcohol can lead to a condition known as alcoholic gastritis — the inflammation or irritation of the stomach lining. This can vary in severity depending on how long we’ve been drinking. Prolonged alcohol misuse can cause alcohol gut inflammation symptoms that can lead to long-term damage. 
• Gout. Alcohol can also increase our risk of developing gout, which is a form of arthritis that causes severe pain, swelling, stiffness, and redness in one or more joints, typically in the toes. Research shows that as little as one alcoholic beverage in a 24-hour period can cause gout. 
• Cancer. Research shows that even moderate alcohol use can increase our risk of various types of cancer, including mouth and throat cancer, esophageal cancer, liver cancer, breast cancer, and colorectal cancer. In general, the more we drink, the higher our cancer risk.
• Mental health problems. Heavy drinkers are at a much greater risk for depression, anxiety, and other mood disorders. This is because alcohol is a depressant and can upset the delicate balance of important neurotransmitters for regulating our mood, such as dopamine and serotonin. It can also lead to greater stress.

Keep in mind that these are just some of the risks associated with regularly consuming a large amount of wine, or any type of alcohol for that matter. Alcohol truly affects nearly every aspect of our health, which is why it’s important to limit our consumption or quit drinking entirely.

How Healthy Is Drinking Wine Everyday? 

So, now that we have a better understanding of the health benefits and associated risks of wine, let’s get a bit more practical. How much wine is okay to drink, and how much wine is too much? 

Generally speaking, the health benefits of wine only apply if we’re consuming it in moderate amounts. This means no more than one 5-ounce glass of wine a day for women and no more than two glasses for men. Keep in mind that this is the total amount of alcohol we should consume in a day. Furthermore, it’s also recommended that we go at least 1-2 days a week without alcohol.

Just because red wine offers several health benefits doesn’t mean we should drink it. It’s not the red wine itself that is beneficial but rather its antioxidant properties, including the natural antioxidant resveratrol. And the good news is that we can get resveratrol in other ways, such as eating berries and grapes — which is better for us anyway!

In general, there are large amounts of antioxidants in fruits, vegetables, nuts, and whole grounds, and smaller amounts of antioxidants in meats, poultry, and fish. Some specific antioxidant powerhouse foods include pomegranates, salmon, grapes, apples, spinach, dark chocolate, blueberries, and beets. An antioxidant called quercetin, which is found in apples, citrus, fruits, onions, parsley, and more, effectively kills abnormal cells while keeping healthy cells intact.

At the end of the day, getting our antioxidants from natural food is more beneficial than getting it from a glass of wine because of the health risks associated with alcohol.

7 Tips for Drinking Wine in Moderation

If we do choose to drink wine, there are several things we can do to help us drink in moderation and in a healthy manner. Here are 7 tips:

1. Count your drinks. When you’re aware of how much you’re drinking, you can make better choices. Make it a point to count your drinks using a notepad in your phone or in the Reframe app’s drink tracker. At the very most, try limiting yourself to one glass of wine every hour. It can also be helpful to set a limit before you start drinking to prevent overindulgence.
2. Sip wine slowly. It’s always important to drink alcohol slowly, but it’s even more important with wine since it’s truly meant to be savored. Wine is full of flavor, so try to truly savor each sip. It can be helpful to incorporate mindful drinking here as it can help us focus on the experience of enjoying wine rather than mindlessly gulping it down.
3. Don’t mix wine with other alcohol. It’s best practice not to mix different types of alcohol as doing so can rapidly bring up BAC levels and make us more intoxicated. Plus, we tend to consume more alcohol over a shorter period of time when we mix different types of alcohol. So, if you start with a glass of wine, stick to just wine!
4. Alternate with water. Water should be our best friend while drinking alcohol. Since alcohol is a diuretic, it promotes water loss through urine, causing us to become dehydrated. Drinking water while drinking wine not only helps us stay hydrated but can help prevent those dreaded hangovers, too. Try alternating between a glass of water and a glass of wine.
5. Opt for Pinot Noir. Pinot Noir is considered the best wine for heart health. This is because it contains the highest concentration of resveratrol — the natural antioxidant that offers a number of health benefits. Some of the other best wines for heart health include Merlot, Cabernet Sauvignon, and Malbec.
6. Opt for low-carb wines. Try opting for drier wines with lower carb contents, such as Cabernet Sauvignon, Chardonnay, or Pinot Noirs. Look for “Sec” or “Trocken” as these have lower sugar content. Also look for Brut wines, as they usually have fewer carbohydrates. Brut Nature wine is one of the driest wines, with only 0 to 3 grams of sugar in a bottle!
7. Eat or snack while drinking wine. Finally, whenever you drink wine, try to pair it with a healthy meal or snack. Having food in our stomach slows the processing of alcohol. Consider options like whole-grain crackers, nuts, or a plate of fresh vegetables. It can be helpful to prepare this ahead of time to prevent us from reaching for something unhealthy, or worse, getting the “drunchies”! 

Remember: the health benefits of wine only apply if we’re drinking wine in small amounts. But even so, our physical and mental health will reap the most benefits by reducing our alcohol consumption or eliminating it entirely. 

The Bottom Line

Drinking red wine in small amounts can offer some health benefits, such as lowering our risk of heart disease, high blood pressure, cancer, and type 2 diabetes. This is largely due to the antioxidant properties found in red wine, which help fight off various diseases. However, regularly consuming a large amount of wine can compromise our health and well-being, putting us at greater risk for a variety of complications — from liver damage and pancreatitis to gout and depression. Wine’s potential health benefits shouldn’t justify our drinking. We would be better off getting our antioxidants from natural food sources rather than indulging in a glass of wine.

If you want to cut back on drinking but don’t know where to start, consider trying Reframe. We’re a science-backed app that has helped millions of people cut back on their alcohol consumption and enhance their physical, mental, and emotional well-being. 

When it comes to choosing a healthier alcoholic drink, wine has a particularly good reputation. Maybe you’ve poured yourself a glass of wine and justified it by saying it’s good for your health. Or maybe you’ve heard someone say that wine has heart health benefits. But is any of this true? Is wine really good for us — and if so, how much is too much? 

In this post, we’ll explore the health benefits of wine as well as the associated risks. We’ll also offer some tips for drinking wine in a healthy manner. Let’s dive in!

Is Red Wine Good for You?: The Benefits of Red Wine

First things first: whenever we hear or read something about the health benefits of wine, it usually has to do with red wine. Why? Well, unlike white wine, red wine contains a large amount of resveratrol — a natural antioxidant that comes from the skin of red grapes. 

Antioxidants are important because they help our body fight off free radicals — dangerous molecules that attack good molecules in charge of promoting essential body functions. If the level of free radicals in our bodies becomes too high, it can cause damage to our organs and tissues and result in various illnesses, such as diabetes, heart disease, cancer, and even Alzheimer’s. 

Since there are antioxidants in red wine, drinking it in small amounts can help protect our brain, heart, and body. In fact, studies have found that drinking red wine in moderation has been linked to reduced risk of cardiovascular disease, atherosclerosis, high blood pressure (hypertension), certain types of cancer (such as basal cell, colon, prostrate, and ovarian), and type 2 diabetes. It’s also been linked to reduced risk of dementia and depression. 

Resveratrol in particular has been linked with many health benefits, such as fighting inflammation and blood clotting, as well as reducing the risk of heart disease and cancer. For instance, studies have noted that resveratrol may reduce blood pressure and increase high-density lipoprotein (HDL) cholesterol — the “good” type of cholesterol. 

Similarly, a recent study reported that drinking red wine is linked with a lower risk of coronary heart disease, which is the leading cause of disease and death in the United States. It may also lower the risk of stroke. Furthermore, one study found that red wine may even contribute to a healthy gut by boosting healthy gut bacteria. 

Overall, research indicates that consuming small to moderate amounts of red wine does offer a number of health benefits. The key word here is moderation! Moderation is defined as one 5-ounce glass of wine per day for females and two glasses of wine for males. Overindulging in wine can bring with it a variety of health risks, as we’ll see below!

What are the Health Risks of Drinking Wine?

It’s worth repeating that only small to moderate amounts of red wine may bring health benefits. Drinking any amount of alcohol in excess — including red wine — can have the opposite effect, putting us at greater risk for a variety of health complications. Let’s take a closer look at the side effects of drinking wine every night:

• Liver damage. Regular alcohol consumption can cause liver damage or disease. In extreme cases, it can lead to liver cirrhosis, scarring of the liver that cannot be healed. However, prolonged alcohol consumption can also cause fatty liver disease and alcoholic hepatitis.
• Pancreatitis. Heavy consumption of alcohol can lead to acute or chronic pancreatitis, the inflammation of the pancreas. In fact, 70 to 80 percent of chronic pancreatitis is caused by chronic alcohol abuse. Chronic pancreatitis also puts us at risk for diabetes. 
• Heart problems. Regularly consuming alcohol can lead to a variety of heart issues, such as atrial fibrillation (AFib), which is when our heart beats abnormally. It can also put us at risk for hypertension (high blood pressure), and cardiomyopathy — a serious condition marked by a weakened heart muscle and inability to pump blood effectively.
• Diabetes. Drinking heavily can reduce our body’s sensitivity to insulin, which can lead to type 2 diabetes. Similarly, since wine is full of calories, the more we drink, the greater our risk of becoming overweight, which can also put us at risk of type 2 diabetes.
• Gastrointestinal issues. Heavy, long-term consumption of alcohol can lead to a condition known as alcoholic gastritis — the inflammation or irritation of the stomach lining. This can vary in severity depending on how long we’ve been drinking. Prolonged alcohol misuse can cause alcohol gut inflammation symptoms that can lead to long-term damage. 
• Gout. Alcohol can also increase our risk of developing gout, which is a form of arthritis that causes severe pain, swelling, stiffness, and redness in one or more joints, typically in the toes. Research shows that as little as one alcoholic beverage in a 24-hour period can cause gout. 
• Cancer. Research shows that even moderate alcohol use can increase our risk of various types of cancer, including mouth and throat cancer, esophageal cancer, liver cancer, breast cancer, and colorectal cancer. In general, the more we drink, the higher our cancer risk.
• Mental health problems. Heavy drinkers are at a much greater risk for depression, anxiety, and other mood disorders. This is because alcohol is a depressant and can upset the delicate balance of important neurotransmitters for regulating our mood, such as dopamine and serotonin. It can also lead to greater stress.

Keep in mind that these are just some of the risks associated with regularly consuming a large amount of wine, or any type of alcohol for that matter. Alcohol truly affects nearly every aspect of our health, which is why it’s important to limit our consumption or quit drinking entirely.

How Healthy Is Drinking Wine Everyday? 

So, now that we have a better understanding of the health benefits and associated risks of wine, let’s get a bit more practical. How much wine is okay to drink, and how much wine is too much? 

Generally speaking, the health benefits of wine only apply if we’re consuming it in moderate amounts. This means no more than one 5-ounce glass of wine a day for women and no more than two glasses for men. Keep in mind that this is the total amount of alcohol we should consume in a day. Furthermore, it’s also recommended that we go at least 1-2 days a week without alcohol.

Just because red wine offers several health benefits doesn’t mean we should drink it. It’s not the red wine itself that is beneficial but rather its antioxidant properties, including the natural antioxidant resveratrol. And the good news is that we can get resveratrol in other ways, such as eating berries and grapes — which is better for us anyway!

In general, there are large amounts of antioxidants in fruits, vegetables, nuts, and whole grounds, and smaller amounts of antioxidants in meats, poultry, and fish. Some specific antioxidant powerhouse foods include pomegranates, salmon, grapes, apples, spinach, dark chocolate, blueberries, and beets. An antioxidant called quercetin, which is found in apples, citrus, fruits, onions, parsley, and more, effectively kills abnormal cells while keeping healthy cells intact.

At the end of the day, getting our antioxidants from natural food is more beneficial than getting it from a glass of wine because of the health risks associated with alcohol.

7 Tips for Drinking Wine in Moderation

If we do choose to drink wine, there are several things we can do to help us drink in moderation and in a healthy manner. Here are 7 tips:

1. Count your drinks. When you’re aware of how much you’re drinking, you can make better choices. Make it a point to count your drinks using a notepad in your phone or in the Reframe app’s drink tracker. At the very most, try limiting yourself to one glass of wine every hour. It can also be helpful to set a limit before you start drinking to prevent overindulgence.
2. Sip wine slowly. It’s always important to drink alcohol slowly, but it’s even more important with wine since it’s truly meant to be savored. Wine is full of flavor, so try to truly savor each sip. It can be helpful to incorporate mindful drinking here as it can help us focus on the experience of enjoying wine rather than mindlessly gulping it down.
3. Don’t mix wine with other alcohol. It’s best practice not to mix different types of alcohol as doing so can rapidly bring up BAC levels and make us more intoxicated. Plus, we tend to consume more alcohol over a shorter period of time when we mix different types of alcohol. So, if you start with a glass of wine, stick to just wine!
4. Alternate with water. Water should be our best friend while drinking alcohol. Since alcohol is a diuretic, it promotes water loss through urine, causing us to become dehydrated. Drinking water while drinking wine not only helps us stay hydrated but can help prevent those dreaded hangovers, too. Try alternating between a glass of water and a glass of wine.
5. Opt for Pinot Noir. Pinot Noir is considered the best wine for heart health. This is because it contains the highest concentration of resveratrol — the natural antioxidant that offers a number of health benefits. Some of the other best wines for heart health include Merlot, Cabernet Sauvignon, and Malbec.
6. Opt for low-carb wines. Try opting for drier wines with lower carb contents, such as Cabernet Sauvignon, Chardonnay, or Pinot Noirs. Look for “Sec” or “Trocken” as these have lower sugar content. Also look for Brut wines, as they usually have fewer carbohydrates. Brut Nature wine is one of the driest wines, with only 0 to 3 grams of sugar in a bottle!
7. Eat or snack while drinking wine. Finally, whenever you drink wine, try to pair it with a healthy meal or snack. Having food in our stomach slows the processing of alcohol. Consider options like whole-grain crackers, nuts, or a plate of fresh vegetables. It can be helpful to prepare this ahead of time to prevent us from reaching for something unhealthy, or worse, getting the “drunchies”! 

Remember: the health benefits of wine only apply if we’re drinking wine in small amounts. But even so, our physical and mental health will reap the most benefits by reducing our alcohol consumption or eliminating it entirely. 

The Bottom Line

Drinking red wine in small amounts can offer some health benefits, such as lowering our risk of heart disease, high blood pressure, cancer, and type 2 diabetes. This is largely due to the antioxidant properties found in red wine, which help fight off various diseases. However, regularly consuming a large amount of wine can compromise our health and well-being, putting us at greater risk for a variety of complications — from liver damage and pancreatitis to gout and depression. Wine’s potential health benefits shouldn’t justify our drinking. We would be better off getting our antioxidants from natural food sources rather than indulging in a glass of wine.

If you want to cut back on drinking but don’t know where to start, consider trying Reframe. We’re a science-backed app that has helped millions of people cut back on their alcohol consumption and enhance their physical, mental, and emotional well-being. 

Ready To Start a New Chapter in Your Life? Reframe Can Help!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today! 

There’s an old saying that goes, "First you take a drink, then the drink takes a drink, then the drink takes you." Addiction is a term we’ve all heard and seen the effects of — if we haven’t struggled with it ourselves, most of us have known someone who has. It can be devastating to watch a loved one lose everything — their job, family, health, personality, and sometimes even their life — by doing something that might seem easily controllable to an outsider.

When someone is struggling with addiction, rehab might emerge as a potential solution. Many of us remember Amy Winehouse singing in her trademark husky voice, “They tried to make me go to rehab, but I said ‘No, no, no.’” This is not an uncommon response — if you have ever faced the prospect of going to rehab or tried to convince a loved one to go, you know it can be a difficult step to take. 

Unfortunately, even if we do decide to attend rehab, it’s not guaranteed to work. Tragically, Winehouse herself died from alcohol poisoning in spite of several attempts at recovery. At the same time, you may have heard stories of miraculous recoveries and how life-changing rehab can be.

So why does addiction rehab seem so hit or miss? Why do people go to rehab in the first place? And what can you do if rehab doesn’t work for you? Let’s find out more.

Understanding Addiction

Before we get into the details of rehab, let's quickly understand why someone might end up there in the first place. Scientifically, addiction is a complex condition marked by an overwhelming urge to use a substance in spite of its harmful consequences. At the neurological level, it arises in the reward system located in the primitive, subconscious part of the brain. This system evolved to motivate us to form patterns around behaviors that feel good and ensure our survival, such as eating and reproduction. 

Unfortunately, the same mechanism that evolved to keep us alive can get hijacked by unhealthy behaviors such as substance use, gambling, and other activities associated with the release of dopamine — the “feel-good” neurotransmitter that’s released in response to healthy and unhealthy pleasures alike.

When we feed our brain a constant supply of “free” dopamine, it develops a growing dependency on the substance or activity and starts adjusting to its “new normal.” This shift sets in motion a cycle that can be challenging to break. The hijacked brain’s dopamine-driven habit system drives us toward the perceived reward at any cost: it's disorienting, challenging, and can be very slippery since the subconscious brain doesn’t listen to reason. Often, even if we realize we’re trapped, it’s not a matter of “just stopping,” since continuing the habit literally feels like a matter of survival — even if it’s quickly driving us toward a metaphorical cliff.

Many people have found themselves at this challenging point: addiction is taking over their lives, families, careers, finances, and sense of self, and yet they don’t know how to stop. It’s a terrible trap to be stuck in. Fortunately, there are ways to break the cycle.

Where Did the Idea of Rehab Come From? 

Addiction goes way back, but a scientific approach to treatment is relatively new. Up until very recently, addiction was often seen as a moral failing or a lack of willpower. Treatments, if any, were crude and largely ineffective. As our understanding of psychology and neuroscience expanded, so did our approach to rehabilitation. Addiction is generally no longer viewed as a purely moral or social issue — we now understand it as a complex interplay of genetics, environment, and brain chemistry.

Today, there's a spectrum of treatment options available, from traditional 12-step programs and medication-assisted treatments to cognitive behavioral therapy and holistic approaches. We’re also finally seeing change when it comes to challenging the stereotypes and stigma around addiction and advocating for compassionate, evidence-based care. 

In recent years, technology has revolutionized the world of addiction recovery. In our own pocket, we can access information about alcohol and the way it affects us, tools to deal with cravings, and community support. (In fact, the Reframe app offers all of these!) These strategies can act as supplements or even alternatives to traditional rehab.

Where Rehab Comes In

Rehabilitation facilities can serve as a pivotal chapter in the story of overcoming addiction. Here's how rehab programs aim to address the insidious addiction trap:

• Breaking the cycle. First and foremost, rehab serves to interrupt the addiction cycle. Whether through detoxification in a controlled environment or through structured therapy, it provides a much-needed break from the day-to-day patterns and triggers that fuel addiction.
• Medical support. In the early stages, withdrawal can be physically challenging and even dangerous. Some facilities offer medical supervision and support to manage these symptoms safely, allowing the body to transition away from dependency as smoothly as possible.
• Therapy and counseling. Addiction often has psychological components, and rehab provides various forms of therapy and counseling to help unpack them. Some popular approaches include individual therapy, group therapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and other techniques aimed at understanding and changing behaviors.
• New perspective. Rehab can be a great place to learn about the science of addiction, the effects of alcohol on the body, and what strategies work for managing cravings and avoiding relapse. 
• Building skills. It's one thing to stop using substances or engaging in addictive behaviors, but replacing these with healthy alternatives is a whole other story. Rehab often includes skill-building activities aimed at stress management, communication, problem solving, and other key life skills that support a sober lifestyle. This aspect of treatment can play a pivotal role in recovery, which isn’t just about avoiding certain substances or behaviors but about actively creating a life that feels meaningful and rewarding.
• Supportive community. Rehabs foster a sense of community and mutual support. Sharing experiences with others who understand the struggle can make a huge difference. 
• Relapse prevention. Rehab isn't meant to be a way to get through the day or the next month — instead, it’s all about rebuilding our life in a way that’s sustainable and free from addiction. It sets the stage for the future, which will inevitably include many challenges — ones that a relapse prevention plan can help address.

Types of Rehab: A Quick Tour

Today, there are more options than ever when it comes to rehab facilities, and it’s important to understand the differences between them. 

1. Detox Centers

Some people might need to go through a detoxification process before moving on to treatment that addresses the emotional and cognitive aspects of addiction. This is especially true for anyone who has developed alcohol dependence as quitting abruptly can be medically dangerous. 

Detox centers provide a safe environment to rid the body of addictive substances under medical supervision, clearing the way for further treatment. Usually, this means staying in a hospital-like setting with regular visits with doctors and daily activities to get started on other aspects of the recovery process. 

2. Inpatient Rehab

Inpatient rehab involves staying at a residential treatment center, typically for 30-90 days. It's intensive and immersive, with medical and psychological care around the clock.

A stay at an inpatient facility is a full-package deal, kind of like an out-of-town work conference trip. No matter where the facility is physically located, patients usually stay on the grounds at all times as they undergo treatment that addresses the physical, mental, and emotional aspects of their recovery.

3. Partial Hospitalization Programs (PHPs)

Sitting somewhere between inpatient and outpatient, PHPs are for those who are looking for structured support but don’t need 24/7 monitoring.

PHPs are a bit like a rigorous day job. Participants arrive in the morning and spend several hours a day at the treatment center for therapy, medical care, skill-building, and meals, then go home in the evenings. 

4. Outpatient Rehab 

If inpatient rehab is an out-of-town conference, outpatient is more like a half-day company training. These programs are less disruptive to everyday life for those with fewer care needs and allow participants to work around jobs and family schedules. Outpatient rehab often serves as a step-down after a participant has “graduated” from inpatient treatment.

Participants live at home and continue with their daily lives but visit a treatment center for regular therapy and support sessions on an ongoing (though usually not daily) basis.

5. Sober-Living Homes

After an intensive rehab program, some people choose to live in sober- living homes — also known as halfway houses — to ease back into daily life in a supportive, substance-free environment. 

Living in a sober house is like having training wheels on our bike as we learn to ride again — the motions participants go through on a daily basis might look the same as regular home life, but there’s an extra layer of support as they rebuild healthy routines.

6. Alternative or Holistic Rehab 

Alternative or holistic programs might incorporate nontraditional treatment methods while focusing on treating the whole person, not just the addiction. The downside? They may not be covered by medical insurance, and some might not use science-backed approaches.

A holistic or alternative setting might be similar to a regular inpatient residential program but may have a more unique atmosphere and offer activities such as meditation, yoga, or acupuncture. (That said, the science-backed benefits of mindfulness-based activities are clear at this point, so it’s not uncommon to find them in traditional settings as well.)

Running Into Trouble: The Rehab Roller Coaster

Rehabs — just like the people they’re meant to help — come in many varieties and are not the same. It’s no wonder they yield different results! Some folks emerge feeling renewed, while others find themselves back where they started. It's not for lack of trying, though. It’s important to set ourselves up for success when it comes to recovery, so picking an option that’s likely to have us packing our bags to go home before we’re ready can sabotage our efforts.

Here's a look at why rehab might not stick for everyone:

• One-size-fits-all approach. Many programs still subscribe to a standardized treatment plan, but when it comes to addiction recovery, personalization is key. For one thing, it needs to be practical. A single parent without a strong support network might not be able to stay in a residential facility for a month. The different program structures may not work for everyone, either. Some people do better with a certain amount of time — typically 30 days — in a structured environment, while others might be at a different stage of their journey and might not need this level of intensity. (Although there’s science behind the 30-day structure, it takes the brain about that long to build a new habit).
• Philosophical differences. Just like a program structure that doesn’t meet our needs can set us up for failure, so too can a program that approaches recovery from a perspective that simply doesn’t align with our “addiction philosophy.” For logic-oriented people who value empirical strategies like CBT or DBT, a facility grounded in New Age spirituality is not the way to go. Likewise, someone who is motivated by spirituality or religion may not respond to a program that doesn’t nurture this part of them.
• The dual-diagnosis dilemma. Unfortunately, mental health conditions often team up. For example, substance misuse can be accompanied by eating disorders, OCD, PTSD, or depression. It can be difficult to untangle this puzzle, and addressing these issues at the same time can be tricky but necessary. There’s also the potential for transfer addictions — when one addiction (for example, alcohol misuse) “evolves” into an addiction to a different dopamine-boosting drug or activity or an obsessive behavior like an eating disorder. While some dual-diagnosis facilities account for co-occurring disorders and transfer addictions, others do not.
• Not being ready. This one is huge: being forced to go to rehab against our will or doing it for any reason other than wanting to get free from addiction can set us up for failure. While sometimes a “moment of clarity” can happen in spite of initial resistance, more often than not we need to be internally motivated in order to “deprogram” the subconscious wiring that’s driving our addictive behaviors.
• Lack of aftercare. Rehab is just one part of recovery, and a lot of people make the mistake of seeing it as “finished” the moment they start the car ride back home. Recovery is a process! Without proper aftercare (such as having a support team lined up and resources to rely on), it's easy to fall back into old habits. While many facilities devote significant time and effort to planning for aftercare, this is not a given — and can become a dealbreaker. (Reframe can be a great support tool in your aftercare plan!)

What To Do If Rehab Doesn’t Work — Or If You Decide It’s Not for You

In spite of this, some might find that rehab is simply not the best solution for them — and that’s okay, too. There are other ways to address substance misuse (and alcohol misuse in particular). Although it can feel disheartening, don’t despair — it might just be a matter of creating a different roadmap to recovery. As we mentioned earlier, personalization is key when it comes to creating a plan that works, and chances are there are important pieces that need to be put into place. Let’s figure out what they are!

Here's what you can do if you find yourself at this crossroads, whether you’ve tried rehab and it hasn’t worked or you’re weighing it against other options:

• Step back and reflect on what you need. First, take an honest look at the situation to understand what you’d like to change and what didn’t work in the approach you’ve tried so far (whatever it may have been). Was it the type of program? The environment? The treatment approach? Or maybe external factors, such as pressures from family or the need to leave early for financial reasons? Or were you simply not ready to change your relationship with alcohol quite yet? Understanding the "why" can help you plan the "what next?"
• Talk to the pros (or revamp your team). Talk to the professionals who worked with you during rehab. Their insights can help you pinpoint specific areas that need tweaking. However, there’s also nothing wrong with switching things up and getting in touch with a new team of professionals to look at the situation from a different perspective. It’s your journey!
• Build up your support network. While professionals are invaluable, so is the rest of your support team — friends and family members who are rooting for you and want you to get better. Recovery can be lonely and daunting at first, so having a strong network to rely on can provide the encouragement and accountability needed to continue. Online communities can also make an enormous difference — there’s a world of people traveling the same path you are and facing similar challenges who are ready to cheer you on.
• Consider different treatment routes. Rehab is not one-size-fits-all. If one type of rehab didn't suit you, try a different one! For instance, you may find that switching from inpatient to outpatient (or vice versa) makes all the difference. Think about what you liked and disliked about your previous experience and go from there.
• Mindfulness and stress management techniques. Fill your toolbox with techniques to manage stress and be present, such as breathing exercises or progressive muscle relaxation techniques. Mindfulness isn't just trendy; it's a tool that can help you navigate cravings and triggers. Apps like Reframe can be great resources for making these techniques a daily practice that’s always available to you wherever you are!
• Don't view relapse as failure. Finally, the most important point: if you find yourself slipping back into old habits, don’t see it as a failure or think that you have to “start from scratch” — it’s simply a detour. You started your recovery journey from the moment you decided to change your relationship with alcohol (or another substance or behavior), and there’s no such thing as “going back to square one.” Every attempt at recovery is a learning experience, contributing to a stronger, more informed effort next time.

“Not a Destination”

There’s another song that comes to mind when thinking about the journey of recovery — “Amazing” by Aerosmith. As the lyrics go, “Life’s a journey, not a destination — and I just can’t tell just what tomorrow brings.”

Recovery is, indeed, a journey, not a destination, and rehab is only one potential part of it. It might take several attempts to find what works for you. Remember, finding that rehab hasn't worked as hoped isn't the end — it’s a chapter in the long story of recovery. With the right adjustments, support, and mindset, you can continue to write a story of success. Keep believing in yourself and keep moving forward!

There’s an old saying that goes, "First you take a drink, then the drink takes a drink, then the drink takes you." Addiction is a term we’ve all heard and seen the effects of — if we haven’t struggled with it ourselves, most of us have known someone who has. It can be devastating to watch a loved one lose everything — their job, family, health, personality, and sometimes even their life — by doing something that might seem easily controllable to an outsider.

When someone is struggling with addiction, rehab might emerge as a potential solution. Many of us remember Amy Winehouse singing in her trademark husky voice, “They tried to make me go to rehab, but I said ‘No, no, no.’” This is not an uncommon response — if you have ever faced the prospect of going to rehab or tried to convince a loved one to go, you know it can be a difficult step to take. 

Unfortunately, even if we do decide to attend rehab, it’s not guaranteed to work. Tragically, Winehouse herself died from alcohol poisoning in spite of several attempts at recovery. At the same time, you may have heard stories of miraculous recoveries and how life-changing rehab can be.

So why does addiction rehab seem so hit or miss? Why do people go to rehab in the first place? And what can you do if rehab doesn’t work for you? Let’s find out more.

Understanding Addiction

Before we get into the details of rehab, let's quickly understand why someone might end up there in the first place. Scientifically, addiction is a complex condition marked by an overwhelming urge to use a substance in spite of its harmful consequences. At the neurological level, it arises in the reward system located in the primitive, subconscious part of the brain. This system evolved to motivate us to form patterns around behaviors that feel good and ensure our survival, such as eating and reproduction. 

Unfortunately, the same mechanism that evolved to keep us alive can get hijacked by unhealthy behaviors such as substance use, gambling, and other activities associated with the release of dopamine — the “feel-good” neurotransmitter that’s released in response to healthy and unhealthy pleasures alike.

When we feed our brain a constant supply of “free” dopamine, it develops a growing dependency on the substance or activity and starts adjusting to its “new normal.” This shift sets in motion a cycle that can be challenging to break. The hijacked brain’s dopamine-driven habit system drives us toward the perceived reward at any cost: it's disorienting, challenging, and can be very slippery since the subconscious brain doesn’t listen to reason. Often, even if we realize we’re trapped, it’s not a matter of “just stopping,” since continuing the habit literally feels like a matter of survival — even if it’s quickly driving us toward a metaphorical cliff.

Many people have found themselves at this challenging point: addiction is taking over their lives, families, careers, finances, and sense of self, and yet they don’t know how to stop. It’s a terrible trap to be stuck in. Fortunately, there are ways to break the cycle.

Where Did the Idea of Rehab Come From? 

Addiction goes way back, but a scientific approach to treatment is relatively new. Up until very recently, addiction was often seen as a moral failing or a lack of willpower. Treatments, if any, were crude and largely ineffective. As our understanding of psychology and neuroscience expanded, so did our approach to rehabilitation. Addiction is generally no longer viewed as a purely moral or social issue — we now understand it as a complex interplay of genetics, environment, and brain chemistry.

Today, there's a spectrum of treatment options available, from traditional 12-step programs and medication-assisted treatments to cognitive behavioral therapy and holistic approaches. We’re also finally seeing change when it comes to challenging the stereotypes and stigma around addiction and advocating for compassionate, evidence-based care. 

In recent years, technology has revolutionized the world of addiction recovery. In our own pocket, we can access information about alcohol and the way it affects us, tools to deal with cravings, and community support. (In fact, the Reframe app offers all of these!) These strategies can act as supplements or even alternatives to traditional rehab.

Where Rehab Comes In

Rehabilitation facilities can serve as a pivotal chapter in the story of overcoming addiction. Here's how rehab programs aim to address the insidious addiction trap:

• Breaking the cycle. First and foremost, rehab serves to interrupt the addiction cycle. Whether through detoxification in a controlled environment or through structured therapy, it provides a much-needed break from the day-to-day patterns and triggers that fuel addiction.
• Medical support. In the early stages, withdrawal can be physically challenging and even dangerous. Some facilities offer medical supervision and support to manage these symptoms safely, allowing the body to transition away from dependency as smoothly as possible.
• Therapy and counseling. Addiction often has psychological components, and rehab provides various forms of therapy and counseling to help unpack them. Some popular approaches include individual therapy, group therapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and other techniques aimed at understanding and changing behaviors.
• New perspective. Rehab can be a great place to learn about the science of addiction, the effects of alcohol on the body, and what strategies work for managing cravings and avoiding relapse. 
• Building skills. It's one thing to stop using substances or engaging in addictive behaviors, but replacing these with healthy alternatives is a whole other story. Rehab often includes skill-building activities aimed at stress management, communication, problem solving, and other key life skills that support a sober lifestyle. This aspect of treatment can play a pivotal role in recovery, which isn’t just about avoiding certain substances or behaviors but about actively creating a life that feels meaningful and rewarding.
• Supportive community. Rehabs foster a sense of community and mutual support. Sharing experiences with others who understand the struggle can make a huge difference. 
• Relapse prevention. Rehab isn't meant to be a way to get through the day or the next month — instead, it’s all about rebuilding our life in a way that’s sustainable and free from addiction. It sets the stage for the future, which will inevitably include many challenges — ones that a relapse prevention plan can help address.

Types of Rehab: A Quick Tour

Today, there are more options than ever when it comes to rehab facilities, and it’s important to understand the differences between them. 

1. Detox Centers

Some people might need to go through a detoxification process before moving on to treatment that addresses the emotional and cognitive aspects of addiction. This is especially true for anyone who has developed alcohol dependence as quitting abruptly can be medically dangerous. 

Detox centers provide a safe environment to rid the body of addictive substances under medical supervision, clearing the way for further treatment. Usually, this means staying in a hospital-like setting with regular visits with doctors and daily activities to get started on other aspects of the recovery process. 

2. Inpatient Rehab

Inpatient rehab involves staying at a residential treatment center, typically for 30-90 days. It's intensive and immersive, with medical and psychological care around the clock.

A stay at an inpatient facility is a full-package deal, kind of like an out-of-town work conference trip. No matter where the facility is physically located, patients usually stay on the grounds at all times as they undergo treatment that addresses the physical, mental, and emotional aspects of their recovery.

3. Partial Hospitalization Programs (PHPs)

Sitting somewhere between inpatient and outpatient, PHPs are for those who are looking for structured support but don’t need 24/7 monitoring.

PHPs are a bit like a rigorous day job. Participants arrive in the morning and spend several hours a day at the treatment center for therapy, medical care, skill-building, and meals, then go home in the evenings. 

4. Outpatient Rehab 

If inpatient rehab is an out-of-town conference, outpatient is more like a half-day company training. These programs are less disruptive to everyday life for those with fewer care needs and allow participants to work around jobs and family schedules. Outpatient rehab often serves as a step-down after a participant has “graduated” from inpatient treatment.

Participants live at home and continue with their daily lives but visit a treatment center for regular therapy and support sessions on an ongoing (though usually not daily) basis.

5. Sober-Living Homes

After an intensive rehab program, some people choose to live in sober- living homes — also known as halfway houses — to ease back into daily life in a supportive, substance-free environment. 

Living in a sober house is like having training wheels on our bike as we learn to ride again — the motions participants go through on a daily basis might look the same as regular home life, but there’s an extra layer of support as they rebuild healthy routines.

6. Alternative or Holistic Rehab 

Alternative or holistic programs might incorporate nontraditional treatment methods while focusing on treating the whole person, not just the addiction. The downside? They may not be covered by medical insurance, and some might not use science-backed approaches.

A holistic or alternative setting might be similar to a regular inpatient residential program but may have a more unique atmosphere and offer activities such as meditation, yoga, or acupuncture. (That said, the science-backed benefits of mindfulness-based activities are clear at this point, so it’s not uncommon to find them in traditional settings as well.)

Running Into Trouble: The Rehab Roller Coaster

Rehabs — just like the people they’re meant to help — come in many varieties and are not the same. It’s no wonder they yield different results! Some folks emerge feeling renewed, while others find themselves back where they started. It's not for lack of trying, though. It’s important to set ourselves up for success when it comes to recovery, so picking an option that’s likely to have us packing our bags to go home before we’re ready can sabotage our efforts.

Here's a look at why rehab might not stick for everyone:

• One-size-fits-all approach. Many programs still subscribe to a standardized treatment plan, but when it comes to addiction recovery, personalization is key. For one thing, it needs to be practical. A single parent without a strong support network might not be able to stay in a residential facility for a month. The different program structures may not work for everyone, either. Some people do better with a certain amount of time — typically 30 days — in a structured environment, while others might be at a different stage of their journey and might not need this level of intensity. (Although there’s science behind the 30-day structure, it takes the brain about that long to build a new habit).
• Philosophical differences. Just like a program structure that doesn’t meet our needs can set us up for failure, so too can a program that approaches recovery from a perspective that simply doesn’t align with our “addiction philosophy.” For logic-oriented people who value empirical strategies like CBT or DBT, a facility grounded in New Age spirituality is not the way to go. Likewise, someone who is motivated by spirituality or religion may not respond to a program that doesn’t nurture this part of them.
• The dual-diagnosis dilemma. Unfortunately, mental health conditions often team up. For example, substance misuse can be accompanied by eating disorders, OCD, PTSD, or depression. It can be difficult to untangle this puzzle, and addressing these issues at the same time can be tricky but necessary. There’s also the potential for transfer addictions — when one addiction (for example, alcohol misuse) “evolves” into an addiction to a different dopamine-boosting drug or activity or an obsessive behavior like an eating disorder. While some dual-diagnosis facilities account for co-occurring disorders and transfer addictions, others do not.
• Not being ready. This one is huge: being forced to go to rehab against our will or doing it for any reason other than wanting to get free from addiction can set us up for failure. While sometimes a “moment of clarity” can happen in spite of initial resistance, more often than not we need to be internally motivated in order to “deprogram” the subconscious wiring that’s driving our addictive behaviors.
• Lack of aftercare. Rehab is just one part of recovery, and a lot of people make the mistake of seeing it as “finished” the moment they start the car ride back home. Recovery is a process! Without proper aftercare (such as having a support team lined up and resources to rely on), it's easy to fall back into old habits. While many facilities devote significant time and effort to planning for aftercare, this is not a given — and can become a dealbreaker. (Reframe can be a great support tool in your aftercare plan!)

What To Do If Rehab Doesn’t Work — Or If You Decide It’s Not for You

In spite of this, some might find that rehab is simply not the best solution for them — and that’s okay, too. There are other ways to address substance misuse (and alcohol misuse in particular). Although it can feel disheartening, don’t despair — it might just be a matter of creating a different roadmap to recovery. As we mentioned earlier, personalization is key when it comes to creating a plan that works, and chances are there are important pieces that need to be put into place. Let’s figure out what they are!

Here's what you can do if you find yourself at this crossroads, whether you’ve tried rehab and it hasn’t worked or you’re weighing it against other options:

• Step back and reflect on what you need. First, take an honest look at the situation to understand what you’d like to change and what didn’t work in the approach you’ve tried so far (whatever it may have been). Was it the type of program? The environment? The treatment approach? Or maybe external factors, such as pressures from family or the need to leave early for financial reasons? Or were you simply not ready to change your relationship with alcohol quite yet? Understanding the "why" can help you plan the "what next?"
• Talk to the pros (or revamp your team). Talk to the professionals who worked with you during rehab. Their insights can help you pinpoint specific areas that need tweaking. However, there’s also nothing wrong with switching things up and getting in touch with a new team of professionals to look at the situation from a different perspective. It’s your journey!
• Build up your support network. While professionals are invaluable, so is the rest of your support team — friends and family members who are rooting for you and want you to get better. Recovery can be lonely and daunting at first, so having a strong network to rely on can provide the encouragement and accountability needed to continue. Online communities can also make an enormous difference — there’s a world of people traveling the same path you are and facing similar challenges who are ready to cheer you on.
• Consider different treatment routes. Rehab is not one-size-fits-all. If one type of rehab didn't suit you, try a different one! For instance, you may find that switching from inpatient to outpatient (or vice versa) makes all the difference. Think about what you liked and disliked about your previous experience and go from there.
• Mindfulness and stress management techniques. Fill your toolbox with techniques to manage stress and be present, such as breathing exercises or progressive muscle relaxation techniques. Mindfulness isn't just trendy; it's a tool that can help you navigate cravings and triggers. Apps like Reframe can be great resources for making these techniques a daily practice that’s always available to you wherever you are!
• Don't view relapse as failure. Finally, the most important point: if you find yourself slipping back into old habits, don’t see it as a failure or think that you have to “start from scratch” — it’s simply a detour. You started your recovery journey from the moment you decided to change your relationship with alcohol (or another substance or behavior), and there’s no such thing as “going back to square one.” Every attempt at recovery is a learning experience, contributing to a stronger, more informed effort next time.

“Not a Destination”

There’s another song that comes to mind when thinking about the journey of recovery — “Amazing” by Aerosmith. As the lyrics go, “Life’s a journey, not a destination — and I just can’t tell just what tomorrow brings.”

Recovery is, indeed, a journey, not a destination, and rehab is only one potential part of it. It might take several attempts to find what works for you. Remember, finding that rehab hasn't worked as hoped isn't the end — it’s a chapter in the long story of recovery. With the right adjustments, support, and mindset, you can continue to write a story of success. Keep believing in yourself and keep moving forward!

Say Goodbye to Alcohol Hot Flashes With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today!

You’re out with friends on a cold winter night enjoying several cocktails at a local restaurant. You decide to move to a new bar and go to step outside when, all of a sudden, it hits you: you’re hot! You ditch the jacket and allow the cold, crisp air to wash over you. So, what’s going on? Does alcohol make you warmer, or is it just an illusion? 

In this post, we’ll explore the science behind why alcohol makes us feel hot, how it affects our body temperature, and what we can do about it. Let’s get started!

Why Do I Get Hot When I Drink Alcohol?

To understand why we get hot when drinking alcohol, we have to understand
how alcohol affects our blood vessels. Alcohol acts as a vasodilator, meaning that it causes our blood vessels to dilate, or expand. As a result, blood flows more easily through our vessels, leading to increased blood flow throughout our body, including to our skin’s surface. This is largely why we feel warm after we start drinking — hence the “beer blanket” phenomenon. It’s also what causes us to look flushed on our cheeks and neck.

While this process makes our skin feel warmer, the widening of blood vessels is actually our body’s way of cooling itself down after drinking alcohol. Because of this, our skin might feel warm because our body is simply trying to push heat out. 

It’s worth noting that while this warm sensation is a common side effect of alcohol, it can vary in intensity from person to person based on various factors, such as the amount of alcohol consumed and our tolerance level. 

Does Drinking Alcohol Increase Body Temperature?

Because we feel a warm sensation from alcohol, many people assume that alcohol warms the body and increases our body temperature. However, studies show that alcohol can actually lower our core body temperature and increase our risk of hypothermia. 

Here’s how it works: the normal process that makes us feel cold occurs when blood flows away from the skin and into our organs, which increases our core body temperature. However, alcohol reverses this process, increasing the flow of blood to the skin and setting off a steep drop in body temperature. 

Alcohol also reverses other reflexes that control body temperature. For instance, one study found that part of why alcohol exacerbates a drop in core body temperature is because it reduces the ability to shiver, which is the body’s way of creating warmth. 

Another study noted that after a single drink, the body tries to counteract the brief sensation of warmth caused by increased blood flow to the skin by sweating, which further decreases body temperature. 

Alcohol’s effect on our body temperature is particularly dangerous because it tricks us into feeling warmer than we actually are. As such, we might feel the need to step outside to cool off, even if the external temperature hasn’t changed significantly. This can put us at a greater risk of hypothermia-related injuries and deaths.

The Relationship Between Alcohol and Hot Flashes

So, what’s the relationship between alcohol and hot flashes? It’s not uncommon for people to experience hot flashes following a night of drinking. In fact, hot flashes typically occur during a hangover, as our body temperature starts to rise from the low body temperature we had when we were intoxicated. That’s why we might experience night sweats. 

In general, hot flashes and sweating are signs that our hangover has triggered our sympathetic nervous system, otherwise known as our fight-or-flight response. Symptoms typically include trembling or shaking, sweating, feeling hot, a rapid heartbeat, and high blood pressure.

Things are further complicated by the fact that sweating during a hangover can cause dehydration. Since we’re already dehydrated from alcohol, this is like a double whammy, causing us to experience even greater thirst, weakness, dry mouth, dizziness, or lightheadedness. 

In addition to dehydration, alcohol use can also lead to changes in our body's hormones and neurotransmitters, which can impact our sleep patterns and contribute to hot flashes and sweating at night after drinking. For example, alcohol can increase the production of the stress hormone cortisol, which can disrupt our sleep and lead to night sweats. It can also decrease the production of the hormone vasopressin, which regulates our body's fluid balance, leading to dehydration and increased thirst.

Sweating and hot flashes can last up to 24 hours after our last drink, but the longevity and severity depends on a variety of factors, such as how much alcohol we consumed, how hydrated we were, our age, and overall health. 

Alcohol Withdrawal and Hot Flashes

Hot flashes can also occur during alcohol withdrawal, which is what people with alcohol use disorder experience when they suddenly stop drinking or go too long without having a drink. 

Similar to hangover symptoms, hot flashes and sweating occur because alcohol withdrawal triggers our body’s fight-or-flight response. Typically, alcohol depresses our central nervous system, making our brain highly sensitive to glutamate — a neurotransmitter that excites our brain. However, without alcohol in our system, our brain becomes easily overexcited, leading to increased blood pressure and heat. Hence the hot flashes.

Furthermore, alcohol use disorder and alcohol withdrawal can cause tachycardia — a condition in which the heart beats irregularly fast — which has the potential to result in hot flashes and excessive sweating.

It’s also worth noting that, apart from alcohol withdrawal, hot flashes may occur as a result of alcohol intolerance — which is when our body has an adverse reaction to alcohol. While facial flushing, nausea, headaches, a stuffy nose, and itchiness are the most common symptoms, low blood pressure, high heart rate, diarrhea, hot flashes, and shortness of breath are typical as well.

Alcohol and Colds: Does Whiskey Help a Cold? 

All this talk of temperature has us asking another question: does whiskey help a cold? Maybe you’ve heard that drinking a “hot toddy” — a mixture of whiskey with hot water, honey, and lemon — can help a cold. But, is this true? 

The recommendation to drink a hot toddy for a cold is based on several different factors. For instance, since alcohol can help us fall asleep faster, whiskey can have a sedative effect that may help us fall asleep if we’re having trouble due to cold-related symptoms like a cough or congestion. Similarly, like other alcoholic beverages, whiskey can have a soothing effect on our throat and help numb any discomfort or irritation. 

However, while whiskey may be able to provide some temporary relief from specific cold symptoms, it’s generally not wise to consume alcohol while sick. This is because alcohol actually suppresses our immune system and can make it harder for our body to heal. Alcohol also dehydrates us — and when we’re sick, it’s vital to stay hydrated to help our body recover. Furthermore, while alcohol may help us fall asleep faster, it actually reduces our overall quality of sleep and disrupts our REM cycle, which is vital for physical restoration. 

For all these reasons and more, we’re better off treating a cold by getting rest, taking medications, and hydrating with water or electrolytes. But, of course, if we’re not getting better, we should consult a medical professional rather than try to self-diagnose or self-medicate. 

Hot To Get Rid of Hot Flashes After Drinking Alcohol

It goes without saying, but the best way to avoid hot flashes from alcohol is to limit our consumption of alcohol or not drink at all. If we do choose to drink, it’s always important to drink in moderation. Practicing mindful drinking can help with this. 

With that in mind, here are 7 tips for reducing hot flashes from alcohol:

1. Drink plenty of water. As we’ve learned, alcohol dehydrates us and can exacerbate feelings of warmth. When drinking alcohol, try to drink a full glass of water between each drink. Also be sure to drink water before going to bed, and then keep drinking water the following day.
2. Choose your drinks wisely. The type of alcohol we choose can influence how warm we feel. For instance, beer and wine typically contain less alcohol by volume than other spirits or liquor, which means they’re less likely to cause intense vasodilation. Try opting for beverages with lower alcohol content to avoid feeling overly flushed.
3. Stay cool. Try finding a cool environment to help regulate your body temperature. For instance, take a cool shower, use a fan, or adjust the thermostat to provide some relief. If you’re outdoors, try avoiding direct sunlight and opt for the shade.
4. Avoid caffeine. Caffeine can increase our heart rate and may lead to sweating or hot flashes. It’s particularly dangerous when combined with alcohol, as it can mask its effects and cause us to over indulge.
5. Practice deep breathing exercises. Taking slow, deep breaths can help calm our body and lower our heart rate. Try practicing mindfulness and drawing attention to your breath, inhaling through your nose and exhaling through your mouth slowly. This is good for us even if we’re not hot, as it helps reduce stress and anxiety.
6. Wear breathable clothing. Avoid tight-fitting clothing or articles of clothing that trap in moisture. Instead, opt for breathable, loose-fitting clothing that allows for better air circulation and helps heat escape. Cotton is always a good choice!
7. Get some rest. Not getting adequate sleep can make us more susceptible to hot flashes, not to mention a feeling of overall crankiness and discomfort. Be sure to get a good night’s sleep after a night of drinking to help your body recover. If you can, try squeezing in a short nap during the day to help make up for disruptions in your REM cycle caused by alcohol. 

Keep in mind that cutting back on alcohol isn’t good just for preventing excessive heat or sweating, but also for enhancing our overall mental and physical health as well. 

The Bottom Line

Drinking alcohol can spread a warm sensation through our body due to vasodilation — the widening of blood vessels. But just because we feel warm doesn’t mean our core temperature is rising. In fact, it’s just the opposite: alcohol lowers our core temperature and impairs our ability to shiver. As such, it can put us at risk of hypothermia since we think we’re warmer than we actually are. However, as our body temperature starts to rise after a night of drinking, it can cause us to sweat or have hot flashes. 

While limiting our consumption of alcohol or quitting alcohol entirely is the best thing we can do for our body, if we do choose to drink, it’s important to stay hydrated, drink in moderation, and choose drinks that are lower in alcohol content.

If you want to cut back on drinking, but don’t know where or how to start, consider trying Reframe. We’re a science-backed app that has helped millions of people reduce their alcohol consumption and enhance their physical, mental, and emotional well-being.

You’re out with friends on a cold winter night enjoying several cocktails at a local restaurant. You decide to move to a new bar and go to step outside when, all of a sudden, it hits you: you’re hot! You ditch the jacket and allow the cold, crisp air to wash over you. So, what’s going on? Does alcohol make you warmer, or is it just an illusion? 

In this post, we’ll explore the science behind why alcohol makes us feel hot, how it affects our body temperature, and what we can do about it. Let’s get started!

Why Do I Get Hot When I Drink Alcohol?

To understand why we get hot when drinking alcohol, we have to understand
how alcohol affects our blood vessels. Alcohol acts as a vasodilator, meaning that it causes our blood vessels to dilate, or expand. As a result, blood flows more easily through our vessels, leading to increased blood flow throughout our body, including to our skin’s surface. This is largely why we feel warm after we start drinking — hence the “beer blanket” phenomenon. It’s also what causes us to look flushed on our cheeks and neck.

While this process makes our skin feel warmer, the widening of blood vessels is actually our body’s way of cooling itself down after drinking alcohol. Because of this, our skin might feel warm because our body is simply trying to push heat out. 

It’s worth noting that while this warm sensation is a common side effect of alcohol, it can vary in intensity from person to person based on various factors, such as the amount of alcohol consumed and our tolerance level. 

Does Drinking Alcohol Increase Body Temperature?

Because we feel a warm sensation from alcohol, many people assume that alcohol warms the body and increases our body temperature. However, studies show that alcohol can actually lower our core body temperature and increase our risk of hypothermia. 

Here’s how it works: the normal process that makes us feel cold occurs when blood flows away from the skin and into our organs, which increases our core body temperature. However, alcohol reverses this process, increasing the flow of blood to the skin and setting off a steep drop in body temperature. 

Alcohol also reverses other reflexes that control body temperature. For instance, one study found that part of why alcohol exacerbates a drop in core body temperature is because it reduces the ability to shiver, which is the body’s way of creating warmth. 

Another study noted that after a single drink, the body tries to counteract the brief sensation of warmth caused by increased blood flow to the skin by sweating, which further decreases body temperature. 

Alcohol’s effect on our body temperature is particularly dangerous because it tricks us into feeling warmer than we actually are. As such, we might feel the need to step outside to cool off, even if the external temperature hasn’t changed significantly. This can put us at a greater risk of hypothermia-related injuries and deaths.

The Relationship Between Alcohol and Hot Flashes

So, what’s the relationship between alcohol and hot flashes? It’s not uncommon for people to experience hot flashes following a night of drinking. In fact, hot flashes typically occur during a hangover, as our body temperature starts to rise from the low body temperature we had when we were intoxicated. That’s why we might experience night sweats. 

In general, hot flashes and sweating are signs that our hangover has triggered our sympathetic nervous system, otherwise known as our fight-or-flight response. Symptoms typically include trembling or shaking, sweating, feeling hot, a rapid heartbeat, and high blood pressure.

Things are further complicated by the fact that sweating during a hangover can cause dehydration. Since we’re already dehydrated from alcohol, this is like a double whammy, causing us to experience even greater thirst, weakness, dry mouth, dizziness, or lightheadedness. 

In addition to dehydration, alcohol use can also lead to changes in our body's hormones and neurotransmitters, which can impact our sleep patterns and contribute to hot flashes and sweating at night after drinking. For example, alcohol can increase the production of the stress hormone cortisol, which can disrupt our sleep and lead to night sweats. It can also decrease the production of the hormone vasopressin, which regulates our body's fluid balance, leading to dehydration and increased thirst.

Sweating and hot flashes can last up to 24 hours after our last drink, but the longevity and severity depends on a variety of factors, such as how much alcohol we consumed, how hydrated we were, our age, and overall health. 

Alcohol Withdrawal and Hot Flashes

Hot flashes can also occur during alcohol withdrawal, which is what people with alcohol use disorder experience when they suddenly stop drinking or go too long without having a drink. 

Similar to hangover symptoms, hot flashes and sweating occur because alcohol withdrawal triggers our body’s fight-or-flight response. Typically, alcohol depresses our central nervous system, making our brain highly sensitive to glutamate — a neurotransmitter that excites our brain. However, without alcohol in our system, our brain becomes easily overexcited, leading to increased blood pressure and heat. Hence the hot flashes.

Furthermore, alcohol use disorder and alcohol withdrawal can cause tachycardia — a condition in which the heart beats irregularly fast — which has the potential to result in hot flashes and excessive sweating.

It’s also worth noting that, apart from alcohol withdrawal, hot flashes may occur as a result of alcohol intolerance — which is when our body has an adverse reaction to alcohol. While facial flushing, nausea, headaches, a stuffy nose, and itchiness are the most common symptoms, low blood pressure, high heart rate, diarrhea, hot flashes, and shortness of breath are typical as well.

Alcohol and Colds: Does Whiskey Help a Cold? 

All this talk of temperature has us asking another question: does whiskey help a cold? Maybe you’ve heard that drinking a “hot toddy” — a mixture of whiskey with hot water, honey, and lemon — can help a cold. But, is this true? 

The recommendation to drink a hot toddy for a cold is based on several different factors. For instance, since alcohol can help us fall asleep faster, whiskey can have a sedative effect that may help us fall asleep if we’re having trouble due to cold-related symptoms like a cough or congestion. Similarly, like other alcoholic beverages, whiskey can have a soothing effect on our throat and help numb any discomfort or irritation. 

However, while whiskey may be able to provide some temporary relief from specific cold symptoms, it’s generally not wise to consume alcohol while sick. This is because alcohol actually suppresses our immune system and can make it harder for our body to heal. Alcohol also dehydrates us — and when we’re sick, it’s vital to stay hydrated to help our body recover. Furthermore, while alcohol may help us fall asleep faster, it actually reduces our overall quality of sleep and disrupts our REM cycle, which is vital for physical restoration. 

For all these reasons and more, we’re better off treating a cold by getting rest, taking medications, and hydrating with water or electrolytes. But, of course, if we’re not getting better, we should consult a medical professional rather than try to self-diagnose or self-medicate. 

Hot To Get Rid of Hot Flashes After Drinking Alcohol

It goes without saying, but the best way to avoid hot flashes from alcohol is to limit our consumption of alcohol or not drink at all. If we do choose to drink, it’s always important to drink in moderation. Practicing mindful drinking can help with this. 

With that in mind, here are 7 tips for reducing hot flashes from alcohol:

1. Drink plenty of water. As we’ve learned, alcohol dehydrates us and can exacerbate feelings of warmth. When drinking alcohol, try to drink a full glass of water between each drink. Also be sure to drink water before going to bed, and then keep drinking water the following day.
2. Choose your drinks wisely. The type of alcohol we choose can influence how warm we feel. For instance, beer and wine typically contain less alcohol by volume than other spirits or liquor, which means they’re less likely to cause intense vasodilation. Try opting for beverages with lower alcohol content to avoid feeling overly flushed.
3. Stay cool. Try finding a cool environment to help regulate your body temperature. For instance, take a cool shower, use a fan, or adjust the thermostat to provide some relief. If you’re outdoors, try avoiding direct sunlight and opt for the shade.
4. Avoid caffeine. Caffeine can increase our heart rate and may lead to sweating or hot flashes. It’s particularly dangerous when combined with alcohol, as it can mask its effects and cause us to over indulge.
5. Practice deep breathing exercises. Taking slow, deep breaths can help calm our body and lower our heart rate. Try practicing mindfulness and drawing attention to your breath, inhaling through your nose and exhaling through your mouth slowly. This is good for us even if we’re not hot, as it helps reduce stress and anxiety.
6. Wear breathable clothing. Avoid tight-fitting clothing or articles of clothing that trap in moisture. Instead, opt for breathable, loose-fitting clothing that allows for better air circulation and helps heat escape. Cotton is always a good choice!
7. Get some rest. Not getting adequate sleep can make us more susceptible to hot flashes, not to mention a feeling of overall crankiness and discomfort. Be sure to get a good night’s sleep after a night of drinking to help your body recover. If you can, try squeezing in a short nap during the day to help make up for disruptions in your REM cycle caused by alcohol. 

Keep in mind that cutting back on alcohol isn’t good just for preventing excessive heat or sweating, but also for enhancing our overall mental and physical health as well. 

The Bottom Line

Drinking alcohol can spread a warm sensation through our body due to vasodilation — the widening of blood vessels. But just because we feel warm doesn’t mean our core temperature is rising. In fact, it’s just the opposite: alcohol lowers our core temperature and impairs our ability to shiver. As such, it can put us at risk of hypothermia since we think we’re warmer than we actually are. However, as our body temperature starts to rise after a night of drinking, it can cause us to sweat or have hot flashes. 

While limiting our consumption of alcohol or quitting alcohol entirely is the best thing we can do for our body, if we do choose to drink, it’s important to stay hydrated, drink in moderation, and choose drinks that are lower in alcohol content.

If you want to cut back on drinking, but don’t know where or how to start, consider trying Reframe. We’re a science-backed app that has helped millions of people reduce their alcohol consumption and enhance their physical, mental, and emotional well-being.

Take Action Today With Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

National Drug and Alcohol Facts Week (NDAFW) is an annual health observance in the United States that aims to raise awareness about the dangers of drug and alcohol misuse among youth.

We’ve gone into detail before about alcohol misuse statistics and how alcohol use is one of the leading preventable causes of death in the United States. Unfortunately, alcohol misuse is on the rise among young people. Everyone can benefit from learning more about alcohol, but in light of this alarming trend, it’s important to educate teens and young adults about the potential dangers of drinking and using drugs.

That’s where NDAFW comes in! Let’s learn more about what NDAFW is and how we can participate.

Why Do We Need NDAFW?

An estimated 15 million Americans struggle with alcohol use disorder (AUD), but fewer than 10% receive treatment. More than 65 million Americans report binge drinking in the past month, which is more than 40% of people who drink.

Recent research estimates that 62% of teenagers in 12th grade have used alcohol, and 52% of teenagers have used drugs at least once. In 2022, more than 750,000 teenagers met the criteria for alcohol use disorder, and teen alcohol use is the top risk factor for developing AUD as an adult.

These alarming statistics point to an urgent need to address youth alcohol use. This was the intent behind the initiative to dedicate a National Drug and Alcohol Facts Week in the United States. Education is the best prevention, but identifying existing use is another important step.

Identifying Loved Ones in Need


It’s not always easy to know when someone we care about is struggling, especially young people. Youth and teens who struggle with substance misuse are often adept at keeping it a secret.

Besides cultivating an open, honest, judgment-free, and trusting atmosphere with loved ones, there are some signs to look out for that might indicate it’s time to check in on them. Consider these signs cautiously, without jumping to conclusions or making accusations.

• Physical signs. Some common physical signs include lethargy, bloodshot eyes, runny nose, weight changes, or looking more tired than usual.

• Behavioral signs. Behavioral signs to watch for include shifts in social circles, poor work/school performance, secretive or inconsistent behavior, and lack of follow through on responsibilities.

• Psychological signs. These include paranoid thoughts, negative self-image, lack of motivation, and feelings of apathy.

If anyone in your life is displaying any of these behaviors, it’s a good idea to check in and simply ask them how they’re doing. Show them you care and support them, and be ready to guide them to helpful resources like professional care, a support group, or the Reframe app. 

If you or someone you know is struggling with drug or alcohol abuse, resources are available to help. Contact the SAMHSA National Help Hotline to get connected to support immediately. If you’re looking for some ways to stop drinking, here are some tips to get you started on your alcohol-free journey. You got this!

Goals of NDAFW

The goal of NDAFW is to debunk myths and misconceptions about alcohol and drug use and to educate young people so they’re equipped to make wise decisions. Founded in 2010 and sponsored by the National Institutes of Health (NIH), the week-long observance features community-based events, educational activities, social media campaigns, and partnerships with schools, organizations, and communities across the country.

The key objectives of NDAFW include the following:

• Educate teens and young adults about the science and facts behind drug and alcohol use

• Empower young people to make informed decisions about their health and well-being

• Encourage open conversations about the risks and consequences of drug and alcohol use

• Dispel myths and misconceptions that may contribute to risky behaviors involving drugs and alcohol

• Provide resources and support for those struggling

NDAFW includes activities like school assemblies, workshops, panel discussions, poster contests, trivia games, social media challenges, and interactive presentations led by experts. With hundreds of events around the country (and world), there are many ways to participate in NDAFW — as a group, as a family, or as an individual.

Participating in NDAFW

The National Institutes of Health offers activity ideas, discussion prompts, event lists, and fact sheets at the NDAFW website. Let’s look at some easy ways to spread facts and stomp out stigma during NDAFW — and all year long!

1. Join an event. Take part in an official NDAFW event (virtually or in person). There will be hundreds of events throughout the country and even some international options! Find an event near you using the NDAFW event map.

2. Plan an event. Organize an event in your local community. Local government, emergency services, schools, and after-school programs are great partners that can provide resources and venues for events and activities.
3. Learn and listen. Set aside time to educate yourself about alcohol and drug misuse, risk factors, and prevention — especially among youth. Do some research and reading on your own, or connect with a knowledgeable source like the Reframe blog. Do you know anyone in recovery who might have a perspective to share? Grab a coffee with them! 
4. Talk to your teen. Cultivate an open and honest environment when talking to your own teen. When we let go of judgment, teens are more likely to listen to facts and advice. Share your own struggles and discuss ways to be better together.

5. Support those who are struggling. Cultivate an open and honest environment with your loved ones and friends.
6. Evaluate your own relationship with alcohol. How has alcohol touched your life? Take stock of your drinking habits and look for ways to cut back and cultivate a more mindful drinking practice. Visit a support group like Alcoholics Anonymous (AA) or Al-Anon, or join the Reframe app to connect with millions of others in the process of changing their relationship with alcohol.
7. Do a Dry Challenge. Sure, you’ve heard of Dry January, but every day is a new day to start seeing the benefits of a 30-day dry challenge. Consider going dry for a month, and enlist some friends to join in — or turn it into a competition with your teen relatives.
8. Use social media. Social media is a great platform for raising awareness and connecting with others virtually during NDAFW. Have a personal reflection to share? Go for it! Create a video or a post with your thoughts and spread the word about NDAFW using #NDAFW and #NDAFW2024.

Next Steps

We hope you feel inspired to participate in National Drug and Alcohol Facts Week 2024! Like we mentioned above, we can all treat every week like it’s NDAFW by making healthier choices, sharing our journey with others, and offering support to those in need. Who knows? Maybe you’ll even be inspired to start your own NDAFW tradition next year. We’ll cheers to that!


National Drug and Alcohol Facts Week (NDAFW) is an annual health observance in the United States that aims to raise awareness about the dangers of drug and alcohol misuse among youth.

We’ve gone into detail before about alcohol misuse statistics and how alcohol use is one of the leading preventable causes of death in the United States. Unfortunately, alcohol misuse is on the rise among young people. Everyone can benefit from learning more about alcohol, but in light of this alarming trend, it’s important to educate teens and young adults about the potential dangers of drinking and using drugs.

That’s where NDAFW comes in! Let’s learn more about what NDAFW is and how we can participate.

Why Do We Need NDAFW?

An estimated 15 million Americans struggle with alcohol use disorder (AUD), but fewer than 10% receive treatment. More than 65 million Americans report binge drinking in the past month, which is more than 40% of people who drink.

Recent research estimates that 62% of teenagers in 12th grade have used alcohol, and 52% of teenagers have used drugs at least once. In 2022, more than 750,000 teenagers met the criteria for alcohol use disorder, and teen alcohol use is the top risk factor for developing AUD as an adult.

These alarming statistics point to an urgent need to address youth alcohol use. This was the intent behind the initiative to dedicate a National Drug and Alcohol Facts Week in the United States. Education is the best prevention, but identifying existing use is another important step.

Identifying Loved Ones in Need


It’s not always easy to know when someone we care about is struggling, especially young people. Youth and teens who struggle with substance misuse are often adept at keeping it a secret.

Besides cultivating an open, honest, judgment-free, and trusting atmosphere with loved ones, there are some signs to look out for that might indicate it’s time to check in on them. Consider these signs cautiously, without jumping to conclusions or making accusations.

• Physical signs. Some common physical signs include lethargy, bloodshot eyes, runny nose, weight changes, or looking more tired than usual.

• Behavioral signs. Behavioral signs to watch for include shifts in social circles, poor work/school performance, secretive or inconsistent behavior, and lack of follow through on responsibilities.

• Psychological signs. These include paranoid thoughts, negative self-image, lack of motivation, and feelings of apathy.

If anyone in your life is displaying any of these behaviors, it’s a good idea to check in and simply ask them how they’re doing. Show them you care and support them, and be ready to guide them to helpful resources like professional care, a support group, or the Reframe app. 

If you or someone you know is struggling with drug or alcohol abuse, resources are available to help. Contact the SAMHSA National Help Hotline to get connected to support immediately. If you’re looking for some ways to stop drinking, here are some tips to get you started on your alcohol-free journey. You got this!

Goals of NDAFW

The goal of NDAFW is to debunk myths and misconceptions about alcohol and drug use and to educate young people so they’re equipped to make wise decisions. Founded in 2010 and sponsored by the National Institutes of Health (NIH), the week-long observance features community-based events, educational activities, social media campaigns, and partnerships with schools, organizations, and communities across the country.

The key objectives of NDAFW include the following:

• Educate teens and young adults about the science and facts behind drug and alcohol use

• Empower young people to make informed decisions about their health and well-being

• Encourage open conversations about the risks and consequences of drug and alcohol use

• Dispel myths and misconceptions that may contribute to risky behaviors involving drugs and alcohol

• Provide resources and support for those struggling

NDAFW includes activities like school assemblies, workshops, panel discussions, poster contests, trivia games, social media challenges, and interactive presentations led by experts. With hundreds of events around the country (and world), there are many ways to participate in NDAFW — as a group, as a family, or as an individual.

Participating in NDAFW

The National Institutes of Health offers activity ideas, discussion prompts, event lists, and fact sheets at the NDAFW website. Let’s look at some easy ways to spread facts and stomp out stigma during NDAFW — and all year long!

1. Join an event. Take part in an official NDAFW event (virtually or in person). There will be hundreds of events throughout the country and even some international options! Find an event near you using the NDAFW event map.

2. Plan an event. Organize an event in your local community. Local government, emergency services, schools, and after-school programs are great partners that can provide resources and venues for events and activities.
3. Learn and listen. Set aside time to educate yourself about alcohol and drug misuse, risk factors, and prevention — especially among youth. Do some research and reading on your own, or connect with a knowledgeable source like the Reframe blog. Do you know anyone in recovery who might have a perspective to share? Grab a coffee with them! 
4. Talk to your teen. Cultivate an open and honest environment when talking to your own teen. When we let go of judgment, teens are more likely to listen to facts and advice. Share your own struggles and discuss ways to be better together.

5. Support those who are struggling. Cultivate an open and honest environment with your loved ones and friends.
6. Evaluate your own relationship with alcohol. How has alcohol touched your life? Take stock of your drinking habits and look for ways to cut back and cultivate a more mindful drinking practice. Visit a support group like Alcoholics Anonymous (AA) or Al-Anon, or join the Reframe app to connect with millions of others in the process of changing their relationship with alcohol.
7. Do a Dry Challenge. Sure, you’ve heard of Dry January, but every day is a new day to start seeing the benefits of a 30-day dry challenge. Consider going dry for a month, and enlist some friends to join in — or turn it into a competition with your teen relatives.
8. Use social media. Social media is a great platform for raising awareness and connecting with others virtually during NDAFW. Have a personal reflection to share? Go for it! Create a video or a post with your thoughts and spread the word about NDAFW using #NDAFW and #NDAFW2024.

Next Steps

We hope you feel inspired to participate in National Drug and Alcohol Facts Week 2024! Like we mentioned above, we can all treat every week like it’s NDAFW by making healthier choices, sharing our journey with others, and offering support to those in need. Who knows? Maybe you’ll even be inspired to start your own NDAFW tradition next year. We’ll cheers to that!


Take Control of Your Health With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

There’s a funny situation that regularly comes up in Alcoholics Anonymous (AA) communities. Someone will talk about a PTA meeting, church retreat, or company recruiting event where they accidentally introduced themselves as an alcoholic as everyone was going around the circle and saying their names. “My name is (so-and-so), and I’m an alcoholic” — for people in AA, the words become so natural that they come out automatically.

And yet these words are some of the hardest to say that first time. For many people, it’s the worst-case scenario: maybe they’re court-ordered to attend AA meetings after receiving a DUI, or maybe they’re introduced to the program at a detox facility or even in prison. And while a lot of people find relief, support, and recovery in 12-step programs, they don’t work for everyone — and that’s completely okay. So what is a 12-step program? And what are some alternatives to 12-step programs if you decide they’re not your thing? Let’s find out!

What Is a 12-Step Program?

First, let’s take a brief look at the story behind 12-step programs and their original founder, as well as the basic philosophy of recovery it’s based on.

Who Is Bill W.?

Back in the 1930s — in the heyday of Prohibition — salesman and military officer Bill Wilson found himself in trouble. Bill W., as he came to be known, couldn’t stop drinking. With doctors having given up on him, he was apparently headed for an imminent death, but he had a spiritual awakening, lost his desire to drink, and founded a peer-based nonprofit program called Alcoholics Anonymous (AA) together with his friend, physician Bob Smith. 

While Bill W.’s work has undoubtedly benefited many people — and was well-intended — it’s worth noting that Bill himself was a bit of a shady character. As a womanizer and serial 13th-stepper — an AA colloquial term for older male participants going after younger female members — he couldn’t prevent his views of women from seeping into the pages of the Big Book. Whether or not that discredits any of the information inside (and to what degree) is for everyone to decide for themselves.

What Are the 12 Steps?

The program itself was originally based on the Big Book of Alcoholics Anonymous written by Bill W. The book begins with Bill’s own story and outlines the core principles that he saw as central to his recovery as the “12 Steps.” Traditionally, members “work” the steps with a sponsor — an experienced group member who has completed the 12 Steps and has been sober for some time.

The 12 Steps themselves are a list of core principles that serve as a roadmap to recovery, AA-style. Here’s a brief rundown:

Admitting powerlessness. The first three steps introduce the idea of powerlessness over alcohol and introduce the concept of a “Higher Power” that can help “restore sanity” to what has become an “unmanageable” existence. While traditionally the “Higher Power” was synonymous with God, these days there’s a lot more flexibility — it can be anything from a different deity to the community of AA itself.

Listing character defects. Steps 4-7 deal with the so-called character defects — a broad term that encompasses resentments and any personal traits that might drive a person to drink. The idea is to make a “moral inventory” that lists these defects, then go over them with a sponsor and ask the Higher Power to remove them.

Making amends. This is perhaps the most publicized part of the 12 Steps: the so-called “amends” that call for members to tie up the many loose ends alcohol has created in their lives and personal relationships. Contrary to some popular misconceptions, amends are not “apologies” — they’re heart-to-heart conversations that often involve admitting our wrongs, but that are mostly meant to resolve anything that’s left unresolved. That said, when wrongs have been done, members are encouraged to do their best to correct them, whether that means apologizing or making financial restitution.

Continuing on the path of spiritual growth. The final steps call for a continued commitment to sobriety, fostered by prayer and meditation. They also mention the importance of admitting our wrongs as quickly as possible to avoid the emotional traps that contributed to our drinking patterns.

These days, AA has gone global, and the 12 steps have been applied to other forms of addiction, such as drugs (Narcotics Anonymous), eating disorders (Overeaters Anonymous), gambling (Gamblers Anonymous), and many others.

What Happens at Meetings?

Some meetings are open to the public, while others only admit those who identify as alcoholics. The format itself can also vary:

• Speaker meetings. In “speaker meetings,” a member will start off by telling their story with others sharing their thoughts afterwards.
• Discussion meetings. These are usually round-robin discussion meetings with members sharing thoughts about a particular topic — for example, “gratitude” or “resentments” — or just talking about whatever is important to them at the moment. It's a format that encourages interactive sharing and collective support.
• Step or tradition studies. These meetings focus on studying and discussing the specific steps or traditions of the program in detail, usually analyzing the step's meaning and its practical application in daily life.
• Big Book or literature meetings. As the name suggests, participants talk about specific literature or texts considered foundational in the program, such as the "Big Book" in AA. 
• Online or virtual meetings. A product of the digital age, online meetings became especially popular during COVID when in-person meetings were largely unavailable. 

Does AA Work?

What is the success rate of AA and other 12-step programs? The truth is, it’s really hard to tell. Some people stay sober for years while continuing to go to meetings — they tend to attribute their success to the program and believe that it can truly work for anyone (“It works if you work it,” as they say). There’s a bit of a chicken-and-egg dilemma here, though: would these 12-step advocates have gotten sober without AA? There’s just no way of knowing. Would they have stayed sober if they left the group and found another way to support their recovery? Perhaps.

There’s also a statistic that has been floating around, one that claims AA only works “5% of the time.” Its origins (and veracity) are a bit of a mystery, since it’s difficult to quantify “recovery rate” in the first place. With many different components and variables at play, it’s hard to come up with a single definition of what “recovery” even is — let alone figure out a way to measure it. 

In the end, it’s simple: recovery is personal, and what works for some of us might not work for others. 

When AA Works: The Helpful Aspects

• Success stories serve as “proof of the pudding.” Many people come to 12-step meetings at the most desperate point of their lives, having “hit bottom” (to use an AA term). Simply seeing dozens (or even hundreds at some meetings) of people who attest to being happily sober for an extended period of time offers a glimmer of hope and motivation to keep going in the hope that, one way or another, the same can happen for them, too. 
• The meetings offer a different way to see alcohol. Another preconception that many bring to their first meeting is that there’s no way to see alcohol as anything other than essential. And while there might be some problems and scientific inconsistencies with AA’s views (more on that later), this can be an important revelation for someone who has developed a dependency on alcohol.
• The community can provide crucial support, especially in the early days. One of the best aspects of 12-step programs is the community support they provide. While meeting cultures vary by state (and country, since they’ve gone international), there’s bound to be someone who will talk to a newcomer and offer their support (for example, by inviting them to talk over coffee after the meeting or exchanging phone numbers so the newcomer can call if they find themselves having an irresistible craving). This type of warmth and companionship can serve as a lifeline for many, whether or not they end up staying in the program.
• The structure and routine of the program can be helpful in the early days. At the beginning, staying sober for those who have been drinking heavily for a long time is usually a matter of figuring out what to do on a daily (or hourly) basis. Early recovery is disorienting, and AA’s clear, step-by-step process can be reassuring, offering a roadmap to follow. The routine meetings and regular check-ins help maintain focus and accountability, which can help.
• The self-reflection aspect introduces a component of mindfulness. The deep self-reflection encouraged by the program can lead to self-awareness and insights. This introspection — as well as the prayer and meditation emphasized in later steps — is a science-backed way many have found useful when trying to abstain from alcohol.
• The frequency and anonymity of the meetings make them accessible. The fact that 12-step meetings are open to anyone anywhere and that they are anonymous and provided at no cost makes them extremely accessible. This can be a lifeline for people in crisis, such as people experiencing a strong craving or difficult domestic or financial situation, since many other forms of treatment take some time to set up.

When AA Doesn’t Work So Well

• The all-or-nothing approach to sobriety can be too restrictive for some. While some meetings and communities offer more leeway than others, overall there’s not much wiggle room when it comes to options in exploring sobriety as a lifestyle choice. Someone inspired by the sober-curious movement rather than by a commitment or medical need to get sober might quickly feel alienated or be told (sometimes implicitly) that they are in “denial” of their “problem.” 
  
  Having to identify as an “alcoholic” and committing to a zero-alcohol lifestyle is bound to leave a large portion of people questioning their alcohol use. While many come to programs like AA after clearly reaching a point where alcohol poses a direct threat to their lives, many are not at that stage. Luckily, today, there are many other options available! (More on this in the following section.)
• The focus on what NOT to do can be limiting. For some people — especially at the beginning — the emphasis on not drinking “no matter what” can be helpful, refreshing, and even life-saving. However, it’s hard to build a fulfilling life based on something we’re trying to avoid. A meaningful life is a creative process, and building it requires enriching experiences, memories, conversations, and thoughts that cover a range of topics or interests. 
  
  For that reason, many find that while initially the single-minded focus of 12-step programs is relevant to them — because, let’s face it, for those whose alcohol use has crossed the line into addiction, the number one priority becomes getting sober — eventually they find themselves outgrowing it. And while this natural progression unfortunately can be met with criticism by some hardcore AA members, it’s perfectly okay!
• Varied preferences. Just as in all aspects of life, people have different preferences. Some may prefer group settings, while others might find success in more individualized treatments.

Options in Recovery: Alternatives to 12-Step Programs

Recovery is a personal journey. And there are many ways to get there! Let’s explore some alternatives to 12-step programs to get an idea of the spectrum of recovery options available today.

• Support groups beyond 12 steps. While 12-step programs might be the most widespread of the bunch, many other support groups are tailored to different philosophies and needs. For example, SMART recovery, which stands for Self-Management and Recovery Training, focuses on a more science-based, rational approach while still providing the sense of community of traditional 12-step programs.
• Mindfulness-based approaches. Mindfulness is all about engaging with the present moment and our experience with it, including observing our own thoughts and cravings. Holistic therapies include yoga, meditation, acupuncture, or art therapy. These approaches aim to align mind, body, and spirit, providing a serene foundation for recovery.
• Individual counseling. Meeting with a licensed therapist in one-on-one sessions tailored to our needs can be one of the safest, most effective ways to explore the role of alcohol (and addiction in general) in our lives. The conversations can take different forms, ranging from traditional talk therapy to motivational coaching, cognitive behavioral therapy (CBT), or dialectical behavioral therapy (DBT).
• Technology-based tools and programs. With the rise of digital health, we now have more options than ever, including apps such as Reframe, online therapy, and virtual support groups. These tools are at our fingertips (or in our pocket), ready to cheer us on and provide daily science-backed information and tools to help us on our journey with alcohol — whether we’re trying to cut back or leave it behind completely. Plus, there’s often a built-in community aspect that can provide the support many seek when initially trying out 12-step programs.

Crafting a Personalized Recovery Plan

These steps can help you find a recovery path that works for you.

• Start by defining your goals around alcohol. Think critically about how alcohol fits into your life and what you want to change.
• Build a support system. A strong network of friends, family, or professionals who understand and support your recovery goals can make a big difference.
• Explore different options and make a concrete plan. Clarity is important — even though you might change your plan later on, for now, decide which option you want to try and give it a chance. If it doesn’t work, you can always try something else.
• Reflect and adjust as you go. Keep track of what's working and what isn't. Recovery is an evolving process, and what worked at the beginning might not work later on — look at the need for adjustment as a sign of growth. You’re getting closer to your goal!

A Way Forward

In the end, your relationship with alcohol is yours to define, and the key is finding a solution that works for you. Whatever path you choose, know that the very fact that you’re on this journey means you’re making progress to a healthier, happier version of yourself. There’s no such thing as “going backwards” or “starting back at square one” — even if you have to change course. 

In Recovery: Freedom From Our Addictions, comedian Russell Brand writes, “The feeling you have that 'there's something else' is real. What happens when you don't follow the compulsion? What is on the other side of my need [...]? The only way to find out is to not do it, and that is a novel act of faith.” Exactly how we embark on the adventure of finding out what’s on the “other side” is up to us — so let’s approach it in the spirit of curiosity and excitement. There’s so much to gain from exploring a life with less alcohol and absolutely nothing to lose.

There’s a funny situation that regularly comes up in Alcoholics Anonymous (AA) communities. Someone will talk about a PTA meeting, church retreat, or company recruiting event where they accidentally introduced themselves as an alcoholic as everyone was going around the circle and saying their names. “My name is (so-and-so), and I’m an alcoholic” — for people in AA, the words become so natural that they come out automatically.

And yet these words are some of the hardest to say that first time. For many people, it’s the worst-case scenario: maybe they’re court-ordered to attend AA meetings after receiving a DUI, or maybe they’re introduced to the program at a detox facility or even in prison. And while a lot of people find relief, support, and recovery in 12-step programs, they don’t work for everyone — and that’s completely okay. So what is a 12-step program? And what are some alternatives to 12-step programs if you decide they’re not your thing? Let’s find out!

What Is a 12-Step Program?

First, let’s take a brief look at the story behind 12-step programs and their original founder, as well as the basic philosophy of recovery it’s based on.

Who Is Bill W.?

Back in the 1930s — in the heyday of Prohibition — salesman and military officer Bill Wilson found himself in trouble. Bill W., as he came to be known, couldn’t stop drinking. With doctors having given up on him, he was apparently headed for an imminent death, but he had a spiritual awakening, lost his desire to drink, and founded a peer-based nonprofit program called Alcoholics Anonymous (AA) together with his friend, physician Bob Smith. 

While Bill W.’s work has undoubtedly benefited many people — and was well-intended — it’s worth noting that Bill himself was a bit of a shady character. As a womanizer and serial 13th-stepper — an AA colloquial term for older male participants going after younger female members — he couldn’t prevent his views of women from seeping into the pages of the Big Book. Whether or not that discredits any of the information inside (and to what degree) is for everyone to decide for themselves.

What Are the 12 Steps?

The program itself was originally based on the Big Book of Alcoholics Anonymous written by Bill W. The book begins with Bill’s own story and outlines the core principles that he saw as central to his recovery as the “12 Steps.” Traditionally, members “work” the steps with a sponsor — an experienced group member who has completed the 12 Steps and has been sober for some time.

The 12 Steps themselves are a list of core principles that serve as a roadmap to recovery, AA-style. Here’s a brief rundown:

Admitting powerlessness. The first three steps introduce the idea of powerlessness over alcohol and introduce the concept of a “Higher Power” that can help “restore sanity” to what has become an “unmanageable” existence. While traditionally the “Higher Power” was synonymous with God, these days there’s a lot more flexibility — it can be anything from a different deity to the community of AA itself.

Listing character defects. Steps 4-7 deal with the so-called character defects — a broad term that encompasses resentments and any personal traits that might drive a person to drink. The idea is to make a “moral inventory” that lists these defects, then go over them with a sponsor and ask the Higher Power to remove them.

Making amends. This is perhaps the most publicized part of the 12 Steps: the so-called “amends” that call for members to tie up the many loose ends alcohol has created in their lives and personal relationships. Contrary to some popular misconceptions, amends are not “apologies” — they’re heart-to-heart conversations that often involve admitting our wrongs, but that are mostly meant to resolve anything that’s left unresolved. That said, when wrongs have been done, members are encouraged to do their best to correct them, whether that means apologizing or making financial restitution.

Continuing on the path of spiritual growth. The final steps call for a continued commitment to sobriety, fostered by prayer and meditation. They also mention the importance of admitting our wrongs as quickly as possible to avoid the emotional traps that contributed to our drinking patterns.

These days, AA has gone global, and the 12 steps have been applied to other forms of addiction, such as drugs (Narcotics Anonymous), eating disorders (Overeaters Anonymous), gambling (Gamblers Anonymous), and many others.

What Happens at Meetings?

Some meetings are open to the public, while others only admit those who identify as alcoholics. The format itself can also vary:

• Speaker meetings. In “speaker meetings,” a member will start off by telling their story with others sharing their thoughts afterwards.
• Discussion meetings. These are usually round-robin discussion meetings with members sharing thoughts about a particular topic — for example, “gratitude” or “resentments” — or just talking about whatever is important to them at the moment. It's a format that encourages interactive sharing and collective support.
• Step or tradition studies. These meetings focus on studying and discussing the specific steps or traditions of the program in detail, usually analyzing the step's meaning and its practical application in daily life.
• Big Book or literature meetings. As the name suggests, participants talk about specific literature or texts considered foundational in the program, such as the "Big Book" in AA. 
• Online or virtual meetings. A product of the digital age, online meetings became especially popular during COVID when in-person meetings were largely unavailable. 

Does AA Work?

What is the success rate of AA and other 12-step programs? The truth is, it’s really hard to tell. Some people stay sober for years while continuing to go to meetings — they tend to attribute their success to the program and believe that it can truly work for anyone (“It works if you work it,” as they say). There’s a bit of a chicken-and-egg dilemma here, though: would these 12-step advocates have gotten sober without AA? There’s just no way of knowing. Would they have stayed sober if they left the group and found another way to support their recovery? Perhaps.

There’s also a statistic that has been floating around, one that claims AA only works “5% of the time.” Its origins (and veracity) are a bit of a mystery, since it’s difficult to quantify “recovery rate” in the first place. With many different components and variables at play, it’s hard to come up with a single definition of what “recovery” even is — let alone figure out a way to measure it. 

In the end, it’s simple: recovery is personal, and what works for some of us might not work for others. 

When AA Works: The Helpful Aspects

• Success stories serve as “proof of the pudding.” Many people come to 12-step meetings at the most desperate point of their lives, having “hit bottom” (to use an AA term). Simply seeing dozens (or even hundreds at some meetings) of people who attest to being happily sober for an extended period of time offers a glimmer of hope and motivation to keep going in the hope that, one way or another, the same can happen for them, too. 
• The meetings offer a different way to see alcohol. Another preconception that many bring to their first meeting is that there’s no way to see alcohol as anything other than essential. And while there might be some problems and scientific inconsistencies with AA’s views (more on that later), this can be an important revelation for someone who has developed a dependency on alcohol.
• The community can provide crucial support, especially in the early days. One of the best aspects of 12-step programs is the community support they provide. While meeting cultures vary by state (and country, since they’ve gone international), there’s bound to be someone who will talk to a newcomer and offer their support (for example, by inviting them to talk over coffee after the meeting or exchanging phone numbers so the newcomer can call if they find themselves having an irresistible craving). This type of warmth and companionship can serve as a lifeline for many, whether or not they end up staying in the program.
• The structure and routine of the program can be helpful in the early days. At the beginning, staying sober for those who have been drinking heavily for a long time is usually a matter of figuring out what to do on a daily (or hourly) basis. Early recovery is disorienting, and AA’s clear, step-by-step process can be reassuring, offering a roadmap to follow. The routine meetings and regular check-ins help maintain focus and accountability, which can help.
• The self-reflection aspect introduces a component of mindfulness. The deep self-reflection encouraged by the program can lead to self-awareness and insights. This introspection — as well as the prayer and meditation emphasized in later steps — is a science-backed way many have found useful when trying to abstain from alcohol.
• The frequency and anonymity of the meetings make them accessible. The fact that 12-step meetings are open to anyone anywhere and that they are anonymous and provided at no cost makes them extremely accessible. This can be a lifeline for people in crisis, such as people experiencing a strong craving or difficult domestic or financial situation, since many other forms of treatment take some time to set up.

When AA Doesn’t Work So Well

• The all-or-nothing approach to sobriety can be too restrictive for some. While some meetings and communities offer more leeway than others, overall there’s not much wiggle room when it comes to options in exploring sobriety as a lifestyle choice. Someone inspired by the sober-curious movement rather than by a commitment or medical need to get sober might quickly feel alienated or be told (sometimes implicitly) that they are in “denial” of their “problem.” 
  
  Having to identify as an “alcoholic” and committing to a zero-alcohol lifestyle is bound to leave a large portion of people questioning their alcohol use. While many come to programs like AA after clearly reaching a point where alcohol poses a direct threat to their lives, many are not at that stage. Luckily, today, there are many other options available! (More on this in the following section.)
• The focus on what NOT to do can be limiting. For some people — especially at the beginning — the emphasis on not drinking “no matter what” can be helpful, refreshing, and even life-saving. However, it’s hard to build a fulfilling life based on something we’re trying to avoid. A meaningful life is a creative process, and building it requires enriching experiences, memories, conversations, and thoughts that cover a range of topics or interests. 
  
  For that reason, many find that while initially the single-minded focus of 12-step programs is relevant to them — because, let’s face it, for those whose alcohol use has crossed the line into addiction, the number one priority becomes getting sober — eventually they find themselves outgrowing it. And while this natural progression unfortunately can be met with criticism by some hardcore AA members, it’s perfectly okay!
• Varied preferences. Just as in all aspects of life, people have different preferences. Some may prefer group settings, while others might find success in more individualized treatments.

Options in Recovery: Alternatives to 12-Step Programs

Recovery is a personal journey. And there are many ways to get there! Let’s explore some alternatives to 12-step programs to get an idea of the spectrum of recovery options available today.

• Support groups beyond 12 steps. While 12-step programs might be the most widespread of the bunch, many other support groups are tailored to different philosophies and needs. For example, SMART recovery, which stands for Self-Management and Recovery Training, focuses on a more science-based, rational approach while still providing the sense of community of traditional 12-step programs.
• Mindfulness-based approaches. Mindfulness is all about engaging with the present moment and our experience with it, including observing our own thoughts and cravings. Holistic therapies include yoga, meditation, acupuncture, or art therapy. These approaches aim to align mind, body, and spirit, providing a serene foundation for recovery.
• Individual counseling. Meeting with a licensed therapist in one-on-one sessions tailored to our needs can be one of the safest, most effective ways to explore the role of alcohol (and addiction in general) in our lives. The conversations can take different forms, ranging from traditional talk therapy to motivational coaching, cognitive behavioral therapy (CBT), or dialectical behavioral therapy (DBT).
• Technology-based tools and programs. With the rise of digital health, we now have more options than ever, including apps such as Reframe, online therapy, and virtual support groups. These tools are at our fingertips (or in our pocket), ready to cheer us on and provide daily science-backed information and tools to help us on our journey with alcohol — whether we’re trying to cut back or leave it behind completely. Plus, there’s often a built-in community aspect that can provide the support many seek when initially trying out 12-step programs.

Crafting a Personalized Recovery Plan

These steps can help you find a recovery path that works for you.

• Start by defining your goals around alcohol. Think critically about how alcohol fits into your life and what you want to change.
• Build a support system. A strong network of friends, family, or professionals who understand and support your recovery goals can make a big difference.
• Explore different options and make a concrete plan. Clarity is important — even though you might change your plan later on, for now, decide which option you want to try and give it a chance. If it doesn’t work, you can always try something else.
• Reflect and adjust as you go. Keep track of what's working and what isn't. Recovery is an evolving process, and what worked at the beginning might not work later on — look at the need for adjustment as a sign of growth. You’re getting closer to your goal!

A Way Forward

In the end, your relationship with alcohol is yours to define, and the key is finding a solution that works for you. Whatever path you choose, know that the very fact that you’re on this journey means you’re making progress to a healthier, happier version of yourself. There’s no such thing as “going backwards” or “starting back at square one” — even if you have to change course. 

In Recovery: Freedom From Our Addictions, comedian Russell Brand writes, “The feeling you have that 'there's something else' is real. What happens when you don't follow the compulsion? What is on the other side of my need [...]? The only way to find out is to not do it, and that is a novel act of faith.” Exactly how we embark on the adventure of finding out what’s on the “other side” is up to us — so let’s approach it in the spirit of curiosity and excitement. There’s so much to gain from exploring a life with less alcohol and absolutely nothing to lose.

Optimize Your Health With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Have you ever had a few drinks and gotten a massive craving for a big, salty meal like a burger and fries? Maybe you’ve woken up from a night of heavy drinking and craved a big breakfast or pounded back a few sports drinks because you heard it helps with hangovers. We all know that alcohol can cause us to make some questionable food choices, and research backs this up. Beyond the implications for our diet, alcohol also plays games with our sense of taste and our body’s ability to retain and process nutrients. This is especially true for beer, which is usually ingested in higher volumes than things like liquor.

Alcohol-induced nutrient deficiencies can lead to a number of issues, from malnutrition to a phenomenon known as potomania, or “beer potomania.” So what exactly is potomania and what does it mean for our health? Let’s find out.

What Is Potomania?

Potomania comes from the Latin words poto (“to drink alcohol”) and mania (“with intensity”). It’s a unique version of a common but serious condition known as hyponatremia, in which the blood has low sodium content. Hyponatremia is caused by a number of issues, including excessive water intake, excessive exercise or sweating, liver or kidney disease, heart failure, hypothyroidism, certain medications, or hormonal imbalances. Mild cases have few to no symptoms; severe cases involve confusion, seizures, coma, and death. It can also be a chronic condition, operating in the background and causing slow damage to vital organs over the course of years.

Potomania, colloquially known as “beer potomania,” is when hyponatremia is specifically caused by excessive alcohol intake. Since alcohol is low in sodium and known to cause electrolyte imbalance, it presents a particular danger for developing hyponatremia and other electrolyte imbalances. Beer is singled out because it’s often consumed in large volumes, making it incredibly effective at inducing potomania.

Electrolytes: Superconductors of Life

You may recognize the term “electrolytes” from ads for your favorite sports drink. Electrolytes are commonly talked about in the context of exercise but also in binge-drinking culture. These essential nutrients are necessary for our bodies to function — they regulate chemical reactions in the body, carry signals from our nerves to our muscles, maintain fluid balance in our cells, and help maintain our body’s pH levels.

The body has several essential electrolytes: sodium, potassium, calcium, magnesium, chloride, phosphate, and bicarbonate. Each one serves an important function, and they all work together to keep us alive. When we are dehydrated for any reason, drinking water is not enough. Water alone does not have enough electrolytes to restore the balance of sodium necessary for our body to function. So, is there sodium in beer? Not much, and the sodium in beer is roughly equivalent to the sodium content in water. This is why many binge drinkers reach for the same sports drinks that athletes use to recover from their overindulgence.

Why Does Potomania Happen?

While any electrolyte imbalance is unhealthy, sodium imbalance is the most common due to the prevalence of medications, lifestyle choices, and medical conditions that deplete sodium. Alcohol works in synergy with these to deplete sodium, but the hyponatremia alcohol causes is preventable.

Beer is often consumed in higher quantities than other alcoholic drinks because it’s low in alcohol — a single serving of beer is 12 ounces (that would be eight servings of liquor!). Throwing back a few beers provides no more sodium than throwing back a few glasses of water. Drinkers often pair alcohol with water, thinking this will balance out alcohol intake and prevent dehydration or hangovers. However, when this isn’t paired with adequate electrolyte intake, the result is a sodium imbalance.

Psychosocial factors also lead to excessive beer consumption. It’s common to “get together and have a few beers” with our friends. Happy hours at bars encourage rapid beer intake. Many common drinking games also involve drinking beer. Since beer is low-alcohol, it’s often seen as safe for drinking in high quantities over long periods of time, and we don’t notice how much we’re drinking since it doesn’t get us as intoxicated as stronger drinks.

So just how much sodium is in beer? Again, the sodium in beer is about equal to the sodium in water — beer contains about 14 mg per 12-ounce serving, and water contains 12 mg. Some people will try to make up for this by salting their beer, but this doesn’t balance sodium depletion because fluid intake is not the only thing that causes potomania.

Alcohol depletes sodium by stressing the body and creating a larger demand for its function. It increases our heart rate and causes tissue damage that requires our body to divert energy for repairs. Alcohol is also a diuretic, so it makes us pee more. Urine is high in sodium, which exacerbates depletion of blood sodium levels when paired with high fluid intake, like when we are drinking beer.

In a more abstract way, potomania is linked to poor diet. Since beer is high in calories, many beer drinkers restrict calories to maintain their weight and avoid beer belly. Alcohol is also linked with overeating and poor food choices, which means we may not get the right balance of nutrients to maintain our health. In fact, in many cultures, alcohol is used as an aperitif to stimulate appetite before meals. Alcohol activates the same response in our body as starvation — beer potomania is closely linked to “starvation potomania,” wherein heavy drinkers severely restrict calorie intake to budget for alcohol.

Symptoms of Potomania

Craving salt after a night of drinking is the body’s way of preventing potomania, which results from the severe and chronic response to continued sodium depletion. But how do we know if we have potomania?

Potomania may not have any symptoms, or it may have subclinical symptoms (symptoms that are easily missed, misdiagnosed, or written off) such as clumsiness, attention deficit, poor judgment, brain fog, headaches, nausea, fatigue, irritability, or low appetite. These can fester for weeks, months, or even years before becoming serious.

There may also be acute life-threatening symptoms of potomania, especially if sodium intake is dramatically low or chronic symptoms are missed or ignored. These can include severe cramps, excessive vomiting, dizziness and poor coordination that leads to injury, cerebral edema, pulmonary edema, brain herniation, respiratory arrest, seizures, coma, and death. 

Health Issues of Potomania

Over time, the mild symptoms of potomania worsen, leading to more serious symptoms. It can even cause chronic diseases such as osteoporosis, kidney disease, liver disease, and permanent brain damage from increased pressure in the brain. This brain damage can present as things like difficulty walking, slow reaction time, and issues with attention and memory.

These symptoms are compounded by the effects of ethanol itself. Beyond hyponatremia, alcohol interferes with many of our bodily functions, including blood sugar regulation, cognition, heart function, and digestion. Over time, this can cause chronic conditions.

How To Treat Potomania

Many remedies for hangovers are focused on replenishment of electrolytes. In fact, many of us have heard some strange ones. For instance, have you ever wondered, “Why do people put salt in beer?” This is an old practice used to enhance the flavor of beer, but it is also a folk remedy that is said to prevent or treat many hangover symptoms.

It may seem logical that we can treat potomania with hangover prevention and recovery methods, but it’s not that simple. Potomania is a serious medical condition that requires careful medical care. Simply consuming a massive dose of sodium will not bring the body back to homeostasis. In fact, it could lead to acute hypernatremia, or excessive salt in the blood. Rapid salt infusion can also cause a condition known as osmotic demyelination syndrome, which can permanently damage our nervous system.

Depending on its severity, beer potomania treatment is administered in a medical setting over the course of several hours or days, and it requires close monitoring for quite a while after. It typically involves a period of intentional dehydration, followed by the slow administration of intravenous saline solution.

The medical conditions that arise from potomania may compound, putting us at a higher risk of developing it again. For that reason, the best beer potomania treatment is prevention.

Tips for Preventing Potomania

• Understand your limits. Pay close attention to how much and what type of alcohol you’re drinking. Beer may seem like a “safer” choice than liquor, but when used chronically it can put you at a higher risk for potomania. With Reframe, you can track your drinks to stay mindful of your intake. And remember — there is no “safe” alcohol.
• Eat a balanced diet. Proper nutrition is important for all aspects of our health, particularly when we include alcohol as part of our lifestyle. Make sure you’re consuming adequate electrolytes, especially sodium.
• Consult with a professional. If a balanced diet is difficult for you to manage, or if you eat a sodium-restricted diet due to heart conditions or hypertension, alcohol may not be a good choice for you. Consult with a dietician to make sure you are consuming proper amounts of essential nutrients.
• Seek support for alcohol dependence. If you fear you may have potomania or that you may be at risk of developing it, reach out to a medical or mental health professional. Reframe offers resources like support groups, lifestyle education, and professional coaching to help you along this path.
• Get regular health checkups. Regular visits to your primary care physician or general practitioner are very important for maintaining health and identifying medical conditions before they get serious. This is especially true if you consume alcohol or other intoxicating substances. Don’t lie to your doctor about your use — it may protect you from perceived judgment, but it does not benefit you. Physical exams, neurological exams, and blood tests can catch potomania before it gets serious.
• Educate yourself and others. Spread awareness about potomania and its risks. By reading this article, you have already taken an important step in protecting yourself from potomania!

Prevention Is Key

Beer potomania is a serious medical condition, but it’s entirely preventable. Maintaining health is about being honest with ourselves and advocating for ourselves in medical settings — but we must also curb our most harmful impulses. Problematic and self-destructive behaviors take many forms, but by staying balanced and being mindful, we can give ourselves the gift of health. Potomania is entirely preventable when we pay close attention to our bodies and follow basic advice about nutrition, alcohol moderation, and lifestyle.

Have you ever had a few drinks and gotten a massive craving for a big, salty meal like a burger and fries? Maybe you’ve woken up from a night of heavy drinking and craved a big breakfast or pounded back a few sports drinks because you heard it helps with hangovers. We all know that alcohol can cause us to make some questionable food choices, and research backs this up. Beyond the implications for our diet, alcohol also plays games with our sense of taste and our body’s ability to retain and process nutrients. This is especially true for beer, which is usually ingested in higher volumes than things like liquor.

Alcohol-induced nutrient deficiencies can lead to a number of issues, from malnutrition to a phenomenon known as potomania, or “beer potomania.” So what exactly is potomania and what does it mean for our health? Let’s find out.

What Is Potomania?

Potomania comes from the Latin words poto (“to drink alcohol”) and mania (“with intensity”). It’s a unique version of a common but serious condition known as hyponatremia, in which the blood has low sodium content. Hyponatremia is caused by a number of issues, including excessive water intake, excessive exercise or sweating, liver or kidney disease, heart failure, hypothyroidism, certain medications, or hormonal imbalances. Mild cases have few to no symptoms; severe cases involve confusion, seizures, coma, and death. It can also be a chronic condition, operating in the background and causing slow damage to vital organs over the course of years.

Potomania, colloquially known as “beer potomania,” is when hyponatremia is specifically caused by excessive alcohol intake. Since alcohol is low in sodium and known to cause electrolyte imbalance, it presents a particular danger for developing hyponatremia and other electrolyte imbalances. Beer is singled out because it’s often consumed in large volumes, making it incredibly effective at inducing potomania.

Electrolytes: Superconductors of Life

You may recognize the term “electrolytes” from ads for your favorite sports drink. Electrolytes are commonly talked about in the context of exercise but also in binge-drinking culture. These essential nutrients are necessary for our bodies to function — they regulate chemical reactions in the body, carry signals from our nerves to our muscles, maintain fluid balance in our cells, and help maintain our body’s pH levels.

The body has several essential electrolytes: sodium, potassium, calcium, magnesium, chloride, phosphate, and bicarbonate. Each one serves an important function, and they all work together to keep us alive. When we are dehydrated for any reason, drinking water is not enough. Water alone does not have enough electrolytes to restore the balance of sodium necessary for our body to function. So, is there sodium in beer? Not much, and the sodium in beer is roughly equivalent to the sodium content in water. This is why many binge drinkers reach for the same sports drinks that athletes use to recover from their overindulgence.

Why Does Potomania Happen?

While any electrolyte imbalance is unhealthy, sodium imbalance is the most common due to the prevalence of medications, lifestyle choices, and medical conditions that deplete sodium. Alcohol works in synergy with these to deplete sodium, but the hyponatremia alcohol causes is preventable.

Beer is often consumed in higher quantities than other alcoholic drinks because it’s low in alcohol — a single serving of beer is 12 ounces (that would be eight servings of liquor!). Throwing back a few beers provides no more sodium than throwing back a few glasses of water. Drinkers often pair alcohol with water, thinking this will balance out alcohol intake and prevent dehydration or hangovers. However, when this isn’t paired with adequate electrolyte intake, the result is a sodium imbalance.

Psychosocial factors also lead to excessive beer consumption. It’s common to “get together and have a few beers” with our friends. Happy hours at bars encourage rapid beer intake. Many common drinking games also involve drinking beer. Since beer is low-alcohol, it’s often seen as safe for drinking in high quantities over long periods of time, and we don’t notice how much we’re drinking since it doesn’t get us as intoxicated as stronger drinks.

So just how much sodium is in beer? Again, the sodium in beer is about equal to the sodium in water — beer contains about 14 mg per 12-ounce serving, and water contains 12 mg. Some people will try to make up for this by salting their beer, but this doesn’t balance sodium depletion because fluid intake is not the only thing that causes potomania.

Alcohol depletes sodium by stressing the body and creating a larger demand for its function. It increases our heart rate and causes tissue damage that requires our body to divert energy for repairs. Alcohol is also a diuretic, so it makes us pee more. Urine is high in sodium, which exacerbates depletion of blood sodium levels when paired with high fluid intake, like when we are drinking beer.

In a more abstract way, potomania is linked to poor diet. Since beer is high in calories, many beer drinkers restrict calories to maintain their weight and avoid beer belly. Alcohol is also linked with overeating and poor food choices, which means we may not get the right balance of nutrients to maintain our health. In fact, in many cultures, alcohol is used as an aperitif to stimulate appetite before meals. Alcohol activates the same response in our body as starvation — beer potomania is closely linked to “starvation potomania,” wherein heavy drinkers severely restrict calorie intake to budget for alcohol.

Symptoms of Potomania

Craving salt after a night of drinking is the body’s way of preventing potomania, which results from the severe and chronic response to continued sodium depletion. But how do we know if we have potomania?

Potomania may not have any symptoms, or it may have subclinical symptoms (symptoms that are easily missed, misdiagnosed, or written off) such as clumsiness, attention deficit, poor judgment, brain fog, headaches, nausea, fatigue, irritability, or low appetite. These can fester for weeks, months, or even years before becoming serious.

There may also be acute life-threatening symptoms of potomania, especially if sodium intake is dramatically low or chronic symptoms are missed or ignored. These can include severe cramps, excessive vomiting, dizziness and poor coordination that leads to injury, cerebral edema, pulmonary edema, brain herniation, respiratory arrest, seizures, coma, and death. 

Health Issues of Potomania

Over time, the mild symptoms of potomania worsen, leading to more serious symptoms. It can even cause chronic diseases such as osteoporosis, kidney disease, liver disease, and permanent brain damage from increased pressure in the brain. This brain damage can present as things like difficulty walking, slow reaction time, and issues with attention and memory.

These symptoms are compounded by the effects of ethanol itself. Beyond hyponatremia, alcohol interferes with many of our bodily functions, including blood sugar regulation, cognition, heart function, and digestion. Over time, this can cause chronic conditions.

How To Treat Potomania

Many remedies for hangovers are focused on replenishment of electrolytes. In fact, many of us have heard some strange ones. For instance, have you ever wondered, “Why do people put salt in beer?” This is an old practice used to enhance the flavor of beer, but it is also a folk remedy that is said to prevent or treat many hangover symptoms.

It may seem logical that we can treat potomania with hangover prevention and recovery methods, but it’s not that simple. Potomania is a serious medical condition that requires careful medical care. Simply consuming a massive dose of sodium will not bring the body back to homeostasis. In fact, it could lead to acute hypernatremia, or excessive salt in the blood. Rapid salt infusion can also cause a condition known as osmotic demyelination syndrome, which can permanently damage our nervous system.

Depending on its severity, beer potomania treatment is administered in a medical setting over the course of several hours or days, and it requires close monitoring for quite a while after. It typically involves a period of intentional dehydration, followed by the slow administration of intravenous saline solution.

The medical conditions that arise from potomania may compound, putting us at a higher risk of developing it again. For that reason, the best beer potomania treatment is prevention.

Tips for Preventing Potomania

• Understand your limits. Pay close attention to how much and what type of alcohol you’re drinking. Beer may seem like a “safer” choice than liquor, but when used chronically it can put you at a higher risk for potomania. With Reframe, you can track your drinks to stay mindful of your intake. And remember — there is no “safe” alcohol.
• Eat a balanced diet. Proper nutrition is important for all aspects of our health, particularly when we include alcohol as part of our lifestyle. Make sure you’re consuming adequate electrolytes, especially sodium.
• Consult with a professional. If a balanced diet is difficult for you to manage, or if you eat a sodium-restricted diet due to heart conditions or hypertension, alcohol may not be a good choice for you. Consult with a dietician to make sure you are consuming proper amounts of essential nutrients.
• Seek support for alcohol dependence. If you fear you may have potomania or that you may be at risk of developing it, reach out to a medical or mental health professional. Reframe offers resources like support groups, lifestyle education, and professional coaching to help you along this path.
• Get regular health checkups. Regular visits to your primary care physician or general practitioner are very important for maintaining health and identifying medical conditions before they get serious. This is especially true if you consume alcohol or other intoxicating substances. Don’t lie to your doctor about your use — it may protect you from perceived judgment, but it does not benefit you. Physical exams, neurological exams, and blood tests can catch potomania before it gets serious.
• Educate yourself and others. Spread awareness about potomania and its risks. By reading this article, you have already taken an important step in protecting yourself from potomania!

Prevention Is Key

Beer potomania is a serious medical condition, but it’s entirely preventable. Maintaining health is about being honest with ourselves and advocating for ourselves in medical settings — but we must also curb our most harmful impulses. Problematic and self-destructive behaviors take many forms, but by staying balanced and being mindful, we can give ourselves the gift of health. Potomania is entirely preventable when we pay close attention to our bodies and follow basic advice about nutrition, alcohol moderation, and lifestyle.

Making Responsible Choices With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Alcohol-related crimes affect everyone in the community, not just those who drink too much. Crimes range from serious violence, like domestic abuse and murder, to other offenses, such as public drunkenness and drunk driving. Each of these offenses has its own impact on both the people involved and everyone around them.

Drinking alcohol can change how people think and act. For example, drunk driving leads to many accidents and injuries every year. It's not just driving, though — alcohol can also play a part in violent behavior and abuse in relationships. 

Preventing crimes related to alcohol isn't easy. It's about more than just making stricter laws. We need to teach people about the risks of drinking too much, offer help to those who have problems with alcohol, and find ways to prevent these crimes from happening in the first place.

First, we need a clear understanding of alcohol intoxication.

What Is Intoxication?

When we consume alcohol, it enters our bloodstream and reaches the brain. From here, alcohol starts to impact the central nervous system, the organ system responsible for most functions of the body and mind.

• It becomes difficult to make decisions.


One of the first areas of the brain that intoxication affects is the frontal lobe. Judgment, decision making, and impulse control are impaired once we drink alcohol. For this reason, we could become less capable of evaluating the consequences of our actions, leading to poor decision making and potentially criminal behavior.

• Drinking makes you clumsy.


Intoxication affects our coordination and movement. Ever notice how drunk people often stumble around? That’s because alcohol affects the cerebellum, a part of the brain that helps with balance and motor skills. People who are intoxicated often experience this side effect, which is why drunk driving is extremely dangerous.


• You are more prone to risky behavior.


Alcohol can make us less inhibited and more likely to take risks. Intoxication impacts the hypothalamus and pituitary gland, influencing automatic brain functions and hormone release. Oftentimes, this means we might do things we normally wouldn’t consider or can’t properly consent to.

Alcohol’s Role in Crime

The conversation about alcohol and crime isn't just about people breaking the law; it's a much bigger issue that affects people in different ways. Drinking too much can lead to all sorts of trouble, from driving dangerously to getting into fights — or worse.

One of the most common issues is drunk driving because it’s one of the main reasons for accidents and deaths on the road. Due to their lowered inhibitions, drunk people tend to think they can drive just fine. However, alcohol interferes with our motor skills, making it hard for us to be attentive and affecting our concentration.  

Drinking alcohol may also compel us to get into fights or hurt others. Alcohol lowers inhibitions and increases aggression, which can turn a volatile situation fatal. 

There are also less talked about problems, like disorderly conduct and underage drinking. Widespread issues like alcoholism cause a lot of challenges for law enforcement and negatively impact community safety.

For many people, the path to crime can start with a struggle related to alcohol addiction because of broader socioeconomic issues (i.e., unemployment, lack of education, or living in high-crime areas). As alcohol addiction progresses, people might resort to criminal activities as a result of impaired judgment while under the influence.

Alcohol-Related Crime Statistics

Alcohol-related crime statistics show us that the effects of alcohol abuse go far beyond the people who drink; it impacts innocent bystanders as well. Accidents and violence linked to drinking often mean more people need emergency care, putting a lot of pressure on our healthcare system. On the other hand, a lot of police time and effort goes into handling alcohol-related incidents, using resources that could be used elsewhere. 

High rates of alcohol-related problems can make neighborhoods feel less safe and could also potentially lower the value of homes. Businesses decide against investing in these areas, thus affecting the overall community welfare and resources.

• Drunk driving. Even though they’re completely preventable, drunk driving is responsible for 10,511 deaths in the U.S. Drunk driving poses a severe risk to the public.
• Violent crimes and assault. People who drink alcohol excessively contribute to 27% of aggravated assaults, which highlights the huge role that alcohol plays in violent behaviors and crimes.
• Homicides. Severe forms of violence are exacerbated by drinking: statistics show that 40% of convicted murderers were intoxicated before or during the crime.
• Public intoxication and minor offenses. There are 316,032 arrests attributed to drunkenness annually in the U.S. 
• Impact on specific demographics. Young adults and people in specific socioeconomic groups are more likely to be involved in alcohol-related crimes. For example, binge drinking is often higher among college students.

Preventing Alcohol-Related Crime

Preventing alcohol-related crimes helps make our neighborhoods safer. It's not just about reducing crime; it also saves money that would otherwise be spent on things that would build a healthier and more stable society. 

When we're not spending so much on dealing with these crimes, we can put that money into schools, health services, restore roads and enhance public transportation, making getting around easier and helping our communities grow. Prevention makes life better for everyone in many ways.


1. Make a Transportation Plan

Before attending events with alcohol, plan for your safe return home. Appoint a designated driver, use a taxi or rideshare service, or rely on public transit.

2. Find Alternate Activities

Hobbies and events that don’t involve alcohol (such as sports, community service, alcohol-free vacations, or cultural events) offer enjoyable alternatives to alcohol-centric gatherings.

3. Support Legislation and Community Initiatives

Get involved in supporting laws and community initiatives targeting alcohol-related offenses. This effort could involve backing stricter drunk-driving laws, participating in support groups, or promoting access to addiction treatment facilities.

4. Promote Awareness Campaigns 

Take an active role in campaigns that discuss the risks of excessive alcohol consumption. Join online platforms, participate in community events, or collaborate with educational institutions to inform young adults.

5. Set an Example

Being aware of your alcohol limits, avoiding driving after drinking, and not pressuring others to drink are great examples of being a role model for responsible drinking habits.

Moving Towards Safer Communities

When we look at the numbers behind alcohol-related crimes, it's more than just counting incidents. These statistics are the key to understanding the link between drinking and crime. They help policymakers and community groups tackle the issue. When we can see the bigger picture of a problem, we can work together to create solutions in both little and big ways.

If you want to cut back on your alcohol consumption but don’t know where to start, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and develop healthier lifestyle habits. 

Alcohol-related crimes affect everyone in the community, not just those who drink too much. Crimes range from serious violence, like domestic abuse and murder, to other offenses, such as public drunkenness and drunk driving. Each of these offenses has its own impact on both the people involved and everyone around them.

Drinking alcohol can change how people think and act. For example, drunk driving leads to many accidents and injuries every year. It's not just driving, though — alcohol can also play a part in violent behavior and abuse in relationships. 

Preventing crimes related to alcohol isn't easy. It's about more than just making stricter laws. We need to teach people about the risks of drinking too much, offer help to those who have problems with alcohol, and find ways to prevent these crimes from happening in the first place.

First, we need a clear understanding of alcohol intoxication.

What Is Intoxication?

When we consume alcohol, it enters our bloodstream and reaches the brain. From here, alcohol starts to impact the central nervous system, the organ system responsible for most functions of the body and mind.

• It becomes difficult to make decisions.


One of the first areas of the brain that intoxication affects is the frontal lobe. Judgment, decision making, and impulse control are impaired once we drink alcohol. For this reason, we could become less capable of evaluating the consequences of our actions, leading to poor decision making and potentially criminal behavior.

• Drinking makes you clumsy.


Intoxication affects our coordination and movement. Ever notice how drunk people often stumble around? That’s because alcohol affects the cerebellum, a part of the brain that helps with balance and motor skills. People who are intoxicated often experience this side effect, which is why drunk driving is extremely dangerous.


• You are more prone to risky behavior.


Alcohol can make us less inhibited and more likely to take risks. Intoxication impacts the hypothalamus and pituitary gland, influencing automatic brain functions and hormone release. Oftentimes, this means we might do things we normally wouldn’t consider or can’t properly consent to.

Alcohol’s Role in Crime

The conversation about alcohol and crime isn't just about people breaking the law; it's a much bigger issue that affects people in different ways. Drinking too much can lead to all sorts of trouble, from driving dangerously to getting into fights — or worse.

One of the most common issues is drunk driving because it’s one of the main reasons for accidents and deaths on the road. Due to their lowered inhibitions, drunk people tend to think they can drive just fine. However, alcohol interferes with our motor skills, making it hard for us to be attentive and affecting our concentration.  

Drinking alcohol may also compel us to get into fights or hurt others. Alcohol lowers inhibitions and increases aggression, which can turn a volatile situation fatal. 

There are also less talked about problems, like disorderly conduct and underage drinking. Widespread issues like alcoholism cause a lot of challenges for law enforcement and negatively impact community safety.

For many people, the path to crime can start with a struggle related to alcohol addiction because of broader socioeconomic issues (i.e., unemployment, lack of education, or living in high-crime areas). As alcohol addiction progresses, people might resort to criminal activities as a result of impaired judgment while under the influence.

Alcohol-Related Crime Statistics

Alcohol-related crime statistics show us that the effects of alcohol abuse go far beyond the people who drink; it impacts innocent bystanders as well. Accidents and violence linked to drinking often mean more people need emergency care, putting a lot of pressure on our healthcare system. On the other hand, a lot of police time and effort goes into handling alcohol-related incidents, using resources that could be used elsewhere. 

High rates of alcohol-related problems can make neighborhoods feel less safe and could also potentially lower the value of homes. Businesses decide against investing in these areas, thus affecting the overall community welfare and resources.

• Drunk driving. Even though they’re completely preventable, drunk driving is responsible for 10,511 deaths in the U.S. Drunk driving poses a severe risk to the public.
• Violent crimes and assault. People who drink alcohol excessively contribute to 27% of aggravated assaults, which highlights the huge role that alcohol plays in violent behaviors and crimes.
• Homicides. Severe forms of violence are exacerbated by drinking: statistics show that 40% of convicted murderers were intoxicated before or during the crime.
• Public intoxication and minor offenses. There are 316,032 arrests attributed to drunkenness annually in the U.S. 
• Impact on specific demographics. Young adults and people in specific socioeconomic groups are more likely to be involved in alcohol-related crimes. For example, binge drinking is often higher among college students.

Preventing Alcohol-Related Crime

Preventing alcohol-related crimes helps make our neighborhoods safer. It's not just about reducing crime; it also saves money that would otherwise be spent on things that would build a healthier and more stable society. 

When we're not spending so much on dealing with these crimes, we can put that money into schools, health services, restore roads and enhance public transportation, making getting around easier and helping our communities grow. Prevention makes life better for everyone in many ways.


1. Make a Transportation Plan

Before attending events with alcohol, plan for your safe return home. Appoint a designated driver, use a taxi or rideshare service, or rely on public transit.

2. Find Alternate Activities

Hobbies and events that don’t involve alcohol (such as sports, community service, alcohol-free vacations, or cultural events) offer enjoyable alternatives to alcohol-centric gatherings.

3. Support Legislation and Community Initiatives

Get involved in supporting laws and community initiatives targeting alcohol-related offenses. This effort could involve backing stricter drunk-driving laws, participating in support groups, or promoting access to addiction treatment facilities.

4. Promote Awareness Campaigns 

Take an active role in campaigns that discuss the risks of excessive alcohol consumption. Join online platforms, participate in community events, or collaborate with educational institutions to inform young adults.

5. Set an Example

Being aware of your alcohol limits, avoiding driving after drinking, and not pressuring others to drink are great examples of being a role model for responsible drinking habits.

Moving Towards Safer Communities

When we look at the numbers behind alcohol-related crimes, it's more than just counting incidents. These statistics are the key to understanding the link between drinking and crime. They help policymakers and community groups tackle the issue. When we can see the bigger picture of a problem, we can work together to create solutions in both little and big ways.

If you want to cut back on your alcohol consumption but don’t know where to start, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and develop healthier lifestyle habits.