Binge Drinking

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Latest Articles
2023-06-19 9:00
Binge Drinking
Are You Drinking a Bottle of Wine a Day?
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A standard 750 ml bottle of wine typically contains around five 5-ounce glasses, each potentially carrying between 0.6 and 0.75 ounces of pure alcohol. Understanding the contents of a wine bottle can help us make healthier choices, especially for those attempting to reduce or quit alcohol consumption.

8 min read
Read Full Article  →

Many of us have stared at a bottle of wine on the table, running through the mental math of just how much alcohol is in there — and how much is in our glass. When it comes to figuring out exactly how much wine counts as a “drink,” things can get tricky: glasses come in vastly different sizes, and wine bottles can vary by volume.

The Science of Standard

Ever wondered why wine bottles have a standard size? It's not just for aesthetics. The standard bottle size of 750 ml — about 25.4 ounces — is tied to the metric system to keep things consistent for the purposes of international trade. Moreover, it’s a size that has been found to provide optimal conditions for wine aging due to the wine-to-air ratio.

How many glasses does this translate into? Well, it depends on the size of the glass and the pour. A typical serving in most establishments is about 5 ounces. So, if we do the math, a standard bottle will provide around five glasses of wine.

Wine Math

But here’s where it gets a bit more complex. Alcohol content varies between different types of wine, usually ranging from 12 to 15 percent, and sometimes more. That means that each 5-ounce glass could contain between 0.6 and 0.75 ounces of pure alcohol.

Now, these numbers might seem small, but they can accumulate. The Centers for Disease Control and Prevention (CDC) defines moderate drinking as up to one drink per day for women and up to two drinks per day for men. One "drink" in the CDC's terms is roughly equivalent to 14 grams, or 0.6 ounces, of pure alcohol — in the lower end of what you might get from a glass of wine.

“Not That Innocent”

Despite the age-old claim of wine being beneficial for the heart, the sobering truth is that alcohol, including wine, is a psychoactive substance with potential for harm. Studies show that alcohol affects our bodies in various ways, from our brain function to our metabolism, even potentially disrupting our sleep patterns.

For this reason, it’s vital to drink responsibly, being mindful of the number of glasses we consume. However, this is sometimes easier said than done.

Isn't it curious how a bottle of wine, once opened, can seem to vanish faster than we intended? It's all too easy to lose track of our glasses, especially when we're caught up in lively conversations, delicious food, and the ambience of a cozy night in or a dinner party. Each pour may not seem like much — but before we know it, the bottle is empty!

Why Wine Is Sneaky

A couple of factors play into wine’s disappearing act. First, there’s the nature of wine itself. The nuanced flavors, the way it can complement our meals, and even its role in our social rituals can make it all too easy to reach for the next glass.

Moreover, the size of our wine glasses can be misleading. Modern wine glasses have grown over the years: they can hold a substantial amount, so we might be pouring more than the standard 5-ounce serving without realizing it. One pour in these glasses could be closer to two standard servings!

Finally, the alcohol in wine can lower our inhibitions and impair our judgment about how much we're drinking. And let's not forget — if we're pouring our own, there's a chance that each glass just might get a bit more generous as the evening goes on.

Staying in Balance

Awareness is our best friend. Understanding the contents of our wine bottle and being mindful of our consumption can help keep enjoyment of wine balanced and healthy, preventing the accidental vanishing act of a whole bottle.

It can be useful to visualize the wine bottle in terms of standard drinks, remembering that each bottle usually contains around five standard glasses.

Every glass we pour is an opportunity to engage in mindful drinking — savoring the wine’s taste and aroma, and also understanding its impact on our bodies and our health.

The Last Drop

A bottle of wine is more than just a pretty centerpiece or cultural symbol: it has important implications for our health. Our understanding and awareness of this can make a significant difference in our overall well-being and quality of life, particularly if we're trying to cut back on or quit alcohol.

So, the next time we uncork a bottle of wine, let's pause for a moment. Let's remember the journey we've taken to understand its contents and treat each glass with the respect and awareness it deserves.

Ready To Shake Up Your Drinking Habits?

The Reframe app is here for you! 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!

Many of us have stared at a bottle of wine on the table, running through the mental math of just how much alcohol is in there — and how much is in our glass. When it comes to figuring out exactly how much wine counts as a “drink,” things can get tricky: glasses come in vastly different sizes, and wine bottles can vary by volume.

The Science of Standard

Ever wondered why wine bottles have a standard size? It's not just for aesthetics. The standard bottle size of 750 ml — about 25.4 ounces — is tied to the metric system to keep things consistent for the purposes of international trade. Moreover, it’s a size that has been found to provide optimal conditions for wine aging due to the wine-to-air ratio.

How many glasses does this translate into? Well, it depends on the size of the glass and the pour. A typical serving in most establishments is about 5 ounces. So, if we do the math, a standard bottle will provide around five glasses of wine.

Wine Math

But here’s where it gets a bit more complex. Alcohol content varies between different types of wine, usually ranging from 12 to 15 percent, and sometimes more. That means that each 5-ounce glass could contain between 0.6 and 0.75 ounces of pure alcohol.

Now, these numbers might seem small, but they can accumulate. The Centers for Disease Control and Prevention (CDC) defines moderate drinking as up to one drink per day for women and up to two drinks per day for men. One "drink" in the CDC's terms is roughly equivalent to 14 grams, or 0.6 ounces, of pure alcohol — in the lower end of what you might get from a glass of wine.

“Not That Innocent”

Despite the age-old claim of wine being beneficial for the heart, the sobering truth is that alcohol, including wine, is a psychoactive substance with potential for harm. Studies show that alcohol affects our bodies in various ways, from our brain function to our metabolism, even potentially disrupting our sleep patterns.

For this reason, it’s vital to drink responsibly, being mindful of the number of glasses we consume. However, this is sometimes easier said than done.

Isn't it curious how a bottle of wine, once opened, can seem to vanish faster than we intended? It's all too easy to lose track of our glasses, especially when we're caught up in lively conversations, delicious food, and the ambience of a cozy night in or a dinner party. Each pour may not seem like much — but before we know it, the bottle is empty!

Why Wine Is Sneaky

A couple of factors play into wine’s disappearing act. First, there’s the nature of wine itself. The nuanced flavors, the way it can complement our meals, and even its role in our social rituals can make it all too easy to reach for the next glass.

Moreover, the size of our wine glasses can be misleading. Modern wine glasses have grown over the years: they can hold a substantial amount, so we might be pouring more than the standard 5-ounce serving without realizing it. One pour in these glasses could be closer to two standard servings!

Finally, the alcohol in wine can lower our inhibitions and impair our judgment about how much we're drinking. And let's not forget — if we're pouring our own, there's a chance that each glass just might get a bit more generous as the evening goes on.

Staying in Balance

Awareness is our best friend. Understanding the contents of our wine bottle and being mindful of our consumption can help keep enjoyment of wine balanced and healthy, preventing the accidental vanishing act of a whole bottle.

It can be useful to visualize the wine bottle in terms of standard drinks, remembering that each bottle usually contains around five standard glasses.

Every glass we pour is an opportunity to engage in mindful drinking — savoring the wine’s taste and aroma, and also understanding its impact on our bodies and our health.

The Last Drop

A bottle of wine is more than just a pretty centerpiece or cultural symbol: it has important implications for our health. Our understanding and awareness of this can make a significant difference in our overall well-being and quality of life, particularly if we're trying to cut back on or quit alcohol.

So, the next time we uncork a bottle of wine, let's pause for a moment. Let's remember the journey we've taken to understand its contents and treat each glass with the respect and awareness it deserves.

Ready To Shake Up Your Drinking Habits?

The Reframe app is here for you! 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!

Binge Drinking
2023-06-19 9:00
Binge Drinking
What Happens When You Black Out From Drinking?
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Experiencing a "blackout" is more than simply forgetting parts of a night out — it could point to a larger issue. Unravel the complex relationship between our brain, memories, and drinking.

11 min read

Take Charge 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 through the App Store or Google Play today!

Read Full Article  →

Surely we’ve all heard the stories that start with, "I was having such a good time last night, but I don't remember how I got home." This is often met with a hearty laugh or two, and life goes on. There are even songs that praise drinking until blackout; in “Last Friday Night,” Katy Perry sang “It’s a blacked out blur / but I’m pretty sure it ruled.”

Blackouts from drinking are highly normalized in society, but they shouldn’t be. The truth is, blackouts are more than short-term memory gaps. They’re hazards to our well-being.

So what is a blackout, and what exactly is happening on a neurological level? What causes blackouts? And most importantly, how do we prevent blackouts?

What Is a Blackout?

First, let's take a moment to understand what's really happening in our body and brain when we experience a blackout.

A person leaning over a table holding a drink

A blackout is not about “passing out” — losing consciousness or falling asleep — on the couch. It’s not only about forgetting parts of a drunken night. A blackout involves a significant disruption in the brain's memory creation process due to alcohol.

Imagine you’re a journalist conducting an important interview for an article. A blackout is similar to realizing, the next morning, that none of your important conversation saved –– even though you thought you pressed “record” and may still have the vaguest sense of what was said.

In a blackout, it's as if our brain has hit the "pause" button on its memory-recording function. This happens because alcohol, particularly in large quantities, interferes with the hippocampus, the part of our brain responsible for creating new memories.

When the hippocampus creates new memories, it transfers them from short- to long-term memory storage. Excess drinking in a short period of time blocks this transfer. As a result, we experience temporary memory loss.

Different Types of Blackouts

When we black out from drinking, we're experiencing a temporary form of amnesia. Try as we might, we simply can't recall events that occurred while we were intoxicated.

There are two types of blackouts, depending on how severe the impairments to our memory:

  1. Fragmentary blackouts. In this type of blackout, memories are recalled as “islands” or isolated clusters with missing periods of time in between. You may remember ordering another shot, or fiddling with the lock on your door, or watching a friend get into an Uber, but can’t quite put it together. Some people also know this type as a “brownout.”
  2. “En bloc” blackouts. These blackouts mean complete amnesia, in which the entire episode is blocked out. Since memories were not at all made during this timespan, none can be recovered. Someone in the middle of an en bloc blackout will likely be able to hold a conversation and recall things that have happened in the past couple minutes, but once they sober up the entire episode will be missing.

Both types of blackouts can lead us to perform actions we later regret, such as sending drunk texts or getting into arguments. We may also experience anxiety as a result of not remembering anything from the night before.

Of course, blackouts can be dangerous for many reasons — we may lose important items (such as our wallet or keys) or even get into confusing or unsafe situations. Aside from the immediate dangers, repeatedly blacking out can lead to a cycle of shame, regret, and mental health struggles.

Why Do I Black Out When I Drink?

Here's a surprising fact: we don't necessarily have to be falling-over-drunk to experience a blackout. Research shows that blackouts can occur after consuming just 3-4 drinks in an hour, especially on an empty stomach. That's about the equivalent of three glasses of wine or three bottles of beer.

We may not be falling down from this amount of alcohol, but it is considered binge drinking. When we drink in excess within a short time frame, our bodies struggle to process the alcohol, leading to a rapid rise in blood alcohol concentration (BAC). Because alcohol affects men and women differently, due to body size and composition, the definitions of binge drinking differ as follows:

  • Men. For those assigned male at birth, 5 or more drinks in about 2 hours.
  • Women. For those assigned female at birth, 4 or more drinks within 2 hours.

Special note for transgender and nonbinary people: There are no standard guidelines or definitions of drinking levels for transgender and nonbinary individuals. Generally, drinking level guidelines from doctors will depend on the duration of hormone therapy (if any) and other genetic and health factors. However, based on estimates from researchers and advocates utilizing a combination of measurements, binge drinking in the trans population seems to be higher than in the cisgender population.

Ultimately, someone can black out on a surprisingly “normal” amount of alcohol — everyone is different, and every drinking situation is different. Remember, it's not just about how much we drink, but how quickly we drink. Downing our drinks rapidly spikes the alcohol level in our bloodstream. This spike overwhelms the hippocampus, disrupting the memory and leading to a blackout.

Risks of Blackouts From Drinking Alcohol

While we might be tempted to shrug off a blackout as a one-time event, frequently getting blackout drunk could point towards a larger issue. Chronic heavy drinking can lead to severe health issues: liver disease, heart disease, and an increased risk of certain cancers, just to name a few.

In addition to physical health risks, blacking out can also place us in risky or outright dangerous situations. For instance, consider driving home after a night out. Our brain is functioning without the ability to form new memories, impairing our decision-making ability and potentially leading to disastrous outcomes — crashes, DUIs, or worse.

When do we know when our drinking might be problematic? We might believe that we're just social drinkers, enjoying a couple of glasses with friends. However, if we're frequently waking up with hazy memories or unexplained bruises, it might be time to reassess our relationship with alcohol.

Experiencing frequent blackouts is a sign that our drinking is problematic: we’re consistently consuming alcohol at a level that is physically altering how our brain works. The long-term risks are not worth the temporary fix for which many of us turn to alcohol.

How To Stop Getting Blackout Drunk

Blacking out isn't just about a forgotten drunken night; it points to a deep relationship between our brain, our behavior, and the outcomes of our life.

If we feel our relationship to drinking has become overwhelming, the key lies in recognizing, understanding, and taking steps towards change.

We're not powerless in the face of this challenge. A good first step is to keep an eye on how much we're drinking, how often, how quickly, and what emotions surround our decision.

Seeking community and professional help may be crucial if we're struggling to manage our drinking habits on our own. If you’re worried for yourself or someone you love, help is available. Reach out! Your long-term well-being is always worth it.

Surely we’ve all heard the stories that start with, "I was having such a good time last night, but I don't remember how I got home." This is often met with a hearty laugh or two, and life goes on. There are even songs that praise drinking until blackout; in “Last Friday Night,” Katy Perry sang “It’s a blacked out blur / but I’m pretty sure it ruled.”

Blackouts from drinking are highly normalized in society, but they shouldn’t be. The truth is, blackouts are more than short-term memory gaps. They’re hazards to our well-being.

So what is a blackout, and what exactly is happening on a neurological level? What causes blackouts? And most importantly, how do we prevent blackouts?

What Is a Blackout?

First, let's take a moment to understand what's really happening in our body and brain when we experience a blackout.

A person leaning over a table holding a drink

A blackout is not about “passing out” — losing consciousness or falling asleep — on the couch. It’s not only about forgetting parts of a drunken night. A blackout involves a significant disruption in the brain's memory creation process due to alcohol.

Imagine you’re a journalist conducting an important interview for an article. A blackout is similar to realizing, the next morning, that none of your important conversation saved –– even though you thought you pressed “record” and may still have the vaguest sense of what was said.

In a blackout, it's as if our brain has hit the "pause" button on its memory-recording function. This happens because alcohol, particularly in large quantities, interferes with the hippocampus, the part of our brain responsible for creating new memories.

When the hippocampus creates new memories, it transfers them from short- to long-term memory storage. Excess drinking in a short period of time blocks this transfer. As a result, we experience temporary memory loss.

Different Types of Blackouts

When we black out from drinking, we're experiencing a temporary form of amnesia. Try as we might, we simply can't recall events that occurred while we were intoxicated.

There are two types of blackouts, depending on how severe the impairments to our memory:

  1. Fragmentary blackouts. In this type of blackout, memories are recalled as “islands” or isolated clusters with missing periods of time in between. You may remember ordering another shot, or fiddling with the lock on your door, or watching a friend get into an Uber, but can’t quite put it together. Some people also know this type as a “brownout.”
  2. “En bloc” blackouts. These blackouts mean complete amnesia, in which the entire episode is blocked out. Since memories were not at all made during this timespan, none can be recovered. Someone in the middle of an en bloc blackout will likely be able to hold a conversation and recall things that have happened in the past couple minutes, but once they sober up the entire episode will be missing.

Both types of blackouts can lead us to perform actions we later regret, such as sending drunk texts or getting into arguments. We may also experience anxiety as a result of not remembering anything from the night before.

Of course, blackouts can be dangerous for many reasons — we may lose important items (such as our wallet or keys) or even get into confusing or unsafe situations. Aside from the immediate dangers, repeatedly blacking out can lead to a cycle of shame, regret, and mental health struggles.

Why Do I Black Out When I Drink?

Here's a surprising fact: we don't necessarily have to be falling-over-drunk to experience a blackout. Research shows that blackouts can occur after consuming just 3-4 drinks in an hour, especially on an empty stomach. That's about the equivalent of three glasses of wine or three bottles of beer.

We may not be falling down from this amount of alcohol, but it is considered binge drinking. When we drink in excess within a short time frame, our bodies struggle to process the alcohol, leading to a rapid rise in blood alcohol concentration (BAC). Because alcohol affects men and women differently, due to body size and composition, the definitions of binge drinking differ as follows:

  • Men. For those assigned male at birth, 5 or more drinks in about 2 hours.
  • Women. For those assigned female at birth, 4 or more drinks within 2 hours.

Special note for transgender and nonbinary people: There are no standard guidelines or definitions of drinking levels for transgender and nonbinary individuals. Generally, drinking level guidelines from doctors will depend on the duration of hormone therapy (if any) and other genetic and health factors. However, based on estimates from researchers and advocates utilizing a combination of measurements, binge drinking in the trans population seems to be higher than in the cisgender population.

Ultimately, someone can black out on a surprisingly “normal” amount of alcohol — everyone is different, and every drinking situation is different. Remember, it's not just about how much we drink, but how quickly we drink. Downing our drinks rapidly spikes the alcohol level in our bloodstream. This spike overwhelms the hippocampus, disrupting the memory and leading to a blackout.

Risks of Blackouts From Drinking Alcohol

While we might be tempted to shrug off a blackout as a one-time event, frequently getting blackout drunk could point towards a larger issue. Chronic heavy drinking can lead to severe health issues: liver disease, heart disease, and an increased risk of certain cancers, just to name a few.

In addition to physical health risks, blacking out can also place us in risky or outright dangerous situations. For instance, consider driving home after a night out. Our brain is functioning without the ability to form new memories, impairing our decision-making ability and potentially leading to disastrous outcomes — crashes, DUIs, or worse.

When do we know when our drinking might be problematic? We might believe that we're just social drinkers, enjoying a couple of glasses with friends. However, if we're frequently waking up with hazy memories or unexplained bruises, it might be time to reassess our relationship with alcohol.

Experiencing frequent blackouts is a sign that our drinking is problematic: we’re consistently consuming alcohol at a level that is physically altering how our brain works. The long-term risks are not worth the temporary fix for which many of us turn to alcohol.

How To Stop Getting Blackout Drunk

Blacking out isn't just about a forgotten drunken night; it points to a deep relationship between our brain, our behavior, and the outcomes of our life.

If we feel our relationship to drinking has become overwhelming, the key lies in recognizing, understanding, and taking steps towards change.

We're not powerless in the face of this challenge. A good first step is to keep an eye on how much we're drinking, how often, how quickly, and what emotions surround our decision.

Seeking community and professional help may be crucial if we're struggling to manage our drinking habits on our own. If you’re worried for yourself or someone you love, help is available. Reach out! Your long-term well-being is always worth it.

Binge Drinking
2023-06-15 9:00
Binge Drinking
Blood Alcohol Content: The Comprehensive Guide To Understanding BAC Levels
This is some text inside of a div block.

Blood alcohol content refers to the amount of alcohol present in the blood as it’s being metabolized. BAC values are useful in assessing the potential level of impairment that comes with alcohol consumption.

19 min read

Boost Your Health and Well-Being 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  →

For many of us, the term BAC is all too familiar, sometimes for unfortunate reasons. It's the three-letter acronym many of us have come across at some point, especially after having a drink or two. But what does that three-letter acronym really mean? And how can we use our knowledge of it to change our drinking habits, and ultimately, improve our health?

If you’re wondering what BAC stands for and how it relates to your drinking habits, you’ve come to the right place. In this blog post, we’ll unpack the meaning behind BAC levels and why these metrics are so effective in measuring intoxication. Let’s take a look!

BAC: A Little Background

a hand holding a device to measure the temperature of a glass of wine

"BAC" stands for blood alcohol content, a metric that quantifies the amount of alcohol present in our bloodstream. It is generally measured as a percentage, which signifies the grams of alcohol contained per 100 grams of blood.

For instance, a BAC of 0.08% means that there are 0.08 grams of alcohol per 100 grams of blood. This specific figure, 0.08%, is noteworthy, because it serves as the legal driving limit in many U.S. states, as well as other countries around the world. Exceeding this limit while driving not only is illegal but also puts the driver and others at significant risk of harm or death.

Alcohol Metabolism in the Liver

As soon as alcohol is consumed, the liver immediately begins the process of metabolizing it. This involves enzymatic reactions that convert alcohol into less harmful substances that can be more easily excreted from the body. However, the liver has its limitations.

On average, a healthy liver can metabolize roughly one standard drink per hour. A "standard drink" in the United States contains around 14 grams of pure alcohol, which equates to a 12-ounce beer, 5-ounce glass of wine, or 1.5-ounce shot of distilled spirits.

When alcohol consumption exceeds the liver's metabolic capacity, the excess alcohol doesn't just magically disappear. It circulates throughout the bloodstream. This elevates the BAC, which in turn escalates both immediate and long-term risks. Elevated BAC levels can adversely affect various physiological processes, from reaction times and coordination to more vital functions like respiration and heart rate.

Moreover, the liver prioritizes alcohol metabolism over other metabolic processes, effectively putting the digestion and processing of other nutrients and substances on hold. The implications are manifold, affecting not just liver health but also metabolic rates, digestion, and nutrient absorption.

Which Factors Influence BAC?

Blood alcohol content (BAC) isn't a static metric. It's subject to a multitude of factors that can affect how quickly or slowly alcohol is metabolized in the body. Understanding these factors is crucial for gauging how alcohol will affect you, both in the short term and long term. Here's a detailed look at the various elements that influence BAC:

Age

As we age, our bodies become less efficient at metabolizing alcohol. The liver's enzymatic activity decreases, and our total body water content also diminishes. This combination can lead to elevated BAC levels in older individuals, even if they consume the same amount of alcohol as younger people.

Sex

Biological differences between men and women can significantly impact BAC. Women generally have a higher percentage of body fat and lower water content compared to men, which can result in a higher concentration of alcohol in the bloodstream. Additionally, hormonal fluctuations during menstrual cycles may also affect alcohol metabolism rates.

Weight and Body Composition

Body weight plays a pivotal role in determining BAC. Generally, a person with more body weight will have a lower BAC after consuming the same amount of alcohol as someone lighter. However, body composition (the proportion of muscle to fat) is also crucial to determining BAC. Muscle tissue contains more water, which can dilute alcohol, thereby lowering BAC.

Liver Health

The liver is the primary organ responsible for metabolizing alcohol. Any form of liver impairment, whether temporary or chronic, will slow down this process. Conditions like fatty liver, hepatitis, and cirrhosis can substantially impede the liver's ability to break down alcohol, resulting in higher and more prolonged elevated BAC levels.

Food Intake

Eating before or while drinking can slow down the absorption of alcohol into the bloodstream, resulting in a slower rise in BAC. Foods rich in fats and proteins are particularly effective in this regard.

Rate of Consumption

Consuming large amounts of alcohol in a short period (binge drinking) can overwhelm the liver’s metabolic capacity, leading to rapid spikes in BAC. This places immense stress on the liver and other bodily systems, increasing immediate and long-term health risks.

Medications

Certain medications can interact with alcohol metabolism, either by slowing down liver function or by altering the effects of alcohol on the nervous system. This can result in an unexpectedly high BAC and increase the potential for harmful interactions.

Genetic Factors

Genetic makeup can influence the rate of alcohol metabolism, affecting enzymes involved in breaking down alcohol. Some individuals might have genetic variants that either accelerate or inhibit alcohol metabolism, thereby impacting their BAC differently.

Chronic Alcohol Consumption

Long-term excessive drinking can not only damage the liver but also lead to tolerance, requiring higher amounts of alcohol to achieve the same effects. However, tolerance does not affect BAC; a seasoned drinker with a high tolerance may function seemingly 'normally' even with a high BAC, but the health risks remain.

Why BAC Matters: The Impacts on Our Health

Why does BAC matter? Well, as it turns out, even low levels of alcohol in our blood can have significant impacts on our mental and physical health. When our BAC begins to climb, so, too, does the severity of the potential risks and impacts on the body. Here's a snapshot of what can occur at different BAC levels:

  • BAC of 0.02%-0.05%: At this level, we may experience altered mood, decreased inhibition, and minor motor impairment.
  • BAC of 0.06-0.15%: At these levels, we may experience a "feel good" stage initially, with decreased inhibitions and increased sociability. But we’ll also start to notice impairments in speech, memory, attention, coordination, and balance. Reflexes slow down and the risk of injury increases significantly. With a BAC of 0.08%, it's illegal to drive in most U.S. states. (Zero-tolerance limits vary: .02% in most states; .00% in Alaska, Arizona, D.C., Illinois, Maine, Minnesota, North Carolina, and Oregon; and .01% in New Jersey.)
  • BAC of 0.16-0.30%: This is where things get scary. We're talking potential blackouts, vomiting, and major loss of motor control. It becomes difficult to walk or stand, and the chances of injury, including falls and alcohol-related accidents, increase exponentially. Cognitive functions significantly decrease, and consciousness can slip away.
  • BAC above 0.31%: This is alcohol poisoning territory, and it's life-threatening. The person may be unconscious, stop breathing, or experience seizures. Long term, we’re looking at the risk of irreversible brain damage. Without immediate medical treatment, a BAC above 0.31% can lead to coma or death.

In addition to these acute effects, consistently high BAC levels over time are linked to chronic health problems, including liver disease, pancreatitis, certain types of cancer, stroke, and mental health disorders. It can also lead to a condition called alcohol use disorder (AUD), which brings with it a whole host of additional health and social problems.

BAC in the News

Recently, several studies have deepened our understanding of the relationship between BAC and its effects. Several found a correlation between BAC levels and sleep quality.

The relationship between alcohol, BAC levels, and sleep is an intriguing one. A lot of people believe that alcohol helps them sleep better because it often makes them feel drowsy and can even help them fall asleep faster. But the effects on sleep quality? That's another story!

When we sleep, our bodies cycle through several stages, including light sleep, deep sleep, and rapid eye movement (REM) sleep associated with dreaming and consolidation of memories. As it turns out, even moderate BAC levels can interfere with our sleep cycle.

Alcohol suppresses REM sleep early in the night and can lead to an increase in REM sleep in the second half of the night, which is a phenomenon known as "REM rebound.” This disturbed sleep pattern can lead to a number of issues, such as daytime drowsiness, poor concentration, and mood disorders. More severe disruptions can lead to a slew of problems, like bad moods, increased anxiety, and cognitive decline.

Keeping BAC in Check

If you're contemplating reducing your alcohol intake or quitting entirely, being well-informed about your BAC levels is vital. This knowledge empowers you to make prudent decisions about alcohol consumption and to monitor its physiological impacts more closely.

When it comes to keeping your BAC within a safer range, there are several effective strategies to consider:

  • Pace yourself. One of the most straightforward ways to manage your BAC is by controlling the rate at which you consume alcohol. The liver can metabolize roughly one standard drink per hour. Knowing this can help you pace yourself, ensuring that you don't overload your liver and end up with a dangerously high BAC.
  • Hydrate. Drinking water between alcoholic beverages can slow the absorption of alcohol by your body, thereby helping to keep your BAC in check. This strategy also has the added benefit of reducing the chances of a hangover the next day.
  • Eat before drinking. Consuming food, particularly protein and fat-rich foods, can slow down the absorption of alcohol into your bloodstream. This leads to a slower, more manageable rise in BAC, giving your liver more time to metabolize the alcohol.
  • Plan your journey. If you decide to consume alcohol, ensure you have a transport plan that doesn't involve you driving. Whether it's a designated driver, a taxi, or public transportation, planning ahead can prevent dangerous situations.

Tools To Monitor BAC


To further aid your efforts in understanding and controlling your BAC, technology can be of assistance:

  • BAC calculators. These are apps or online tools that attempt to estimate your BAC based on various parameters like weight, age, the amount of alcohol consumed, and the time period over which it was consumed. While not perfectly accurate, they can give you a rough idea of your BAC.
  • Personal breathalyzers. More reliable than BAC calculators, handheld breathalyzers can offer a quick way to gauge your current BAC. Though not as accurate as professional-grade devices used by law enforcement, they can still provide valuable information.

Benefits of Reduced Alcohol Intake

Furthermore, minimizing alcohol consumption can bring about a cascade of health benefits:

  1. Improved sleep. Alcohol, despite its initial sedative effect, disrupts sleep patterns, particularly the REM stage, which can impact your cognitive functions and mood.
  2. Clearer skin. Alcohol dehydrates the body, including the skin, leading to premature aging and acne.
  3. Better mental health. Reduced alcohol intake can result in improved mood and reduced levels of anxiety and depression.
  4. Weight management. Alcohol is calorie-dense and can contribute to weight gain. Cutting back can be a significant step toward weight loss.
  5. Reduced risk of chronic diseases. Lowering alcohol consumption reduces the risk of liver diseases, some types of cancer, cardiovascular issues, and gastrointestinal problems.
  6. Financial benefits. Drinking less also means spending less on alcohol, which can translate to significant financial savings over time.

Blood Alcohol Content: Key Takeaways

The more you understand about BAC and how various factors influence it, the more control you can have over your drinking habits. By making informed choices about alcohol consumption, you're not just staying on the right side of the law; you're also honoring your body, protecting your health, and moving closer to achieving your life goals.

By being aware of your BAC and how your body metabolizes alcohol, you can better navigate social situations that involve drinking, make informed decisions about when it's safe — or not — to drive, and minimize both immediate and long-term health risks. Here’s to healthier choices and a healthier you!

For many of us, the term BAC is all too familiar, sometimes for unfortunate reasons. It's the three-letter acronym many of us have come across at some point, especially after having a drink or two. But what does that three-letter acronym really mean? And how can we use our knowledge of it to change our drinking habits, and ultimately, improve our health?

If you’re wondering what BAC stands for and how it relates to your drinking habits, you’ve come to the right place. In this blog post, we’ll unpack the meaning behind BAC levels and why these metrics are so effective in measuring intoxication. Let’s take a look!

BAC: A Little Background

a hand holding a device to measure the temperature of a glass of wine

"BAC" stands for blood alcohol content, a metric that quantifies the amount of alcohol present in our bloodstream. It is generally measured as a percentage, which signifies the grams of alcohol contained per 100 grams of blood.

For instance, a BAC of 0.08% means that there are 0.08 grams of alcohol per 100 grams of blood. This specific figure, 0.08%, is noteworthy, because it serves as the legal driving limit in many U.S. states, as well as other countries around the world. Exceeding this limit while driving not only is illegal but also puts the driver and others at significant risk of harm or death.

Alcohol Metabolism in the Liver

As soon as alcohol is consumed, the liver immediately begins the process of metabolizing it. This involves enzymatic reactions that convert alcohol into less harmful substances that can be more easily excreted from the body. However, the liver has its limitations.

On average, a healthy liver can metabolize roughly one standard drink per hour. A "standard drink" in the United States contains around 14 grams of pure alcohol, which equates to a 12-ounce beer, 5-ounce glass of wine, or 1.5-ounce shot of distilled spirits.

When alcohol consumption exceeds the liver's metabolic capacity, the excess alcohol doesn't just magically disappear. It circulates throughout the bloodstream. This elevates the BAC, which in turn escalates both immediate and long-term risks. Elevated BAC levels can adversely affect various physiological processes, from reaction times and coordination to more vital functions like respiration and heart rate.

Moreover, the liver prioritizes alcohol metabolism over other metabolic processes, effectively putting the digestion and processing of other nutrients and substances on hold. The implications are manifold, affecting not just liver health but also metabolic rates, digestion, and nutrient absorption.

Which Factors Influence BAC?

Blood alcohol content (BAC) isn't a static metric. It's subject to a multitude of factors that can affect how quickly or slowly alcohol is metabolized in the body. Understanding these factors is crucial for gauging how alcohol will affect you, both in the short term and long term. Here's a detailed look at the various elements that influence BAC:

Age

As we age, our bodies become less efficient at metabolizing alcohol. The liver's enzymatic activity decreases, and our total body water content also diminishes. This combination can lead to elevated BAC levels in older individuals, even if they consume the same amount of alcohol as younger people.

Sex

Biological differences between men and women can significantly impact BAC. Women generally have a higher percentage of body fat and lower water content compared to men, which can result in a higher concentration of alcohol in the bloodstream. Additionally, hormonal fluctuations during menstrual cycles may also affect alcohol metabolism rates.

Weight and Body Composition

Body weight plays a pivotal role in determining BAC. Generally, a person with more body weight will have a lower BAC after consuming the same amount of alcohol as someone lighter. However, body composition (the proportion of muscle to fat) is also crucial to determining BAC. Muscle tissue contains more water, which can dilute alcohol, thereby lowering BAC.

Liver Health

The liver is the primary organ responsible for metabolizing alcohol. Any form of liver impairment, whether temporary or chronic, will slow down this process. Conditions like fatty liver, hepatitis, and cirrhosis can substantially impede the liver's ability to break down alcohol, resulting in higher and more prolonged elevated BAC levels.

Food Intake

Eating before or while drinking can slow down the absorption of alcohol into the bloodstream, resulting in a slower rise in BAC. Foods rich in fats and proteins are particularly effective in this regard.

Rate of Consumption

Consuming large amounts of alcohol in a short period (binge drinking) can overwhelm the liver’s metabolic capacity, leading to rapid spikes in BAC. This places immense stress on the liver and other bodily systems, increasing immediate and long-term health risks.

Medications

Certain medications can interact with alcohol metabolism, either by slowing down liver function or by altering the effects of alcohol on the nervous system. This can result in an unexpectedly high BAC and increase the potential for harmful interactions.

Genetic Factors

Genetic makeup can influence the rate of alcohol metabolism, affecting enzymes involved in breaking down alcohol. Some individuals might have genetic variants that either accelerate or inhibit alcohol metabolism, thereby impacting their BAC differently.

Chronic Alcohol Consumption

Long-term excessive drinking can not only damage the liver but also lead to tolerance, requiring higher amounts of alcohol to achieve the same effects. However, tolerance does not affect BAC; a seasoned drinker with a high tolerance may function seemingly 'normally' even with a high BAC, but the health risks remain.

Why BAC Matters: The Impacts on Our Health

Why does BAC matter? Well, as it turns out, even low levels of alcohol in our blood can have significant impacts on our mental and physical health. When our BAC begins to climb, so, too, does the severity of the potential risks and impacts on the body. Here's a snapshot of what can occur at different BAC levels:

  • BAC of 0.02%-0.05%: At this level, we may experience altered mood, decreased inhibition, and minor motor impairment.
  • BAC of 0.06-0.15%: At these levels, we may experience a "feel good" stage initially, with decreased inhibitions and increased sociability. But we’ll also start to notice impairments in speech, memory, attention, coordination, and balance. Reflexes slow down and the risk of injury increases significantly. With a BAC of 0.08%, it's illegal to drive in most U.S. states. (Zero-tolerance limits vary: .02% in most states; .00% in Alaska, Arizona, D.C., Illinois, Maine, Minnesota, North Carolina, and Oregon; and .01% in New Jersey.)
  • BAC of 0.16-0.30%: This is where things get scary. We're talking potential blackouts, vomiting, and major loss of motor control. It becomes difficult to walk or stand, and the chances of injury, including falls and alcohol-related accidents, increase exponentially. Cognitive functions significantly decrease, and consciousness can slip away.
  • BAC above 0.31%: This is alcohol poisoning territory, and it's life-threatening. The person may be unconscious, stop breathing, or experience seizures. Long term, we’re looking at the risk of irreversible brain damage. Without immediate medical treatment, a BAC above 0.31% can lead to coma or death.

In addition to these acute effects, consistently high BAC levels over time are linked to chronic health problems, including liver disease, pancreatitis, certain types of cancer, stroke, and mental health disorders. It can also lead to a condition called alcohol use disorder (AUD), which brings with it a whole host of additional health and social problems.

BAC in the News

Recently, several studies have deepened our understanding of the relationship between BAC and its effects. Several found a correlation between BAC levels and sleep quality.

The relationship between alcohol, BAC levels, and sleep is an intriguing one. A lot of people believe that alcohol helps them sleep better because it often makes them feel drowsy and can even help them fall asleep faster. But the effects on sleep quality? That's another story!

When we sleep, our bodies cycle through several stages, including light sleep, deep sleep, and rapid eye movement (REM) sleep associated with dreaming and consolidation of memories. As it turns out, even moderate BAC levels can interfere with our sleep cycle.

Alcohol suppresses REM sleep early in the night and can lead to an increase in REM sleep in the second half of the night, which is a phenomenon known as "REM rebound.” This disturbed sleep pattern can lead to a number of issues, such as daytime drowsiness, poor concentration, and mood disorders. More severe disruptions can lead to a slew of problems, like bad moods, increased anxiety, and cognitive decline.

Keeping BAC in Check

If you're contemplating reducing your alcohol intake or quitting entirely, being well-informed about your BAC levels is vital. This knowledge empowers you to make prudent decisions about alcohol consumption and to monitor its physiological impacts more closely.

When it comes to keeping your BAC within a safer range, there are several effective strategies to consider:

  • Pace yourself. One of the most straightforward ways to manage your BAC is by controlling the rate at which you consume alcohol. The liver can metabolize roughly one standard drink per hour. Knowing this can help you pace yourself, ensuring that you don't overload your liver and end up with a dangerously high BAC.
  • Hydrate. Drinking water between alcoholic beverages can slow the absorption of alcohol by your body, thereby helping to keep your BAC in check. This strategy also has the added benefit of reducing the chances of a hangover the next day.
  • Eat before drinking. Consuming food, particularly protein and fat-rich foods, can slow down the absorption of alcohol into your bloodstream. This leads to a slower, more manageable rise in BAC, giving your liver more time to metabolize the alcohol.
  • Plan your journey. If you decide to consume alcohol, ensure you have a transport plan that doesn't involve you driving. Whether it's a designated driver, a taxi, or public transportation, planning ahead can prevent dangerous situations.

Tools To Monitor BAC


To further aid your efforts in understanding and controlling your BAC, technology can be of assistance:

  • BAC calculators. These are apps or online tools that attempt to estimate your BAC based on various parameters like weight, age, the amount of alcohol consumed, and the time period over which it was consumed. While not perfectly accurate, they can give you a rough idea of your BAC.
  • Personal breathalyzers. More reliable than BAC calculators, handheld breathalyzers can offer a quick way to gauge your current BAC. Though not as accurate as professional-grade devices used by law enforcement, they can still provide valuable information.

Benefits of Reduced Alcohol Intake

Furthermore, minimizing alcohol consumption can bring about a cascade of health benefits:

  1. Improved sleep. Alcohol, despite its initial sedative effect, disrupts sleep patterns, particularly the REM stage, which can impact your cognitive functions and mood.
  2. Clearer skin. Alcohol dehydrates the body, including the skin, leading to premature aging and acne.
  3. Better mental health. Reduced alcohol intake can result in improved mood and reduced levels of anxiety and depression.
  4. Weight management. Alcohol is calorie-dense and can contribute to weight gain. Cutting back can be a significant step toward weight loss.
  5. Reduced risk of chronic diseases. Lowering alcohol consumption reduces the risk of liver diseases, some types of cancer, cardiovascular issues, and gastrointestinal problems.
  6. Financial benefits. Drinking less also means spending less on alcohol, which can translate to significant financial savings over time.

Blood Alcohol Content: Key Takeaways

The more you understand about BAC and how various factors influence it, the more control you can have over your drinking habits. By making informed choices about alcohol consumption, you're not just staying on the right side of the law; you're also honoring your body, protecting your health, and moving closer to achieving your life goals.

By being aware of your BAC and how your body metabolizes alcohol, you can better navigate social situations that involve drinking, make informed decisions about when it's safe — or not — to drive, and minimize both immediate and long-term health risks. Here’s to healthier choices and a healthier you!

Binge Drinking
2023-06-14 9:00
Binge Drinking
Binge Drinking vs. Alcohol Use Disorder
This is some text inside of a div block.

Are alcohol use disorder (AUD) and binge drinking the same thing? Uncover their differences today –– because the more we understand, the better we can help ourselves and those around us.

10 min read
Read Full Article  →

We’ve all heard the phrase, "Work hard, play hard." Many of us enjoy celebrating milestones, unwinding after a long week, or being in the company of friends over a drink or two. But when does occasional celebration turn into habit? And when does that amount to a serious issue? It's essential to recognize when our relationship with alcohol might become problematic so we can step in.

In this article, we will explore the differences between alcohol use disorder (AUD) and binge drinking. By understanding these differences, we can better support ourselves and those around us.

Understanding Alcohol Use Disorder (AUD)​​

Imagine standing on a cliff before a relentless, tumultuous storm –– and there we are, facing it, day after day. Alcohol use disorder (AUD) can feel this way, like an uncontrollable force that engulfs us in its path. Just as a storm intensifies and becomes more destructive, AUD is persistent and compulsive in nature, its strong winds like cravings and its persistence like that constant urge to drink.

AUD refers to a chronic condition in which a person's drinking becomes compulsive, despite the negative consequences that come along with it. AUD can escalate over time, wreaking havoc on our physical and mental health, relationships, and overall well-being.

Like a storm that causes destruction in its wake, AUD can ravage the lives of those affected, eroding relationships, impairing decision-making, and deteriorating physical health. Just as shelter and assistance are crucial during a storm, it is vital for individuals with AUD to seek professional help, support, and treatment to navigate these challenges.

It's crucial to remember that AUD is a complex condition influenced by a variety of factors, including genetics, environment, and mental health. By envisioning AUD as an overwhelming storm, we can better understand the gravity and persistence of the condition, fostering empathy and compassion for individuals who grapple with this complex disorder.

The signs of AUD can range from mild to severe, and it can have a significant impact on our physical health, relationships, ability to function, and overall well-being.

Seeking professional help and support is essential for those of us struggling with AUD. The question is not if but when.

Unpacking Binge Drinking

Binge drinking, on the other hand, refers to a pattern of drinking that brings a person's blood alcohol concentration (BAC) to 0.08 grams percent or higher in a short amount of time. So, if Alcohol Use Disorder (AUD) is a relentless series of storms, think of binge drinking as a tornado. In other words, binge drinking is episodic.

As such, binge drinking often takes place on specific occasions or events, during which people may guzzle down drinks in a short span of time. Because alcohol intake is different for men and women, mostly due to body size and composition, binging is defined as follows:

  • Men: Consuming five or more drinks in about two hours.
  • Women: Consuming four or more drinks within two hours.
  • Nonbinary: Unfortunately, more research is needed to understand the parameters of binge drinking in trans and/or gender-expansive individuals.

While binge drinking may not always indicate the presence of AUD, it carries its own risks and potential consequences. Excessive alcohol consumption during a binge drinking session can lead to impaired judgment, increased risk of accidents, alcohol poisoning, and negative effects on physical and mental health. It’s crucial to be aware of one's alcohol intake and make responsible choices to minimize these risks.

Discerning Binge Drinking From AUD

Understanding the differences between AUD and binge drinking is essential for identifying and addressing potential concerns. For instance, someone with AUD will often engage in binge drinking –– but someone who binge drinks occasionally may not necessarily qualify as having AUD.

Here are the main differences between these two concerning drinking behaviors:

  1. Drinking patterns: The chief difference comes down to pattern. AUD involves consistent excessive drinking, often on a daily or frequent basis. In contrast, binge drinking is characterized by episodic heavy drinking and is typically intermittent. AUD represents a chronic condition that can range from mild to severe. Furthermore, AUD can persist over a long period, causing significant negative impacts on multiple aspects of a person's life.
  2. Loss of control: Individuals with AUD experience a loss of control over their alcohol consumption and find it challenging to cut back or stop drinking altogether. Binge drinkers may have temporary loss of control during specific drinking episodes but can generally control their drinking habits outside of those occasions.
  3. Cravings and dependence: People with AUD often experience strong cravings for alcohol and may develop physical and psychological dependence. Binge drinkers, on the other hand, may not experience the same intense cravings or dependence on alcohol.
  4. Overall impact: AUD has wide-ranging impacts on our physical and mental health, relationships, employment, and daily functioning. Binge drinking, while risky and harmful, may not have the same level of sustained negative effects as AUD. However, both can immediately lead to compulsive behaviors –– such as drunk driving and unprotected sex –– that can have lifelong consequences.

Breaking the Stigma

Recognizing when alcohol consumption becomes problematic is essential for both ourselves and those around us. Understanding the distinctions between AUD and binge drinking enables us to navigate our relationship with alcohol more consciously.

While binge drinking may be a behavior exhibited occasionally, AUD is a chronic condition that requires professional intervention. By fostering awareness, empathy, and open discussions, we can support those struggling with alcohol-related challenges and encourage responsible drinking habits in our communities –– or seek support ourselves.

If we’re struggling with AUD or engaging in regular binge drinking, getting the right professional help and support is crucial. A recent study shows that if we have a family history of AUD, we might be more likely to binge drink. Binge drinking or having AUD is not a moral failure.

Thankfully, various treatment options are available including therapy, support groups, and medical interventions, which can assist individuals in managing their alcohol-related challenges. Online programs, like those found on the Reframe app, can help those seeking to ameliorate their relationship with alcohol. However, if you are deep in the throes of AUD, this will not substitute professional treatment.

Find Control and Thrive With Reframe

Changing our relationship with alcohol is one of the best things we can do to improve our quality of life. Balance awaits –– download Reframe right now and kickstart your journey to wellness.

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually and 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 gives you 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 from around the world who are going through the exact same experiences as you! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

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!

We’ve all heard the phrase, "Work hard, play hard." Many of us enjoy celebrating milestones, unwinding after a long week, or being in the company of friends over a drink or two. But when does occasional celebration turn into habit? And when does that amount to a serious issue? It's essential to recognize when our relationship with alcohol might become problematic so we can step in.

In this article, we will explore the differences between alcohol use disorder (AUD) and binge drinking. By understanding these differences, we can better support ourselves and those around us.

Understanding Alcohol Use Disorder (AUD)​​

Imagine standing on a cliff before a relentless, tumultuous storm –– and there we are, facing it, day after day. Alcohol use disorder (AUD) can feel this way, like an uncontrollable force that engulfs us in its path. Just as a storm intensifies and becomes more destructive, AUD is persistent and compulsive in nature, its strong winds like cravings and its persistence like that constant urge to drink.

AUD refers to a chronic condition in which a person's drinking becomes compulsive, despite the negative consequences that come along with it. AUD can escalate over time, wreaking havoc on our physical and mental health, relationships, and overall well-being.

Like a storm that causes destruction in its wake, AUD can ravage the lives of those affected, eroding relationships, impairing decision-making, and deteriorating physical health. Just as shelter and assistance are crucial during a storm, it is vital for individuals with AUD to seek professional help, support, and treatment to navigate these challenges.

It's crucial to remember that AUD is a complex condition influenced by a variety of factors, including genetics, environment, and mental health. By envisioning AUD as an overwhelming storm, we can better understand the gravity and persistence of the condition, fostering empathy and compassion for individuals who grapple with this complex disorder.

The signs of AUD can range from mild to severe, and it can have a significant impact on our physical health, relationships, ability to function, and overall well-being.

Seeking professional help and support is essential for those of us struggling with AUD. The question is not if but when.

Unpacking Binge Drinking

Binge drinking, on the other hand, refers to a pattern of drinking that brings a person's blood alcohol concentration (BAC) to 0.08 grams percent or higher in a short amount of time. So, if Alcohol Use Disorder (AUD) is a relentless series of storms, think of binge drinking as a tornado. In other words, binge drinking is episodic.

As such, binge drinking often takes place on specific occasions or events, during which people may guzzle down drinks in a short span of time. Because alcohol intake is different for men and women, mostly due to body size and composition, binging is defined as follows:

  • Men: Consuming five or more drinks in about two hours.
  • Women: Consuming four or more drinks within two hours.
  • Nonbinary: Unfortunately, more research is needed to understand the parameters of binge drinking in trans and/or gender-expansive individuals.

While binge drinking may not always indicate the presence of AUD, it carries its own risks and potential consequences. Excessive alcohol consumption during a binge drinking session can lead to impaired judgment, increased risk of accidents, alcohol poisoning, and negative effects on physical and mental health. It’s crucial to be aware of one's alcohol intake and make responsible choices to minimize these risks.

Discerning Binge Drinking From AUD

Understanding the differences between AUD and binge drinking is essential for identifying and addressing potential concerns. For instance, someone with AUD will often engage in binge drinking –– but someone who binge drinks occasionally may not necessarily qualify as having AUD.

Here are the main differences between these two concerning drinking behaviors:

  1. Drinking patterns: The chief difference comes down to pattern. AUD involves consistent excessive drinking, often on a daily or frequent basis. In contrast, binge drinking is characterized by episodic heavy drinking and is typically intermittent. AUD represents a chronic condition that can range from mild to severe. Furthermore, AUD can persist over a long period, causing significant negative impacts on multiple aspects of a person's life.
  2. Loss of control: Individuals with AUD experience a loss of control over their alcohol consumption and find it challenging to cut back or stop drinking altogether. Binge drinkers may have temporary loss of control during specific drinking episodes but can generally control their drinking habits outside of those occasions.
  3. Cravings and dependence: People with AUD often experience strong cravings for alcohol and may develop physical and psychological dependence. Binge drinkers, on the other hand, may not experience the same intense cravings or dependence on alcohol.
  4. Overall impact: AUD has wide-ranging impacts on our physical and mental health, relationships, employment, and daily functioning. Binge drinking, while risky and harmful, may not have the same level of sustained negative effects as AUD. However, both can immediately lead to compulsive behaviors –– such as drunk driving and unprotected sex –– that can have lifelong consequences.

Breaking the Stigma

Recognizing when alcohol consumption becomes problematic is essential for both ourselves and those around us. Understanding the distinctions between AUD and binge drinking enables us to navigate our relationship with alcohol more consciously.

While binge drinking may be a behavior exhibited occasionally, AUD is a chronic condition that requires professional intervention. By fostering awareness, empathy, and open discussions, we can support those struggling with alcohol-related challenges and encourage responsible drinking habits in our communities –– or seek support ourselves.

If we’re struggling with AUD or engaging in regular binge drinking, getting the right professional help and support is crucial. A recent study shows that if we have a family history of AUD, we might be more likely to binge drink. Binge drinking or having AUD is not a moral failure.

Thankfully, various treatment options are available including therapy, support groups, and medical interventions, which can assist individuals in managing their alcohol-related challenges. Online programs, like those found on the Reframe app, can help those seeking to ameliorate their relationship with alcohol. However, if you are deep in the throes of AUD, this will not substitute professional treatment.

Find Control and Thrive With Reframe

Changing our relationship with alcohol is one of the best things we can do to improve our quality of life. Balance awaits –– download Reframe right now and kickstart your journey to wellness.

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually and 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 gives you 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 from around the world who are going through the exact same experiences as you! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

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!

Binge Drinking
2023-06-12 9:00
Binge Drinking
Why Is Binge Drinking Dangerous?
This is some text inside of a div block.

Ready for a reality check? Binge drinking may feel like a wild and fun ride, but it can quickly get dangerous. Learn about the immediate and long-lasting dangers of binge drinking.

12 min read
Read Full Article  →

It's a Friday night, and you're out with friends at your favorite restaurant. The atmosphere is buzzing, music is pumping, and laughter fills the air. The excitement is contagious, and it's easy to get wrapped up in the moment.

It would be so easy to chase your drink with another. After all, that’s what your friends are doing –– and they’re at least a few drinks in, only one hour into the night. But you –– you take a moment to pause, breathe, and reflect.

Binge drinking –– drinking large amounts of alcohol within a short period –– may seem like a harmless way to have fun. However, its immediate dangers can be serious.

This article delves into the dangers of binge drinking –– both immediate and long-term. The more you know, the more intentional you can be in your path to mindful drinking.

Immediate Effects on Physical and Mental Health

When we consume excessive alcohol within a short timeframe, our bodies struggle to metabolize it effectively. This leads to a rapid rise in blood alcohol concentration (BAC), which impacts the body immediately in the following ways:

  1. Alcohol poisoning. One of the most critical –– and life-threatening –– immediate dangers of binge drinking is alcohol poisoning. After a spike in BAC, alcohol poisoning can lead to confusion, vomiting, seizures, slowed breathing, and even a loss of consciousness. It requires immediate medical attention.
  2. Impaired judgment and coordination. Binge drinking impairs our judgment, coordination, and decision-making abilities. It affects the areas of the brain responsible for rational thinking and impulse control, leading to risky behaviors. This impairment can have severe consequences, such as engaging in unsafe sexual activities, driving under the influence, or participating in physical altercations.
  3. Accidents and injuries. Binge drinking significantly increases the risk of accidents and injuries. According to research, individuals who engage in binge drinking are more likely to be involved in motor vehicle accidents, falls, and other types of unintentional injuries. Here’s a staggering statistic: according to a recent study, binge drinking was responsible for 20% of the deaths of Americans between the ages of 20 and 49, between 2015–2019. Our cognitive and motor skills are impaired, which makes reacting and responding appropriately difficult, increasing the likelihood of accidents.
  4. Alcohol-induced blackouts. Binge drinking can result in alcohol-induced blackouts –– periods of time when we can’t remember events or experiences that occurred while we were drinking. During a blackout, our brains fail to create memories of the events that took place. This can lead to really dangerous situations, as we may engage in risky behaviors –– such as unprotected sex or drunk driving –– that we otherwise wouldn’t if we weren’t drinking.
  5. Dehydration and electrolyte imbalance. Excessive drinking can lead to dehydration and electrolyte imbalances. As alcohol is a diuretic, it makes you need to pee more and, in the process, lose fluids in your system. This can lead to dehydration, which can have various negative effects on the body –– including dizziness, confusion, and in severe cases, organ damage.

It is crucial to recognize and understand the immediate dangers of binge drinking to make informed decisions about drinking. By being aware of these risks, we can prioritize our well-being and make choices that align with a healthier way of life.

Lasting Effects of Binge Drinking

Beyond the risk of alcohol poisoning, prolonged binge drinking poses numerous more lasting health hazards, which include:

  1. Weakened immunity. Chronic binge drinking causes prolonged inflammation, leading to a weakening of our immune system, making us more susceptible to infections and illnesses.
  2. Liver damage and disease. Binge drinking takes a toll on our liver, potentially leading to long-term damage –– even cirrhosis or other diseases.
  3. Lifelong consequences. Those blackouts and rash decisions we covered earlier? Well, those can have life-changing impacts, too — cognitive decline, health conditions like type 2 diabetes, and even severe hormonal imbalances.
  4. Increased risk of cancers. These include esophageal, liver, breast, colorectal, and head and neck cancers.
  5. Heart damage and other chronic health issues. Prolonged binge drinking can lead to a variety of physical health complications, including heart disease and high blood pressure.
  6. Unwanted weight gain. In addition to the added calories, weight gain can stem from the ways in which alcohol interacts with insulin.
  7. Sleep disturbances. With binge drinking, you pass out –– but your body just doesn’t rest in the same way. Excessive amounts of alcohol reduce our ability to go through the necessary sleep cycles and get the rest we need.
  8. Poor mental health. Alcohol is a depressant, and while it may temporarily alleviate stress or anxiety, it ultimately exacerbates these issues in the long run. Binge drinking has been linked to an increased risk of developing mental health disorders such as depression and anxiety.

Strained Relationships and Social Consequences

Binge drinking not only takes a toll on our physical and mental well-being but also has far-reaching effects on our relationships and social interactions. When we consume excessive amounts of alcohol, our judgment becomes impaired, and our behavior can become erratic or even aggressive. We may say or do things we later regret, causing harm to our relationships with friends, family, and romantic partners.

Over time, binge drinking can strain relationships to the breaking point. Friends may grow tired of the unpredictable behavior and the negative impact it has on their own well-being. Family members may feel helpless or frustrated as they witness their loved one's struggle with alcohol. The isolation and loneliness that can result from strained relationships further compound the negative effects on mental health.

Additionally, binge drinking can have social consequences beyond our immediate circle. It can lead to legal issues, damage our reputation, and hinder our professional growth. The choices we make while under the influence can have lasting repercussions on our personal and social lives, hindering our ability to reach our full potential.

Embracing Change and Seeking Support

If you have recognized the dangers of binge drinking and are ready to make a change, it's important to approach the journey with compassion and determination.

Acknowledge that change is not easy but remember that it is within your reach with the right mindset and support system.

Begin by setting clear and realistic goals for yourself. Define what cutting back on alcohol means for you personally, whether it's reducing the frequency of binge drinking episodes or setting limits on the amount consumed.

Engaging in healthier coping mechanisms and finding alternative ways to socialize can help fill the void left by excessive alcohol consumption.

It's crucial to seek support from trusted friends, family members, or professionals who can provide guidance, understanding, and accountability. Reframe can help set you on the track to self-improvement –– and that you stay there. Surrounding yourself with a supportive network of people can make all the difference.

Remember, you are not alone in this journey towards a healthier and happier life.

Breaking Free from the Dangers of Binge Drinking

As we navigate the often-boozy social landscape, it's important to be mindful of the hidden dangers of binge drinking. While its immediate risks –– such as alcohol poisoning and poor judgment –– are severe, its long-term consequences are equally alarming.

By recognizing the perils of binge drinking and embracing change, you are taking a courageous step towards a healthier, more fulfilling life. With the right support system and determination, you can break free from the clutches of binge drinking and create a future filled with joy, meaningful connection, and intentionality.

Reclaim Control and Thrive With Reframe

Changing our relationship with alcohol is one of the best things we can do to improve our quality of life. Whether or not you binge drink, don’t wait –– download Reframe right now and kickstart your journey to wellness.

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually and 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 gives you 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 from around the world who are going through the exact same experiences as you! 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, who is powered by the world’s most powerful AI technology. Melody is here to lend you as you adjust to a life with less (or no) alcohol. And that’s not all! We launch fun challenges, like Dry/Damp January, Sober Spring, and Outdoorsy June, every month. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your vibe!).

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!

It's a Friday night, and you're out with friends at your favorite restaurant. The atmosphere is buzzing, music is pumping, and laughter fills the air. The excitement is contagious, and it's easy to get wrapped up in the moment.

It would be so easy to chase your drink with another. After all, that’s what your friends are doing –– and they’re at least a few drinks in, only one hour into the night. But you –– you take a moment to pause, breathe, and reflect.

Binge drinking –– drinking large amounts of alcohol within a short period –– may seem like a harmless way to have fun. However, its immediate dangers can be serious.

This article delves into the dangers of binge drinking –– both immediate and long-term. The more you know, the more intentional you can be in your path to mindful drinking.

Immediate Effects on Physical and Mental Health

When we consume excessive alcohol within a short timeframe, our bodies struggle to metabolize it effectively. This leads to a rapid rise in blood alcohol concentration (BAC), which impacts the body immediately in the following ways:

  1. Alcohol poisoning. One of the most critical –– and life-threatening –– immediate dangers of binge drinking is alcohol poisoning. After a spike in BAC, alcohol poisoning can lead to confusion, vomiting, seizures, slowed breathing, and even a loss of consciousness. It requires immediate medical attention.
  2. Impaired judgment and coordination. Binge drinking impairs our judgment, coordination, and decision-making abilities. It affects the areas of the brain responsible for rational thinking and impulse control, leading to risky behaviors. This impairment can have severe consequences, such as engaging in unsafe sexual activities, driving under the influence, or participating in physical altercations.
  3. Accidents and injuries. Binge drinking significantly increases the risk of accidents and injuries. According to research, individuals who engage in binge drinking are more likely to be involved in motor vehicle accidents, falls, and other types of unintentional injuries. Here’s a staggering statistic: according to a recent study, binge drinking was responsible for 20% of the deaths of Americans between the ages of 20 and 49, between 2015–2019. Our cognitive and motor skills are impaired, which makes reacting and responding appropriately difficult, increasing the likelihood of accidents.
  4. Alcohol-induced blackouts. Binge drinking can result in alcohol-induced blackouts –– periods of time when we can’t remember events or experiences that occurred while we were drinking. During a blackout, our brains fail to create memories of the events that took place. This can lead to really dangerous situations, as we may engage in risky behaviors –– such as unprotected sex or drunk driving –– that we otherwise wouldn’t if we weren’t drinking.
  5. Dehydration and electrolyte imbalance. Excessive drinking can lead to dehydration and electrolyte imbalances. As alcohol is a diuretic, it makes you need to pee more and, in the process, lose fluids in your system. This can lead to dehydration, which can have various negative effects on the body –– including dizziness, confusion, and in severe cases, organ damage.

It is crucial to recognize and understand the immediate dangers of binge drinking to make informed decisions about drinking. By being aware of these risks, we can prioritize our well-being and make choices that align with a healthier way of life.

Lasting Effects of Binge Drinking

Beyond the risk of alcohol poisoning, prolonged binge drinking poses numerous more lasting health hazards, which include:

  1. Weakened immunity. Chronic binge drinking causes prolonged inflammation, leading to a weakening of our immune system, making us more susceptible to infections and illnesses.
  2. Liver damage and disease. Binge drinking takes a toll on our liver, potentially leading to long-term damage –– even cirrhosis or other diseases.
  3. Lifelong consequences. Those blackouts and rash decisions we covered earlier? Well, those can have life-changing impacts, too — cognitive decline, health conditions like type 2 diabetes, and even severe hormonal imbalances.
  4. Increased risk of cancers. These include esophageal, liver, breast, colorectal, and head and neck cancers.
  5. Heart damage and other chronic health issues. Prolonged binge drinking can lead to a variety of physical health complications, including heart disease and high blood pressure.
  6. Unwanted weight gain. In addition to the added calories, weight gain can stem from the ways in which alcohol interacts with insulin.
  7. Sleep disturbances. With binge drinking, you pass out –– but your body just doesn’t rest in the same way. Excessive amounts of alcohol reduce our ability to go through the necessary sleep cycles and get the rest we need.
  8. Poor mental health. Alcohol is a depressant, and while it may temporarily alleviate stress or anxiety, it ultimately exacerbates these issues in the long run. Binge drinking has been linked to an increased risk of developing mental health disorders such as depression and anxiety.

Strained Relationships and Social Consequences

Binge drinking not only takes a toll on our physical and mental well-being but also has far-reaching effects on our relationships and social interactions. When we consume excessive amounts of alcohol, our judgment becomes impaired, and our behavior can become erratic or even aggressive. We may say or do things we later regret, causing harm to our relationships with friends, family, and romantic partners.

Over time, binge drinking can strain relationships to the breaking point. Friends may grow tired of the unpredictable behavior and the negative impact it has on their own well-being. Family members may feel helpless or frustrated as they witness their loved one's struggle with alcohol. The isolation and loneliness that can result from strained relationships further compound the negative effects on mental health.

Additionally, binge drinking can have social consequences beyond our immediate circle. It can lead to legal issues, damage our reputation, and hinder our professional growth. The choices we make while under the influence can have lasting repercussions on our personal and social lives, hindering our ability to reach our full potential.

Embracing Change and Seeking Support

If you have recognized the dangers of binge drinking and are ready to make a change, it's important to approach the journey with compassion and determination.

Acknowledge that change is not easy but remember that it is within your reach with the right mindset and support system.

Begin by setting clear and realistic goals for yourself. Define what cutting back on alcohol means for you personally, whether it's reducing the frequency of binge drinking episodes or setting limits on the amount consumed.

Engaging in healthier coping mechanisms and finding alternative ways to socialize can help fill the void left by excessive alcohol consumption.

It's crucial to seek support from trusted friends, family members, or professionals who can provide guidance, understanding, and accountability. Reframe can help set you on the track to self-improvement –– and that you stay there. Surrounding yourself with a supportive network of people can make all the difference.

Remember, you are not alone in this journey towards a healthier and happier life.

Breaking Free from the Dangers of Binge Drinking

As we navigate the often-boozy social landscape, it's important to be mindful of the hidden dangers of binge drinking. While its immediate risks –– such as alcohol poisoning and poor judgment –– are severe, its long-term consequences are equally alarming.

By recognizing the perils of binge drinking and embracing change, you are taking a courageous step towards a healthier, more fulfilling life. With the right support system and determination, you can break free from the clutches of binge drinking and create a future filled with joy, meaningful connection, and intentionality.

Reclaim Control and Thrive With Reframe

Changing our relationship with alcohol is one of the best things we can do to improve our quality of life. Whether or not you binge drink, don’t wait –– download Reframe right now and kickstart your journey to wellness.

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually and 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 gives you 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 from around the world who are going through the exact same experiences as you! 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, who is powered by the world’s most powerful AI technology. Melody is here to lend you as you adjust to a life with less (or no) alcohol. And that’s not all! We launch fun challenges, like Dry/Damp January, Sober Spring, and Outdoorsy June, every month. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your vibe!).

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!

Binge Drinking
2023-06-12 9:00
Binge Drinking
BORG Drinking: What’s in the Jug?
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The latest binge-drinking trend known as blackout rage gallon — BORG — is becoming popular on college campuses; while it’s often mistakenly considered to be a “healthier” alternative since it involves mixing alcohol with large amounts of water and flavoring, this form of binge drinking is no less dangerous.

14 min read

Find Balance 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 through the App Store or Google Play today! 

Read Full Article  →

First things first — what does BORG stand for? The term "blackout rage gallon" — BORG — refers to yet another excessive drinking trend that’s hit college campuses. The idea is to consume a gallon of an alcoholic beverage — often a mix of different types — with the intent to drink to the point of blacking out. Even though not everyone’s intentions are to literally drink to the point of temporary amnesia, binge drinking of any kind can be extremely dangerous and unpredictable.

Despite its risky nature, BORG drinking is mistakenly considered by some to be a “healthier” form of binge drinking, since the alcohol is mixed with a large amount of water and flavored electrolyte powders. However, binge drinking is still binge drinking — and the health and safety risks associated with it cannot be overstated.

What Is Binge Drinking?

Before we proceed, let's define binge drinking — the type of drinking that leads to blackouts and has been notorious for its presence on college campuses way before the days of BORG. According to the Centers for Disease Control and Prevention, binge drinking is defined as consuming five or more drinks for men or four or more drinks for women on a single occasion, typically within about 2 hours. Shocking as it may sound, one in six U.S. adults binge drinks about four times a month.

Regular binge drinking can have profound effects on our health. It increases the risk of chronic diseases, such as liver disease, cardiovascular disease, and several types of cancer. Moreover, it can lead to a troubling pattern of alcohol dependence.

A study published in the Journal of Addiction Medicine found that binge drinking changes alcohol's effects on the brain and can drive alcohol consumption that leads to dependence. Over time, the brain starts to interpret drinking as a reward, prompting a repeated pattern of excessive alcohol use.

What Are Blackouts?

Blackouts are the infamous fallout of binge drinking. A "blackout" refers to a period of amnesia during alcohol intoxication in which a person is unable to recall details or even entire events that occurred while they were drinking. Essentially, it's a gap in memory that can't be filled by normal recall or by prompting with clues.

Blackouts are a sign of excessive alcohol consumption. They occur when the blood alcohol concentration — BAC — rises rapidly, typically reaching at least 0.15%, which is almost twice the legal limit for driving in many jurisdictions. A person does not have to pass out or become unconscious to have a blackout, despite the common misconception.

Blackouts are particularly concerning because individuals in this state often appear functional and may engage in behaviors such as conversing or driving a vehicle. However, their decision-making capabilities and impulse control are heavily impaired.

The primary and most immediate risk with blackout drinking is alcohol poisoning, which can be deadly. When we drink alcohol in large amounts, especially within a short period of time, our bodies may be unable to process the toxin fast enough. This can lead to dangerous consequences, including slowed or irregular breathing, seizures, hypothermia, vomiting, and unconsciousness.

Another major concern is the risk of accidents and injuries. Blackouts can lead to a loss of motor control, making it more likely for individuals to hurt themselves or others. They may also engage in risky behaviors they would not ordinarily do, such as engaging in unsafe sex or driving under the influence.

Diagram about the lowdown on blackouts

BORG in the News, and What Is a BORG Challenge?

In the last few months, officials have reported an increased number of alcohol intoxication incidents due to off-campus student gatherings. They have also noted a new trend – many students have been seen carrying plastic gallon containers known as "BORGs" (an abbreviation for "black out rage gallons"). What is a BORG? If you’re wondering how to make a BORG, the BORG recipe is pretty simple. These containers often hold a mixture of alcohol, electrolyte flavoring mixtures, such as Liquid IV, and water. How much alcohol is in a typical BORG? It varies, but many hold as much as a fifth of vodka or other hard liquor – the equivalent of about 750 milliliters, or 25.4 fluid ounces, of liquor, amounting to around 17 shots.

This binge drinking trend — increasingly popular on TikTok — has been sweeping through college campuses nationwide. The concept took off during the pandemic as  a way to limit the spread of COVID, since they are not intended to be shared – in contrast to the notorious kegs or “jungle juice” containers of pre-pandemic days.

And what is a BORG challenge? Just what it sounds like. A BORG challenge, often seen as a badge of honor or a rite of passage, describes the binge drinking challenges, dares, or “games” involving BORGs that have landed many college students in the emergency room in the last couple of years. For example, University of Massachusetts officials have noticed significant use of BORGs at their institution. As a result, they are planning new strategies to enhance alcohol education and intervention. They also intend to communicate further with students and families about the issue. Currently, all new students are required to take a course named AlcoholEdu, which educates them about standard drink sizes and the physiological and medical risks of binge drinking.

A Dangerous Trend

As assistant professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine, Dr. Sarah Andrews, told The New York Times, the trend “[is] promoting false ideas about drinking … Just because you know what is in it doesn’t mean that you truly understand the negative effects it could have. Even if it’s mixed with electrolytes, it doesn’t offset the alcohol content. It doesn’t offset the dangerousness of the alcohol.”

Moreover, the very nature of the BORG containers is conducive to binge drinking. Nobody wants to lug around a heavy jug all night long, so there’s an incentive to ease the load by chugging some of the contents sooner rather than later. Moreover, the wide-mouth opening of the jug makes it easier to drink large quantities of the mixture very quickly.

Finally, the flavor enhancers — which often contain caffeine — can pose an additional risk. One of the most popular choices are squeezable MiO Energy bottles, which contain anywhere from 600 to 1,440 milligrams of caffeine — the equivalent of 10 to 24 60-milligram servings. Adding a whole MiO bottle to the BORG jug can pose a significant risk of a caffeine overdose. 

What You Can Do

Now that we’ve answered the question, “What is a BORG?” it's essential to recognize the seriousness of this trend and actively discourage participation in such harmful behaviors. If you or someone you know is caught up in these types of dangerous activities, consider the following:

  • Educate students about the dangers of blackout drinking. Make sure they understand the severe health risks associated with blackout drinking. Excessive alcohol consumption blocks the creation of new memories, and it can also cause liver damage and alcohol poisoning. Beyond the physiological effects, blackout drinking increases the likelihood of engaging in risky activities, like unprotected sex, drunk driving, or violence.
  • Tell them about the dangers of overdosing on caffeine. Explain that a caffeine overdose is also no joke — it can lead to a host of dangerous symptoms, ranging from dizziness, diarrhea, increased thirst, insomnia, headache, fever, irritability chest pain, irregular heartbeat, muscle spasms, trouble breathing, hallucinations, and convulsions.
  • Warn about the dangers of dehydration. Even if the BORG jugs contain a large amount of water, consuming it can still lead to dehydration. Insufficient water intake can lead to fatigue, headaches, kidney stones, or even heat stroke. Extreme dehydration may cause low blood pressure, rapid heartbeat, and, in severe cases, delirium or unconsciousness. 
  • Acknowledge good intentions. Following the BORG trend might very well be an attempt to drink in a “safer” way. The intention to avoid spreading disease while keeping one’s drink safe from possible tampering is a great start — it shows the desire to lead a healthy lifestyle. Unfortunately, in this case, these precautions are not enough.
  • Offer support. Encourage students to seek professional help if they're struggling with alcohol use. Provide a supportive environment, and let them know that you’re not going to judge them, but are eager to help. 
  • Provide alternatives. Suggest non-alcohol-related activities and social events as safer, healthier options. There are many fun mocktails available these days — refreshing virgin mojitos, tangy raspberry lemonade, or exotic alcohol-free piña coladas provide a pleasant taste without the alcohol content. Smoothies, infused waters, and non-alcoholic craft beers are also delicious options. 

Remember, it's okay to say no to these dangerous trends. Prioritize your health and safety — no challenge or trend is worth risking your life.

Wrapping Up

Understanding and navigating the landscape of alcohol use can be a challenge, especially with the rise of dangerous drinking trends. But with the right information and support, we can make healthier choices and help others do the same.

Remember, you're not alone in this journey. Whether you're looking to cut back on or quit alcohol altogether, there's a myriad of resources and support networks available to help you take that next step.

Here's to making smarter decisions, creating healthier habits, and enjoying life to the fullest.

First things first — what does BORG stand for? The term "blackout rage gallon" — BORG — refers to yet another excessive drinking trend that’s hit college campuses. The idea is to consume a gallon of an alcoholic beverage — often a mix of different types — with the intent to drink to the point of blacking out. Even though not everyone’s intentions are to literally drink to the point of temporary amnesia, binge drinking of any kind can be extremely dangerous and unpredictable.

Despite its risky nature, BORG drinking is mistakenly considered by some to be a “healthier” form of binge drinking, since the alcohol is mixed with a large amount of water and flavored electrolyte powders. However, binge drinking is still binge drinking — and the health and safety risks associated with it cannot be overstated.

What Is Binge Drinking?

Before we proceed, let's define binge drinking — the type of drinking that leads to blackouts and has been notorious for its presence on college campuses way before the days of BORG. According to the Centers for Disease Control and Prevention, binge drinking is defined as consuming five or more drinks for men or four or more drinks for women on a single occasion, typically within about 2 hours. Shocking as it may sound, one in six U.S. adults binge drinks about four times a month.

Regular binge drinking can have profound effects on our health. It increases the risk of chronic diseases, such as liver disease, cardiovascular disease, and several types of cancer. Moreover, it can lead to a troubling pattern of alcohol dependence.

A study published in the Journal of Addiction Medicine found that binge drinking changes alcohol's effects on the brain and can drive alcohol consumption that leads to dependence. Over time, the brain starts to interpret drinking as a reward, prompting a repeated pattern of excessive alcohol use.

What Are Blackouts?

Blackouts are the infamous fallout of binge drinking. A "blackout" refers to a period of amnesia during alcohol intoxication in which a person is unable to recall details or even entire events that occurred while they were drinking. Essentially, it's a gap in memory that can't be filled by normal recall or by prompting with clues.

Blackouts are a sign of excessive alcohol consumption. They occur when the blood alcohol concentration — BAC — rises rapidly, typically reaching at least 0.15%, which is almost twice the legal limit for driving in many jurisdictions. A person does not have to pass out or become unconscious to have a blackout, despite the common misconception.

Blackouts are particularly concerning because individuals in this state often appear functional and may engage in behaviors such as conversing or driving a vehicle. However, their decision-making capabilities and impulse control are heavily impaired.

The primary and most immediate risk with blackout drinking is alcohol poisoning, which can be deadly. When we drink alcohol in large amounts, especially within a short period of time, our bodies may be unable to process the toxin fast enough. This can lead to dangerous consequences, including slowed or irregular breathing, seizures, hypothermia, vomiting, and unconsciousness.

Another major concern is the risk of accidents and injuries. Blackouts can lead to a loss of motor control, making it more likely for individuals to hurt themselves or others. They may also engage in risky behaviors they would not ordinarily do, such as engaging in unsafe sex or driving under the influence.

Diagram about the lowdown on blackouts

BORG in the News, and What Is a BORG Challenge?

In the last few months, officials have reported an increased number of alcohol intoxication incidents due to off-campus student gatherings. They have also noted a new trend – many students have been seen carrying plastic gallon containers known as "BORGs" (an abbreviation for "black out rage gallons"). What is a BORG? If you’re wondering how to make a BORG, the BORG recipe is pretty simple. These containers often hold a mixture of alcohol, electrolyte flavoring mixtures, such as Liquid IV, and water. How much alcohol is in a typical BORG? It varies, but many hold as much as a fifth of vodka or other hard liquor – the equivalent of about 750 milliliters, or 25.4 fluid ounces, of liquor, amounting to around 17 shots.

This binge drinking trend — increasingly popular on TikTok — has been sweeping through college campuses nationwide. The concept took off during the pandemic as  a way to limit the spread of COVID, since they are not intended to be shared – in contrast to the notorious kegs or “jungle juice” containers of pre-pandemic days.

And what is a BORG challenge? Just what it sounds like. A BORG challenge, often seen as a badge of honor or a rite of passage, describes the binge drinking challenges, dares, or “games” involving BORGs that have landed many college students in the emergency room in the last couple of years. For example, University of Massachusetts officials have noticed significant use of BORGs at their institution. As a result, they are planning new strategies to enhance alcohol education and intervention. They also intend to communicate further with students and families about the issue. Currently, all new students are required to take a course named AlcoholEdu, which educates them about standard drink sizes and the physiological and medical risks of binge drinking.

A Dangerous Trend

As assistant professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine, Dr. Sarah Andrews, told The New York Times, the trend “[is] promoting false ideas about drinking … Just because you know what is in it doesn’t mean that you truly understand the negative effects it could have. Even if it’s mixed with electrolytes, it doesn’t offset the alcohol content. It doesn’t offset the dangerousness of the alcohol.”

Moreover, the very nature of the BORG containers is conducive to binge drinking. Nobody wants to lug around a heavy jug all night long, so there’s an incentive to ease the load by chugging some of the contents sooner rather than later. Moreover, the wide-mouth opening of the jug makes it easier to drink large quantities of the mixture very quickly.

Finally, the flavor enhancers — which often contain caffeine — can pose an additional risk. One of the most popular choices are squeezable MiO Energy bottles, which contain anywhere from 600 to 1,440 milligrams of caffeine — the equivalent of 10 to 24 60-milligram servings. Adding a whole MiO bottle to the BORG jug can pose a significant risk of a caffeine overdose. 

What You Can Do

Now that we’ve answered the question, “What is a BORG?” it's essential to recognize the seriousness of this trend and actively discourage participation in such harmful behaviors. If you or someone you know is caught up in these types of dangerous activities, consider the following:

  • Educate students about the dangers of blackout drinking. Make sure they understand the severe health risks associated with blackout drinking. Excessive alcohol consumption blocks the creation of new memories, and it can also cause liver damage and alcohol poisoning. Beyond the physiological effects, blackout drinking increases the likelihood of engaging in risky activities, like unprotected sex, drunk driving, or violence.
  • Tell them about the dangers of overdosing on caffeine. Explain that a caffeine overdose is also no joke — it can lead to a host of dangerous symptoms, ranging from dizziness, diarrhea, increased thirst, insomnia, headache, fever, irritability chest pain, irregular heartbeat, muscle spasms, trouble breathing, hallucinations, and convulsions.
  • Warn about the dangers of dehydration. Even if the BORG jugs contain a large amount of water, consuming it can still lead to dehydration. Insufficient water intake can lead to fatigue, headaches, kidney stones, or even heat stroke. Extreme dehydration may cause low blood pressure, rapid heartbeat, and, in severe cases, delirium or unconsciousness. 
  • Acknowledge good intentions. Following the BORG trend might very well be an attempt to drink in a “safer” way. The intention to avoid spreading disease while keeping one’s drink safe from possible tampering is a great start — it shows the desire to lead a healthy lifestyle. Unfortunately, in this case, these precautions are not enough.
  • Offer support. Encourage students to seek professional help if they're struggling with alcohol use. Provide a supportive environment, and let them know that you’re not going to judge them, but are eager to help. 
  • Provide alternatives. Suggest non-alcohol-related activities and social events as safer, healthier options. There are many fun mocktails available these days — refreshing virgin mojitos, tangy raspberry lemonade, or exotic alcohol-free piña coladas provide a pleasant taste without the alcohol content. Smoothies, infused waters, and non-alcoholic craft beers are also delicious options. 

Remember, it's okay to say no to these dangerous trends. Prioritize your health and safety — no challenge or trend is worth risking your life.

Wrapping Up

Understanding and navigating the landscape of alcohol use can be a challenge, especially with the rise of dangerous drinking trends. But with the right information and support, we can make healthier choices and help others do the same.

Remember, you're not alone in this journey. Whether you're looking to cut back on or quit alcohol altogether, there's a myriad of resources and support networks available to help you take that next step.

Here's to making smarter decisions, creating healthier habits, and enjoying life to the fullest.

Binge Drinking
2023-05-16 9:00
Binge Drinking
What Is Gray Area Drinking?
This is some text inside of a div block.

Not everyone who drinks alcohol to excess meets the criteria for an AUD. In fact, many find themselves in the “gray area,” still struggling but unable to find help. In this post, we’ll dive deep into gray area drinking and what it entails.

21 min read

Build Healthier Drinking Habits With Reframe!

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

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

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

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

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

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

Read Full Article  →

As we journey through life, many of us discover, to our frustration, that not everything is black and white. Though it’s natural to want a clear-cut “yes” or “no” answer to challenges and conundrums, many aspects of life have shades of gray. And our drinking habits are no exception! In this blog post, we’ll explore the fascinating and often misunderstood world of gray area drinking and offer tips on how to cope if this has been a challenge for you. Let’s dive right in!

Gray Area Drinking Defined

Person filling glass with alcohol

Gray area drinking (or grey area drinking) bridges the gap between being a casual, social drinker and having a diagnosable Alcohol Use Disorder (AUD). We might find ourselves in this territory if we occasionally drink more than intended, feel guilty about our alcohol consumption, or use alcohol to cope with stress or emotions.

Gray area drinkers include men who drink up to 14 drinks per week or up to 4 drinks on any day. Men in this category typically consume more than 2 drinks on at least 1 day. Gray area drinkers also include women who drink up to 7 drinks per week or up to 3 drinks on any day. Women in this category typically consume more than 1 drink on at least 1 day.

People who find themselves in the gray area are able to stop drinking, but they struggle to do so. They may not have had a major health scare or a “wake-up” call, but excessive drinking has begun to take its toll on their lives and overall well-being.

Understanding gray area drinking is essential because it can help us recognize when our drinking habits might be a cause for concern, even if we don't fall into a neatly defined box. When we acknowledge the gray area, we empower ourselves to make informed decisions about our alcohol consumption and develop healthier alcohol-related behaviors.

The Research on Gray Area Drinking

Research has shown that alcohol consumption doesn't fit into a simple binary of "problem drinker" or "not a problem drinker." A 2011 study published in the Journal of Studies on Alcohol and Drugs found a continuum of alcohol use behaviors with varying levels of risk and consequences. This spectrum ranges from low-risk drinking to AUD, with gray area drinking spanning the space in between.

Another study published in JAMA Psychiatry revealed that 18% of American college students suffered from “clinically significant alcohol-related problems in the past year.” Furthermore, the U.S. Surgeon General and the U.S. Department of Health and Human Services consider binge drinking a major public health problem. This suggests that a significant portion of us may be gray area drinkers, experiencing negative consequences from alcohol without being labeled as having AUD.

Our Brains on Alcohol

It's not just about numbers and statistics. There's fascinating science at play when it comes to understanding gray area drinking. Alcohol affects our brains by interacting with our neurotransmitters, the chemical messengers responsible for transmitting signals between nerve cells.

Alcohol affects a drinker’s behavior as soon as it’s consumed. Consuming alcohol enhances the effects of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter. This leads to feelings of relaxation and reduced anxiety. Simultaneously, alcohol inhibits the excitatory neurotransmitter glutamate, which can slow down our cognitive functions and motor skills. These combined effects create the pleasurable sensation we often associate with drinking.

However, over time and with increased consumption, our brains adapt to these chemical changes. This can lead to tolerance (we require more alcohol to achieve the same effects) and dependence (our brains crave alcohol to function normally). Gray area drinkers may be at risk for developing these adaptations, potentially escalating their drinking habits.

Signs We Might Be a Gray Area Drinker

The next question we may be asking ourselves is: "Am I a gray area drinker?" It's a confusing space to navigate. And remember, even if we do fall into this space, the first step to lasting change is awareness. Here are some telling signs to look out for.

  • Unfulfilled intentions. This is when we tell ourselves "I'll just have one," only to find our glass emptying multiple times. This dissonance between intent and behavior is a common trait among gray area drinkers. Sure, we didn't end up binge drinking, but we definitely drank more than we originally planned.
  • Guilt or regret. If we wake up feeling guilty about the number of drinks we had the previous night, even when it didn't lead to any obvious negative consequences like a hangover or poor decisions, we might be in the gray zone. Guilt suggests that we’re aware your behavior might be straying from what we consider ideal or responsible.
  • Reliance: Are we leaning on that glass of wine or pint of beer to unwind after a stressful day more often than not? If alcohol is our go-to stress reliever, it's worth reconsidering our relationship with drinking.
  • Social FOMO: If we’re apprehensive about social gatherings without alcohol or we feel our social life would be less vibrant if we stopped drinking, this could be a sign of gray area drinking.
  • Lingering health concerns: Maybe it's a slight but constant fatigue, a few extra pounds that won't go away, or a general feeling of sluggishness. While we haven't faced a significant health scare, we can't shake off the idea that alcohol may be impacting our well-being.
  • Emotional buffering: If we’re reaching for that glass to avoid dealing with emotional discomfort, be it sadness, loneliness, or even boredom, we might be using alcohol as an emotional crutch. While it's not full-blown dependence, it's a relationship with alcohol worth scrutinizing.
  • Preoccupation: If we catch ourselves frequently thinking about when we’ll have our next drink, even when we’re not drinking, that level of preoccupation may indicate a deeper issue.
  • Justification: Do we find ourselves internally justifying why it's okay to have that extra glass or why we “deserve” to drink? Whether we call it "mommy's juice" or label it as “liquid courage,” these justifications may be masking a gray area relationship with alcohol.
  • Lack of interest in other activities: When alcohol becomes a predominant theme in our social calendar or relaxation rituals, it might be taking up too much space in our life. If we’re not as interested in other activities that we once enjoyed, we should take note.
  • Selective memory: Gray area drinkers often focus only on the fun aspects of drinking while ignoring the downsides. If we find ourselves selectively remembering only the good times associated with alcohol, it could be a way to avoid facing any potential issues.

Let's be clear: recognizing one or more of these signs in ourselves doesn't mean we have an Alcohol Use Disorder (AUD). What it does mean is that it may be time to evaluate our drinking habits and consider whether they align with the life we want to lead. Acknowledging that we’re in the gray area isn't an indictment. It's an invitation for self-awareness and positive change.

Navigating Gray Area Drinking

How Does Gray Area Drinking Affect Our Health?

Just because gray area drinking doesn’t qualify as a full-blown disorder doesn’t mean that the behavior is free from adverse health outcomes. Here are some of the effects it can have on our health.

Physical Health Effects

We don't have to be a heavy drinker to experience stomach issues like bloating, indigestion, or acid reflux. Regularly reaching for that extra glass of wine could irritate our digestive system, leaving us uncomfortable more often than we’d like.

Additionally, calories in alcoholic drinks add up quickly, and those in the gray area may overlook this. This can sabotage weight loss efforts and put us at greater risk for conditions such as heart disease and diabetes.

Of course, we can’t skip the subject of sleep. While alcohol may help us fall asleep more quickly, it often disrupts our sleep cycle, affecting the quality of our rest. We might wake up feeling tired even after a full night's sleep. Over time, this sleep deprivation can impact our cognitive function and overall well-being.

Furthermore, consuming alcohol more frequently, even in moderate amounts, can suppress the immune system. We may find ourselves catching colds or viral infections more easily than before. Prolonged immune dysfunction can even put us at greater risk of developing certain autoimmune diseases or cancers.

Finally, alcohol has the potential to mess with our body's hormonal balance, which could lead to mood swings and reduced libido. While the effects might be subtle, they do add up over time.

Emotional Health Effects

Ever heard of the term “hangxiety”? Even moderate drinking can lead to feelings of anxiety the day after. If we’re consistently in the gray area, we might experience a steady level of anxiety that we can't quite put our finger on.

Alcohol also messes with our neurotransmitters, such as dopamine and serotonin. These fluctuations in our brain chemicals can result in emotional ups and downs. This moodiness can become an additional source of stress, as our emotional states become unpredictable and difficult to manage.

Furthermore, while we may not have drunken fights or arguments, the cumulative emotional toll can affect our interpersonal relationships. Mood swings, insensitive communication, or a lack of presence can contribute to frayed relationships over time.

Finally, drinking excessively also hurts our self-esteem. Whether it's the guilt, the compromised physical health, or the emotional turbulence, gray area drinking can subtly erode our self-esteem. We may not notice it initially, but over time, we might feel less confident and capable than we once did.

Navigating Gray Area Drinking

Being in the gray area doesn't mean we're powerless! In fact, it provides us with the opportunity to evaluate our relationship with alcohol and make conscious choices about our consumption. Here are a few tips to help us navigate the gray and establish healthier habits:

  1. Practice mindful drinking: By tuning into our emotions and physical sensations when drinking, we can become more aware of how alcohol affects us. This heightened awareness can help us identify when our drinking might be veering into the gray area.
  2. Set limits: Establishing boundaries around our alcohol consumption can reduce the likelihood of slipping into gray area drinking. Consider setting a limit on the number of drinks per occasion or committing to a specific number of alcohol-free days each week.
  3. Seek support: There's strength in numbers! Connecting with others who share our goals for healthier drinking habits can help us stay accountable. Reframe’s 24/7 anonymous community forum was designed for this very reason. (Come join us!)
  4. Find alternative coping strategies: Gray area drinking often arises from using alcohol to cope with stress, anxiety, or other uncomfortable emotions. By exploring alternative coping mechanisms like meditating, exercising, or engaging in hobbies, we can develop healthier ways to manage our emotions without relying on alcohol.
  5. Prioritize self-care: Taking care of our mental, emotional, and physical well-being is crucial in our journey to navigate gray area drinking. Getting enough sleep, eating a balanced diet, and practicing self-compassion can help us build resilience and maintain a healthier relationship with alcohol. These behaviors also make us much less likely to give into cravings.
  6. Monitor progress and celebrate successes: Keeping track of our drinking habits, such as using the Drink Tracker on the Reframe app, provides valuable insights into our patterns and triggers. Regularly assessing our progress and celebrating small victories — like achieving an alcohol-free day or sticking to our drink limits — can help reinforce our commitment to change and boost our confidence.
  7. Be flexible and adaptable: Our journey to navigate gray area drinking might not be a linear path, and that's perfectly okay! We may encounter setbacks or face unexpected challenges, but it's essential to be kind to ourselves as we adjust to changes. If our initial strategies aren't working, we can remain open to trying new approaches or seeking professional guidance.

Breaking the Stigma

One of the most significant hurdles we might face when navigating gray area drinking is the stigma surrounding alcohol consumption. We might feel judged, misunderstood, or even ashamed of our drinking habits, which can hinder our progress and make it challenging to seek support. Furthermore, we may feel like we don’t “have it as bad” as those who are struggling with an alcohol use disorder.

To overcome this, it's vital that we create a culture of openness and understanding around gray area drinking. By acknowledging that gray area drinking is a common and complex issue, we can foster a more supportive environment, one in which we feel comfortable discussing our experiences and seeking help when needed. Above all, we have to remember that our struggles are valid, even if they don’t warrant a diagnosis.

So, let's break the stigma together! By sharing our stories, raising awareness, and showing empathy towards others who are navigating the gray area, we can build a stronger, more compassionate society.

As we journey through life, many of us discover, to our frustration, that not everything is black and white. Though it’s natural to want a clear-cut “yes” or “no” answer to challenges and conundrums, many aspects of life have shades of gray. And our drinking habits are no exception! In this blog post, we’ll explore the fascinating and often misunderstood world of gray area drinking and offer tips on how to cope if this has been a challenge for you. Let’s dive right in!

Gray Area Drinking Defined

Person filling glass with alcohol

Gray area drinking (or grey area drinking) bridges the gap between being a casual, social drinker and having a diagnosable Alcohol Use Disorder (AUD). We might find ourselves in this territory if we occasionally drink more than intended, feel guilty about our alcohol consumption, or use alcohol to cope with stress or emotions.

Gray area drinkers include men who drink up to 14 drinks per week or up to 4 drinks on any day. Men in this category typically consume more than 2 drinks on at least 1 day. Gray area drinkers also include women who drink up to 7 drinks per week or up to 3 drinks on any day. Women in this category typically consume more than 1 drink on at least 1 day.

People who find themselves in the gray area are able to stop drinking, but they struggle to do so. They may not have had a major health scare or a “wake-up” call, but excessive drinking has begun to take its toll on their lives and overall well-being.

Understanding gray area drinking is essential because it can help us recognize when our drinking habits might be a cause for concern, even if we don't fall into a neatly defined box. When we acknowledge the gray area, we empower ourselves to make informed decisions about our alcohol consumption and develop healthier alcohol-related behaviors.

The Research on Gray Area Drinking

Research has shown that alcohol consumption doesn't fit into a simple binary of "problem drinker" or "not a problem drinker." A 2011 study published in the Journal of Studies on Alcohol and Drugs found a continuum of alcohol use behaviors with varying levels of risk and consequences. This spectrum ranges from low-risk drinking to AUD, with gray area drinking spanning the space in between.

Another study published in JAMA Psychiatry revealed that 18% of American college students suffered from “clinically significant alcohol-related problems in the past year.” Furthermore, the U.S. Surgeon General and the U.S. Department of Health and Human Services consider binge drinking a major public health problem. This suggests that a significant portion of us may be gray area drinkers, experiencing negative consequences from alcohol without being labeled as having AUD.

Our Brains on Alcohol

It's not just about numbers and statistics. There's fascinating science at play when it comes to understanding gray area drinking. Alcohol affects our brains by interacting with our neurotransmitters, the chemical messengers responsible for transmitting signals between nerve cells.

Alcohol affects a drinker’s behavior as soon as it’s consumed. Consuming alcohol enhances the effects of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter. This leads to feelings of relaxation and reduced anxiety. Simultaneously, alcohol inhibits the excitatory neurotransmitter glutamate, which can slow down our cognitive functions and motor skills. These combined effects create the pleasurable sensation we often associate with drinking.

However, over time and with increased consumption, our brains adapt to these chemical changes. This can lead to tolerance (we require more alcohol to achieve the same effects) and dependence (our brains crave alcohol to function normally). Gray area drinkers may be at risk for developing these adaptations, potentially escalating their drinking habits.

Signs We Might Be a Gray Area Drinker

The next question we may be asking ourselves is: "Am I a gray area drinker?" It's a confusing space to navigate. And remember, even if we do fall into this space, the first step to lasting change is awareness. Here are some telling signs to look out for.

  • Unfulfilled intentions. This is when we tell ourselves "I'll just have one," only to find our glass emptying multiple times. This dissonance between intent and behavior is a common trait among gray area drinkers. Sure, we didn't end up binge drinking, but we definitely drank more than we originally planned.
  • Guilt or regret. If we wake up feeling guilty about the number of drinks we had the previous night, even when it didn't lead to any obvious negative consequences like a hangover or poor decisions, we might be in the gray zone. Guilt suggests that we’re aware your behavior might be straying from what we consider ideal or responsible.
  • Reliance: Are we leaning on that glass of wine or pint of beer to unwind after a stressful day more often than not? If alcohol is our go-to stress reliever, it's worth reconsidering our relationship with drinking.
  • Social FOMO: If we’re apprehensive about social gatherings without alcohol or we feel our social life would be less vibrant if we stopped drinking, this could be a sign of gray area drinking.
  • Lingering health concerns: Maybe it's a slight but constant fatigue, a few extra pounds that won't go away, or a general feeling of sluggishness. While we haven't faced a significant health scare, we can't shake off the idea that alcohol may be impacting our well-being.
  • Emotional buffering: If we’re reaching for that glass to avoid dealing with emotional discomfort, be it sadness, loneliness, or even boredom, we might be using alcohol as an emotional crutch. While it's not full-blown dependence, it's a relationship with alcohol worth scrutinizing.
  • Preoccupation: If we catch ourselves frequently thinking about when we’ll have our next drink, even when we’re not drinking, that level of preoccupation may indicate a deeper issue.
  • Justification: Do we find ourselves internally justifying why it's okay to have that extra glass or why we “deserve” to drink? Whether we call it "mommy's juice" or label it as “liquid courage,” these justifications may be masking a gray area relationship with alcohol.
  • Lack of interest in other activities: When alcohol becomes a predominant theme in our social calendar or relaxation rituals, it might be taking up too much space in our life. If we’re not as interested in other activities that we once enjoyed, we should take note.
  • Selective memory: Gray area drinkers often focus only on the fun aspects of drinking while ignoring the downsides. If we find ourselves selectively remembering only the good times associated with alcohol, it could be a way to avoid facing any potential issues.

Let's be clear: recognizing one or more of these signs in ourselves doesn't mean we have an Alcohol Use Disorder (AUD). What it does mean is that it may be time to evaluate our drinking habits and consider whether they align with the life we want to lead. Acknowledging that we’re in the gray area isn't an indictment. It's an invitation for self-awareness and positive change.

Navigating Gray Area Drinking

How Does Gray Area Drinking Affect Our Health?

Just because gray area drinking doesn’t qualify as a full-blown disorder doesn’t mean that the behavior is free from adverse health outcomes. Here are some of the effects it can have on our health.

Physical Health Effects

We don't have to be a heavy drinker to experience stomach issues like bloating, indigestion, or acid reflux. Regularly reaching for that extra glass of wine could irritate our digestive system, leaving us uncomfortable more often than we’d like.

Additionally, calories in alcoholic drinks add up quickly, and those in the gray area may overlook this. This can sabotage weight loss efforts and put us at greater risk for conditions such as heart disease and diabetes.

Of course, we can’t skip the subject of sleep. While alcohol may help us fall asleep more quickly, it often disrupts our sleep cycle, affecting the quality of our rest. We might wake up feeling tired even after a full night's sleep. Over time, this sleep deprivation can impact our cognitive function and overall well-being.

Furthermore, consuming alcohol more frequently, even in moderate amounts, can suppress the immune system. We may find ourselves catching colds or viral infections more easily than before. Prolonged immune dysfunction can even put us at greater risk of developing certain autoimmune diseases or cancers.

Finally, alcohol has the potential to mess with our body's hormonal balance, which could lead to mood swings and reduced libido. While the effects might be subtle, they do add up over time.

Emotional Health Effects

Ever heard of the term “hangxiety”? Even moderate drinking can lead to feelings of anxiety the day after. If we’re consistently in the gray area, we might experience a steady level of anxiety that we can't quite put our finger on.

Alcohol also messes with our neurotransmitters, such as dopamine and serotonin. These fluctuations in our brain chemicals can result in emotional ups and downs. This moodiness can become an additional source of stress, as our emotional states become unpredictable and difficult to manage.

Furthermore, while we may not have drunken fights or arguments, the cumulative emotional toll can affect our interpersonal relationships. Mood swings, insensitive communication, or a lack of presence can contribute to frayed relationships over time.

Finally, drinking excessively also hurts our self-esteem. Whether it's the guilt, the compromised physical health, or the emotional turbulence, gray area drinking can subtly erode our self-esteem. We may not notice it initially, but over time, we might feel less confident and capable than we once did.

Navigating Gray Area Drinking

Being in the gray area doesn't mean we're powerless! In fact, it provides us with the opportunity to evaluate our relationship with alcohol and make conscious choices about our consumption. Here are a few tips to help us navigate the gray and establish healthier habits:

  1. Practice mindful drinking: By tuning into our emotions and physical sensations when drinking, we can become more aware of how alcohol affects us. This heightened awareness can help us identify when our drinking might be veering into the gray area.
  2. Set limits: Establishing boundaries around our alcohol consumption can reduce the likelihood of slipping into gray area drinking. Consider setting a limit on the number of drinks per occasion or committing to a specific number of alcohol-free days each week.
  3. Seek support: There's strength in numbers! Connecting with others who share our goals for healthier drinking habits can help us stay accountable. Reframe’s 24/7 anonymous community forum was designed for this very reason. (Come join us!)
  4. Find alternative coping strategies: Gray area drinking often arises from using alcohol to cope with stress, anxiety, or other uncomfortable emotions. By exploring alternative coping mechanisms like meditating, exercising, or engaging in hobbies, we can develop healthier ways to manage our emotions without relying on alcohol.
  5. Prioritize self-care: Taking care of our mental, emotional, and physical well-being is crucial in our journey to navigate gray area drinking. Getting enough sleep, eating a balanced diet, and practicing self-compassion can help us build resilience and maintain a healthier relationship with alcohol. These behaviors also make us much less likely to give into cravings.
  6. Monitor progress and celebrate successes: Keeping track of our drinking habits, such as using the Drink Tracker on the Reframe app, provides valuable insights into our patterns and triggers. Regularly assessing our progress and celebrating small victories — like achieving an alcohol-free day or sticking to our drink limits — can help reinforce our commitment to change and boost our confidence.
  7. Be flexible and adaptable: Our journey to navigate gray area drinking might not be a linear path, and that's perfectly okay! We may encounter setbacks or face unexpected challenges, but it's essential to be kind to ourselves as we adjust to changes. If our initial strategies aren't working, we can remain open to trying new approaches or seeking professional guidance.

Breaking the Stigma

One of the most significant hurdles we might face when navigating gray area drinking is the stigma surrounding alcohol consumption. We might feel judged, misunderstood, or even ashamed of our drinking habits, which can hinder our progress and make it challenging to seek support. Furthermore, we may feel like we don’t “have it as bad” as those who are struggling with an alcohol use disorder.

To overcome this, it's vital that we create a culture of openness and understanding around gray area drinking. By acknowledging that gray area drinking is a common and complex issue, we can foster a more supportive environment, one in which we feel comfortable discussing our experiences and seeking help when needed. Above all, we have to remember that our struggles are valid, even if they don’t warrant a diagnosis.

So, let's break the stigma together! By sharing our stories, raising awareness, and showing empathy towards others who are navigating the gray area, we can build a stronger, more compassionate society.

Binge Drinking
2023-02-23 9:00
Binge Drinking
Why Is It So Hard To Control How Much I Drink?
This is some text inside of a div block.

When it comes to being unable to control your drinking, don’t blame your willpower. Explore how alcohol alters our brain structure and chemistry, making it difficult to stop.

17 min read

Take Control of Your Drinking 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  →

We’ve all been there: we tell ourselves we’re only going to have one drink. But one becomes two, two becomes three, and before we know it, we’ve lost count. The next morning, we wake up feeling hungover, regretful, and disappointed in ourselves for not being able to “drink responsibly.”

So, what gives? Why, despite our best intentions, is it so hard to control our drinking? In this post, we’ll explore why it can be hard to control our drinking, and what we can do about it. Let’s get started!

How Does Alcohol Affect Our Brain Chemistry?

How does alcohol affect our brain to make it so difficult to control our drinking? Repeated alcohol use creates a chemical imbalance, making it harder for our brain to function as it once did. As a result, it becomes harder to rein in our drinking. Let’s take a closer look at how this happens.

The Problem With Dopamine

When alcohol first enters our system, it promotes the release of dopamine — a neurotransmitter integral to our brain’s reward system. Dopamine is known as the “feel good” chemical because it creates feelings of happiness and pleasure. This is why we get that euphoric sensation as soon as we start drinking.

However, with repeated exposure to alcohol, our dopamine response can become dysregulated. Eventually, the same amount of alcohol may no longer result in the same level of dopamine release in our brain, causing us to drink more to achieve the same effect. 

This can set the stage for dependence, as the brain starts associating alcohol consumption with pleasure and reward, leading to cravings and increased use. The more our brain makes this connection, the harder it is to cut back on alcohol and control our drinking. If this association becomes strong enough, even just the thought of having a drink can increase our dopamine levels. 

As we continue to increase the amount of alcohol we consume — and the frequency with which we consume it — alcohol begins changing the way that parts of our brain function, altering our brain chemistry more and more. 

Eventually, we begin to feel as if we need alcohol to feel normal. The experience is similar to being hungry when we haven’t eaten. And just like being hungry, the longer we wait, the more intense the hunger and pains become. Similarly, the longer we go without drinking, the more our brain craves alcohol to feel normal.

The Problem With GABA and Glutamate

But dopamine is only part of the story. Alcohol also affects both excitatory and inhibitory neurotransmitters within the brain. More specifically, alcohol increases our brain’s transmission of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter that helps us feel calmer and more relaxed. This substance acts like a brake, slowing brain activity. As we drink, we're essentially applying more pressure to that brake, leading to a feeling of relaxation. 

On the other end of the spectrum, alcohol inhibits glutamate, an excitatory neurotransmitter that increases brain activity and energy levels. When glutamate is inhibited, we experience a decrease in neural activity and slowed brain processing. If glutamate is our brain’s gas pedal, speeding us up and stressing us out, drinking alcohol takes our foot off the pedal.

The problem, however, is that repeated drinking throws off our brain’s equilibrium by inhibiting glutamate (which would speed us up) and increasing GABA (which further slows us down). This chemical imbalance, which leads to impaired GABA and glutamate signaling, weakens our ability to deny strong urges. In other words, no matter how much willpower we exert, we’ll still have trouble controlling our alcohol consumption.

The Good News About Our Brain

So are we entirely helpless? Not quite! Fortunately, our brain is resilient; it has a remarkable ability to repair itself. In fact, our brain can change and grow new neural pathways through a process called neuroplasticity. 

Research shows that when we cut back or quit drinking, the actual structure of our brain starts to recover, growing new cells to repair damage. This leads to improved functioning in many areas, from focus and memory to decision making. 

Cutting back on alcohol also helps normalize dopamine, GABA, and glutamate levels. As our brain starts to heal and these important neurotransmitters come into balance, our urge to drink diminishes.

It’s important to note that while our brain does have the ability to repair itself, long-term, heavy consumption of alcohol can cause damage that may be irreversible. This is why the sooner we can get a hold of our drinking, the better. 

Tips To Control Your Drinking

So, how can you start controlling your drinking? First and foremost, remember that cutting back on alcohol is a process that requires time and patience. It may not always be easy (especially at first!). But over time, the physical and mental health benefits make the effort worthwhile. 

With that in mind, here are eight steps to help us control our drinking:

  1. Write down your why. One of the most important things you can do for yourself is to identify why you want to cut back on your drinking. Make a list of all the reasons you’re trying to control your drinking — whether it’s for your health, improving your relationships, or to get better sleep. Write these reasons down on paper and put them in a visible spot, such as on your fridge, bathroom mirror, or computer monitor. 
  2. Let your friends and family know. We should treat changing our relationship with alcohol the same as we would any other major life change. That means we should tell our friends and family about it, so they can best support us. For instance, they can help hold us accountable when our goal is to stick to two drinks at a party. And they can also refrain from offering us more alcohol if we tell them we’re trying hard to drink more mindfully.
  3. Have a prevention plan in place. As with anything, prevention is key, as it can keep problems from arising further down the road. When it comes to cutting back on alcohol, it’s important to have a prevention plan to help us take action when inevitable challenges arise (like cravings, triggers, or peer pressure). For instance, we can create a list of people we can reach out to when we need a distraction from a craving or when we need an excuse to leave a party early. We can also keep non-alcoholic beverages on hand and bring them with us to social events.
  4. Understand your triggers. Triggers can push us to lose control of our drinking, so it’s important to identify them. They can involve anything that provokes our emotions or our senses in a way that elicits a desire to drink. For example, we might feel triggered when we smell pizza because we associate it with beer, or we might have an urge to drink when we’re angry. When we understand our triggers, we begin to exercise greater power over them. Over time, we can instead turn to healthier coping mechanisms — like taking a few deep breaths, finding a replacement beverage, or calling a friend — when triggers pop up.
  5. Practice assertive communication: We often lose control of how much we drink because we have trouble saying “no” when somebody offers us a drink, or encourages us to have “just one more.” Be prepared ahead of time with what you’re going to say if this happens. For instance, you might say, “No thanks, I’m only having one tonight,” or, “No, I have a lot to get done tomorrow and want to be feeling my best.” And remember, a “no” is not just a “no” to alcohol — it’s also a “yes” to a healthier mind and lifestyle. If someone is particularly pushy, stand your ground! You can even say, “No thanks, but I’d love to have a mocktail with you.”
  6. Track your drinks. A lot of the time, we lose control of how much we drink because we lack proper accountability. That’s where drink tracking comes in. As its name implies, this means tracking how much we drink over the course of a day, week, or month. At Reframe, we make drink tracking easy through our in-app Drink Tracker. This tool can help you customize your drink limits and collect data on your progress over time.
  7. Find new ways to socialize. If drinking is a big part of your social life, try exploring other activities and hobbies that don’t involve alcohol. There’s a world of alcohol-free activities out there: meditation or yoga, drawing or photography, a new type of exercise class, or any number of book clubs. Exposure to new things helps fill the time we might formerly have spent drinking while connecting us with like-minded individuals. 
  8. Keep at it. If our drinking gets out of hand one night, it’s tempting to wallow in shame and regret. Don’t do this! Cutting back on alcohol is not a linear process, and we are bound to slip up. Show yourself some compassion and keep moving forward. Ask yourself what you can learn from the slip — and what you can do to prevent it from occurring again. 

The Bottom Line

Why is it so hard to quit drinking? It’s not because of our willpower. Regularly consuming alcohol alters our brain chemistry and structure, which is why we might have a hard time controlling our drinking. Thankfully, cutting back on alcohol or eliminating it entirely can help “reset” the brain and bring things back into balance. While breaking free from alcohol’s pull might not be easy, we can take back control with time, patience, and continued practice. 

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

We’ve all been there: we tell ourselves we’re only going to have one drink. But one becomes two, two becomes three, and before we know it, we’ve lost count. The next morning, we wake up feeling hungover, regretful, and disappointed in ourselves for not being able to “drink responsibly.”

So, what gives? Why, despite our best intentions, is it so hard to control our drinking? In this post, we’ll explore why it can be hard to control our drinking, and what we can do about it. Let’s get started!

How Does Alcohol Affect Our Brain Chemistry?

How does alcohol affect our brain to make it so difficult to control our drinking? Repeated alcohol use creates a chemical imbalance, making it harder for our brain to function as it once did. As a result, it becomes harder to rein in our drinking. Let’s take a closer look at how this happens.

The Problem With Dopamine

When alcohol first enters our system, it promotes the release of dopamine — a neurotransmitter integral to our brain’s reward system. Dopamine is known as the “feel good” chemical because it creates feelings of happiness and pleasure. This is why we get that euphoric sensation as soon as we start drinking.

However, with repeated exposure to alcohol, our dopamine response can become dysregulated. Eventually, the same amount of alcohol may no longer result in the same level of dopamine release in our brain, causing us to drink more to achieve the same effect. 

This can set the stage for dependence, as the brain starts associating alcohol consumption with pleasure and reward, leading to cravings and increased use. The more our brain makes this connection, the harder it is to cut back on alcohol and control our drinking. If this association becomes strong enough, even just the thought of having a drink can increase our dopamine levels. 

As we continue to increase the amount of alcohol we consume — and the frequency with which we consume it — alcohol begins changing the way that parts of our brain function, altering our brain chemistry more and more. 

Eventually, we begin to feel as if we need alcohol to feel normal. The experience is similar to being hungry when we haven’t eaten. And just like being hungry, the longer we wait, the more intense the hunger and pains become. Similarly, the longer we go without drinking, the more our brain craves alcohol to feel normal.

The Problem With GABA and Glutamate

But dopamine is only part of the story. Alcohol also affects both excitatory and inhibitory neurotransmitters within the brain. More specifically, alcohol increases our brain’s transmission of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter that helps us feel calmer and more relaxed. This substance acts like a brake, slowing brain activity. As we drink, we're essentially applying more pressure to that brake, leading to a feeling of relaxation. 

On the other end of the spectrum, alcohol inhibits glutamate, an excitatory neurotransmitter that increases brain activity and energy levels. When glutamate is inhibited, we experience a decrease in neural activity and slowed brain processing. If glutamate is our brain’s gas pedal, speeding us up and stressing us out, drinking alcohol takes our foot off the pedal.

The problem, however, is that repeated drinking throws off our brain’s equilibrium by inhibiting glutamate (which would speed us up) and increasing GABA (which further slows us down). This chemical imbalance, which leads to impaired GABA and glutamate signaling, weakens our ability to deny strong urges. In other words, no matter how much willpower we exert, we’ll still have trouble controlling our alcohol consumption.

The Good News About Our Brain

So are we entirely helpless? Not quite! Fortunately, our brain is resilient; it has a remarkable ability to repair itself. In fact, our brain can change and grow new neural pathways through a process called neuroplasticity. 

Research shows that when we cut back or quit drinking, the actual structure of our brain starts to recover, growing new cells to repair damage. This leads to improved functioning in many areas, from focus and memory to decision making. 

Cutting back on alcohol also helps normalize dopamine, GABA, and glutamate levels. As our brain starts to heal and these important neurotransmitters come into balance, our urge to drink diminishes.

It’s important to note that while our brain does have the ability to repair itself, long-term, heavy consumption of alcohol can cause damage that may be irreversible. This is why the sooner we can get a hold of our drinking, the better. 

Tips To Control Your Drinking

So, how can you start controlling your drinking? First and foremost, remember that cutting back on alcohol is a process that requires time and patience. It may not always be easy (especially at first!). But over time, the physical and mental health benefits make the effort worthwhile. 

With that in mind, here are eight steps to help us control our drinking:

  1. Write down your why. One of the most important things you can do for yourself is to identify why you want to cut back on your drinking. Make a list of all the reasons you’re trying to control your drinking — whether it’s for your health, improving your relationships, or to get better sleep. Write these reasons down on paper and put them in a visible spot, such as on your fridge, bathroom mirror, or computer monitor. 
  2. Let your friends and family know. We should treat changing our relationship with alcohol the same as we would any other major life change. That means we should tell our friends and family about it, so they can best support us. For instance, they can help hold us accountable when our goal is to stick to two drinks at a party. And they can also refrain from offering us more alcohol if we tell them we’re trying hard to drink more mindfully.
  3. Have a prevention plan in place. As with anything, prevention is key, as it can keep problems from arising further down the road. When it comes to cutting back on alcohol, it’s important to have a prevention plan to help us take action when inevitable challenges arise (like cravings, triggers, or peer pressure). For instance, we can create a list of people we can reach out to when we need a distraction from a craving or when we need an excuse to leave a party early. We can also keep non-alcoholic beverages on hand and bring them with us to social events.
  4. Understand your triggers. Triggers can push us to lose control of our drinking, so it’s important to identify them. They can involve anything that provokes our emotions or our senses in a way that elicits a desire to drink. For example, we might feel triggered when we smell pizza because we associate it with beer, or we might have an urge to drink when we’re angry. When we understand our triggers, we begin to exercise greater power over them. Over time, we can instead turn to healthier coping mechanisms — like taking a few deep breaths, finding a replacement beverage, or calling a friend — when triggers pop up.
  5. Practice assertive communication: We often lose control of how much we drink because we have trouble saying “no” when somebody offers us a drink, or encourages us to have “just one more.” Be prepared ahead of time with what you’re going to say if this happens. For instance, you might say, “No thanks, I’m only having one tonight,” or, “No, I have a lot to get done tomorrow and want to be feeling my best.” And remember, a “no” is not just a “no” to alcohol — it’s also a “yes” to a healthier mind and lifestyle. If someone is particularly pushy, stand your ground! You can even say, “No thanks, but I’d love to have a mocktail with you.”
  6. Track your drinks. A lot of the time, we lose control of how much we drink because we lack proper accountability. That’s where drink tracking comes in. As its name implies, this means tracking how much we drink over the course of a day, week, or month. At Reframe, we make drink tracking easy through our in-app Drink Tracker. This tool can help you customize your drink limits and collect data on your progress over time.
  7. Find new ways to socialize. If drinking is a big part of your social life, try exploring other activities and hobbies that don’t involve alcohol. There’s a world of alcohol-free activities out there: meditation or yoga, drawing or photography, a new type of exercise class, or any number of book clubs. Exposure to new things helps fill the time we might formerly have spent drinking while connecting us with like-minded individuals. 
  8. Keep at it. If our drinking gets out of hand one night, it’s tempting to wallow in shame and regret. Don’t do this! Cutting back on alcohol is not a linear process, and we are bound to slip up. Show yourself some compassion and keep moving forward. Ask yourself what you can learn from the slip — and what you can do to prevent it from occurring again. 

The Bottom Line

Why is it so hard to quit drinking? It’s not because of our willpower. Regularly consuming alcohol alters our brain chemistry and structure, which is why we might have a hard time controlling our drinking. Thankfully, cutting back on alcohol or eliminating it entirely can help “reset” the brain and bring things back into balance. While breaking free from alcohol’s pull might not be easy, we can take back control with time, patience, and continued practice. 

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

Binge Drinking
2022-12-23 9:00
Binge Drinking
How Much Is Too Much When It Comes to Alcohol?
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Discover the latest guidelines, global perspectives, and bust some myths about how much is too much when it comes to alcohol in our newest blog post.

19 min read

Ready To Change Your Relationship With Alcohol? Reframe Is Here To Help!

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

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

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

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

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

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

Read Full Article  →

Imagine you're preparing for a festive get-together. You've laid out an assortment of cheeses, lit a few candles, and you're now deciding on drinks. Wine? Beer? A soft drink? As someone who’s looking to quit or cut back on alcohol, you might wonder — how much alcohol is actually too much? You might be surprised to know that when it comes to alcohol, less is always more. Let's explore the science behind it.

CDC Recommendations Over the Years

Over the last few decades, the CDC has been our go-to for answers about the limits of alcohol consumption. Let's see how their stance on booze has evolved over the decades.

  • 1980s. The CDC started recognizing the dangers of heavy alcohol consumption, noting its links to traffic accidents, violence, and various health issues. Their primary focus was on waving a red flag on binge drinking to keep us safe from alcohol-related injuries and accidents.
  • 1990s. The conversation expanded to address the potential health benefits of moderate alcohol consumption, particularly related to cardiovascular health. The guidelines of the time acknowledged that moderate alcohol consumption might have some protective effects, especially for older adults. (Spoiler alert — many of these claims have now been debunked).
  • 2000s. As research developed, the CDC introduced the concept of “moderate drinking.” The magic numbers? Up to one drink a day for women and up to two drinks a day for men.

    Why these specific amounts? The human body breaks down alcohol at a fixed rate, and these recommendations are rooted in how the average person's liver processes alcohol. Consuming more than the CDC's guidelines can lead to a buildup of alcohol in the bloodstream, which affects brain functioning, reflexes, and decision-making. Chronic excessive drinking can also lead to a slew of health issues, including liver disease, high blood pressure, and certain types of cancer.
  • 2010s. Plot twist! Just when we thought we had a grip on the alcohol narrative, in this decade we were thrown a curveball. While the guidelines for moderate drinking remained consistent, awareness of the risks associated with even low levels of alcohol consumption continued to grow. Studies began to suggest that no amount of alcohol is entirely safe, leading the CDC to be more cautionary in its communication about potential benefits. By the latter half of this decade, there was a notable shift towards a more holistic approach that takes into account not just the physiological effects but the societal and mental health implications of alcohol consumption.
  • 2020s. The message now? Tread carefully. While the CDC continues to focus on the dangers of excessive drinking, they have also shed light on the fact that no drink is 100% risk-free. There has also been an effort to destigmatize alcohol-related disorders and promote more supportive terms such as “alcohol use disorder” instead of “alcoholism” or “alcoholic.”

A Word From the WHO

In addition to the CDC, the World Health Organization has also provided guidelines about alcohol use over the years. As a global organization, the WHO doesn’t provide specific guidelines, instead focusing on publicizing the dangers of excessive alcohol use and encouraging each country to set national guidelines based on its population’s drinking patterns and related harm.

Their data suggests that 58% of all global alcohol consumers partake in heavy episodic drinking, which they define as consuming 60 or more grams of pure alcohol on at least one occasion in the past 30 days. This translates roughly to five or more drinks for men and four or more for women over a 2-hour period.

Alcohol Guidelines Around the World

It should come as no surprise that specific recommendations for alcohol consumption vary by country. This disparity stems from cultural differences, varying research interpretations, and different societal norms. Let’s explore how much alcohol is too much per week according to different guidelines around the globe!

  • Australia. In “the Land Down Under,” the advice is to stick to no more than 10 drinks a week, and definitely no more than 4 in a day.
  • Canada. Canadian guidelines are even more stringent. As of 2023, the Canadian Centre on Substance Abuse and Addiction suggests that 2 standard drinks per week (or less) is least likely to lead to alcohol-related consequences.
  • United Kingdom. The Brits keep it uniform for everyone by recommending drinkers to stick to 14 units a week, ideally spread over at least three days.
  • South Africa. South Africans are advised not to exceed 14 units of alcohol a week, making their guidelines similar to those in the UK.
  • France. The French, famous for their wine, recommend a maximum of two glasses per day, which shouldn't exceed 10 glasses per week.
  • Germany. German guidelines suggest men consume no more than 24 grams of pure alcohol daily (roughly two drinks), and women limit themselves to 12 grams (about one drink).
  • Brazil. Brazil advises men to limit their alcohol intake to 21 units per week and women to 14 units per week. The country also places strong emphasis on the dangers of binge drinking.
  • India. With a significant portion of the population abstaining from alcohol for religious and cultural reasons, those who do drink are advised to limit their consumption. Guidelines suggest up to two drinks per day for men and one for women.
  • China. While traditional beverages like baijiu are popular, moderation is key. Guidelines suggest no more than 25 grams of pure alcohol for men and 15 grams for women daily.
  • Japan. In Japan, moderate drinking is characterized as up to one drink per day. However, it's worth noting  that societal norms often influence drinking habits, especially among men, and heavy drinking can sometimes be seen as a bonding ritual.
A graphical representation of the number of drinks consumed in different parts of the world

Recent Twist: A Closer Look

Remember the plot twist we mentioned earlier — the one based on recent studies that challenged the idea that some alcohol might be beneficial? Let’s explore it a bit further.

For years, a glass of wine with dinner or the occasional beer was touted as not just harmless, but even beneficial. Numerous studies suggested that moderate drinking might offer some protection against heart diseases, strokes, and even early death. These studies painted a rosy picture: moderate drinkers might live longer and healthier than heavy drinkers or even teetotalers.

As with all scientific discoveries, however, newer insights can challenge old beliefs. In March 2023, JAMA published a closer examination of the studies linking moderate alcohol consumption to a lower risk of death, suggesting that most did not stand up to scrutiny. The primary concern? Design flaws. Many of the former studies categorized both lifelong abstainers and former drinkers who quit due to alcohol-related health problems under the same umbrella as "non-drinkers." Doing so skewed the results: comparing moderate drinkers to a group that included people who've quit drinking due to its harmful effects on their health created the illusion that the moderate drinkers were “healthier.” 

Is Any Amount of Alcohol Safe?

A landmark global study in the 2018 issue of Lancet added more weight to the idea that moderate drinking might not be as healthy as once thought. Analyzing data from hundreds of thousands of participants, it concluded that the safest level of drinking is actually none at all! Even moderate drinking was linked with increased risks of various ailments, including cancer and injuries. 

The key takeaway? A growing body of evidence suggests that no amount of alcohol is entirely risk-free.

While the occasional drink isn't being labeled as a direct ticket to health issues, it's clear that the previous claims of its health benefits are on shaky ground. The shift is now more towards caution, emphasizing that while an occasional drink might not be harmful for many, it doesn't come with the health perks we once thought.

In the end, the alcohol narrative is a reminder that science is ever-evolving. What's crucial is staying informed and making choices that align with both current research and individual needs. In particular, it’s important to be mindful of the unique vulnerabilities of certain groups, such as pregnant women, adolescents (whose brains have not completely developed and are more likely to suffer serious consequences of alcohol misuse), and the elderly (whose health might be compromised by other conditions).

More Changes on the Horizon

There might be even bigger changes on the horizon when it comes to alcohol recommendations in the U.S.

According to George Koob, Director of the National Institute on Alcohol Abuse and Alcoholism, there has been talk about tightening the guidelines even further — to as little as 2 drinks per week. The new recommendation comes from the U.S. Department of Agriculture (USDA), and it matches the guidelines already established in Canada.

The process of revising the guidelines is set to be completed by 2025, so the verdict is still out.

However, as Koob sums up the future of alcohol guidelines in an interview with The Daily Mail, "I mean, they're not going to go up, I'm pretty sure. So, if [alcohol consumption guidelines] go in any direction, it would be toward Canada."

What Is an "Alcoholic"?

Finally, let’s touch on a sensitive topic that comes up when discussing how much is truly “too much” with respect to booze — the often dreaded words “alcoholic” and “alcoholism.” 

Because the term "alcoholic" can be misleading and stigmatizing, the medical community now uses "Alcohol Use Disorder" (AUD) — a condition characterized by an inability to stop or control alcohol consumption despite adverse social, occupational, or health consequences. It takes into account a spectrum of severity — mild, moderate, or severe — based on the number of symptoms a person exhibits. The shift from the term "alcoholic" to understanding AUD marks a move towards a more nuanced, empathetic, and medically informed perspective on alcohol-related issues.

Here are some of the key indicators of AUD:

  • Uncontrolled consumption: drinking more alcohol or for longer periods than intended

  • Desire to cut down: persistent desire or unsuccessful attempts to cut down or control alcohol use

  • Time spent: spending a lot of time obtaining, using, or recovering from the effects of alcohol

  • Craving: a strong desire or urge to consume alcohol

  • Impact on responsibilities: recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home

  • Interpersonal issues: continued alcohol use despite having social or interpersonal problems caused or worsened by drinking

  • Relinquished activities: important social, occupational, or recreational activities reduced or abandoned because of alcohol use

  • High-risk usage: using alcohol in situations where it's physically hazardous

  • Tolerance: needing more alcohol to achieve the desired effect or finding that the same amount has a reduced effect over time

  • Withdrawal symptoms: experiencing withdrawal symptoms when alcohol effects wear off, or consuming alcohol (or a similar substance) to avoid withdrawal symptoms

  • Neglect of physical and mental health: alcohol use is continued even though it's known to cause or exacerbate physical or psychological problems

Meeting just two of these criteria in a 12-month period may indicate the presence of AUD, with the severity (mild, moderate, or severe) determined by the number of criteria met.

Action Steps: Navigating Alcohol Consumption

If you're looking to quit or cut back on alcohol, here are seven specific, actionable steps you can take:

  • Know your limits. Familiarize yourself with the CDC guidelines or those of your country.
  • Opt for non-alcoholic beverages. Try out mocktails, herbal teas, or sparkling waters when socializing.
  • Seek support. Join support groups or networks for individuals reducing alcohol consumption (Reframe is a great place to start!).
  • Avoid triggers. Recognize what prompts you to drink and try to plan around those situations and people.
  • Stay active. Engage in physical activities or hobbies to distract from the desire to drink.
  • Educate yourself. Stay up-to-date on recent research on alcohol to keep your motivation high.
  • Consult professionals. If you feel you might have AUD, don’t hesitate to seek professional advice!

In the end, how alcohol fits into your life is a personal decision. If you’re considering cutting back or quitting, remember this: the festive get-togethers, celebrations, and activities that you might have previously associated with alcohol will bring you just as much — and possibly more — joy in the future. Every step you take towards reducing your consumption is a victory. Stay informed, seek support, and celebrate the small wins!

Imagine you're preparing for a festive get-together. You've laid out an assortment of cheeses, lit a few candles, and you're now deciding on drinks. Wine? Beer? A soft drink? As someone who’s looking to quit or cut back on alcohol, you might wonder — how much alcohol is actually too much? You might be surprised to know that when it comes to alcohol, less is always more. Let's explore the science behind it.

CDC Recommendations Over the Years

Over the last few decades, the CDC has been our go-to for answers about the limits of alcohol consumption. Let's see how their stance on booze has evolved over the decades.

  • 1980s. The CDC started recognizing the dangers of heavy alcohol consumption, noting its links to traffic accidents, violence, and various health issues. Their primary focus was on waving a red flag on binge drinking to keep us safe from alcohol-related injuries and accidents.
  • 1990s. The conversation expanded to address the potential health benefits of moderate alcohol consumption, particularly related to cardiovascular health. The guidelines of the time acknowledged that moderate alcohol consumption might have some protective effects, especially for older adults. (Spoiler alert — many of these claims have now been debunked).
  • 2000s. As research developed, the CDC introduced the concept of “moderate drinking.” The magic numbers? Up to one drink a day for women and up to two drinks a day for men.

    Why these specific amounts? The human body breaks down alcohol at a fixed rate, and these recommendations are rooted in how the average person's liver processes alcohol. Consuming more than the CDC's guidelines can lead to a buildup of alcohol in the bloodstream, which affects brain functioning, reflexes, and decision-making. Chronic excessive drinking can also lead to a slew of health issues, including liver disease, high blood pressure, and certain types of cancer.
  • 2010s. Plot twist! Just when we thought we had a grip on the alcohol narrative, in this decade we were thrown a curveball. While the guidelines for moderate drinking remained consistent, awareness of the risks associated with even low levels of alcohol consumption continued to grow. Studies began to suggest that no amount of alcohol is entirely safe, leading the CDC to be more cautionary in its communication about potential benefits. By the latter half of this decade, there was a notable shift towards a more holistic approach that takes into account not just the physiological effects but the societal and mental health implications of alcohol consumption.
  • 2020s. The message now? Tread carefully. While the CDC continues to focus on the dangers of excessive drinking, they have also shed light on the fact that no drink is 100% risk-free. There has also been an effort to destigmatize alcohol-related disorders and promote more supportive terms such as “alcohol use disorder” instead of “alcoholism” or “alcoholic.”

A Word From the WHO

In addition to the CDC, the World Health Organization has also provided guidelines about alcohol use over the years. As a global organization, the WHO doesn’t provide specific guidelines, instead focusing on publicizing the dangers of excessive alcohol use and encouraging each country to set national guidelines based on its population’s drinking patterns and related harm.

Their data suggests that 58% of all global alcohol consumers partake in heavy episodic drinking, which they define as consuming 60 or more grams of pure alcohol on at least one occasion in the past 30 days. This translates roughly to five or more drinks for men and four or more for women over a 2-hour period.

Alcohol Guidelines Around the World

It should come as no surprise that specific recommendations for alcohol consumption vary by country. This disparity stems from cultural differences, varying research interpretations, and different societal norms. Let’s explore how much alcohol is too much per week according to different guidelines around the globe!

  • Australia. In “the Land Down Under,” the advice is to stick to no more than 10 drinks a week, and definitely no more than 4 in a day.
  • Canada. Canadian guidelines are even more stringent. As of 2023, the Canadian Centre on Substance Abuse and Addiction suggests that 2 standard drinks per week (or less) is least likely to lead to alcohol-related consequences.
  • United Kingdom. The Brits keep it uniform for everyone by recommending drinkers to stick to 14 units a week, ideally spread over at least three days.
  • South Africa. South Africans are advised not to exceed 14 units of alcohol a week, making their guidelines similar to those in the UK.
  • France. The French, famous for their wine, recommend a maximum of two glasses per day, which shouldn't exceed 10 glasses per week.
  • Germany. German guidelines suggest men consume no more than 24 grams of pure alcohol daily (roughly two drinks), and women limit themselves to 12 grams (about one drink).
  • Brazil. Brazil advises men to limit their alcohol intake to 21 units per week and women to 14 units per week. The country also places strong emphasis on the dangers of binge drinking.
  • India. With a significant portion of the population abstaining from alcohol for religious and cultural reasons, those who do drink are advised to limit their consumption. Guidelines suggest up to two drinks per day for men and one for women.
  • China. While traditional beverages like baijiu are popular, moderation is key. Guidelines suggest no more than 25 grams of pure alcohol for men and 15 grams for women daily.
  • Japan. In Japan, moderate drinking is characterized as up to one drink per day. However, it's worth noting  that societal norms often influence drinking habits, especially among men, and heavy drinking can sometimes be seen as a bonding ritual.
A graphical representation of the number of drinks consumed in different parts of the world

Recent Twist: A Closer Look

Remember the plot twist we mentioned earlier — the one based on recent studies that challenged the idea that some alcohol might be beneficial? Let’s explore it a bit further.

For years, a glass of wine with dinner or the occasional beer was touted as not just harmless, but even beneficial. Numerous studies suggested that moderate drinking might offer some protection against heart diseases, strokes, and even early death. These studies painted a rosy picture: moderate drinkers might live longer and healthier than heavy drinkers or even teetotalers.

As with all scientific discoveries, however, newer insights can challenge old beliefs. In March 2023, JAMA published a closer examination of the studies linking moderate alcohol consumption to a lower risk of death, suggesting that most did not stand up to scrutiny. The primary concern? Design flaws. Many of the former studies categorized both lifelong abstainers and former drinkers who quit due to alcohol-related health problems under the same umbrella as "non-drinkers." Doing so skewed the results: comparing moderate drinkers to a group that included people who've quit drinking due to its harmful effects on their health created the illusion that the moderate drinkers were “healthier.” 

Is Any Amount of Alcohol Safe?

A landmark global study in the 2018 issue of Lancet added more weight to the idea that moderate drinking might not be as healthy as once thought. Analyzing data from hundreds of thousands of participants, it concluded that the safest level of drinking is actually none at all! Even moderate drinking was linked with increased risks of various ailments, including cancer and injuries. 

The key takeaway? A growing body of evidence suggests that no amount of alcohol is entirely risk-free.

While the occasional drink isn't being labeled as a direct ticket to health issues, it's clear that the previous claims of its health benefits are on shaky ground. The shift is now more towards caution, emphasizing that while an occasional drink might not be harmful for many, it doesn't come with the health perks we once thought.

In the end, the alcohol narrative is a reminder that science is ever-evolving. What's crucial is staying informed and making choices that align with both current research and individual needs. In particular, it’s important to be mindful of the unique vulnerabilities of certain groups, such as pregnant women, adolescents (whose brains have not completely developed and are more likely to suffer serious consequences of alcohol misuse), and the elderly (whose health might be compromised by other conditions).

More Changes on the Horizon

There might be even bigger changes on the horizon when it comes to alcohol recommendations in the U.S.

According to George Koob, Director of the National Institute on Alcohol Abuse and Alcoholism, there has been talk about tightening the guidelines even further — to as little as 2 drinks per week. The new recommendation comes from the U.S. Department of Agriculture (USDA), and it matches the guidelines already established in Canada.

The process of revising the guidelines is set to be completed by 2025, so the verdict is still out.

However, as Koob sums up the future of alcohol guidelines in an interview with The Daily Mail, "I mean, they're not going to go up, I'm pretty sure. So, if [alcohol consumption guidelines] go in any direction, it would be toward Canada."

What Is an "Alcoholic"?

Finally, let’s touch on a sensitive topic that comes up when discussing how much is truly “too much” with respect to booze — the often dreaded words “alcoholic” and “alcoholism.” 

Because the term "alcoholic" can be misleading and stigmatizing, the medical community now uses "Alcohol Use Disorder" (AUD) — a condition characterized by an inability to stop or control alcohol consumption despite adverse social, occupational, or health consequences. It takes into account a spectrum of severity — mild, moderate, or severe — based on the number of symptoms a person exhibits. The shift from the term "alcoholic" to understanding AUD marks a move towards a more nuanced, empathetic, and medically informed perspective on alcohol-related issues.

Here are some of the key indicators of AUD:

  • Uncontrolled consumption: drinking more alcohol or for longer periods than intended

  • Desire to cut down: persistent desire or unsuccessful attempts to cut down or control alcohol use

  • Time spent: spending a lot of time obtaining, using, or recovering from the effects of alcohol

  • Craving: a strong desire or urge to consume alcohol

  • Impact on responsibilities: recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home

  • Interpersonal issues: continued alcohol use despite having social or interpersonal problems caused or worsened by drinking

  • Relinquished activities: important social, occupational, or recreational activities reduced or abandoned because of alcohol use

  • High-risk usage: using alcohol in situations where it's physically hazardous

  • Tolerance: needing more alcohol to achieve the desired effect or finding that the same amount has a reduced effect over time

  • Withdrawal symptoms: experiencing withdrawal symptoms when alcohol effects wear off, or consuming alcohol (or a similar substance) to avoid withdrawal symptoms

  • Neglect of physical and mental health: alcohol use is continued even though it's known to cause or exacerbate physical or psychological problems

Meeting just two of these criteria in a 12-month period may indicate the presence of AUD, with the severity (mild, moderate, or severe) determined by the number of criteria met.

Action Steps: Navigating Alcohol Consumption

If you're looking to quit or cut back on alcohol, here are seven specific, actionable steps you can take:

  • Know your limits. Familiarize yourself with the CDC guidelines or those of your country.
  • Opt for non-alcoholic beverages. Try out mocktails, herbal teas, or sparkling waters when socializing.
  • Seek support. Join support groups or networks for individuals reducing alcohol consumption (Reframe is a great place to start!).
  • Avoid triggers. Recognize what prompts you to drink and try to plan around those situations and people.
  • Stay active. Engage in physical activities or hobbies to distract from the desire to drink.
  • Educate yourself. Stay up-to-date on recent research on alcohol to keep your motivation high.
  • Consult professionals. If you feel you might have AUD, don’t hesitate to seek professional advice!

In the end, how alcohol fits into your life is a personal decision. If you’re considering cutting back or quitting, remember this: the festive get-togethers, celebrations, and activities that you might have previously associated with alcohol will bring you just as much — and possibly more — joy in the future. Every step you take towards reducing your consumption is a victory. Stay informed, seek support, and celebrate the small wins!

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