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Latest Articles
2024-06-24 9:00
Alcohol and Mental Health
Examining the Relationship Between Alcohol Use and Coping with Trauma
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Explore the intricate relationship between alcohol use and trauma coping, examining why individuals turn to alcohol, the resulting vicious cycle, and healthier alternatives for managing trauma symptoms.

9 min read

Improve Your Life 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! 

Read Full Article  →

Alcohol use and trauma are intricately linked, with many individuals turning to alcohol as a means of coping with the psychological and emotional aftermath of traumatic experiences. This relationship is complex and multifaceted, often leading to a vicious cycle where alcohol use exacerbates trauma symptoms, which in turn leads to increased alcohol consumption. In this article, we will explore how trauma affects individuals, why alcohol is often used as a coping mechanism, and healthier alternatives for managing trauma.

Understanding Trauma

Examining the Relationship Between Alcohol Use and Coping with Trauma

Trauma can be defined as an emotional response to a distressing or disturbing event that overwhelms an individual's ability to cope. It can result from various experiences, including physical or sexual assault, accidents, natural disasters, or ongoing emotional abuse. Trauma affects the brain and body in profound ways, often leading to long-term psychological and physical health issues.

Types of Trauma

Trauma generally falls into two categories:

  1. Type 1 Trauma: Single-incident trauma, such as a car accident or a natural disaster.
  2. Type 2 Trauma: Complex trauma involving repeated or prolonged exposure to distressing events, such as ongoing emotional abuse or childhood neglect.

Individuals who have experienced trauma may exhibit symptoms like anxiety, depression, flashbacks, and hypervigilance. These symptoms can be debilitating, affecting nearly every aspect of their lives.

The Link Between Trauma and Alcohol Misuse

Numerous studies have shown a significant correlation between trauma and alcohol misuse. For instance, approximately 75% of people who have survived abuse or violent traumatic events report having drinking problems. The risk is slightly higher for women, with studies indicating that women with PTSD are 2.5 times more likely to struggle with alcohol misuse than those without PTSD. Similarly, men with PTSD are twice as likely to misuse alcohol compared to men without the disorder.

Why Trauma Survivors Turn to Alcohol

Trauma survivors often turn to alcohol for several reasons:

  1. Temporary Relief: Alcohol can provide a temporary sense of relief from the distressing symptoms of trauma, such as anxiety and hypervigilance.
  2. Numbing Emotions: Many trauma survivors use alcohol to numb their emotions and avoid or forget traumatic memories.
  3. Sleep Aid: Some individuals turn to alcohol to help them relax and fall asleep, especially if they are plagued by insomnia due to intrusive thoughts and nightmares.

However, while alcohol may provide temporary relief, it ultimately exacerbates trauma symptoms and leads to a dangerous cycle of dependence and increased trauma-related distress.

The Vicious Cycle of Alcohol and Trauma

The relationship between alcohol and trauma is cyclical. While alcohol can temporarily dull the effects of trauma and help manage distress, it does not address the underlying causes. In fact, alcohol can increase symptoms such as anger, irritability, depression, and anxiety. This often leads to further alcohol consumption in an attempt to manage these heightened emotions, perpetuating a destructive cycle.

For example, many people with trauma have trouble sleeping due to traumatic memories. They might use alcohol to help them relax and get a good night's sleep. However, research confirms that alcohol disrupts sleep and reduces overall sleep quality, which in turn contributes to poor mood and anxiety, causing individuals to turn to alcohol for relief once again.

Long-term Effects

The long-term effects of using alcohol to cope with trauma can be severe, including:

  • Chronic health problems
  • Increased risk of developing alcohol use disorder (AUD)
  • Worsening mental health conditions
  • Strained relationships and social isolation

Healthier Coping Mechanisms

Healing from trauma is possible, but it often requires professional treatment and the adoption of healthier coping mechanisms. Here are some effective strategies for managing trauma without turning to alcohol:

Psychotherapy

Participating in trauma-focused psychotherapy is one of the most effective ways to heal from trauma. Various types of therapy can be beneficial, including:

  • Cognitive Behavioral Therapy (CBT): Helps individuals identify and change negative thought patterns and behaviors.
  • Eye Movement Desensitization and Reprocessing (EMDR): Involves processing traumatic memories while focusing on external stimuli, such as eye movements.
  • Prolonged Exposure Therapy: Involves gradually confronting trauma-related memories and situations in a controlled environment.

Medication

In some cases, medical professionals may prescribe medications to help manage trauma symptoms. Commonly prescribed medications include selective serotonin reuptake inhibitors (SSRIs), such as Zoloft, Paxil, and Prozac, which can help control symptoms like sadness, anxiety, anger, and sleep problems.

Self-Care Techniques

In addition to professional treatment, self-care techniques can nourish mental and physical well-being and provide immediate relief. Some effective self-care strategies include:

  • Mindfulness and Meditation: Practicing mindfulness can help individuals stay present and manage distressing thoughts and emotions.
  • Exercise: Physical activity can reduce stress and improve mood.
  • Journaling: Writing about thoughts and feelings can provide an outlet for processing emotions.
  • Healthy Lifestyle Choices: Eating nutritious meals, staying hydrated, and getting adequate sleep are essential for overall well-being.

Support Systems

Building a strong support system is crucial for individuals coping with trauma. This can include:

  • Support Groups: Joining a support group can provide a sense of community and shared understanding.
  • Professional Help: Seeking guidance from therapists, counselors, or coaches can offer personalized support and coping strategies.
  • Apps and Online Resources: Utilizing apps like Reframe, which offers science-backed knowledge and tools to help individuals cut back on alcohol consumption and build healthier habits.

Conclusion

The relationship between alcohol use and coping with trauma is complex and often leads to a vicious cycle of increased distress and dependence. While alcohol may provide temporary relief, it ultimately exacerbates trauma symptoms and contributes to long-term health problems. Healing from trauma requires professional treatment, healthier coping mechanisms, and a strong support system. By adopting these strategies, individuals can manage their trauma more effectively and build a healthier, more fulfilling life.

Alcohol use and trauma are intricately linked, with many individuals turning to alcohol as a means of coping with the psychological and emotional aftermath of traumatic experiences. This relationship is complex and multifaceted, often leading to a vicious cycle where alcohol use exacerbates trauma symptoms, which in turn leads to increased alcohol consumption. In this article, we will explore how trauma affects individuals, why alcohol is often used as a coping mechanism, and healthier alternatives for managing trauma.

Understanding Trauma

Examining the Relationship Between Alcohol Use and Coping with Trauma

Trauma can be defined as an emotional response to a distressing or disturbing event that overwhelms an individual's ability to cope. It can result from various experiences, including physical or sexual assault, accidents, natural disasters, or ongoing emotional abuse. Trauma affects the brain and body in profound ways, often leading to long-term psychological and physical health issues.

Types of Trauma

Trauma generally falls into two categories:

  1. Type 1 Trauma: Single-incident trauma, such as a car accident or a natural disaster.
  2. Type 2 Trauma: Complex trauma involving repeated or prolonged exposure to distressing events, such as ongoing emotional abuse or childhood neglect.

Individuals who have experienced trauma may exhibit symptoms like anxiety, depression, flashbacks, and hypervigilance. These symptoms can be debilitating, affecting nearly every aspect of their lives.

The Link Between Trauma and Alcohol Misuse

Numerous studies have shown a significant correlation between trauma and alcohol misuse. For instance, approximately 75% of people who have survived abuse or violent traumatic events report having drinking problems. The risk is slightly higher for women, with studies indicating that women with PTSD are 2.5 times more likely to struggle with alcohol misuse than those without PTSD. Similarly, men with PTSD are twice as likely to misuse alcohol compared to men without the disorder.

Why Trauma Survivors Turn to Alcohol

Trauma survivors often turn to alcohol for several reasons:

  1. Temporary Relief: Alcohol can provide a temporary sense of relief from the distressing symptoms of trauma, such as anxiety and hypervigilance.
  2. Numbing Emotions: Many trauma survivors use alcohol to numb their emotions and avoid or forget traumatic memories.
  3. Sleep Aid: Some individuals turn to alcohol to help them relax and fall asleep, especially if they are plagued by insomnia due to intrusive thoughts and nightmares.

However, while alcohol may provide temporary relief, it ultimately exacerbates trauma symptoms and leads to a dangerous cycle of dependence and increased trauma-related distress.

The Vicious Cycle of Alcohol and Trauma

The relationship between alcohol and trauma is cyclical. While alcohol can temporarily dull the effects of trauma and help manage distress, it does not address the underlying causes. In fact, alcohol can increase symptoms such as anger, irritability, depression, and anxiety. This often leads to further alcohol consumption in an attempt to manage these heightened emotions, perpetuating a destructive cycle.

For example, many people with trauma have trouble sleeping due to traumatic memories. They might use alcohol to help them relax and get a good night's sleep. However, research confirms that alcohol disrupts sleep and reduces overall sleep quality, which in turn contributes to poor mood and anxiety, causing individuals to turn to alcohol for relief once again.

Long-term Effects

The long-term effects of using alcohol to cope with trauma can be severe, including:

  • Chronic health problems
  • Increased risk of developing alcohol use disorder (AUD)
  • Worsening mental health conditions
  • Strained relationships and social isolation

Healthier Coping Mechanisms

Healing from trauma is possible, but it often requires professional treatment and the adoption of healthier coping mechanisms. Here are some effective strategies for managing trauma without turning to alcohol:

Psychotherapy

Participating in trauma-focused psychotherapy is one of the most effective ways to heal from trauma. Various types of therapy can be beneficial, including:

  • Cognitive Behavioral Therapy (CBT): Helps individuals identify and change negative thought patterns and behaviors.
  • Eye Movement Desensitization and Reprocessing (EMDR): Involves processing traumatic memories while focusing on external stimuli, such as eye movements.
  • Prolonged Exposure Therapy: Involves gradually confronting trauma-related memories and situations in a controlled environment.

Medication

In some cases, medical professionals may prescribe medications to help manage trauma symptoms. Commonly prescribed medications include selective serotonin reuptake inhibitors (SSRIs), such as Zoloft, Paxil, and Prozac, which can help control symptoms like sadness, anxiety, anger, and sleep problems.

Self-Care Techniques

In addition to professional treatment, self-care techniques can nourish mental and physical well-being and provide immediate relief. Some effective self-care strategies include:

  • Mindfulness and Meditation: Practicing mindfulness can help individuals stay present and manage distressing thoughts and emotions.
  • Exercise: Physical activity can reduce stress and improve mood.
  • Journaling: Writing about thoughts and feelings can provide an outlet for processing emotions.
  • Healthy Lifestyle Choices: Eating nutritious meals, staying hydrated, and getting adequate sleep are essential for overall well-being.

Support Systems

Building a strong support system is crucial for individuals coping with trauma. This can include:

  • Support Groups: Joining a support group can provide a sense of community and shared understanding.
  • Professional Help: Seeking guidance from therapists, counselors, or coaches can offer personalized support and coping strategies.
  • Apps and Online Resources: Utilizing apps like Reframe, which offers science-backed knowledge and tools to help individuals cut back on alcohol consumption and build healthier habits.

Conclusion

The relationship between alcohol use and coping with trauma is complex and often leads to a vicious cycle of increased distress and dependence. While alcohol may provide temporary relief, it ultimately exacerbates trauma symptoms and contributes to long-term health problems. Healing from trauma requires professional treatment, healthier coping mechanisms, and a strong support system. By adopting these strategies, individuals can manage their trauma more effectively and build a healthier, more fulfilling life.

Alcohol and Mental Health
2024-06-24 9:00
Alcohol and Mental Health
Emotional and Psychological Challenges During Alcohol Withdrawal: Strategies to Cope
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Explore the emotional and psychological hurdles of alcohol withdrawal and discover effective coping strategies. This article provides insights into managing anxiety, mood swings, cravings, and more during the recovery process.

8 min read

Gain Control 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! 

Read Full Article  →

Alcohol withdrawal is a complex and often daunting process. It involves not only physical symptoms but also significant emotional and psychological challenges. Understanding these challenges and learning strategies to cope can make a significant difference in your journey to sobriety. This article explores the emotional and psychological aspects of alcohol withdrawal and offers practical strategies to cope with them.

Understanding Alcohol Withdrawal

Emotional and Psychological Challenges During Alcohol Withdrawal Strategies to Cope

When someone who has been drinking heavily for weeks, months, or years suddenly stops or significantly reduces their alcohol intake, they may experience withdrawal symptoms. These symptoms occur as the brain and body adjust to the absence of alcohol, which they have become dependent on. The severity and duration of withdrawal symptoms can vary widely depending on factors such as the duration and intensity of alcohol use, overall health, and individual differences.

Common Emotional and Psychological Challenges

  1. Anxiety and Depression: One of the most common psychological challenges during alcohol withdrawal is heightened anxiety. The brain, accustomed to the depressant effects of alcohol, may become hyperactive when alcohol is suddenly removed. This can lead to intense feelings of anxiety and, in some cases, depression.
  2. Mood Swings: Withdrawal can also cause significant mood swings. Individuals may experience irritability, frustration, and emotional instability as their brain chemistry adjusts.
  3. Cravings: Strong cravings for alcohol are another common challenge. These cravings can be both physical and psychological, making it difficult to resist the urge to drink.
  4. Sleep Disturbances: Insomnia and other sleep disturbances are prevalent during alcohol withdrawal. The brain's hyperactivity can make it difficult to fall asleep and stay asleep, leading to fatigue and irritability.
  5. Hallucinations and Delirium Tremens (DTs): In severe cases, individuals may experience hallucinations and a condition known as delirium tremens (DTs). DTs are characterized by confusion, fever, hallucinations, and severe agitation. This condition is a medical emergency and requires immediate attention.

Strategies to Cope with Emotional and Psychological Challenges

  1. Seek Support: One of the most effective ways to cope with the emotional and psychological challenges of alcohol withdrawal is to seek support from friends, family, or support groups. Talking to someone who understands what you're going through can provide comfort and encouragement.
  2. Professional Help: If you're experiencing severe emotional or psychological symptoms, it's essential to seek professional help. Therapists, counselors, and medical professionals can provide guidance, support, and medication if necessary.
  3. Healthy Lifestyle Choices: Maintaining a healthy lifestyle can significantly impact your emotional and psychological well-being. Regular exercise, a balanced diet, and adequate sleep can help stabilize your mood and reduce anxiety.
  4. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, and relaxation techniques can help calm your mind and reduce anxiety. Deep breathing exercises, yoga, and progressive muscle relaxation are effective ways to manage stress.
  5. Stay Busy: Keeping yourself occupied with activities you enjoy can distract you from cravings and negative emotions. Hobbies, social activities, and creative pursuits can provide a positive outlet for your energy.
  6. Avoid Triggers: Identify and avoid situations, people, or places that trigger your cravings for alcohol. Creating a new routine that doesn't involve alcohol can help you stay on track.
  7. Medication: In some cases, medication may be prescribed to help manage withdrawal symptoms and reduce cravings. Consult with a healthcare professional to determine if this is a suitable option for you.
  8. Education and Preparation: Understanding what to expect during alcohol withdrawal can help you prepare mentally and emotionally for the challenges ahead. Knowledge is empowering and can make the process less daunting.

The Importance of a Support System

During the withdrawal process, having a robust support system is crucial. Friends, family, and support groups can provide the emotional and psychological support needed to navigate this challenging time. Sharing your journey with others who understand what you're going through can reduce feelings of isolation and provide encouragement.

In the article Alcohol Withdrawal Timeline: Causes, Symptoms and Treatments, the various stages of alcohol withdrawal are detailed, providing a comprehensive understanding of what to expect during the withdrawal process. Knowing the timeline and symptoms can help you prepare and stay committed to your goals.

For more in-depth information on the duration and variability of withdrawal symptoms, the article How Long Do Alcohol Withdrawal Symptoms Last? offers valuable insights. Understanding the factors that influence the severity and duration of withdrawal can help you better manage your expectations and plan accordingly.

Conclusion

Alcohol withdrawal is a challenging process that involves significant emotional and psychological hurdles. However, with the right strategies and support, it is possible to navigate these challenges successfully. Seeking support, maintaining a healthy lifestyle, practicing mindfulness, and staying informed can make a significant difference in your journey to sobriety. Remember, every step you take towards a healthier relationship with alcohol is a victory worth celebrating.

Alcohol withdrawal is a complex and often daunting process. It involves not only physical symptoms but also significant emotional and psychological challenges. Understanding these challenges and learning strategies to cope can make a significant difference in your journey to sobriety. This article explores the emotional and psychological aspects of alcohol withdrawal and offers practical strategies to cope with them.

Understanding Alcohol Withdrawal

Emotional and Psychological Challenges During Alcohol Withdrawal Strategies to Cope

When someone who has been drinking heavily for weeks, months, or years suddenly stops or significantly reduces their alcohol intake, they may experience withdrawal symptoms. These symptoms occur as the brain and body adjust to the absence of alcohol, which they have become dependent on. The severity and duration of withdrawal symptoms can vary widely depending on factors such as the duration and intensity of alcohol use, overall health, and individual differences.

Common Emotional and Psychological Challenges

  1. Anxiety and Depression: One of the most common psychological challenges during alcohol withdrawal is heightened anxiety. The brain, accustomed to the depressant effects of alcohol, may become hyperactive when alcohol is suddenly removed. This can lead to intense feelings of anxiety and, in some cases, depression.
  2. Mood Swings: Withdrawal can also cause significant mood swings. Individuals may experience irritability, frustration, and emotional instability as their brain chemistry adjusts.
  3. Cravings: Strong cravings for alcohol are another common challenge. These cravings can be both physical and psychological, making it difficult to resist the urge to drink.
  4. Sleep Disturbances: Insomnia and other sleep disturbances are prevalent during alcohol withdrawal. The brain's hyperactivity can make it difficult to fall asleep and stay asleep, leading to fatigue and irritability.
  5. Hallucinations and Delirium Tremens (DTs): In severe cases, individuals may experience hallucinations and a condition known as delirium tremens (DTs). DTs are characterized by confusion, fever, hallucinations, and severe agitation. This condition is a medical emergency and requires immediate attention.

Strategies to Cope with Emotional and Psychological Challenges

  1. Seek Support: One of the most effective ways to cope with the emotional and psychological challenges of alcohol withdrawal is to seek support from friends, family, or support groups. Talking to someone who understands what you're going through can provide comfort and encouragement.
  2. Professional Help: If you're experiencing severe emotional or psychological symptoms, it's essential to seek professional help. Therapists, counselors, and medical professionals can provide guidance, support, and medication if necessary.
  3. Healthy Lifestyle Choices: Maintaining a healthy lifestyle can significantly impact your emotional and psychological well-being. Regular exercise, a balanced diet, and adequate sleep can help stabilize your mood and reduce anxiety.
  4. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, and relaxation techniques can help calm your mind and reduce anxiety. Deep breathing exercises, yoga, and progressive muscle relaxation are effective ways to manage stress.
  5. Stay Busy: Keeping yourself occupied with activities you enjoy can distract you from cravings and negative emotions. Hobbies, social activities, and creative pursuits can provide a positive outlet for your energy.
  6. Avoid Triggers: Identify and avoid situations, people, or places that trigger your cravings for alcohol. Creating a new routine that doesn't involve alcohol can help you stay on track.
  7. Medication: In some cases, medication may be prescribed to help manage withdrawal symptoms and reduce cravings. Consult with a healthcare professional to determine if this is a suitable option for you.
  8. Education and Preparation: Understanding what to expect during alcohol withdrawal can help you prepare mentally and emotionally for the challenges ahead. Knowledge is empowering and can make the process less daunting.

The Importance of a Support System

During the withdrawal process, having a robust support system is crucial. Friends, family, and support groups can provide the emotional and psychological support needed to navigate this challenging time. Sharing your journey with others who understand what you're going through can reduce feelings of isolation and provide encouragement.

In the article Alcohol Withdrawal Timeline: Causes, Symptoms and Treatments, the various stages of alcohol withdrawal are detailed, providing a comprehensive understanding of what to expect during the withdrawal process. Knowing the timeline and symptoms can help you prepare and stay committed to your goals.

For more in-depth information on the duration and variability of withdrawal symptoms, the article How Long Do Alcohol Withdrawal Symptoms Last? offers valuable insights. Understanding the factors that influence the severity and duration of withdrawal can help you better manage your expectations and plan accordingly.

Conclusion

Alcohol withdrawal is a challenging process that involves significant emotional and psychological hurdles. However, with the right strategies and support, it is possible to navigate these challenges successfully. Seeking support, maintaining a healthy lifestyle, practicing mindfulness, and staying informed can make a significant difference in your journey to sobriety. Remember, every step you take towards a healthier relationship with alcohol is a victory worth celebrating.

Alcohol and Mental Health
2024-06-22 9:00
Alcohol and Mental Health
What Are the 5 Types of Drinkers?
This is some text inside of a div block.

AUD has lots of common features, but did you know there are 5 types of drinkers, as defined by the NIAAA? Learn all about the “5 types of alcoholism” in our latest blog!

30 min read

Drink Less 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!

Read Full Article  →

A college student spends weekend after weekend throwing back jello shots and frat party punch. A grad student at the university does the same and has to drop out, spending the rest of the year in rehab. A mother sips wine out of a juice bottle after a PTA meeting. A teenager sneaks sips of vodka out of her parents’ liquor cabinet. The homeless man on the sidewalk clutches a beer can in a paper bag.

Who is an “alcoholic”? Although you might be tempted to say, “It’s the last one,” it could easily be all five. Alcohol use disorder (AUD) doesn’t discriminate and comes in many forms, some of which can be harder to recognize than others. Let’s take a closer look at different types of alcoholism and how they lead to five distinct types of drinkers.

What Is AUD?

A man sitting at a table with beer bottles

First things first: we have to know what we’re dealing with. AUD is a medical condition characterized by an inability to stop or control alcohol use despite adverse consequences. As far as the science of AUD is concerned, it’s all about the brain: alcohol changes our neurochemistry in ways that can lead to misuse and, eventually, dependence. (For a deep dive, check out “Alcohol Misuse vs. Dependence: What's the Difference?”)

Over the years, there’s been much debate about the causes of AUD. Is it a habit? Is it a disease, and if so, is it genetic? Or is our environment at play? While answers remain murky, it’s clear that all of these factors can play a role. What starts out as a habit can morph into physical dependence, and certain genetic and social factors can set the process in motion.

What’s clear, though, is that there are certain hallmark characteristics of AUD:

  • We have trouble cutting back on drinking even though we try to.
  • We keep drinking despite the toll it’s taking on our health or relationships.
  • We find ourselves drinking more than we planned to on a regular basis.
  • We have cravings — a strong desire for alcohol — and spend a good part of our day thinking about it.
  • We might develop withdrawal symptoms if we suddenly stop drinking.

Now that we have an idea of what AUD is, let’s take a deeper look at the five typical forms it tends to take.

The 5 Types of Drinkers

While AUD has many common features, research by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) has pinpointed five different types of drinkers, each with unique characteristics and needs. As NIAAA Director Ting-Kai Li explains, 

“Clinicians have long recognized diverse manifestations of alcoholism, and researchers have tried to understand why some alcoholics improve with specific medications and psychotherapies while others do not. The classification system described in this study will have broad application in both clinical and research settings.”

Let’s take a closer look!

1. Young Adult Type: Jason’s College Years

We’ll start with that college student — let’s call him Jason — who is finally on his own sharing a freshman dorm room with three other guys who, just like him, work hard during the week and play hard on the weekend. Only Jason’s week starts to become more and more weekend-heavy: there’s a beer and pizza special at the local bar on Thursdays (and no, they don’t check IDs), then weekly parties at the dance club on Wednesdays.

He pulls it off without a problem, making it all the way to senior year and graduating with honors. When it’s exam time, Jason is at the library studying. When his parents visit, he cleans up the beer cans from the counter, shoves the tequila bottle under his bed, and throws his wine-stained T-shirt in the hamper. It doesn’t cross his mind that anything is amiss — it’s college, after all! The best years of your life, right? 

Except that for Jason, the party doesn’t stop well into his 20s. His friends are settling down, some are even having kids. But Jason doesn’t feel like slowing down — hey, we’re still young! Why not keep the fun times going?

According to the NIAAA, Jason is one of the many young adults who make up the most common types of drinkers — around 31.5%. They’re rarely daily drinkers, but when they do drink, they often consume alcohol in large quantities — what many refer to as "binge drinking." 

These habits, in turn, can stick around and have long-lasting effects later in life. Booze can become a go-to way to manage stress, social anxiety, or the pressures of life as a young professional. With lines between problematic and social drinking frequently blurred in our 20s and early 30s, it can be hard to spot the problem before it progresses into the more severe stages of AUD.

Neuroscience Insights

There’s neuroscience behind the reasons why young people are especially susceptible to unhealthy drinking that progresses to AUD:

  • The brain is still developing. With the brain continuing to mature until our mid-20s, the prefrontal cortex is still “under construction.” As a result, we tend to be more impulsive and likely to make rash decisions. Alcohol, in turn, can throw a wrench into the system by interfering with the prefrontal cortex and making the situation worse.
  • The reward system is easily activated. Young adults have highly active reward systems, and alcohol can stoke the fire, triggering dopamine release at unnatural levels. As a result, we start looking at booze as a quick way to boost our mood or feel better amidst the inevitable ups and downs of young adulthood. 


A Way Out

Jason struggled with alcohol use throughout his 20s, but found that AA and inpatient treatment wasn’t for him. Instead, he decided to dive into books on recovery. He continued on his journey with the Reframe app and found that its community of others who could sympathize especially helpful.

2. Young Antisocial Subtype: Sarah’s Struggles

Sarah, a grad student in her late 20s, had a hard childhood. Her parents fought from the time she was a baby, exposing her to screaming matches and, later on, a bitter custody battle. As a result, she had trouble forming attachments and began showing traits of Conduct Disorder, even spending some time in juvenile detention after shoplifting makeup from a local pharmacy. As she grew up, she continued having trouble with relationships and started developing signs of Antisocial Personality Disorder.

Throughout this time, alcohol became a frequent companion for Sarah, who falls into the “young antisocial” type of AUD (about 21% of all cases). With booze freely available at home (her parents closed their eyes to the problem, if they even noticed it), Sarah developed a drinking habit in her teens. By the time she started her grad school career, she had all the hallmark signs of AUD and ended up at the emergency room after getting alcohol poisoning several times. She would start her day drinking a six-pack of hard apple cider just to stop the shakes, then attend her sociology lectures with wine in her coffee mug. 

Neuroscience Insights

Neurological hallmarks of antisocial personality (ASP) make AUD more likely:

  • ASP often comes with impulse control difficulties. The prefrontal cortex, which helps regulate impulses and plan ahead, tends to be impaired in folks with ASP traits. As a result, they’re more likely to make impulsive choices or engage in risky behaviors. 
  • ASP and related psychological issues lead to difficulty processing emotions. Those struggling with anxiety, depression, and other psychological conditions that often go hand-in-hand with ASP tend to have functional difficulties with the amygdala, a part of the brain involved in processing emotions. As a result, booze might seem like a quick and easy solution. 

A Way Out

Eventually, Sarah had to drop out of the program and face her demons by going through inpatient treatment at a dual-diagnosis center. Still, it took years — the overlapping challenges of ASP and social anxiety made the already rough process even lengthier. She’s been working with a Reframe coach who specializes in trauma to help and encourage her along the way. 

3. Functional Subtype: Samantha’s Secret

Samantha has it together. At just 32 years old, she’s the vice president of her publishing company, mother of two, and an active member of her school’s PTA. She has tons of friends, many of them other moms who get together frequently at her immaculate house with its manicured lawn and perfectly groomed labradoodles (adorable!). And yes, when her friends are over, there’s an obligatory bottle of wine (or three) on the coffee table. “Mommy juice, anyone?” Her husband even got her a T-shirt that says, “Kids in bed. House looks fine. Time for Mommy to drink some wine!”

And while to the outside world it looks like Samantha is on top of the world, she has a secret. Her wine habit has gotten out of control — way out of control. Like other “functional alcoholics” (which make up about 19.5% of the total), she seems to be handling her life well. However, she’s now drinking on a daily basis, starting earlier and earlier. At one point, she even started pouring wine into an empty juice bottle and taking sips during her PTA meeting. Embarrassing, yes. But not as embarrassing as being caught with her hands shaking as she’s passing out the flyers. 

And while she’s still running every morning, she’s been noticing that her body is starting to stage a revolt: her lung capacity isn’t quite as high, her muscles ache, and her blood pressure has gotten higher. Maybe it’s all the stress? No, she knows it’s probably the booze. But she feels stuck, clinging on to the very thing that’s fueling her stress in an attempt to find relief.

Neuroscience Insights

From a neuroscience perspective, functional drinkers share certain traits: 

  • Their compensatory mechanisms tend to be highly adaptable. The brain is flexible, and, in a functional alcoholic, it tends to adapt in ways that are almost mind-boggling to an outside observer. Their system has adapted to the presence of booze, compensating for the impairments to cognition that would leave many others disoriented and incoherent (let alone ready to run PTA gatherings or company meetings). 
  • They tend to experience cognitive dissonance. At the same time, this adaptability comes at a heavy price. It’s impossible to be in two places at once physically. In a similar way, it’s difficult to be “of two minds” when it comes to our authentic beliefs — trying to reconcile opposite viewpoints leads to a painful state known as cognitive dissonance. The functional alcoholic, in turn, is aware of their problem yet trying to be oblivious to it at the same time. This push-and-pull is difficult to sustain. What often happens is the opposite of a solution: they end up drinking more to cope with the compounding stress. They’re aware of the dangers of excessive drinking, yet they continue to drink heavily. This conflict can lead to stress, which in turn might be relieved by further drinking.

A Way Out

After a friend confided in her about having the same problem, Sarah found a women’s support group that helped her get on track. Free from the prison of cognitive dissonance, she’s doing better than ever in her job and as a parent. And her body is breathing a sign of relief — in fact, she’s training for a marathon in a few months! Reframe is helping her stay on track, and she especially enjoys the community forum and monthly challenges.

4. Intermediate Familial Subtype: Fran’s Family

Drinking has been the norm in Fran’s family. It fueled the fights between her parents for as long as she can remember, led her grandfather to develop diabetes, and kept her brother from completing his senior year of high school. That said, nobody treats it as the root of the problem — wine flows freely at family gatherings, while the fights, illnesses, and poor choices are blamed on anything but the booze. Stressful jobs, a sweet tooth, and plain old laziness — there’s always an explanation for the problem. 

And so Fran doesn’t think twice about it. After all, she hasn’t lost a job or a husband. She’s still in school (and, on top of that, is the star of her volleyball team). She still thinks of alcohol as a crucial ingredient for having fun (“This restaurant doesn’t serve booze, so why bother going?”)

The “intermediate familial” subtype is common, making up about 19% of different types of alcoholism. Unfortunately, excessive drinking is “familiar” in both senses: it’s Fran’s go-to habit, and it literally “runs in the family.” Genetics and environment play a big role here, joining forces in a way that leaves us feeling helpless and stuck. (But rest assured, there’s hope! More on that later.)

Neuroscience Insights

Biology looms large in the case of the intermediate familial subtype:

  • Genetics are most likely at play to some degree. According to research, there are genetic differences in how the brain processes dopamine. The result? For some folks, external sources of the reward neurochemical feel more enticing. At the same time, genetic differences can make withdrawal worse, perpetuating the behavior. 
  • The environment plays a role in conditioning behaviors around booze. Just as (if not more) important as the genetic component, environmental factors play a crucial part in keeping the cycle in motion. The brain loves patterns and has trouble breaking them once they set in. Associations between booze and “fun” condition us to see alcohol as a crutch and a source of joy. Unfortunately, both are illusions that make the pattern harder to break.


A Way Out

After Fran came across a memoir written by someone with a similar type of experience and family background, something clicked. She realized she was going down the same path as many of her relatives, but also realized that she had a choice to take a different approach. So she did! Now she’s happily alcohol-free and enjoys checking out the Reframe app readings about the latest neuroscience research on the role that genetics and environment play in alcohol misuse.

5. Chronic Severe Subtype: Tommy’s Trouble 

And finally, there’s Tommy. Unlike the previous four, Tommy has no doubt that he has a problem — and neither does anyone else who runs into him sitting on the sidewalk with his “hidden” (but ever-so-obvious) bottle. He’s been to rehab more times than he can remember, has been warned about his dangerously high liver enzyme levels, and has even woken up in jail a few times for reasons he can’t remember no matter how hard he tries. He has also struggled with intrusive thoughts but doesn’t take the meds for schizophrenia that helped him at one point, about a decade ago.

And yet, his “chronic severe” subtype of alcoholism is actually the most rare, making up only 9% of the total. Chronic severe drinkers are likely to struggle with other psychiatric conditions, such as depression, schizophrenia, bipolar disorder, anxiety, and other substance misuse problems. Unlike many of the other types of drinkers, they’re the most likely to seek help (which makes sense, given that the red flags are hard to miss). However, in spite of the fact that about two thirds seek treatment, the profound effects of alcohol can keep them trapped, leading to multiple attempts at recovery.

Neuroscience Insights

There are large-scale (and often devastating) changes that happen in the brain when we drink chronically for a long time:

  • Neurodegeneration looms large. Long-term alcohol consumption can lead to neurodegeneration, damaging areas in charge of cognition, memory, and impulse control. Over time, there’s even a risk of permanent damage, known as Wernicke-Korsakoff syndrome
  • Neurotransmitter systems get disrupted. Heavy alcohol use causes changes in our levels of dopamine, serotonin, and GABA (an inhibitory neurotransmitter). After the brain adjusts to the “new normal,” it becomes less efficient at handling stress, fostering well-being, or “sparking joy.” The result? Increased tolerance, cravings, and intense withdrawal symptoms if alcohol is suddenly removed.


A Way Out

Tommy’s road took a couple of years of trial and error, but once he found the right treatment team who addressed all of his mental health challenges along with his AUD (for which he ultimately found helpful medication), he found a way out. Once he did, he became really active in helping others, including those he met in the Reframe community.

Seeking Help for Different Types of Alcoholism

While AUD is a major challenge, it’s crucial to keep in mind that recovery is possible. Yes, all five of our characters (even Tommy) can get better! If you think you might be in the same (or similar) boat, here are some places to start.

  • Be honest with yourself. The first step is taking an honest look at the situation. Don’t judge yourself for being where you are right now. Simply deciding that you’re ready to make some changes is something to celebrate. You’re on your way!
  • Choose a strategy. If you’ve been drinking heavily for a long time, you might need some medical supervision in the initial stages. Don’t worry about the amount of time this might take — what’s a few days (or even a few weeks) compared to the rest of your life? 
  • Pick your team. As soon as you start your alcohol journey, you’ll need a solid support system at your side. Ask your friends, family, and members of supportive online communities (such as Reframe!) for help, and let them know exactly what that entails. Maybe you need someone to give you a ride to therapy sessions or group meetings. Maybe that work happy hour will be less intimidating with a trusted friend to keep you company. Whatever it is, there are people who’ve experienced it before and will be happy to help.
  • Take care of your body. Nourishing your body and replenishing the nutrients lost through alcohol misuse is key. Stick to a healthy diet and add mindful movement for some bonus points!
  • Share your story. Last but not least, overcoming alcohol misuse is ultimately a personal journey, but it’s sure to resonate with others who’ve been there before or are going through it now. Your story — just like the stories of the five characters we followed — can offer valuable insights and help others along the way.

And remember, Reframe is here to help you every step of the way! The journey might seem daunting at first, but we have already helped millions of people just like you change their relationship with alcohol and go on to be the healthiest and happiest versions of themselves. It’s absolutely possible!

A college student spends weekend after weekend throwing back jello shots and frat party punch. A grad student at the university does the same and has to drop out, spending the rest of the year in rehab. A mother sips wine out of a juice bottle after a PTA meeting. A teenager sneaks sips of vodka out of her parents’ liquor cabinet. The homeless man on the sidewalk clutches a beer can in a paper bag.

Who is an “alcoholic”? Although you might be tempted to say, “It’s the last one,” it could easily be all five. Alcohol use disorder (AUD) doesn’t discriminate and comes in many forms, some of which can be harder to recognize than others. Let’s take a closer look at different types of alcoholism and how they lead to five distinct types of drinkers.

What Is AUD?

A man sitting at a table with beer bottles

First things first: we have to know what we’re dealing with. AUD is a medical condition characterized by an inability to stop or control alcohol use despite adverse consequences. As far as the science of AUD is concerned, it’s all about the brain: alcohol changes our neurochemistry in ways that can lead to misuse and, eventually, dependence. (For a deep dive, check out “Alcohol Misuse vs. Dependence: What's the Difference?”)

Over the years, there’s been much debate about the causes of AUD. Is it a habit? Is it a disease, and if so, is it genetic? Or is our environment at play? While answers remain murky, it’s clear that all of these factors can play a role. What starts out as a habit can morph into physical dependence, and certain genetic and social factors can set the process in motion.

What’s clear, though, is that there are certain hallmark characteristics of AUD:

  • We have trouble cutting back on drinking even though we try to.
  • We keep drinking despite the toll it’s taking on our health or relationships.
  • We find ourselves drinking more than we planned to on a regular basis.
  • We have cravings — a strong desire for alcohol — and spend a good part of our day thinking about it.
  • We might develop withdrawal symptoms if we suddenly stop drinking.

Now that we have an idea of what AUD is, let’s take a deeper look at the five typical forms it tends to take.

The 5 Types of Drinkers

While AUD has many common features, research by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) has pinpointed five different types of drinkers, each with unique characteristics and needs. As NIAAA Director Ting-Kai Li explains, 

“Clinicians have long recognized diverse manifestations of alcoholism, and researchers have tried to understand why some alcoholics improve with specific medications and psychotherapies while others do not. The classification system described in this study will have broad application in both clinical and research settings.”

Let’s take a closer look!

1. Young Adult Type: Jason’s College Years

We’ll start with that college student — let’s call him Jason — who is finally on his own sharing a freshman dorm room with three other guys who, just like him, work hard during the week and play hard on the weekend. Only Jason’s week starts to become more and more weekend-heavy: there’s a beer and pizza special at the local bar on Thursdays (and no, they don’t check IDs), then weekly parties at the dance club on Wednesdays.

He pulls it off without a problem, making it all the way to senior year and graduating with honors. When it’s exam time, Jason is at the library studying. When his parents visit, he cleans up the beer cans from the counter, shoves the tequila bottle under his bed, and throws his wine-stained T-shirt in the hamper. It doesn’t cross his mind that anything is amiss — it’s college, after all! The best years of your life, right? 

Except that for Jason, the party doesn’t stop well into his 20s. His friends are settling down, some are even having kids. But Jason doesn’t feel like slowing down — hey, we’re still young! Why not keep the fun times going?

According to the NIAAA, Jason is one of the many young adults who make up the most common types of drinkers — around 31.5%. They’re rarely daily drinkers, but when they do drink, they often consume alcohol in large quantities — what many refer to as "binge drinking." 

These habits, in turn, can stick around and have long-lasting effects later in life. Booze can become a go-to way to manage stress, social anxiety, or the pressures of life as a young professional. With lines between problematic and social drinking frequently blurred in our 20s and early 30s, it can be hard to spot the problem before it progresses into the more severe stages of AUD.

Neuroscience Insights

There’s neuroscience behind the reasons why young people are especially susceptible to unhealthy drinking that progresses to AUD:

  • The brain is still developing. With the brain continuing to mature until our mid-20s, the prefrontal cortex is still “under construction.” As a result, we tend to be more impulsive and likely to make rash decisions. Alcohol, in turn, can throw a wrench into the system by interfering with the prefrontal cortex and making the situation worse.
  • The reward system is easily activated. Young adults have highly active reward systems, and alcohol can stoke the fire, triggering dopamine release at unnatural levels. As a result, we start looking at booze as a quick way to boost our mood or feel better amidst the inevitable ups and downs of young adulthood. 


A Way Out

Jason struggled with alcohol use throughout his 20s, but found that AA and inpatient treatment wasn’t for him. Instead, he decided to dive into books on recovery. He continued on his journey with the Reframe app and found that its community of others who could sympathize especially helpful.

2. Young Antisocial Subtype: Sarah’s Struggles

Sarah, a grad student in her late 20s, had a hard childhood. Her parents fought from the time she was a baby, exposing her to screaming matches and, later on, a bitter custody battle. As a result, she had trouble forming attachments and began showing traits of Conduct Disorder, even spending some time in juvenile detention after shoplifting makeup from a local pharmacy. As she grew up, she continued having trouble with relationships and started developing signs of Antisocial Personality Disorder.

Throughout this time, alcohol became a frequent companion for Sarah, who falls into the “young antisocial” type of AUD (about 21% of all cases). With booze freely available at home (her parents closed their eyes to the problem, if they even noticed it), Sarah developed a drinking habit in her teens. By the time she started her grad school career, she had all the hallmark signs of AUD and ended up at the emergency room after getting alcohol poisoning several times. She would start her day drinking a six-pack of hard apple cider just to stop the shakes, then attend her sociology lectures with wine in her coffee mug. 

Neuroscience Insights

Neurological hallmarks of antisocial personality (ASP) make AUD more likely:

  • ASP often comes with impulse control difficulties. The prefrontal cortex, which helps regulate impulses and plan ahead, tends to be impaired in folks with ASP traits. As a result, they’re more likely to make impulsive choices or engage in risky behaviors. 
  • ASP and related psychological issues lead to difficulty processing emotions. Those struggling with anxiety, depression, and other psychological conditions that often go hand-in-hand with ASP tend to have functional difficulties with the amygdala, a part of the brain involved in processing emotions. As a result, booze might seem like a quick and easy solution. 

A Way Out

Eventually, Sarah had to drop out of the program and face her demons by going through inpatient treatment at a dual-diagnosis center. Still, it took years — the overlapping challenges of ASP and social anxiety made the already rough process even lengthier. She’s been working with a Reframe coach who specializes in trauma to help and encourage her along the way. 

3. Functional Subtype: Samantha’s Secret

Samantha has it together. At just 32 years old, she’s the vice president of her publishing company, mother of two, and an active member of her school’s PTA. She has tons of friends, many of them other moms who get together frequently at her immaculate house with its manicured lawn and perfectly groomed labradoodles (adorable!). And yes, when her friends are over, there’s an obligatory bottle of wine (or three) on the coffee table. “Mommy juice, anyone?” Her husband even got her a T-shirt that says, “Kids in bed. House looks fine. Time for Mommy to drink some wine!”

And while to the outside world it looks like Samantha is on top of the world, she has a secret. Her wine habit has gotten out of control — way out of control. Like other “functional alcoholics” (which make up about 19.5% of the total), she seems to be handling her life well. However, she’s now drinking on a daily basis, starting earlier and earlier. At one point, she even started pouring wine into an empty juice bottle and taking sips during her PTA meeting. Embarrassing, yes. But not as embarrassing as being caught with her hands shaking as she’s passing out the flyers. 

And while she’s still running every morning, she’s been noticing that her body is starting to stage a revolt: her lung capacity isn’t quite as high, her muscles ache, and her blood pressure has gotten higher. Maybe it’s all the stress? No, she knows it’s probably the booze. But she feels stuck, clinging on to the very thing that’s fueling her stress in an attempt to find relief.

Neuroscience Insights

From a neuroscience perspective, functional drinkers share certain traits: 

  • Their compensatory mechanisms tend to be highly adaptable. The brain is flexible, and, in a functional alcoholic, it tends to adapt in ways that are almost mind-boggling to an outside observer. Their system has adapted to the presence of booze, compensating for the impairments to cognition that would leave many others disoriented and incoherent (let alone ready to run PTA gatherings or company meetings). 
  • They tend to experience cognitive dissonance. At the same time, this adaptability comes at a heavy price. It’s impossible to be in two places at once physically. In a similar way, it’s difficult to be “of two minds” when it comes to our authentic beliefs — trying to reconcile opposite viewpoints leads to a painful state known as cognitive dissonance. The functional alcoholic, in turn, is aware of their problem yet trying to be oblivious to it at the same time. This push-and-pull is difficult to sustain. What often happens is the opposite of a solution: they end up drinking more to cope with the compounding stress. They’re aware of the dangers of excessive drinking, yet they continue to drink heavily. This conflict can lead to stress, which in turn might be relieved by further drinking.

A Way Out

After a friend confided in her about having the same problem, Sarah found a women’s support group that helped her get on track. Free from the prison of cognitive dissonance, she’s doing better than ever in her job and as a parent. And her body is breathing a sign of relief — in fact, she’s training for a marathon in a few months! Reframe is helping her stay on track, and she especially enjoys the community forum and monthly challenges.

4. Intermediate Familial Subtype: Fran’s Family

Drinking has been the norm in Fran’s family. It fueled the fights between her parents for as long as she can remember, led her grandfather to develop diabetes, and kept her brother from completing his senior year of high school. That said, nobody treats it as the root of the problem — wine flows freely at family gatherings, while the fights, illnesses, and poor choices are blamed on anything but the booze. Stressful jobs, a sweet tooth, and plain old laziness — there’s always an explanation for the problem. 

And so Fran doesn’t think twice about it. After all, she hasn’t lost a job or a husband. She’s still in school (and, on top of that, is the star of her volleyball team). She still thinks of alcohol as a crucial ingredient for having fun (“This restaurant doesn’t serve booze, so why bother going?”)

The “intermediate familial” subtype is common, making up about 19% of different types of alcoholism. Unfortunately, excessive drinking is “familiar” in both senses: it’s Fran’s go-to habit, and it literally “runs in the family.” Genetics and environment play a big role here, joining forces in a way that leaves us feeling helpless and stuck. (But rest assured, there’s hope! More on that later.)

Neuroscience Insights

Biology looms large in the case of the intermediate familial subtype:

  • Genetics are most likely at play to some degree. According to research, there are genetic differences in how the brain processes dopamine. The result? For some folks, external sources of the reward neurochemical feel more enticing. At the same time, genetic differences can make withdrawal worse, perpetuating the behavior. 
  • The environment plays a role in conditioning behaviors around booze. Just as (if not more) important as the genetic component, environmental factors play a crucial part in keeping the cycle in motion. The brain loves patterns and has trouble breaking them once they set in. Associations between booze and “fun” condition us to see alcohol as a crutch and a source of joy. Unfortunately, both are illusions that make the pattern harder to break.


A Way Out

After Fran came across a memoir written by someone with a similar type of experience and family background, something clicked. She realized she was going down the same path as many of her relatives, but also realized that she had a choice to take a different approach. So she did! Now she’s happily alcohol-free and enjoys checking out the Reframe app readings about the latest neuroscience research on the role that genetics and environment play in alcohol misuse.

5. Chronic Severe Subtype: Tommy’s Trouble 

And finally, there’s Tommy. Unlike the previous four, Tommy has no doubt that he has a problem — and neither does anyone else who runs into him sitting on the sidewalk with his “hidden” (but ever-so-obvious) bottle. He’s been to rehab more times than he can remember, has been warned about his dangerously high liver enzyme levels, and has even woken up in jail a few times for reasons he can’t remember no matter how hard he tries. He has also struggled with intrusive thoughts but doesn’t take the meds for schizophrenia that helped him at one point, about a decade ago.

And yet, his “chronic severe” subtype of alcoholism is actually the most rare, making up only 9% of the total. Chronic severe drinkers are likely to struggle with other psychiatric conditions, such as depression, schizophrenia, bipolar disorder, anxiety, and other substance misuse problems. Unlike many of the other types of drinkers, they’re the most likely to seek help (which makes sense, given that the red flags are hard to miss). However, in spite of the fact that about two thirds seek treatment, the profound effects of alcohol can keep them trapped, leading to multiple attempts at recovery.

Neuroscience Insights

There are large-scale (and often devastating) changes that happen in the brain when we drink chronically for a long time:

  • Neurodegeneration looms large. Long-term alcohol consumption can lead to neurodegeneration, damaging areas in charge of cognition, memory, and impulse control. Over time, there’s even a risk of permanent damage, known as Wernicke-Korsakoff syndrome
  • Neurotransmitter systems get disrupted. Heavy alcohol use causes changes in our levels of dopamine, serotonin, and GABA (an inhibitory neurotransmitter). After the brain adjusts to the “new normal,” it becomes less efficient at handling stress, fostering well-being, or “sparking joy.” The result? Increased tolerance, cravings, and intense withdrawal symptoms if alcohol is suddenly removed.


A Way Out

Tommy’s road took a couple of years of trial and error, but once he found the right treatment team who addressed all of his mental health challenges along with his AUD (for which he ultimately found helpful medication), he found a way out. Once he did, he became really active in helping others, including those he met in the Reframe community.

Seeking Help for Different Types of Alcoholism

While AUD is a major challenge, it’s crucial to keep in mind that recovery is possible. Yes, all five of our characters (even Tommy) can get better! If you think you might be in the same (or similar) boat, here are some places to start.

  • Be honest with yourself. The first step is taking an honest look at the situation. Don’t judge yourself for being where you are right now. Simply deciding that you’re ready to make some changes is something to celebrate. You’re on your way!
  • Choose a strategy. If you’ve been drinking heavily for a long time, you might need some medical supervision in the initial stages. Don’t worry about the amount of time this might take — what’s a few days (or even a few weeks) compared to the rest of your life? 
  • Pick your team. As soon as you start your alcohol journey, you’ll need a solid support system at your side. Ask your friends, family, and members of supportive online communities (such as Reframe!) for help, and let them know exactly what that entails. Maybe you need someone to give you a ride to therapy sessions or group meetings. Maybe that work happy hour will be less intimidating with a trusted friend to keep you company. Whatever it is, there are people who’ve experienced it before and will be happy to help.
  • Take care of your body. Nourishing your body and replenishing the nutrients lost through alcohol misuse is key. Stick to a healthy diet and add mindful movement for some bonus points!
  • Share your story. Last but not least, overcoming alcohol misuse is ultimately a personal journey, but it’s sure to resonate with others who’ve been there before or are going through it now. Your story — just like the stories of the five characters we followed — can offer valuable insights and help others along the way.

And remember, Reframe is here to help you every step of the way! The journey might seem daunting at first, but we have already helped millions of people just like you change their relationship with alcohol and go on to be the healthiest and happiest versions of themselves. It’s absolutely possible!

Alcohol and Mental Health
2024-06-22 9:00
Alcohol and Mental Health
Is Alcoholism a Mental Illness?
This is some text inside of a div block.

Alcohol and mental illness are related, but what’s the link? Check out our blog to unravel the science and separate fact from fiction in our latest blog. Is alcoholism considered a disease? And what are the signs to watch out for? We’ve got the answers!

25 min read

Start Your Alcohol Journey 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!

Read Full Article  →

As the old saying goes, “First you take a drink, then the drink takes a drink, then the drink takes you.” 

Incidentally, the saying is sometimes attributed to American writer F. Scott Fitzgerald. And while he almost certainly didn’t make it up, it’s worth noting that “the drink” really did take “the man” in his case. Caught in the grip of alcohol misuse for much of his adult life, the writer achieved a year of sobriety before his untimely death at age 44. Unfortunately, it seems that years of drinking and the health problems that came with it had already taken their toll.

But how did he get there? How does anyone, for that matter, get to the point where the drink “takes them”? Is alcoholism a mental illness that makes it impossible to untangle ourselves from its grip once it has a hold on us? The answer is a bit more complicated than we might think.

What Is International Beer Day?

A man sitting at a table, with his head resting in his hands

Nobody thinks it will happen to them. It starts out innocently enough: the first taste of alcohol, then regular drinks with friends on the weekend. Then the weekend starts on Thursday (or Wednesday, especially when the bar is having a two for one special or it’s been a rough week). Then it becomes a nightly thing. Eventually, we find ourselves too shaky to brush our teeth before tossing back a drink in the morning, or we wake up with our mind racing at 3 a.m. and quiet it with booze just so we can get a few hours of rest.

Whether or not we want to define ourselves as an “alcoholic,” there’s clearly a problem. And it’s getting worse at record speed.

Searching for Definitions

But is alcoholism considered a disease? In many ways, this is the question of the century. 

The short answer is yes, it is. But that wasn’t always the case. In the past, alcohol addiction has been seen as everything from a moral failing to a curse or demonic possession. Throughout the 19th century and at the cusp of the 20th, the scientific community recognized the physical “disease-like” nature of the problem. However, modern disease theory was still in its infancy and pre-Darwinian notions of “degenerationism” — a belief that moral failings were passed down from one generation to the next, leading to eventual extinction of entire family lines — loomed large. 

As a result, those who found themselves in the grips of alcohol misuse were in a frustrating double bind: their problem was seen as a moral one, but they were “doomed” to succumb to it no matter what. Depressing indeed. (But don’t worry, as we move through the century, things start looking up.)

As the 20th century brought about improvements in the scientific understanding of the brain, the medical community increasingly looked at “alcoholism” as a disease. However, the lines between personal choice, habit, and compulsion remained blurry.

In fact, even the word “alcoholism” is a bit confusing. Someone who is an “alcoholic” is obviously suffering, but how much of their trouble is of their own doing? There’s an undeniable dose of judgment in the term. 

In 1994, the American Psychiatric Association (APA) threw out the term “alcoholism” in favor of “alcohol abuse” and “alcohol dependence.” The difference is subtle, yet important: it’s not “us,” it’s “it” (or, more precisely, the way we’re using it).

Alcoholism and Mental Illness

In 2013, the definitions changed again — this time to “alcohol use disorder” (AUD). According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), “Alcohol use disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. It encompasses the conditions that some people refer to as alcohol abuse, alcohol dependence, alcohol addiction, and the colloquial term, alcoholism. Considered a brain disorder, AUD can be mild, moderate, or severe.” 

The current Diagnostic and Statistical Manual of Mental Disorders (DSM) defines AUD as a psychiatric disorder. And in the sense that psychiatric disorders and mental illnesses are synonymous, we can say that yes, AUD is a “mental illness.”

But when exactly does the “disease” or “illness” start? The line between what starts out as a habit but progresses into physical dependence is, by definition, a blurry one. Nobody starts out planning to develop AUD, and yet most people drink socially for a good part of their adult lives. So how does a socially acceptable behavior morph into one we find on the pages of the DSM?

To clarify this situation, let’s start by looking at alcohol’s effect on the brain, since that’s what sets the process that eventually leads to AUD in motion. Then we’ll see how that effect changes as we continue to drink in excess.

The Starting Lineup: Booze and the Brain

It’s no secret that alcohol has a powerful effect on the brain. Here’s the gist:

  • Alcohol boosts dopamine. That uplifted “all is well with the world for these 20 minutes” feeling we get after a few sips? It’s dopamine at work. Alcohol floods our brain with this “reward” neurotransmitter that plays a key role in habit formation. The problem? The system is primitive and can’t distinguish between good and bad habits, so truly rewarding things (meaningful conversations, exercise, or nutritious food) get the same neurological “gold star” as booze.
  • The depressant effects make us groggy. In addition to flooding the brain with dopamine, alcohol acts as a depressant, boosting the levels of GABA (an inhibitory neurotransmitter) while suppressing glutamate (its excitatory counterpart). The result? We feel relaxed for a bit, until the relaxation morphs into drowsiness. While we might even fall asleep, that slumber is unlikely to be restful, however. Alcohol disrupts our natural sleep cycle, robbing us of the restorative REM phase. Moreover, in an attempt to balance things out, the brain releases dynorphin — a chemical that leads to rebound anxiety after drinking.
  • Drinking inhibits the prefrontal cortex. The decision-making part of our brain — the prefrontal cortex — takes a temporary vacation when booze is in the picture. The result? We say, do, text, post, buy, lose, and maybe break things we later regret.

For a deeper look, check out “How Alcohol Affects the Brain.” But for now, let’s turn our attention to the timeline of what happens as alcohol turns from a casual presence to a constant in our lives.

Game On: Moving Through the Stages

While alcohol has the same effect on everyone’s brain, the question of alcohol and mental health — specifically whether or not there’s a mental illness at play — is a bit more complicated. Let’s look at the stages through which the problem typically progresses: how casual use gets heavier and turns into misuse and dependence.

  • Casual use. At this point, we might fall into the category of “social drinkers” who have a glass of wine with dinner now and then or a beer with friends on the weekend. Alcohol is still a “take it or leave it” matter, and it doesn’t interfere with our daily activities or jeopardize our health. At least not yet. (But watch out! It’s easy for casual use to turn into misuse if we’re not careful.)
  • Heavy drinking. At this point, alcohol is a regular presence, and we’re exceeding the recommended limit, starting to put our health in danger.
  • Misuse. We’re relying on alcohol,and it’s interfering with our relationships, work, and home responsibilities. We might be drinking too much at one time, also known as binge drinking. Alcohol misuse isn’t necessarily about the amount we drink (though it’s most certainly over the recommended amount), but more about the impact it has on our life and health.
  • Dependence. Once dependence sets in, we’re no longer in control. We find that if we do stop, we experience withdrawal symptoms. On the milder side, these include headaches, fatigue, nausea, shakiness, and an overall “blah” feeling — kind of like a bad hangover. However, if we’ve been dependent for a long time, withdrawal from alcohol can be dangerous, bringing on seizures or delirium tremens (DTs).

In This Naked Mind, Annie Grace describes dependence in this way: 

“You drink to end the distress. The drink itself does not provide enjoyment, but you sincerely enjoy ending the nuisance of wanting a drink. The relief is so strong you feel happy, even giddy. You drink to get the feeling of peace that someone who is not dependent on alcohol always feels.”

At this point, we’re clearly in dangerous waters. The drink has “taken us.”

A Vicious Cycle

Once we reach dependence, a three-step cycle is set in motion. The NIAAA defines it as a repeating cycle with three stages. Each stage feeds into the next, and each person might go through it over the course of many weeks or even months. As our problem gets worse, however, we might find ourselves spinning through the stages several times a day, trapped in a roller coaster that leaves us more nauseous, disoriented, and exhausted with each turn. Here’s the pattern.

1. Binge/intoxication stage. At this stage, we give in to the craving to get the “reward” (such as alcohol). As a result, the cycle is set in motion. 

2. Negative emotions/withdrawal stage. We feel bad about falling back into old patterns and might try to stop, only to suffer from withdrawal symptoms and stress that comes with them. 

3. Preoccupation/anticipation stage. We start feeling better, but face cravings and eventually give in to impulsive actions, unable to exercise executive function. 

Each of the stages in the cycle involves a different part of the brain. The basal ganglia is involved in the reward pathway activated by drinking; the extended amygdala is involved in the emotional turmoil that follows; and the prefrontal cortex (its inhibition, to be exact) comes into play in the inability to control our impulses. We’re stuck in one of the most frustrating types of prisons — one that locks us inside our own mind.

Co–occurring Disorders

Adding Other Players: Co–occurring Disorders

As if the situation weren’t challenging enough, there’s another complicating factor: AUD often comes with other disorders, some of which might be easier to categorize as “mental illnesses.” Here are the most common ones that tend to go in tandem with AUD.

  • Anxiety. More than just feeling temporarily anxious or nervous, anxiety disorders involve repeated episodes of sudden feelings of intense fear or terror that reach a peak within minutes, giving rise to panic attacks. According to NCBI, 20% to 30% of those with anxiety disorder go on to develop AUD.
  • Bipolar disorder. This mental health condition is characterized by extreme mood swings, including emotional highs (mania or hypomania) and lows (depression). These swings can affect our sleep, energy levels, behavior, and the ability to think clearly. NCBI reports that a fourth to just under half of people with bipolar disorder struggle with AUD at some point in their lives.
  • Schizophrenia. This mental disorder might cause us to interpret reality abnormally. It may result in some combination of hallucinations, delusions, and extremely disordered thinking and behavior that impairs daily functioning. A little under a quarter of those with schizophrenia meet the criteria for AUD.
  • Post-traumatic stress disorder (PTSD) and complex trauma. PTSD can happen after experiencing or witnessing a traumatic event. Symptoms may include flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event. Alcohol frequently becomes the go-to way to cope, leading a third to half of those affected to develop AUD.
  • Depression. Depression engulfs our life much the way AUD can, causing severe symptoms that affect how we feel, think, and handle daily activities, such as sleeping, eating, or working. We might feel persistently sad or lose interest in activities we once enjoyed.

While some of these disorders fall into the classic “mental illness” definition more easily, it’s often difficult to untangle their trajectory from that of AUD. For one thing, there’s a classic chicken-and-egg dilemma at play: it’s not always clear which condition comes first. Moreover, the symptoms — mood instability, impulsive behaviors, insomnia, and isolation, to name a few — tend to be similar. The conditions also affect one another in complex ways, taking turns at the wheel of what feels like a runaway train as we desperately try to hold on. (But don’t despair! We have good news ahead.)

Settling the Score: Recovery Is Possible

A major source of hope that comes with defining a condition as an “illness” is that illnesses have cures (or, at least, treatments). Thankfully, AUD — as well as the co-occurring disorders that might come with it — are no exception.

AUD recovery is possible, and today there are more resources than ever available to help you along the way. Here’s an overview:

  • Clear the field. First things first: we need alcohol to get off the field. For some, the initial detoxification process can be done at home, but others might require hospitalization. If that’s you, don’t be discouraged — what’s a few days compared to the rest of your life? Alcohol withdrawal can be dangerous, so if you’ve been drinking heavily for a long time, it’s best to err on the side of safety.
  • Choose your strategy. There are many approaches to take once the initial stage is over and booze is out of your body. Some find talk therapy helpful, others benefit from more practical approaches, such as cognitive behavioral therapy that helps you restructure your thinking around alcohol.
  • Pick your team. Recovering from AUD is no small task, and we need a solid team around us. In addition to doctors and mental health professionals, we need a support team of peers to rely on when things get rough. Ask trusted friends and family members for help, and let them know exactly how they can support you. And check out the Reframe 24/7 Forum — a thriving global community of folks just like you who are eager to share their stories and advice!
  • Look at the whole picture. Remember how we talked about co-occurring disorders? Unfortunately, conditions that affect our mental health often team up — a tendency that can make them harder to tackle. Whatever course of treatment or recovery approach you choose, make sure all the issues are addressed.
  • Watch out for sneak attacks. Cravings and urges can hit when we least expect them to, especially at the beginning. First and foremost — don’t be surprised! Even if you’ve made a conscious decision to quit or cut back, the habit-forming part of the brain might automatically slip back into old thought patterns. The most helpful thing to do here is to get to know your triggers and observe them without judgment when they come up. Have a plan in place to avoid falling back into old patterns. For example, if you know that a certain work event will have booze and you’ll have a hard time saying no, bring a trusted member of your support team along.

With these tips, you can set yourself up for success on the journey. We wish you the best of luck and are here to support you every step of the way! (For more information on AUD treatment approaches, check out “Understanding the Stages of Alcohol Use Disorder: Causes and Treatment” and “Types of Therapy for Alcohol Misuse.”)

Summing Up

In the end, instead of wondering whether AUD is a mental illness, we might be better off asking a different question: how do we get past it? And, just as importantly, how can we keep casual alcohol use from sliding into heavy use, misuse, and dependence? At Reframe, we’re here to help you tackle the problem head-on and support you every step of the way. Check out our vibrant community and science-backed program that makes quitting or cutting back easy, achievable, and fun!

As the old saying goes, “First you take a drink, then the drink takes a drink, then the drink takes you.” 

Incidentally, the saying is sometimes attributed to American writer F. Scott Fitzgerald. And while he almost certainly didn’t make it up, it’s worth noting that “the drink” really did take “the man” in his case. Caught in the grip of alcohol misuse for much of his adult life, the writer achieved a year of sobriety before his untimely death at age 44. Unfortunately, it seems that years of drinking and the health problems that came with it had already taken their toll.

But how did he get there? How does anyone, for that matter, get to the point where the drink “takes them”? Is alcoholism a mental illness that makes it impossible to untangle ourselves from its grip once it has a hold on us? The answer is a bit more complicated than we might think.

What Is International Beer Day?

A man sitting at a table, with his head resting in his hands

Nobody thinks it will happen to them. It starts out innocently enough: the first taste of alcohol, then regular drinks with friends on the weekend. Then the weekend starts on Thursday (or Wednesday, especially when the bar is having a two for one special or it’s been a rough week). Then it becomes a nightly thing. Eventually, we find ourselves too shaky to brush our teeth before tossing back a drink in the morning, or we wake up with our mind racing at 3 a.m. and quiet it with booze just so we can get a few hours of rest.

Whether or not we want to define ourselves as an “alcoholic,” there’s clearly a problem. And it’s getting worse at record speed.

Searching for Definitions

But is alcoholism considered a disease? In many ways, this is the question of the century. 

The short answer is yes, it is. But that wasn’t always the case. In the past, alcohol addiction has been seen as everything from a moral failing to a curse or demonic possession. Throughout the 19th century and at the cusp of the 20th, the scientific community recognized the physical “disease-like” nature of the problem. However, modern disease theory was still in its infancy and pre-Darwinian notions of “degenerationism” — a belief that moral failings were passed down from one generation to the next, leading to eventual extinction of entire family lines — loomed large. 

As a result, those who found themselves in the grips of alcohol misuse were in a frustrating double bind: their problem was seen as a moral one, but they were “doomed” to succumb to it no matter what. Depressing indeed. (But don’t worry, as we move through the century, things start looking up.)

As the 20th century brought about improvements in the scientific understanding of the brain, the medical community increasingly looked at “alcoholism” as a disease. However, the lines between personal choice, habit, and compulsion remained blurry.

In fact, even the word “alcoholism” is a bit confusing. Someone who is an “alcoholic” is obviously suffering, but how much of their trouble is of their own doing? There’s an undeniable dose of judgment in the term. 

In 1994, the American Psychiatric Association (APA) threw out the term “alcoholism” in favor of “alcohol abuse” and “alcohol dependence.” The difference is subtle, yet important: it’s not “us,” it’s “it” (or, more precisely, the way we’re using it).

Alcoholism and Mental Illness

In 2013, the definitions changed again — this time to “alcohol use disorder” (AUD). According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), “Alcohol use disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. It encompasses the conditions that some people refer to as alcohol abuse, alcohol dependence, alcohol addiction, and the colloquial term, alcoholism. Considered a brain disorder, AUD can be mild, moderate, or severe.” 

The current Diagnostic and Statistical Manual of Mental Disorders (DSM) defines AUD as a psychiatric disorder. And in the sense that psychiatric disorders and mental illnesses are synonymous, we can say that yes, AUD is a “mental illness.”

But when exactly does the “disease” or “illness” start? The line between what starts out as a habit but progresses into physical dependence is, by definition, a blurry one. Nobody starts out planning to develop AUD, and yet most people drink socially for a good part of their adult lives. So how does a socially acceptable behavior morph into one we find on the pages of the DSM?

To clarify this situation, let’s start by looking at alcohol’s effect on the brain, since that’s what sets the process that eventually leads to AUD in motion. Then we’ll see how that effect changes as we continue to drink in excess.

The Starting Lineup: Booze and the Brain

It’s no secret that alcohol has a powerful effect on the brain. Here’s the gist:

  • Alcohol boosts dopamine. That uplifted “all is well with the world for these 20 minutes” feeling we get after a few sips? It’s dopamine at work. Alcohol floods our brain with this “reward” neurotransmitter that plays a key role in habit formation. The problem? The system is primitive and can’t distinguish between good and bad habits, so truly rewarding things (meaningful conversations, exercise, or nutritious food) get the same neurological “gold star” as booze.
  • The depressant effects make us groggy. In addition to flooding the brain with dopamine, alcohol acts as a depressant, boosting the levels of GABA (an inhibitory neurotransmitter) while suppressing glutamate (its excitatory counterpart). The result? We feel relaxed for a bit, until the relaxation morphs into drowsiness. While we might even fall asleep, that slumber is unlikely to be restful, however. Alcohol disrupts our natural sleep cycle, robbing us of the restorative REM phase. Moreover, in an attempt to balance things out, the brain releases dynorphin — a chemical that leads to rebound anxiety after drinking.
  • Drinking inhibits the prefrontal cortex. The decision-making part of our brain — the prefrontal cortex — takes a temporary vacation when booze is in the picture. The result? We say, do, text, post, buy, lose, and maybe break things we later regret.

For a deeper look, check out “How Alcohol Affects the Brain.” But for now, let’s turn our attention to the timeline of what happens as alcohol turns from a casual presence to a constant in our lives.

Game On: Moving Through the Stages

While alcohol has the same effect on everyone’s brain, the question of alcohol and mental health — specifically whether or not there’s a mental illness at play — is a bit more complicated. Let’s look at the stages through which the problem typically progresses: how casual use gets heavier and turns into misuse and dependence.

  • Casual use. At this point, we might fall into the category of “social drinkers” who have a glass of wine with dinner now and then or a beer with friends on the weekend. Alcohol is still a “take it or leave it” matter, and it doesn’t interfere with our daily activities or jeopardize our health. At least not yet. (But watch out! It’s easy for casual use to turn into misuse if we’re not careful.)
  • Heavy drinking. At this point, alcohol is a regular presence, and we’re exceeding the recommended limit, starting to put our health in danger.
  • Misuse. We’re relying on alcohol,and it’s interfering with our relationships, work, and home responsibilities. We might be drinking too much at one time, also known as binge drinking. Alcohol misuse isn’t necessarily about the amount we drink (though it’s most certainly over the recommended amount), but more about the impact it has on our life and health.
  • Dependence. Once dependence sets in, we’re no longer in control. We find that if we do stop, we experience withdrawal symptoms. On the milder side, these include headaches, fatigue, nausea, shakiness, and an overall “blah” feeling — kind of like a bad hangover. However, if we’ve been dependent for a long time, withdrawal from alcohol can be dangerous, bringing on seizures or delirium tremens (DTs).

In This Naked Mind, Annie Grace describes dependence in this way: 

“You drink to end the distress. The drink itself does not provide enjoyment, but you sincerely enjoy ending the nuisance of wanting a drink. The relief is so strong you feel happy, even giddy. You drink to get the feeling of peace that someone who is not dependent on alcohol always feels.”

At this point, we’re clearly in dangerous waters. The drink has “taken us.”

A Vicious Cycle

Once we reach dependence, a three-step cycle is set in motion. The NIAAA defines it as a repeating cycle with three stages. Each stage feeds into the next, and each person might go through it over the course of many weeks or even months. As our problem gets worse, however, we might find ourselves spinning through the stages several times a day, trapped in a roller coaster that leaves us more nauseous, disoriented, and exhausted with each turn. Here’s the pattern.

1. Binge/intoxication stage. At this stage, we give in to the craving to get the “reward” (such as alcohol). As a result, the cycle is set in motion. 

2. Negative emotions/withdrawal stage. We feel bad about falling back into old patterns and might try to stop, only to suffer from withdrawal symptoms and stress that comes with them. 

3. Preoccupation/anticipation stage. We start feeling better, but face cravings and eventually give in to impulsive actions, unable to exercise executive function. 

Each of the stages in the cycle involves a different part of the brain. The basal ganglia is involved in the reward pathway activated by drinking; the extended amygdala is involved in the emotional turmoil that follows; and the prefrontal cortex (its inhibition, to be exact) comes into play in the inability to control our impulses. We’re stuck in one of the most frustrating types of prisons — one that locks us inside our own mind.

Co–occurring Disorders

Adding Other Players: Co–occurring Disorders

As if the situation weren’t challenging enough, there’s another complicating factor: AUD often comes with other disorders, some of which might be easier to categorize as “mental illnesses.” Here are the most common ones that tend to go in tandem with AUD.

  • Anxiety. More than just feeling temporarily anxious or nervous, anxiety disorders involve repeated episodes of sudden feelings of intense fear or terror that reach a peak within minutes, giving rise to panic attacks. According to NCBI, 20% to 30% of those with anxiety disorder go on to develop AUD.
  • Bipolar disorder. This mental health condition is characterized by extreme mood swings, including emotional highs (mania or hypomania) and lows (depression). These swings can affect our sleep, energy levels, behavior, and the ability to think clearly. NCBI reports that a fourth to just under half of people with bipolar disorder struggle with AUD at some point in their lives.
  • Schizophrenia. This mental disorder might cause us to interpret reality abnormally. It may result in some combination of hallucinations, delusions, and extremely disordered thinking and behavior that impairs daily functioning. A little under a quarter of those with schizophrenia meet the criteria for AUD.
  • Post-traumatic stress disorder (PTSD) and complex trauma. PTSD can happen after experiencing or witnessing a traumatic event. Symptoms may include flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event. Alcohol frequently becomes the go-to way to cope, leading a third to half of those affected to develop AUD.
  • Depression. Depression engulfs our life much the way AUD can, causing severe symptoms that affect how we feel, think, and handle daily activities, such as sleeping, eating, or working. We might feel persistently sad or lose interest in activities we once enjoyed.

While some of these disorders fall into the classic “mental illness” definition more easily, it’s often difficult to untangle their trajectory from that of AUD. For one thing, there’s a classic chicken-and-egg dilemma at play: it’s not always clear which condition comes first. Moreover, the symptoms — mood instability, impulsive behaviors, insomnia, and isolation, to name a few — tend to be similar. The conditions also affect one another in complex ways, taking turns at the wheel of what feels like a runaway train as we desperately try to hold on. (But don’t despair! We have good news ahead.)

Settling the Score: Recovery Is Possible

A major source of hope that comes with defining a condition as an “illness” is that illnesses have cures (or, at least, treatments). Thankfully, AUD — as well as the co-occurring disorders that might come with it — are no exception.

AUD recovery is possible, and today there are more resources than ever available to help you along the way. Here’s an overview:

  • Clear the field. First things first: we need alcohol to get off the field. For some, the initial detoxification process can be done at home, but others might require hospitalization. If that’s you, don’t be discouraged — what’s a few days compared to the rest of your life? Alcohol withdrawal can be dangerous, so if you’ve been drinking heavily for a long time, it’s best to err on the side of safety.
  • Choose your strategy. There are many approaches to take once the initial stage is over and booze is out of your body. Some find talk therapy helpful, others benefit from more practical approaches, such as cognitive behavioral therapy that helps you restructure your thinking around alcohol.
  • Pick your team. Recovering from AUD is no small task, and we need a solid team around us. In addition to doctors and mental health professionals, we need a support team of peers to rely on when things get rough. Ask trusted friends and family members for help, and let them know exactly how they can support you. And check out the Reframe 24/7 Forum — a thriving global community of folks just like you who are eager to share their stories and advice!
  • Look at the whole picture. Remember how we talked about co-occurring disorders? Unfortunately, conditions that affect our mental health often team up — a tendency that can make them harder to tackle. Whatever course of treatment or recovery approach you choose, make sure all the issues are addressed.
  • Watch out for sneak attacks. Cravings and urges can hit when we least expect them to, especially at the beginning. First and foremost — don’t be surprised! Even if you’ve made a conscious decision to quit or cut back, the habit-forming part of the brain might automatically slip back into old thought patterns. The most helpful thing to do here is to get to know your triggers and observe them without judgment when they come up. Have a plan in place to avoid falling back into old patterns. For example, if you know that a certain work event will have booze and you’ll have a hard time saying no, bring a trusted member of your support team along.

With these tips, you can set yourself up for success on the journey. We wish you the best of luck and are here to support you every step of the way! (For more information on AUD treatment approaches, check out “Understanding the Stages of Alcohol Use Disorder: Causes and Treatment” and “Types of Therapy for Alcohol Misuse.”)

Summing Up

In the end, instead of wondering whether AUD is a mental illness, we might be better off asking a different question: how do we get past it? And, just as importantly, how can we keep casual alcohol use from sliding into heavy use, misuse, and dependence? At Reframe, we’re here to help you tackle the problem head-on and support you every step of the way. Check out our vibrant community and science-backed program that makes quitting or cutting back easy, achievable, and fun!

Alcohol and Mental Health
2024-06-21 9:00
Alcohol and Mental Health
How Alcohol Consumption Can Exacerbate Depressive Symptoms
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Explore the complex relationship between alcohol consumption and its exacerbation of depressive symptoms, highlighting the immediate and long-term psychological impacts, and offering strategies for healthier habits.

8 min read

Moderate Your Drinking Effectively

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! 

Read Full Article  →

Alcohol has long been used as a social lubricant and a means of relaxation. However, its impact on mental health, particularly its ability to exacerbate depressive symptoms, is often overlooked or underestimated. Understanding the complex relationship between alcohol and depression is crucial for anyone looking to build healthier drinking habits and improve their overall well-being.

The Dual Nature of Alcohol

How Alcohol Consumption Can Exacerbate Depressive Symptoms

At first glance, alcohol might seem like a mood enhancer. It often makes us feel more sociable, relaxed, and temporarily happy. However, alcohol is, in fact, a depressant. This dual nature can be misleading, as the initial euphoria quickly gives way to a host of negative psychological effects.

Immediate Effects

When you consume alcohol, it initially stimulates the release of dopamine, the brain's "feel-good" chemical. This surge in dopamine can create a temporary sense of euphoria. However, this feeling is short-lived. As alcohol continues to affect the central nervous system, it begins to slow down brain activity, leading to impaired judgment, reduced inhibitions, and eventually, a depressive state.

For more on the immediate and lasting impacts of alcohol on mental health, check out our article on How Alcohol Worsens Your Mental Health.

Long-Term Psychological Impact

Regular alcohol consumption can lead to significant changes in brain chemistry. Over time, alcohol reduces the levels of neurotransmitters like serotonin and norepinephrine, which are essential for regulating mood. Lower levels of these chemicals can lead to increased feelings of depression and anxiety.

Additionally, chronic alcohol use can increase the production of dynorphin, a chemical that contributes to feelings of dysphoria and depression. This creates a vicious cycle where individuals may drink more to alleviate their depressive symptoms, only to find that their condition worsens over time.

For a deeper dive into how alcohol affects brain chemistry and mental health, read our detailed article on The Connection Between Alcohol and Mental Health.

Alcohol and Depression: A Vicious Cycle

Self-Medication and Its Pitfalls

Many people turn to alcohol as a form of self-medication to cope with stress, anxiety, or depressive symptoms. While this might provide temporary relief, it often leads to a worsening of symptoms in the long run. Alcohol can disrupt sleep patterns, increase anxiety, and create a dependency that makes it even harder to manage depressive symptoms without it.

Increased Risk of Major Depressive Disorder

Studies have shown that persistent and excessive drinking can significantly increase the risk of developing major depressive disorder (MDD). Alcohol misuse can aggravate pre-existing depressive symptoms, making it more difficult for individuals to find effective treatment.

For more information on how alcohol can serve as a depressant and its broader implications, you can read our article on Is Alcohol a Depressant? What Does It Mean?.

The Biological Mechanisms

Neurotransmitter Imbalance

Alcohol disrupts the balance of neurotransmitters in the brain, which are crucial for mood regulation. Chronic alcohol use can lead to a decrease in serotonin levels, contributing to depressive symptoms. Moreover, alcohol-induced changes in the brain's reward system can make it more challenging to experience pleasure from everyday activities, further exacerbating depression.

Impact on Stress Hormones

Alcohol consumption triggers the release of cortisol, a stress hormone. Elevated cortisol levels can alter brain chemistry and negatively impact the body's ability to handle stress. Over time, this can lead to heightened anxiety and depressive symptoms, creating a cycle that is difficult to break.

Breaking the Cycle: Steps to Improve Mental Health

Reducing Alcohol Consumption

One of the most effective ways to improve mental health and reduce depressive symptoms is to cut back on alcohol consumption. Even small reductions can lead to significant improvements in mood and overall well-being.

Alternative Coping Mechanisms

Finding healthier ways to cope with stress and anxiety is crucial. Exercise, meditation, and engaging in hobbies can provide natural mood boosts and help manage depressive symptoms without relying on alcohol.

Seeking Professional Help

If you find it difficult to reduce alcohol consumption on your own, seeking professional help can be beneficial. Therapists and counselors can provide strategies and support to help you manage both your alcohol use and depressive symptoms effectively.

Conclusion

While alcohol might seem like a quick fix for stress or a way to unwind, its long-term impact on mental health can be detrimental. Understanding the relationship between alcohol and depression is essential for anyone looking to build healthier drinking habits. By reducing alcohol consumption and finding alternative ways to manage stress and anxiety, you can improve your mental well-being and break the cycle of alcohol-induced depression.

Alcohol has long been used as a social lubricant and a means of relaxation. However, its impact on mental health, particularly its ability to exacerbate depressive symptoms, is often overlooked or underestimated. Understanding the complex relationship between alcohol and depression is crucial for anyone looking to build healthier drinking habits and improve their overall well-being.

The Dual Nature of Alcohol

How Alcohol Consumption Can Exacerbate Depressive Symptoms

At first glance, alcohol might seem like a mood enhancer. It often makes us feel more sociable, relaxed, and temporarily happy. However, alcohol is, in fact, a depressant. This dual nature can be misleading, as the initial euphoria quickly gives way to a host of negative psychological effects.

Immediate Effects

When you consume alcohol, it initially stimulates the release of dopamine, the brain's "feel-good" chemical. This surge in dopamine can create a temporary sense of euphoria. However, this feeling is short-lived. As alcohol continues to affect the central nervous system, it begins to slow down brain activity, leading to impaired judgment, reduced inhibitions, and eventually, a depressive state.

For more on the immediate and lasting impacts of alcohol on mental health, check out our article on How Alcohol Worsens Your Mental Health.

Long-Term Psychological Impact

Regular alcohol consumption can lead to significant changes in brain chemistry. Over time, alcohol reduces the levels of neurotransmitters like serotonin and norepinephrine, which are essential for regulating mood. Lower levels of these chemicals can lead to increased feelings of depression and anxiety.

Additionally, chronic alcohol use can increase the production of dynorphin, a chemical that contributes to feelings of dysphoria and depression. This creates a vicious cycle where individuals may drink more to alleviate their depressive symptoms, only to find that their condition worsens over time.

For a deeper dive into how alcohol affects brain chemistry and mental health, read our detailed article on The Connection Between Alcohol and Mental Health.

Alcohol and Depression: A Vicious Cycle

Self-Medication and Its Pitfalls

Many people turn to alcohol as a form of self-medication to cope with stress, anxiety, or depressive symptoms. While this might provide temporary relief, it often leads to a worsening of symptoms in the long run. Alcohol can disrupt sleep patterns, increase anxiety, and create a dependency that makes it even harder to manage depressive symptoms without it.

Increased Risk of Major Depressive Disorder

Studies have shown that persistent and excessive drinking can significantly increase the risk of developing major depressive disorder (MDD). Alcohol misuse can aggravate pre-existing depressive symptoms, making it more difficult for individuals to find effective treatment.

For more information on how alcohol can serve as a depressant and its broader implications, you can read our article on Is Alcohol a Depressant? What Does It Mean?.

The Biological Mechanisms

Neurotransmitter Imbalance

Alcohol disrupts the balance of neurotransmitters in the brain, which are crucial for mood regulation. Chronic alcohol use can lead to a decrease in serotonin levels, contributing to depressive symptoms. Moreover, alcohol-induced changes in the brain's reward system can make it more challenging to experience pleasure from everyday activities, further exacerbating depression.

Impact on Stress Hormones

Alcohol consumption triggers the release of cortisol, a stress hormone. Elevated cortisol levels can alter brain chemistry and negatively impact the body's ability to handle stress. Over time, this can lead to heightened anxiety and depressive symptoms, creating a cycle that is difficult to break.

Breaking the Cycle: Steps to Improve Mental Health

Reducing Alcohol Consumption

One of the most effective ways to improve mental health and reduce depressive symptoms is to cut back on alcohol consumption. Even small reductions can lead to significant improvements in mood and overall well-being.

Alternative Coping Mechanisms

Finding healthier ways to cope with stress and anxiety is crucial. Exercise, meditation, and engaging in hobbies can provide natural mood boosts and help manage depressive symptoms without relying on alcohol.

Seeking Professional Help

If you find it difficult to reduce alcohol consumption on your own, seeking professional help can be beneficial. Therapists and counselors can provide strategies and support to help you manage both your alcohol use and depressive symptoms effectively.

Conclusion

While alcohol might seem like a quick fix for stress or a way to unwind, its long-term impact on mental health can be detrimental. Understanding the relationship between alcohol and depression is essential for anyone looking to build healthier drinking habits. By reducing alcohol consumption and finding alternative ways to manage stress and anxiety, you can improve your mental well-being and break the cycle of alcohol-induced depression.

Alcohol and Mental Health
2024-06-19 9:00
Alcohol and Mental Health
Psychological Pressures of Blackout Wednesday and Mental Health Strategies to Maintain Sobriety
This is some text inside of a div block.

Explore the psychological pressures of Blackout Wednesday and discover effective mental health strategies to maintain sobriety during this high-pressure social event, often marked by excessive drinking.

8 min read

Achieve Your Sobriety Goals 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! 

Read Full Article  →

Blackout Wednesday, also known as "Drinksgiving," marks the night before Thanksgiving and is notorious for heavy drinking, particularly among college students and young adults. The combination of reuniting with old friends and the extended holiday break often leads to excessive alcohol consumption. This article delves into the psychological pressures of Blackout Wednesday and offers mental health strategies to maintain sobriety during such social pressures.

Understanding Blackout Wednesday

Psychological Pressures of Blackout Wednesday and Mental Health Strategies to Maintain Sobriety

Blackout Wednesday has grown in cultural significance, especially among younger generations. It is a night of reunions and celebrations, often centered around alcohol. The informal nature of the event, coupled with the fact that most people don't have work the next day, makes it a prime time for binge drinking. However, this can lead to dangerous behaviors and significant health risks.

Psychological Pressures

The pressures to participate in Blackout Wednesday can be immense. Here are some key psychological factors at play:

  1. Social Expectations: The expectation to drink and have fun can create significant pressure. Friends and family may inadvertently encourage drinking, making it harder for individuals who wish to remain sober.
  2. Nostalgia and Tradition: Reuniting with old friends often brings a sense of nostalgia. The desire to relive past memories can lead to drinking, as alcohol is often associated with social bonding.
  3. Fear of Missing Out (FOMO): The fear of missing out on social interactions can drive individuals to drink, even if they initially planned to stay sober.
  4. Peer Pressure: Direct or indirect peer pressure can compel individuals to conform to the group's drinking behavior.

Understanding these pressures helps in developing strategies to navigate them effectively.

Mental Health Strategies for Maintaining Sobriety

Maintaining sobriety during Blackout Wednesday requires a combination of mental preparation, support systems, and practical strategies. Here are some effective strategies:

1. Set Clear Intentions

Before heading out, set clear intentions about your drinking goals. Whether you plan to stay completely sober or limit your alcohol intake, having a clear plan can help you stay committed. Reflect on your reasons for wanting to stay sober and remind yourself of the benefits.

2. Mindful Celebration

Adopt a mindful approach to celebrations. Focus on the quality of interactions rather than the quantity of drinks. Engage in meaningful conversations and activities that do not revolve around alcohol. This shift in focus can help reduce the temptation to drink excessively.

3. Seek Support

Surround yourself with friends and family who respect your decision to stay sober. Having a support system can provide encouragement and accountability. If you feel comfortable, communicate your intentions to stay sober to your friends, and ask for their support.

4. Alternative Activities

Plan alternative activities that do not involve alcohol. For instance, you can host a game night, go to a movie, or participate in a physical activity like bowling or hiking. Engaging in these activities can provide a fun and fulfilling way to spend the evening without drinking.

5. Bring Your Own Alcohol-Free Beverages

Bring your own alcohol-free beverages to social gatherings. This ensures you have something to drink and helps you avoid the temptation of alcoholic drinks. There are many delicious non-alcoholic options available, from sparkling water to mocktails.

6. Practice Self-Care

Take care of your mental and physical health. Ensure you get enough sleep, eat nutritious foods, and engage in regular physical activity. Practicing self-care can boost your overall well-being and make it easier to resist the urge to drink.

7. Learn to Say No

It’s important to learn to say no confidently. If someone offers you a drink, politely decline and stick to your decision. You can prepare responses in advance, such as, “No thanks, I’m not drinking tonight,” or “I’m taking a break from alcohol.”

8. Seek Professional Help if Needed

If you find it challenging to stay sober, consider seeking professional help. Therapists and support groups can provide valuable guidance and support. Cognitive-behavioral therapy (CBT) is particularly effective in helping individuals develop coping strategies and change detrimental thought patterns.

9. Stay Present

Focus on staying present in the moment. Mindfulness practices, such as deep breathing exercises and meditation, can help you stay grounded and reduce anxiety. Staying present allows you to enjoy the moment without feeling the need to escape through alcohol.

10. Reflect on Your Progress

After the event, take time to reflect on your experience. Celebrate your successes and acknowledge any challenges you faced. Reflecting on your progress can provide valuable insights and strengthen your commitment to maintaining sobriety in the future.

By understanding the pressures of Blackout Wednesday and employing these mental health strategies, you can maintain your sobriety and enjoy the festivities without compromising your well-being.

Blackout Wednesday, also known as "Drinksgiving," marks the night before Thanksgiving and is notorious for heavy drinking, particularly among college students and young adults. The combination of reuniting with old friends and the extended holiday break often leads to excessive alcohol consumption. This article delves into the psychological pressures of Blackout Wednesday and offers mental health strategies to maintain sobriety during such social pressures.

Understanding Blackout Wednesday

Psychological Pressures of Blackout Wednesday and Mental Health Strategies to Maintain Sobriety

Blackout Wednesday has grown in cultural significance, especially among younger generations. It is a night of reunions and celebrations, often centered around alcohol. The informal nature of the event, coupled with the fact that most people don't have work the next day, makes it a prime time for binge drinking. However, this can lead to dangerous behaviors and significant health risks.

Psychological Pressures

The pressures to participate in Blackout Wednesday can be immense. Here are some key psychological factors at play:

  1. Social Expectations: The expectation to drink and have fun can create significant pressure. Friends and family may inadvertently encourage drinking, making it harder for individuals who wish to remain sober.
  2. Nostalgia and Tradition: Reuniting with old friends often brings a sense of nostalgia. The desire to relive past memories can lead to drinking, as alcohol is often associated with social bonding.
  3. Fear of Missing Out (FOMO): The fear of missing out on social interactions can drive individuals to drink, even if they initially planned to stay sober.
  4. Peer Pressure: Direct or indirect peer pressure can compel individuals to conform to the group's drinking behavior.

Understanding these pressures helps in developing strategies to navigate them effectively.

Mental Health Strategies for Maintaining Sobriety

Maintaining sobriety during Blackout Wednesday requires a combination of mental preparation, support systems, and practical strategies. Here are some effective strategies:

1. Set Clear Intentions

Before heading out, set clear intentions about your drinking goals. Whether you plan to stay completely sober or limit your alcohol intake, having a clear plan can help you stay committed. Reflect on your reasons for wanting to stay sober and remind yourself of the benefits.

2. Mindful Celebration

Adopt a mindful approach to celebrations. Focus on the quality of interactions rather than the quantity of drinks. Engage in meaningful conversations and activities that do not revolve around alcohol. This shift in focus can help reduce the temptation to drink excessively.

3. Seek Support

Surround yourself with friends and family who respect your decision to stay sober. Having a support system can provide encouragement and accountability. If you feel comfortable, communicate your intentions to stay sober to your friends, and ask for their support.

4. Alternative Activities

Plan alternative activities that do not involve alcohol. For instance, you can host a game night, go to a movie, or participate in a physical activity like bowling or hiking. Engaging in these activities can provide a fun and fulfilling way to spend the evening without drinking.

5. Bring Your Own Alcohol-Free Beverages

Bring your own alcohol-free beverages to social gatherings. This ensures you have something to drink and helps you avoid the temptation of alcoholic drinks. There are many delicious non-alcoholic options available, from sparkling water to mocktails.

6. Practice Self-Care

Take care of your mental and physical health. Ensure you get enough sleep, eat nutritious foods, and engage in regular physical activity. Practicing self-care can boost your overall well-being and make it easier to resist the urge to drink.

7. Learn to Say No

It’s important to learn to say no confidently. If someone offers you a drink, politely decline and stick to your decision. You can prepare responses in advance, such as, “No thanks, I’m not drinking tonight,” or “I’m taking a break from alcohol.”

8. Seek Professional Help if Needed

If you find it challenging to stay sober, consider seeking professional help. Therapists and support groups can provide valuable guidance and support. Cognitive-behavioral therapy (CBT) is particularly effective in helping individuals develop coping strategies and change detrimental thought patterns.

9. Stay Present

Focus on staying present in the moment. Mindfulness practices, such as deep breathing exercises and meditation, can help you stay grounded and reduce anxiety. Staying present allows you to enjoy the moment without feeling the need to escape through alcohol.

10. Reflect on Your Progress

After the event, take time to reflect on your experience. Celebrate your successes and acknowledge any challenges you faced. Reflecting on your progress can provide valuable insights and strengthen your commitment to maintaining sobriety in the future.

By understanding the pressures of Blackout Wednesday and employing these mental health strategies, you can maintain your sobriety and enjoy the festivities without compromising your well-being.

Alcohol and Mental Health
2024-06-14 9:00
Alcohol and Mental Health
1 in 5 Americans Admit Lying to Their Doctor About Alcohol Consumption
This is some text inside of a div block.

Does alcohol make you tell the truth? Science says not really. Plus, more people than ever are lying about drinking itself. Learn more in our latest blog!

21 min read

Discover the True You and Thrive 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!

Read Full Article  →

There’s an episode of Seinfeld that opens with a bit Jerry does about medical tests and our all-too-common urge to “do well”: 

“Remember in school, they'd do hearing tests? And you'd really be listening, you know … Trying to do well … I wanted to do unbelievable on that hearing test. I wanted them to come to me after the hearing test and go: ‘We think you may have something close to super hearing. We're sending the results to Washington. We'd like you to meet the president.’"

Unfortunately, this urge to “do well” can come at a hefty price when it comes to lying about our drinking habits. Imagine you’re at the doctor’s office for an annual physical. You know that question is coming … on an average week, how much do you drink? You do a quick tally in your head and respond, “five, maybe six drinks?” But it’s actually 10. Or 15. Or maybe even a lot more.

There are lots of reasons for being less than truthful. Maybe you counted that restaurant “glass” of wine as one drink when it’s actually 2 and a half. Maybe you’re embarrassed to give the actual number. Maybe you’ve simply lost track.

Whatever the case may be, the question is important and leads to the larger topic of alcohol and telling (or not telling) the truth. Does alcohol make you tell the truth when you’re under the influence? Or does it actually do the opposite? And what about lying about drinking — why does it seem to be so common?

Lying While Drinking

Pouring whiskey from a bottle into a glass

Do people tell the truth when drunk? Many people would probably say yes. After all, loosening up and getting chatty (sometimes a bit too chatty) is a classic effect of booze.

Alcohol is often seen as the ultimate “truth serum.” Another Seinfeld episode illustrates this: Elaine and the peach Schnapps, which (apparently without her consent) makes her “tell the truth.” Given how prone most Seinfeld characters are to fibbing (whether under the influence or not), the effect is quite dramatic. Relationships are strained, a destination wedding erupts in a fist fight, and the characters return with physical injuries on top of nasty hangovers. And, of course, it’s all very funny — at least on TV.

In reality, however, things get more serious. Alcohol affects the brain in a number of ways, and our truth-telling abilities get affected in the process. Here’s the gist.

  • Our prefrontal cortex (PFC) gets suppressed, lowering inhibitions. The decision-making part of the brain in charge of rational thought normally keeps us from getting into situations that end with wedding disruptions, stitches, or broken friendships. However, with the PFC temporarily “offline,” we tend to let loose, saying and doing things we would otherwise shy away from. And while it might look funny on TV, this loss of inhibitions can be costly in real life. After all, it takes years to develop relationships, but a drunken slip of the tongue can put them in jeopardy within seconds.
  • Our cognitive capacities are impaired. The depressant effects of alcohol slow down our thought processes. The result? Thinking under the influence can be a drag. As anyone who has gotten stuck in obsessive thought loops or found themselves unable to follow a movie plot line can attest, our cognitive capacities take a hit. So even if we think we’re being truthful, our “truth” might not line up with reality.
  • Our memory gets fuzzy. Alcohol affects the hippocampus — the part of the brain in charge of making new memories and accessing old ones.

So does alcohol make you tell the truth? As we can see, the answer depends on what we mean by “truth.” By temporarily messing with the brain’s self-regulating properties, it prevents us from hitting the brakes when it comes to oversharing. However, it also skews the content of what we’re sharing in the first place, distorting the accuracy of our stories.

Lying About Drinking

But what about lying about drinking itself? Do people do it? Oh, yes. You bet they do. According to an American Addiction Centers survey that asked 3,000 Americans if they tell their doctors the truth about their drinking, around 1 in 5 (21%) admitted to telling an occasional (or not-so-occasional) fib. Men were a bit more likely to lie, making up 60% of the fibbers.

It’s worth noting that doctors can usually tell if we bend the truth. For example, as Ohio physician Amber Tully told The Huffington Post, there are other indicators of drinking: “For instance, triglycerides might be high in someone who drinks a lot, or I could see certain elevated enzymes if I’m testing liver function. High blood pressure in someone with no other risk factors might clue me into excessive drinking.”

The body keeps score, as they say.

The Fallout of Fibbing 

We’re not helping ourselves by lying to the physician who is there to help us. If you’re thinking, “What’s the harm in bending the truth a little,” well, there are quite a few reasons.

  • Advice for staying healthy. Okay, now this one’s obvious, but it’s worth emphasizing: drinking too much harms our health. From harming our heart and liver to disrupting sleep and predisposing us to certain cancers, alcohol misuse is no joke. Our doctor can guide us toward resources and recommendations that could be vital to our health (and could even save our life). However, unless we’re stumbling into the doctor’s office or reeking of booze, their hands are tied.
  • Signs of health conditions. As physician Todd Sontag explains in The Huffington Post article, “The focus of family medicine is to take a thorough history of a patient, so your doctor can best practice preventative medicine … It is imperative to identify risk factors in a patient that can be harmful to their health. Alcohol use may raise the risks of issues, including cancers and liver disease.” For example, if someone is drinking heavily, certain tests might be warranted: “It may be a reason for high blood pressure, high cholesterol or even migraines, dehydration or poor sleep.”
  • Implications for other medical treatment. Many medications don’t play well with alcohol, and if our doctor doesn’t have the full picture of our drinking habits, we could be putting ourselves at risk. The same goes for other forms of treatment, such as surgeries and other procedures.

Reasons for Lying About Drinking

So why do people do it, especially in an ultra-private (HIPAA-protected) context? Especially one where the stakes — our health — are some of the highest?

The distortion of reality we just talked about is only part of the reason. There are other issues at play. Let's explore!

Honest Mistake

Let’s start by giving ourselves the benefit of the doubt. Maybe we made an honest mistake! After all, it can be difficult to count those drinks (or count anything, for that matter) once we get going. 

Moreover, we might be confused about what “counts” as a drink in the first place. Picture a “glass of wine,” for instance. In the U.S., a “standard drink” (or one “unit”) is defined as 14 grams of pure alcohol. 

For wine, this adds up to a 5 oz. serving, or one “glass.” However, anything from a thimble to a pitcher could technically be called a “glass.” And, of course, the amount of alcohol units inside doesn’t automatically adjust to the name of the drinkware we use to put it in: just because it fits in one glass doesn’t mean it’s “one drink.” You know those jumbo-sized ones at restaurants? They can easily hold two or more. (To learn more, check out “Alcohol Units.”)

Denial

Further down the “innocence scale,” there’s denial.

The truth is, alcohol is addictive. By releasing a cocktail (pardon the pun) of pleasure-inducing neurotransmitters such as dopamine, alcohol hijacks the brain’s reward system, making us come back for more. Over time, our drinking can slide into misuse and, eventually dependence — we feel as if we “need” alcohol to feel normal and might experience withdrawal symptoms if we attempt to stop.

This gradual slip into alcohol misuse might go unnoticed for a time, but it’s likely that, at a certain point, we’ll start questioning our habits and worrying about the health consequences. At the same time, the addictive pull of booze makes it difficult to let go or cut back.

The result is cognitive dissonance: we want something more and more, all the while wishing we didn’t want it. Since cognitive dissonance is a stressful state to be in, the brain “mutes” one of the competing voices to stop the mental struggle. In other words, we start to side with our own “preferred” version of reality (or, to put it bluntly, we believe our own lies).

Shame

Eventually, we come to the point where denial doesn’t quite hold up anymore. As much as we’d like to keep believing our own version of reality, we simply can’t anymore. At this point, we’re likely to feel ashamed.

The silver lining? Shame can also be the way out. Let’s see how it can help us get out of the trap set by alcohol as we explore the way back to the truth. (For more information, check out “Regret and Shame: Harnessing Their Power in Your Journey.”)

Finding the Truth

Finding the Truth

Before you start feeling hopeless with all this talk of lies, shame, and regret — relax. We’ve got great news for you! Just as we can lose touch with our authentic selves when alcohol is in the picture, we can find our way back.

  • Lean into the mental discomfort. Yes, shame is no picnic, but it has a purpose. It can serve as a crucial warning signal that’s telling us something about the way we’re living is amiss. By approaching shame as your mind sending you a persistent message that your actions don’t align with your true intentions, you can see it from a nonjudgmental perspective. Instead of getting mad at yourself, stop and thank your mind for sending you this reminder — it’s worth listening to!
  • Take note of the physical signs. At the same time, it can be helpful to pay more attention to the physical signs your body is telling you about booze. How do you feel after having the first drink? What about the second? Now, think about the morning after. Are you waking up feeling groggy? Do you find that a night out leaves you nauseous, dehydrated, and nursing a hangover more often than not? Your body might be sending you persistent signals that it’s tired of dealing with all the booze. Why not give it a much-needed break?
  • Speak up. No, you don’t have to shout your weekly number of drinks from the rooftops. But make sure to tell your doctor. And, most importantly, tell yourself the truth. 
  • Write it down. On this journey of exploration, it’s helpful to have a clear picture of what’s going on. Journaling can be a great asset in this process. Set aside some time in the morning to write about your experiences from the day before. Write down how many drinks you had, and exactly how you felt then (as well as the morning after). Nobody has to see it but you, so be as honest as you can!
  • Find a community. Everything is easier with a support system, and the alcohol journey is certainly no exception. Reach out to friends or family members who have been where you are and check out the vibrant Reframe community —  we’re eager to back you up every step of the way!

If you commit to being honest with yourself about your drinking habits, the rest of the pieces will fall into place. It’s never too late, and in time you can rediscover a version of yourself that’s happier and healthier than the one looking back at you in the mirror today. 

“Better Than Before”

The most exciting part? There are no limits here. Many find that once they start their journey of self-discovery, the result is a level of well-being they’ve never experienced before, with, or without alcohol. Challenges help us grow into versions of ourselves that surpass our own expectations. 

And those healthy habits truly do add up. As Gretchen Rubin writes in Better Than Before: Mastering the Habits of Our Everyday Lives, “Habits are the invisible architecture of daily life. We repeat about 40 percent of our behavior almost daily, so our habits shape our existence, and our future. If we change our habits, we change our lives.”

There’s an episode of Seinfeld that opens with a bit Jerry does about medical tests and our all-too-common urge to “do well”: 

“Remember in school, they'd do hearing tests? And you'd really be listening, you know … Trying to do well … I wanted to do unbelievable on that hearing test. I wanted them to come to me after the hearing test and go: ‘We think you may have something close to super hearing. We're sending the results to Washington. We'd like you to meet the president.’"

Unfortunately, this urge to “do well” can come at a hefty price when it comes to lying about our drinking habits. Imagine you’re at the doctor’s office for an annual physical. You know that question is coming … on an average week, how much do you drink? You do a quick tally in your head and respond, “five, maybe six drinks?” But it’s actually 10. Or 15. Or maybe even a lot more.

There are lots of reasons for being less than truthful. Maybe you counted that restaurant “glass” of wine as one drink when it’s actually 2 and a half. Maybe you’re embarrassed to give the actual number. Maybe you’ve simply lost track.

Whatever the case may be, the question is important and leads to the larger topic of alcohol and telling (or not telling) the truth. Does alcohol make you tell the truth when you’re under the influence? Or does it actually do the opposite? And what about lying about drinking — why does it seem to be so common?

Lying While Drinking

Pouring whiskey from a bottle into a glass

Do people tell the truth when drunk? Many people would probably say yes. After all, loosening up and getting chatty (sometimes a bit too chatty) is a classic effect of booze.

Alcohol is often seen as the ultimate “truth serum.” Another Seinfeld episode illustrates this: Elaine and the peach Schnapps, which (apparently without her consent) makes her “tell the truth.” Given how prone most Seinfeld characters are to fibbing (whether under the influence or not), the effect is quite dramatic. Relationships are strained, a destination wedding erupts in a fist fight, and the characters return with physical injuries on top of nasty hangovers. And, of course, it’s all very funny — at least on TV.

In reality, however, things get more serious. Alcohol affects the brain in a number of ways, and our truth-telling abilities get affected in the process. Here’s the gist.

  • Our prefrontal cortex (PFC) gets suppressed, lowering inhibitions. The decision-making part of the brain in charge of rational thought normally keeps us from getting into situations that end with wedding disruptions, stitches, or broken friendships. However, with the PFC temporarily “offline,” we tend to let loose, saying and doing things we would otherwise shy away from. And while it might look funny on TV, this loss of inhibitions can be costly in real life. After all, it takes years to develop relationships, but a drunken slip of the tongue can put them in jeopardy within seconds.
  • Our cognitive capacities are impaired. The depressant effects of alcohol slow down our thought processes. The result? Thinking under the influence can be a drag. As anyone who has gotten stuck in obsessive thought loops or found themselves unable to follow a movie plot line can attest, our cognitive capacities take a hit. So even if we think we’re being truthful, our “truth” might not line up with reality.
  • Our memory gets fuzzy. Alcohol affects the hippocampus — the part of the brain in charge of making new memories and accessing old ones.

So does alcohol make you tell the truth? As we can see, the answer depends on what we mean by “truth.” By temporarily messing with the brain’s self-regulating properties, it prevents us from hitting the brakes when it comes to oversharing. However, it also skews the content of what we’re sharing in the first place, distorting the accuracy of our stories.

Lying About Drinking

But what about lying about drinking itself? Do people do it? Oh, yes. You bet they do. According to an American Addiction Centers survey that asked 3,000 Americans if they tell their doctors the truth about their drinking, around 1 in 5 (21%) admitted to telling an occasional (or not-so-occasional) fib. Men were a bit more likely to lie, making up 60% of the fibbers.

It’s worth noting that doctors can usually tell if we bend the truth. For example, as Ohio physician Amber Tully told The Huffington Post, there are other indicators of drinking: “For instance, triglycerides might be high in someone who drinks a lot, or I could see certain elevated enzymes if I’m testing liver function. High blood pressure in someone with no other risk factors might clue me into excessive drinking.”

The body keeps score, as they say.

The Fallout of Fibbing 

We’re not helping ourselves by lying to the physician who is there to help us. If you’re thinking, “What’s the harm in bending the truth a little,” well, there are quite a few reasons.

  • Advice for staying healthy. Okay, now this one’s obvious, but it’s worth emphasizing: drinking too much harms our health. From harming our heart and liver to disrupting sleep and predisposing us to certain cancers, alcohol misuse is no joke. Our doctor can guide us toward resources and recommendations that could be vital to our health (and could even save our life). However, unless we’re stumbling into the doctor’s office or reeking of booze, their hands are tied.
  • Signs of health conditions. As physician Todd Sontag explains in The Huffington Post article, “The focus of family medicine is to take a thorough history of a patient, so your doctor can best practice preventative medicine … It is imperative to identify risk factors in a patient that can be harmful to their health. Alcohol use may raise the risks of issues, including cancers and liver disease.” For example, if someone is drinking heavily, certain tests might be warranted: “It may be a reason for high blood pressure, high cholesterol or even migraines, dehydration or poor sleep.”
  • Implications for other medical treatment. Many medications don’t play well with alcohol, and if our doctor doesn’t have the full picture of our drinking habits, we could be putting ourselves at risk. The same goes for other forms of treatment, such as surgeries and other procedures.

Reasons for Lying About Drinking

So why do people do it, especially in an ultra-private (HIPAA-protected) context? Especially one where the stakes — our health — are some of the highest?

The distortion of reality we just talked about is only part of the reason. There are other issues at play. Let's explore!

Honest Mistake

Let’s start by giving ourselves the benefit of the doubt. Maybe we made an honest mistake! After all, it can be difficult to count those drinks (or count anything, for that matter) once we get going. 

Moreover, we might be confused about what “counts” as a drink in the first place. Picture a “glass of wine,” for instance. In the U.S., a “standard drink” (or one “unit”) is defined as 14 grams of pure alcohol. 

For wine, this adds up to a 5 oz. serving, or one “glass.” However, anything from a thimble to a pitcher could technically be called a “glass.” And, of course, the amount of alcohol units inside doesn’t automatically adjust to the name of the drinkware we use to put it in: just because it fits in one glass doesn’t mean it’s “one drink.” You know those jumbo-sized ones at restaurants? They can easily hold two or more. (To learn more, check out “Alcohol Units.”)

Denial

Further down the “innocence scale,” there’s denial.

The truth is, alcohol is addictive. By releasing a cocktail (pardon the pun) of pleasure-inducing neurotransmitters such as dopamine, alcohol hijacks the brain’s reward system, making us come back for more. Over time, our drinking can slide into misuse and, eventually dependence — we feel as if we “need” alcohol to feel normal and might experience withdrawal symptoms if we attempt to stop.

This gradual slip into alcohol misuse might go unnoticed for a time, but it’s likely that, at a certain point, we’ll start questioning our habits and worrying about the health consequences. At the same time, the addictive pull of booze makes it difficult to let go or cut back.

The result is cognitive dissonance: we want something more and more, all the while wishing we didn’t want it. Since cognitive dissonance is a stressful state to be in, the brain “mutes” one of the competing voices to stop the mental struggle. In other words, we start to side with our own “preferred” version of reality (or, to put it bluntly, we believe our own lies).

Shame

Eventually, we come to the point where denial doesn’t quite hold up anymore. As much as we’d like to keep believing our own version of reality, we simply can’t anymore. At this point, we’re likely to feel ashamed.

The silver lining? Shame can also be the way out. Let’s see how it can help us get out of the trap set by alcohol as we explore the way back to the truth. (For more information, check out “Regret and Shame: Harnessing Their Power in Your Journey.”)

Finding the Truth

Finding the Truth

Before you start feeling hopeless with all this talk of lies, shame, and regret — relax. We’ve got great news for you! Just as we can lose touch with our authentic selves when alcohol is in the picture, we can find our way back.

  • Lean into the mental discomfort. Yes, shame is no picnic, but it has a purpose. It can serve as a crucial warning signal that’s telling us something about the way we’re living is amiss. By approaching shame as your mind sending you a persistent message that your actions don’t align with your true intentions, you can see it from a nonjudgmental perspective. Instead of getting mad at yourself, stop and thank your mind for sending you this reminder — it’s worth listening to!
  • Take note of the physical signs. At the same time, it can be helpful to pay more attention to the physical signs your body is telling you about booze. How do you feel after having the first drink? What about the second? Now, think about the morning after. Are you waking up feeling groggy? Do you find that a night out leaves you nauseous, dehydrated, and nursing a hangover more often than not? Your body might be sending you persistent signals that it’s tired of dealing with all the booze. Why not give it a much-needed break?
  • Speak up. No, you don’t have to shout your weekly number of drinks from the rooftops. But make sure to tell your doctor. And, most importantly, tell yourself the truth. 
  • Write it down. On this journey of exploration, it’s helpful to have a clear picture of what’s going on. Journaling can be a great asset in this process. Set aside some time in the morning to write about your experiences from the day before. Write down how many drinks you had, and exactly how you felt then (as well as the morning after). Nobody has to see it but you, so be as honest as you can!
  • Find a community. Everything is easier with a support system, and the alcohol journey is certainly no exception. Reach out to friends or family members who have been where you are and check out the vibrant Reframe community —  we’re eager to back you up every step of the way!

If you commit to being honest with yourself about your drinking habits, the rest of the pieces will fall into place. It’s never too late, and in time you can rediscover a version of yourself that’s happier and healthier than the one looking back at you in the mirror today. 

“Better Than Before”

The most exciting part? There are no limits here. Many find that once they start their journey of self-discovery, the result is a level of well-being they’ve never experienced before, with, or without alcohol. Challenges help us grow into versions of ourselves that surpass our own expectations. 

And those healthy habits truly do add up. As Gretchen Rubin writes in Better Than Before: Mastering the Habits of Our Everyday Lives, “Habits are the invisible architecture of daily life. We repeat about 40 percent of our behavior almost daily, so our habits shape our existence, and our future. If we change our habits, we change our lives.”

Alcohol and Mental Health
2024-06-14 9:00
Alcohol and Mental Health
Alcoholic Rage Syndrome: What It Is and How To Overcome It
This is some text inside of a div block.

Wondering what alcoholic rage syndrome is all about? Science says it’s a mixture of brain chemistry, psychological factors, and social surroundings. Learn why alcohol can leave one person raging more than the next — and what to do about it — in our latest blog.

18 min read

Tame Your Rage and Drink Less 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!

Read Full Article  →

Imagine this: everyone is sitting around the table, having a pleasant conversation, passing around platters of nachos and sipping on salt-rimmed margaritas. Everyone is acting presentable, and the atmosphere is, as they say “classy.” Then, a few margaritas in, the conversation gets a bit louder. You look over and see your friend’s face getting red and, before you know it, voices are raised and you’re wondering if you’ll have to duck when that plate of nachos goes flying across the table. Yikes!

We’ve heard of the “raging alcoholic” or “angry drunk” stereotype, but is there any truth to the idea? Is alcohol really the culprit? What is a raging alcoholic, and how does alcohol send someone into a drunken rage? What are some alcoholic rage symptoms? Let’s explore what alcoholic rage syndrome is all about.

What Is Alcoholic Rage Syndrome?

A man in distress holds his head while sitting in front of a beer bottle

If you follow true crime, you’ve heard about the notorious Murdaugh trials in South Carolina, with the latest being the trial of Alec Murdaugh convicted for killing his son and wife. And although nothing justifies murder, the son Paul Murdaugh was quite a character (and not in a good way). And much of it came down to his drinking. Those close to him would talk about his personality under the influence — a character prominent enough to be seen as his alter-ego, “Timmy.” What was Paul Murdaugh — “Timmy” — like when drunk? Well, let’s just say you wouldn’t want to get into Timmy’s way. Timmy would get angry. Timmy would get abusive. Ultimately, Timmy would lead to the death of Paul’s girlfriend who drowned in a boating accident that Paul (in drunken Timmy mode) was responsible for.

The truth is, while this case might be extreme, many of us might recognize signs of an inner Timmy in ourselves or in someone we know. Why are alcoholics angry? And do angry drunks mean what they say? Alcoholic rage syndrome, also known as alcohol-induced aggression or alcohol-related aggression, refers to a pattern of intense anger and aggression that occurs in people under the influence of alcohol. Ranging from verbal outbursts to physical violence, this behavior can pose a serious risk to our health and safety, as well as to the well-being of those around us. (For more information, check out “Why Do I Get Angry When I Drink?”)

A Link To ASPD

Does everyone have an “inner Timmy”? Not necessarily, studies show that while alcohol and aggression do, indeed, share a neurological link, not everyone gets aggressive after having a few too many.

In particular, “alcoholic rage syndrome” seems to be linked to antisocial personality disorder (ASPD). Those with tendencies to what’s colloquially known as sociopathy may be more prone to alcohol-related aggression. The hallmark traits of the condition involve difficulties empathizing with other people, disregarding societal norms for what’s considered “right” and “wrong,” ignoring the feelings of others, and behaving in impulsive ways.

1. Neurochemical Changes

Part of the story has to do with neurotransmitters. From the first sip, alcohol sends our brain chemistry into disarray, altering the delicate balance of neurochemicals in charge of impulse control and mood regulation. Here’s the gist:

  • Alcohol boosts the reward chemical, dopamine. The flood of dopamine causes temporary euphoria, making us feel chatty (sometimes too much so) and a bit “uplifted.” (But remember, what goes up must come down — sometimes way, way down).
  • It also boosts GABA while suppressing glutamate. At the same time, alcohol acts as a depressant by boosting the inhibitory neurotransmitter, GABA and butting the breaks on glutamate, its excitatory “partner.” The result? A “devil-may-care” attitude that can make it easier for us to exercise self control (more on this later).
  • There’s a seesaw effect as the brain tries to balance itself. While in the short run the inhibitory effects of alcohol “win out” (although aggression can still be part of the overall picture), the brain likes equilibrium and shifts to balance out the depressant effects. The result? Rebound agitation and anxiety, sometimes dubbed “hangxiety.” That unease we often feel the next day, in turn, can also come out as irritability and possible aggression.
  • Alcohol increases cortisol levels. Another link between alcohol and negative emotions, which can show up as anger, is stress. Yes, many of us think that drinking “relieves stress.” But that’s largely an illusion! In fact, alcohol has a neurochemical “dark side” — it raises the levels of the stress hormone cortisol, leading to increased anxiety as we’re drinking and adding to next-day unease.

Although the effects of alcohol on our brain chemistry kick in right away, over time the situation gets more and more complex. The brain gets used to the “new normal” and can lead to more pronounced long-term changes in our personality (read: our alter ego sets up camp and can become a permanent fixture). (For more information, check out  “How Alcohol Affects the Brain: A Look Into the Science” and “Alcohol and Emotions: How Alcohol Plays with Your Feelings.”)

A Link To ASPD

2. Disinhibition

By acting as a central nervous system depressant, alcohol also takes our prefrontal cortex — the hub of logic, and reasoning — temporarily “offline.” Without our decision-making powerhouse running the show, we have less control over our behavior and are more prone to impulsivity and aggression.

In other words, we’re likely to do things — including giving others an earful as soon as we feel irked — without thinking about the potential fallout. We might also misread social cues and lash out in response to perceived slights, non-existent threats, or frustrations.

3. Psychological “Baggage” and Social Influence

The past has a sneaky way of making a less-than-pleasant appearance when we’re drinking. It might be something small that nagged us recently — the way our partner never makes the bed or the way our mother-in-law said the paella we tried to impress her with needed more salt. On the other hand, something deeper and more traumatic could also resurface: we might be dealing with unresolved trauma, an illness of a close relative, or financial problems. Either way, mixing any type of psychological “baggage” with booze is trouble waiting to happen — our anger is that much more likely to erupt if there’s already trouble brewing in the background.

In a similar way, our present surroundings can play a role. If we hang out with people who throw digs at each other (or at us) or normalize alcohol-induced aggression, it’s more likely to make an appearance. Perhaps our friends play it off as funny, or maybe they downplay it due to their own insecurities — whatever the reason is, if our environment makes our “inner Timmy” feel welcome, he’s more likely to show up.

Cause of Effect?

While alcohol can induce rage, sometimes the tables are switched: we might also crave alcohol when we’re already angry. Why? The answer has to do with the nature of all cravings — they’re misguided attempts to feel better in the moment by silencing an emotion or external circumstance we don’t want to experience. The problem is, when booze becomes the answer, it backfires — big time. (To dive into the details, check out “Why Do I Crave Alcohol When I'm Angry?”)

Symptoms of Alcoholic Rage Syndrome

Symptoms of alcoholic rage syndrome run the gamut from verbal tiffs to outright violence. Here’s an overview:

  • We might become verbally aggressive. Science shows that alcohol brings out our aggressive side. With loosened inhibitions and heightened emotions, we’re likely to say what’s on our mind — for better or worse. What our sober self would have phrased more delicately suddenly slips right out.  
  • Things might even get physical. There’s a reason bar fights tend to get ugly. The “angry drunk” can start throwing punches (or plates, or furniture). Needless to say, physical violence is never okay and can quickly make an unpleasant situation outright dangerous. 
  • We could get irritable or hostile. You know how Seinfeld’s George Costanza gets riled up about perceived slights (for example, thinking that the waitress in the coffee shop is covertly flicking him off or that a driver, who ends up having a cast on his middle finger, is doing the same)? George doesn’t need alcohol to get hostile at the drop of our hat, but for many of us these heightened responses happen under the influence.  
  • Our impulses might be harder to control. Alcohol-induced aggression is often characterized by impulsive and reckless behavior, with little regard for the consequences of one's actions.
  • Memory impairment. One of the most serious and often devastating aspects of “raging under the influence” is that sometimes we forget that we do it. Booze can get in the way of memory formation and retrieval, leading to memory gaps around the outbursts or violent confrontations. (These days, if things get really ugly and we’re in a public place, chances are someone will tape it and we’ll end up seeing a visual reminder. But that doesn’t necessarily make things any better.) For more information, check out “What Happens When You Black Out From Drinking?

How To Overcome Alcoholic Rage Syndrome

Now that we know what alcoholic rage syndrome is, can we do anything about it? In other words, can we make our inner “Sammy” or “Jimmy” (or whatever name your boozy alter-ego might have) stay away for good? Absolutely.

  1. Consider cutting back. Now, this one’s obvious, but we’ll say it anyway — if your angry alter-ego insists on showing up over and over again, it might be time to cut back or take a break from booze altogether. 
  2. Know your triggers. What tends to rub you the wrong way or get under your skin, especially when you drink? Is it a certain subject of conversation? Global politics, the upcoming elections, or whether pineapple really does belong on pizza — whatever it is, steer clear of it before things escalate.
  3. Breathe out the stress. A lot of times, our anger (especially under the influence) gets ignited by underlying stress. Meditation and mindfulness can work wonders to ease the burden! Besides, a regular mindfulness practice is a science-backed way to reduce impulsivity by changing pathways in the brain while keeping alcohol cravings at bay. A double win!
  4. Set clear boundaries. If others’ aggression under the influence is the problem, communicate what behaviors are acceptable and which aren't. If aggression does occur, have a plan for enforcing consequences, such as stepping away from the situation to cool down.

If you do decide to take a break from booze, know that you’re in for a treat. In addition to helping your relationships, a life with less alcohol will leave you healthier and happier in a myriad different ways: your sleep will improve, your heart and liver will heal, you’ll find yourself getting sick less frequently, and you might even lose weight. And that’s just the beginning! If you need help starting, Reframe is here to help with science-backed strategies and tools to make the journey easy and fun.

Imagine this: everyone is sitting around the table, having a pleasant conversation, passing around platters of nachos and sipping on salt-rimmed margaritas. Everyone is acting presentable, and the atmosphere is, as they say “classy.” Then, a few margaritas in, the conversation gets a bit louder. You look over and see your friend’s face getting red and, before you know it, voices are raised and you’re wondering if you’ll have to duck when that plate of nachos goes flying across the table. Yikes!

We’ve heard of the “raging alcoholic” or “angry drunk” stereotype, but is there any truth to the idea? Is alcohol really the culprit? What is a raging alcoholic, and how does alcohol send someone into a drunken rage? What are some alcoholic rage symptoms? Let’s explore what alcoholic rage syndrome is all about.

What Is Alcoholic Rage Syndrome?

A man in distress holds his head while sitting in front of a beer bottle

If you follow true crime, you’ve heard about the notorious Murdaugh trials in South Carolina, with the latest being the trial of Alec Murdaugh convicted for killing his son and wife. And although nothing justifies murder, the son Paul Murdaugh was quite a character (and not in a good way). And much of it came down to his drinking. Those close to him would talk about his personality under the influence — a character prominent enough to be seen as his alter-ego, “Timmy.” What was Paul Murdaugh — “Timmy” — like when drunk? Well, let’s just say you wouldn’t want to get into Timmy’s way. Timmy would get angry. Timmy would get abusive. Ultimately, Timmy would lead to the death of Paul’s girlfriend who drowned in a boating accident that Paul (in drunken Timmy mode) was responsible for.

The truth is, while this case might be extreme, many of us might recognize signs of an inner Timmy in ourselves or in someone we know. Why are alcoholics angry? And do angry drunks mean what they say? Alcoholic rage syndrome, also known as alcohol-induced aggression or alcohol-related aggression, refers to a pattern of intense anger and aggression that occurs in people under the influence of alcohol. Ranging from verbal outbursts to physical violence, this behavior can pose a serious risk to our health and safety, as well as to the well-being of those around us. (For more information, check out “Why Do I Get Angry When I Drink?”)

A Link To ASPD

Does everyone have an “inner Timmy”? Not necessarily, studies show that while alcohol and aggression do, indeed, share a neurological link, not everyone gets aggressive after having a few too many.

In particular, “alcoholic rage syndrome” seems to be linked to antisocial personality disorder (ASPD). Those with tendencies to what’s colloquially known as sociopathy may be more prone to alcohol-related aggression. The hallmark traits of the condition involve difficulties empathizing with other people, disregarding societal norms for what’s considered “right” and “wrong,” ignoring the feelings of others, and behaving in impulsive ways.

1. Neurochemical Changes

Part of the story has to do with neurotransmitters. From the first sip, alcohol sends our brain chemistry into disarray, altering the delicate balance of neurochemicals in charge of impulse control and mood regulation. Here’s the gist:

  • Alcohol boosts the reward chemical, dopamine. The flood of dopamine causes temporary euphoria, making us feel chatty (sometimes too much so) and a bit “uplifted.” (But remember, what goes up must come down — sometimes way, way down).
  • It also boosts GABA while suppressing glutamate. At the same time, alcohol acts as a depressant by boosting the inhibitory neurotransmitter, GABA and butting the breaks on glutamate, its excitatory “partner.” The result? A “devil-may-care” attitude that can make it easier for us to exercise self control (more on this later).
  • There’s a seesaw effect as the brain tries to balance itself. While in the short run the inhibitory effects of alcohol “win out” (although aggression can still be part of the overall picture), the brain likes equilibrium and shifts to balance out the depressant effects. The result? Rebound agitation and anxiety, sometimes dubbed “hangxiety.” That unease we often feel the next day, in turn, can also come out as irritability and possible aggression.
  • Alcohol increases cortisol levels. Another link between alcohol and negative emotions, which can show up as anger, is stress. Yes, many of us think that drinking “relieves stress.” But that’s largely an illusion! In fact, alcohol has a neurochemical “dark side” — it raises the levels of the stress hormone cortisol, leading to increased anxiety as we’re drinking and adding to next-day unease.

Although the effects of alcohol on our brain chemistry kick in right away, over time the situation gets more and more complex. The brain gets used to the “new normal” and can lead to more pronounced long-term changes in our personality (read: our alter ego sets up camp and can become a permanent fixture). (For more information, check out  “How Alcohol Affects the Brain: A Look Into the Science” and “Alcohol and Emotions: How Alcohol Plays with Your Feelings.”)

A Link To ASPD

2. Disinhibition

By acting as a central nervous system depressant, alcohol also takes our prefrontal cortex — the hub of logic, and reasoning — temporarily “offline.” Without our decision-making powerhouse running the show, we have less control over our behavior and are more prone to impulsivity and aggression.

In other words, we’re likely to do things — including giving others an earful as soon as we feel irked — without thinking about the potential fallout. We might also misread social cues and lash out in response to perceived slights, non-existent threats, or frustrations.

3. Psychological “Baggage” and Social Influence

The past has a sneaky way of making a less-than-pleasant appearance when we’re drinking. It might be something small that nagged us recently — the way our partner never makes the bed or the way our mother-in-law said the paella we tried to impress her with needed more salt. On the other hand, something deeper and more traumatic could also resurface: we might be dealing with unresolved trauma, an illness of a close relative, or financial problems. Either way, mixing any type of psychological “baggage” with booze is trouble waiting to happen — our anger is that much more likely to erupt if there’s already trouble brewing in the background.

In a similar way, our present surroundings can play a role. If we hang out with people who throw digs at each other (or at us) or normalize alcohol-induced aggression, it’s more likely to make an appearance. Perhaps our friends play it off as funny, or maybe they downplay it due to their own insecurities — whatever the reason is, if our environment makes our “inner Timmy” feel welcome, he’s more likely to show up.

Cause of Effect?

While alcohol can induce rage, sometimes the tables are switched: we might also crave alcohol when we’re already angry. Why? The answer has to do with the nature of all cravings — they’re misguided attempts to feel better in the moment by silencing an emotion or external circumstance we don’t want to experience. The problem is, when booze becomes the answer, it backfires — big time. (To dive into the details, check out “Why Do I Crave Alcohol When I'm Angry?”)

Symptoms of Alcoholic Rage Syndrome

Symptoms of alcoholic rage syndrome run the gamut from verbal tiffs to outright violence. Here’s an overview:

  • We might become verbally aggressive. Science shows that alcohol brings out our aggressive side. With loosened inhibitions and heightened emotions, we’re likely to say what’s on our mind — for better or worse. What our sober self would have phrased more delicately suddenly slips right out.  
  • Things might even get physical. There’s a reason bar fights tend to get ugly. The “angry drunk” can start throwing punches (or plates, or furniture). Needless to say, physical violence is never okay and can quickly make an unpleasant situation outright dangerous. 
  • We could get irritable or hostile. You know how Seinfeld’s George Costanza gets riled up about perceived slights (for example, thinking that the waitress in the coffee shop is covertly flicking him off or that a driver, who ends up having a cast on his middle finger, is doing the same)? George doesn’t need alcohol to get hostile at the drop of our hat, but for many of us these heightened responses happen under the influence.  
  • Our impulses might be harder to control. Alcohol-induced aggression is often characterized by impulsive and reckless behavior, with little regard for the consequences of one's actions.
  • Memory impairment. One of the most serious and often devastating aspects of “raging under the influence” is that sometimes we forget that we do it. Booze can get in the way of memory formation and retrieval, leading to memory gaps around the outbursts or violent confrontations. (These days, if things get really ugly and we’re in a public place, chances are someone will tape it and we’ll end up seeing a visual reminder. But that doesn’t necessarily make things any better.) For more information, check out “What Happens When You Black Out From Drinking?

How To Overcome Alcoholic Rage Syndrome

Now that we know what alcoholic rage syndrome is, can we do anything about it? In other words, can we make our inner “Sammy” or “Jimmy” (or whatever name your boozy alter-ego might have) stay away for good? Absolutely.

  1. Consider cutting back. Now, this one’s obvious, but we’ll say it anyway — if your angry alter-ego insists on showing up over and over again, it might be time to cut back or take a break from booze altogether. 
  2. Know your triggers. What tends to rub you the wrong way or get under your skin, especially when you drink? Is it a certain subject of conversation? Global politics, the upcoming elections, or whether pineapple really does belong on pizza — whatever it is, steer clear of it before things escalate.
  3. Breathe out the stress. A lot of times, our anger (especially under the influence) gets ignited by underlying stress. Meditation and mindfulness can work wonders to ease the burden! Besides, a regular mindfulness practice is a science-backed way to reduce impulsivity by changing pathways in the brain while keeping alcohol cravings at bay. A double win!
  4. Set clear boundaries. If others’ aggression under the influence is the problem, communicate what behaviors are acceptable and which aren't. If aggression does occur, have a plan for enforcing consequences, such as stepping away from the situation to cool down.

If you do decide to take a break from booze, know that you’re in for a treat. In addition to helping your relationships, a life with less alcohol will leave you healthier and happier in a myriad different ways: your sleep will improve, your heart and liver will heal, you’ll find yourself getting sick less frequently, and you might even lose weight. And that’s just the beginning! If you need help starting, Reframe is here to help with science-backed strategies and tools to make the journey easy and fun.

Alcohol and Mental Health
2024-06-13 9:00
Alcohol and Mental Health
The Impact of Family Relationships and History on Drinking Habits
This is some text inside of a div block.

Explore how family relationships and history shape drinking habits, highlighting the roles of parental influence, family dynamics, and genetic predispositions, and offering strategies for healthier drinking behaviors.

9 min read

Understand How Family Relationships Influence Drinking

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!

Read Full Article  →

Understanding the intricate web of factors that influence drinking habits is essential in addressing alcohol misuse and developing healthier drinking behaviors. One of the most significant influences comes from family relationships and history. This article delves into how family dynamics and history can shape an individual's relationship with alcohol, and offers insights into fostering healthier drinking habits.

The Role of Family Relationships in Shaping Drinking Habits

The Impact of Family Relationships and History on Drinking Habits

Family relationships play a pivotal role in shaping an individual’s attitudes and behaviors towards alcohol. The impact can be both direct and indirect, influencing drinking habits through various mechanisms:

Parental Influence and Modeling

Parents serve as primary role models for their children. The way parents handle alcohol significantly affects their children's attitudes towards drinking. For instance, children of parents who drink responsibly are more likely to develop moderate drinking habits. Conversely, children who grow up in households where alcohol misuse is prevalent may adopt similar behaviors.

As discussed in How Parents' Drinking Habits Affect Their Kids, children of parents who misuse alcohol often face emotional and psychological challenges, including trust issues and low self-esteem. These children might internalize these issues and turn to alcohol as a coping mechanism.

Emotional and Psychological Impact

Growing up in a household with alcohol misuse can lead to long-lasting emotional and psychological effects. Children in such environments may experience neglect, emotional abuse, and inconsistent parenting, which can contribute to the development of unhealthy drinking habits later in life. The emotional turmoil and instability can push individuals towards alcohol as a means to escape or cope with their feelings.

Family Dynamics and Communication

The overall family dynamic and communication patterns also play a crucial role. In families where open communication about alcohol and its effects is encouraged, children are more likely to develop a healthy relationship with alcohol. On the other hand, in families where alcohol is a taboo subject, children might lack the information and support needed to understand and manage their drinking habits effectively.

The Impact of Family History on Drinking Habits

Family history, particularly the presence of alcohol use disorder (AUD) in close relatives, is a significant risk factor for developing similar issues. Genetics and environmental factors combine to influence drinking behaviors.

Genetic Predisposition

Research has shown that genetics can account for about 50% of the risk of developing AUD. If a parent or close relative struggles with alcohol misuse, the likelihood of an individual developing similar issues increases. This genetic predisposition means that some people are more vulnerable to the effects of alcohol and may develop dependence more quickly.

Learned Behaviors and Coping Mechanisms

Apart from genetics, learned behaviors play a critical role. Children often mimic their parents' coping mechanisms. If they observe their parents using alcohol to deal with stress, anxiety, or other emotional issues, they might adopt the same approach. This learned behavior can perpetuate a cycle of alcohol misuse across generations.

In the article Understanding Alcoholism's Impact on Families: How To Help, it is highlighted that the emotional and psychological toll on family members can lead to long-term issues, including fear, anxiety, and difficulties in forming healthy relationships. These factors can contribute to the development of unhealthy drinking habits.

Breaking the Cycle: Steps Towards Healthier Drinking Habits

Understanding the impact of family relationships and history on drinking habits is the first step towards breaking the cycle of alcohol misuse. Here are some strategies to foster healthier drinking behaviors:

Open Communication and Education

Encouraging open communication about alcohol and its effects within the family can help demystify the subject and provide children with the knowledge they need to make informed decisions. Education about the risks associated with alcohol misuse and the importance of moderation can empower individuals to develop healthier drinking habits.

Seeking Professional Help

For families struggling with alcohol misuse, seeking professional help can be crucial. Therapy and counseling can address underlying emotional and psychological issues, providing family members with the tools they need to cope in healthier ways. Family therapy can also help improve communication and strengthen relationships, creating a supportive environment for recovery.

Building Healthy Coping Mechanisms

Developing and promoting healthy coping mechanisms is essential in preventing alcohol misuse. Encouraging activities such as exercise, meditation, and hobbies can provide alternative ways to deal with stress and emotional challenges. Teaching children and adolescents healthy ways to cope with life's difficulties can reduce their reliance on alcohol as a coping tool.

Support Groups and Resources

Support groups like Al-Anon and Alateen offer support to family members affected by someone else's drinking. These groups provide a safe space to share experiences, gain insights, and find support from others facing similar challenges. Engaging with such resources can help family members navigate the complexities of alcohol misuse and its impact on their lives.

Conclusion

Family relationships and history significantly influence drinking habits. Understanding these influences is crucial in developing strategies to promote healthier drinking behaviors. By fostering open communication, seeking professional help, building healthy coping mechanisms, and utilizing support groups, individuals and families can break the cycle of alcohol misuse and build a healthier future.

By exploring these related articles, you can gain a deeper understanding of the various factors influencing drinking habits and find additional strategies to support healthier drinking behaviors.

Understanding the intricate web of factors that influence drinking habits is essential in addressing alcohol misuse and developing healthier drinking behaviors. One of the most significant influences comes from family relationships and history. This article delves into how family dynamics and history can shape an individual's relationship with alcohol, and offers insights into fostering healthier drinking habits.

The Role of Family Relationships in Shaping Drinking Habits

The Impact of Family Relationships and History on Drinking Habits

Family relationships play a pivotal role in shaping an individual’s attitudes and behaviors towards alcohol. The impact can be both direct and indirect, influencing drinking habits through various mechanisms:

Parental Influence and Modeling

Parents serve as primary role models for their children. The way parents handle alcohol significantly affects their children's attitudes towards drinking. For instance, children of parents who drink responsibly are more likely to develop moderate drinking habits. Conversely, children who grow up in households where alcohol misuse is prevalent may adopt similar behaviors.

As discussed in How Parents' Drinking Habits Affect Their Kids, children of parents who misuse alcohol often face emotional and psychological challenges, including trust issues and low self-esteem. These children might internalize these issues and turn to alcohol as a coping mechanism.

Emotional and Psychological Impact

Growing up in a household with alcohol misuse can lead to long-lasting emotional and psychological effects. Children in such environments may experience neglect, emotional abuse, and inconsistent parenting, which can contribute to the development of unhealthy drinking habits later in life. The emotional turmoil and instability can push individuals towards alcohol as a means to escape or cope with their feelings.

Family Dynamics and Communication

The overall family dynamic and communication patterns also play a crucial role. In families where open communication about alcohol and its effects is encouraged, children are more likely to develop a healthy relationship with alcohol. On the other hand, in families where alcohol is a taboo subject, children might lack the information and support needed to understand and manage their drinking habits effectively.

The Impact of Family History on Drinking Habits

Family history, particularly the presence of alcohol use disorder (AUD) in close relatives, is a significant risk factor for developing similar issues. Genetics and environmental factors combine to influence drinking behaviors.

Genetic Predisposition

Research has shown that genetics can account for about 50% of the risk of developing AUD. If a parent or close relative struggles with alcohol misuse, the likelihood of an individual developing similar issues increases. This genetic predisposition means that some people are more vulnerable to the effects of alcohol and may develop dependence more quickly.

Learned Behaviors and Coping Mechanisms

Apart from genetics, learned behaviors play a critical role. Children often mimic their parents' coping mechanisms. If they observe their parents using alcohol to deal with stress, anxiety, or other emotional issues, they might adopt the same approach. This learned behavior can perpetuate a cycle of alcohol misuse across generations.

In the article Understanding Alcoholism's Impact on Families: How To Help, it is highlighted that the emotional and psychological toll on family members can lead to long-term issues, including fear, anxiety, and difficulties in forming healthy relationships. These factors can contribute to the development of unhealthy drinking habits.

Breaking the Cycle: Steps Towards Healthier Drinking Habits

Understanding the impact of family relationships and history on drinking habits is the first step towards breaking the cycle of alcohol misuse. Here are some strategies to foster healthier drinking behaviors:

Open Communication and Education

Encouraging open communication about alcohol and its effects within the family can help demystify the subject and provide children with the knowledge they need to make informed decisions. Education about the risks associated with alcohol misuse and the importance of moderation can empower individuals to develop healthier drinking habits.

Seeking Professional Help

For families struggling with alcohol misuse, seeking professional help can be crucial. Therapy and counseling can address underlying emotional and psychological issues, providing family members with the tools they need to cope in healthier ways. Family therapy can also help improve communication and strengthen relationships, creating a supportive environment for recovery.

Building Healthy Coping Mechanisms

Developing and promoting healthy coping mechanisms is essential in preventing alcohol misuse. Encouraging activities such as exercise, meditation, and hobbies can provide alternative ways to deal with stress and emotional challenges. Teaching children and adolescents healthy ways to cope with life's difficulties can reduce their reliance on alcohol as a coping tool.

Support Groups and Resources

Support groups like Al-Anon and Alateen offer support to family members affected by someone else's drinking. These groups provide a safe space to share experiences, gain insights, and find support from others facing similar challenges. Engaging with such resources can help family members navigate the complexities of alcohol misuse and its impact on their lives.

Conclusion

Family relationships and history significantly influence drinking habits. Understanding these influences is crucial in developing strategies to promote healthier drinking behaviors. By fostering open communication, seeking professional help, building healthy coping mechanisms, and utilizing support groups, individuals and families can break the cycle of alcohol misuse and build a healthier future.

By exploring these related articles, you can gain a deeper understanding of the various factors influencing drinking habits and find additional strategies to support healthier drinking behaviors.

Alcohol and Mental Health