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Latest Articles
2024-09-24 9:00
Alcohol and Mental Health
The Role of Group Therapy in Cutting Back on Alcohol
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Wondering what group therapy sessions are all about or looking for some mental health group topics? Check out our latest blog for information and tips!

21 min read

Connect With Others and Drink Less With Reframe!

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

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

You’ll meet hundreds 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  →

You’ve decided that alcohol has been taking more than it’s giving, and it’s time to put it in the background and make room for other experiences. That’s amazing — congrats on taking this important step! Now you’re looking for ways to stay on track and gain momentum in your journey. One of the best ways to do this? Team up with others on the same path!

As basketball coach Mike Krzyzewski observes, something magical happens when like-minded people work together: “The thing I loved the most — and still love the most about teaching — is that you can connect with an individual or a group, and see that individual or group exceed their limits.”

And that’s also true about the alcohol journey! Group therapy is a great way to bring out this magic and watch it transform our life. Let’s explore what therapy groups are all about and dive into some lively recovery group topics for discussion!

All About Group Therapy

A circle of individuals from different backgrounds conversing

Group therapy for alcohol misuse helps people with similar challenges gain insight and receive support by coming together on a regular basis. While they’re often part of residential or intensive outpatient treatment programs, standalone group therapy sessions are common as well. It’s all about learning and growing together in a supportive environment with like-minded folks guided by trained professionals to steer the “sobriety ship”!

There are many types of group therapy out there, and the NCBI Substance Abuse Treatment protocol lists some of the most common types:

  • Psychoeducational groups. A group therapy staple, psychoeducational groups are all about learning the ins and outs of alcohol misuse. They help us understand alcohol’s effects on our mind and body and learn the basics of alcohol use disorder (AUD), cravings, triggers, and the elements of a life with less (or no) booze. The group leader often plays a prominent role and has the necessary qualifications for presenting the material in a way that’s accurate, accessible, and easy to understand.
  • Skills development groups. As alcohol’s presence in our life grew, it’s likely that some important skills fell by the wayside. We might need a bit of extra help, and skills development groups help fill in the gaps. For example, group therapy sessions might help us develop coping skills for stressful times.
  • Cognitive behavioral or problem solving groups. One of the most important parts of any alcohol journey is shifting the way we feel about booze. It’s likely that during our heavy drinking days, we gave alcohol more credit than it ever deserved, thinking that it helped us socialize, relax, or be creative. Cognitive behavioral therapy helps us tease out and bring to light these subconscious cognitive distortions, replacing them with healthier thinking patterns that align with our new goals.
All About Group Therapy
  • Support groups. Support groups give us a safe space to share our personal feelings, experiences, and thoughts about the alcohol journey. This is the time to be vulnerable and let it all out — we’re in the company of others who’ve been where we are and know what it’s like!
  • Interpersonal process groups. Similar to support groups, interpersonal process groups focus on the personal experiences of group members. However, process group therapy goes a step further by providing feedback and pathways to change. All of us have blind spots, and process group therapy sessions provide much-needed outside perspective to help us spot them.
  • Relapse prevention treatment groups. As the name suggests, relapse prevention therapy groups focus on reducing chances of setbacks along the way. While the term “relapse” is more relevant for those who decided to leave booze behind for good, it’s just as essential for those on the cutback journey to create “buffers” that keep us from falling back into old patterns.
  • Expressive groups. Now it’s time to let loose and let our creativity flow! Expressive group therapy sessions tap into creativity by teaching us to use art, dance, or drama in order to visualize or express aspects of the alcohol journey. The sky’s the limit here — from crafting vision boards to writing recovery-related haikus, using the creative side of the brain can lead to powerful insights.

Now that we have the lay of the land, let’s dig deeper into the benefits of group therapy from a scientific perspective. Time to discover the power of sharing!

The Science of Sharing Recovery

“All of us are mentors. You’re mentors right here and now. And one of the things I’ve always done throughout my life, I have always found that person, that group of people that I was going to reach my hand out and help bring them along with me.” — Michelle Obama

According to the NCBI, group therapy has many benefits:

  • Groups provide accountability. By definition, joining a group involves making a commitment. We’re signing up to do something on a regular basis and other people will know if we miss a session, show up intoxicated or hungover, or opt out altogether. And while there’s no pressure to stick around if we find that the group is truly not for us, when we do find one that “clicks,” the accountability this commitment provides is incredibly useful. Science says that accountability helps strengthen the brain’s prefrontal cortex — the part most affected by alcohol misuse. When we set certain expectations for ourselves and meet them, we’re rewiring our brain and creating healthy habits!
  • They add structure to our lives. In addition to accountability, structure is essential for the alcohol journey. Filling our days with meaningful activities and building healthy routines goes a long way when it comes to keeping cravings at bay or falling back into old patterns. The less space there is for our old habits, the better! 
  • They create a sense of community. One of the main perks of group therapy is the sense of community it fosters. There’s nothing like being in the same room (or Zoom hangout!) with others who understand and support us. Research shows that social support is key during the alcohol journey, and group therapy helps us break out of the isolation that changing our drinking habits sometimes brings. Moreover, sharing our experiences in a supportive environment releases the “bonding hormone” oxytocin, leaving us feeling connected, relaxed, and safe.
  • They build hope by showing that recovery is possible. Another superpower of group therapy? It shows us that recovery is possible. Seeing other people who’ve been in our shoes thriving has a powerful “proof of the pudding” effect: the proof that recovery is possible is right in front of our eyes.
  • They allow us to share coping skills and strategies. Throughout our alcohol journey, we’re building our toolbox of ways to deal with cravings, navigate social situations involving alcohol, and take care of our mind and body. Why not pool resources and share useful tips with others? Sometimes finding an urge-surfing trick that hits the spot or knowing exactly what to say to a drink offer makes all the difference.
  • They help us see ourselves from an outside perspective. Remember how we said reframing our view of alcohol is the key to letting it go with ease? Group therapy helps us do that by providing an outside perspective, letting us spot cognitive distortions we might have otherwise missed. And helping others do the same is just as powerful: research shows that listening to others’ stories and offering support activates the mirror neurons in our brain, making us more empathetic, compassionate, and resilient.
  • They let us practice social skills. While many people think of alcohol as “social glue,” the reality is that it often brings out our less-than-social side, leading to mood swings, rash comments, and next-day regrets. At the same time, if we’ve been relying on alcohol to feel “social” (whereas we actually lose our filter and act in ways our authentic self would intuitively steer clear of), we might find it hard to socialize without that drink. Group therapy sessions, in turn, provide a safe space to work on our sober social game. Plus, positive social interactions are a natural way to boost dopamine, helping us coast through cravings!
  • They allow professionals to help many people at once. Groups allow multiple people to have access to a professional at the same time. In addition to helping people individually, the professional can address group dynamics, adding an extra therapeutic dimension to the session.

With all this info about group therapy, you may be wondering what group therapy members actually talk about. Let’s get into it!

Group Therapy Topics

Now for the fun part: here are some recovery topics for groups that can spark discussions, lead to insights, and make cutting back on alcohol easier:

1. “What If?”

As Annie Grace suggests in The Alcohol Experiment, imagine a world in which alcohol is less accepted than it is today. While in reality alcohol “is the only drug on the planet you have to justify not taking,” this doesn’t need to be the case.

How would your experience of quitting or cutting back be different? What would you do instead of drinking? How would celebrations look? Act out some possible scenarios with other group members and feel the sense of freedom this alternative reality brings. 

2. Find Your “Why”

Defining our reasons for change is important when it comes to shifting how we see alcohol and gaining momentum in our journey. Spend some time finding your “why” and share it with other group members.

Be as specific as possible. Maybe you want to make sure your mind is clear and sharp well into old age. Maybe you want to get in physical shape, lose weight, save money for a dream vacation, or have more time to spend with your kids. Defining your own reasons for change — as well as hearing those of others — can be a powerful motivator.

3. The Dopamine Dilemma

One of the trickiest parts of the alcohol journey is dealing with cravings — intense urges to drink that can hit us when we least expect it. The reason has to do with the fact that alcohol artificially boosts dopamine — the reward neurotransmitter that floods our brain with pleasure and keeps us coming back for more.

There are plenty of natural ways to boost dopamine, and group therapy is a great space to swap advice and share what works. Whether it’s a YouTube kickboxing routine, a creative board game, or an inspiring audiobook that got your dopamine flowing, it’s time to share the joy with others!

4. Practice for the Party

Social occasions can be tricky when we’re leaving booze behind, especially if we’re used to relying on it to loosen up. And while sober socializing ultimately leads to more authentic interactions and fulfilling relationships, refusing a drink might feel awkward at the beginning.

Group therapy is the ideal time to practice! Role-playing different scenarios and trying out possible responses can make it easier to do in real life.

5. The Habit Swap

Building new habits is essential during the alcohol journey. Habits physically reprogram our brain through the power of neuroplasticity: the more we engage in a certain behavior, the more natural it becomes (for better or worse).

Cutting back on alcohol is a whole lot easier with a healthy daily routine. Why not share the habits that are working for you with others in your therapy group? Maybe it’s writing morning pages, keeping a gratitude journal, or using the Pomodoro technique for productivity. Whatever it is, if it’s working for you — share it with others!

The Power of the Group

In the end, the alcohol journey is a deeply personal one. However, it’s not meant to be walked alone. There’s tremendous benefit in tapping into the power of the group and making the process less lonely, more effective, and a whole lot more fun.

And remember, Reframe’s supportive community provides the benefits of group therapy right in the palm of your hand! Check out our 24/7 Forum and our small group meetings with coaches and others just like you who’ve been where you are and are now thriving. We’re here for you!

You’ve decided that alcohol has been taking more than it’s giving, and it’s time to put it in the background and make room for other experiences. That’s amazing — congrats on taking this important step! Now you’re looking for ways to stay on track and gain momentum in your journey. One of the best ways to do this? Team up with others on the same path!

As basketball coach Mike Krzyzewski observes, something magical happens when like-minded people work together: “The thing I loved the most — and still love the most about teaching — is that you can connect with an individual or a group, and see that individual or group exceed their limits.”

And that’s also true about the alcohol journey! Group therapy is a great way to bring out this magic and watch it transform our life. Let’s explore what therapy groups are all about and dive into some lively recovery group topics for discussion!

All About Group Therapy

A circle of individuals from different backgrounds conversing

Group therapy for alcohol misuse helps people with similar challenges gain insight and receive support by coming together on a regular basis. While they’re often part of residential or intensive outpatient treatment programs, standalone group therapy sessions are common as well. It’s all about learning and growing together in a supportive environment with like-minded folks guided by trained professionals to steer the “sobriety ship”!

There are many types of group therapy out there, and the NCBI Substance Abuse Treatment protocol lists some of the most common types:

  • Psychoeducational groups. A group therapy staple, psychoeducational groups are all about learning the ins and outs of alcohol misuse. They help us understand alcohol’s effects on our mind and body and learn the basics of alcohol use disorder (AUD), cravings, triggers, and the elements of a life with less (or no) booze. The group leader often plays a prominent role and has the necessary qualifications for presenting the material in a way that’s accurate, accessible, and easy to understand.
  • Skills development groups. As alcohol’s presence in our life grew, it’s likely that some important skills fell by the wayside. We might need a bit of extra help, and skills development groups help fill in the gaps. For example, group therapy sessions might help us develop coping skills for stressful times.
  • Cognitive behavioral or problem solving groups. One of the most important parts of any alcohol journey is shifting the way we feel about booze. It’s likely that during our heavy drinking days, we gave alcohol more credit than it ever deserved, thinking that it helped us socialize, relax, or be creative. Cognitive behavioral therapy helps us tease out and bring to light these subconscious cognitive distortions, replacing them with healthier thinking patterns that align with our new goals.
All About Group Therapy
  • Support groups. Support groups give us a safe space to share our personal feelings, experiences, and thoughts about the alcohol journey. This is the time to be vulnerable and let it all out — we’re in the company of others who’ve been where we are and know what it’s like!
  • Interpersonal process groups. Similar to support groups, interpersonal process groups focus on the personal experiences of group members. However, process group therapy goes a step further by providing feedback and pathways to change. All of us have blind spots, and process group therapy sessions provide much-needed outside perspective to help us spot them.
  • Relapse prevention treatment groups. As the name suggests, relapse prevention therapy groups focus on reducing chances of setbacks along the way. While the term “relapse” is more relevant for those who decided to leave booze behind for good, it’s just as essential for those on the cutback journey to create “buffers” that keep us from falling back into old patterns.
  • Expressive groups. Now it’s time to let loose and let our creativity flow! Expressive group therapy sessions tap into creativity by teaching us to use art, dance, or drama in order to visualize or express aspects of the alcohol journey. The sky’s the limit here — from crafting vision boards to writing recovery-related haikus, using the creative side of the brain can lead to powerful insights.

Now that we have the lay of the land, let’s dig deeper into the benefits of group therapy from a scientific perspective. Time to discover the power of sharing!

The Science of Sharing Recovery

“All of us are mentors. You’re mentors right here and now. And one of the things I’ve always done throughout my life, I have always found that person, that group of people that I was going to reach my hand out and help bring them along with me.” — Michelle Obama

According to the NCBI, group therapy has many benefits:

  • Groups provide accountability. By definition, joining a group involves making a commitment. We’re signing up to do something on a regular basis and other people will know if we miss a session, show up intoxicated or hungover, or opt out altogether. And while there’s no pressure to stick around if we find that the group is truly not for us, when we do find one that “clicks,” the accountability this commitment provides is incredibly useful. Science says that accountability helps strengthen the brain’s prefrontal cortex — the part most affected by alcohol misuse. When we set certain expectations for ourselves and meet them, we’re rewiring our brain and creating healthy habits!
  • They add structure to our lives. In addition to accountability, structure is essential for the alcohol journey. Filling our days with meaningful activities and building healthy routines goes a long way when it comes to keeping cravings at bay or falling back into old patterns. The less space there is for our old habits, the better! 
  • They create a sense of community. One of the main perks of group therapy is the sense of community it fosters. There’s nothing like being in the same room (or Zoom hangout!) with others who understand and support us. Research shows that social support is key during the alcohol journey, and group therapy helps us break out of the isolation that changing our drinking habits sometimes brings. Moreover, sharing our experiences in a supportive environment releases the “bonding hormone” oxytocin, leaving us feeling connected, relaxed, and safe.
  • They build hope by showing that recovery is possible. Another superpower of group therapy? It shows us that recovery is possible. Seeing other people who’ve been in our shoes thriving has a powerful “proof of the pudding” effect: the proof that recovery is possible is right in front of our eyes.
  • They allow us to share coping skills and strategies. Throughout our alcohol journey, we’re building our toolbox of ways to deal with cravings, navigate social situations involving alcohol, and take care of our mind and body. Why not pool resources and share useful tips with others? Sometimes finding an urge-surfing trick that hits the spot or knowing exactly what to say to a drink offer makes all the difference.
  • They help us see ourselves from an outside perspective. Remember how we said reframing our view of alcohol is the key to letting it go with ease? Group therapy helps us do that by providing an outside perspective, letting us spot cognitive distortions we might have otherwise missed. And helping others do the same is just as powerful: research shows that listening to others’ stories and offering support activates the mirror neurons in our brain, making us more empathetic, compassionate, and resilient.
  • They let us practice social skills. While many people think of alcohol as “social glue,” the reality is that it often brings out our less-than-social side, leading to mood swings, rash comments, and next-day regrets. At the same time, if we’ve been relying on alcohol to feel “social” (whereas we actually lose our filter and act in ways our authentic self would intuitively steer clear of), we might find it hard to socialize without that drink. Group therapy sessions, in turn, provide a safe space to work on our sober social game. Plus, positive social interactions are a natural way to boost dopamine, helping us coast through cravings!
  • They allow professionals to help many people at once. Groups allow multiple people to have access to a professional at the same time. In addition to helping people individually, the professional can address group dynamics, adding an extra therapeutic dimension to the session.

With all this info about group therapy, you may be wondering what group therapy members actually talk about. Let’s get into it!

Group Therapy Topics

Now for the fun part: here are some recovery topics for groups that can spark discussions, lead to insights, and make cutting back on alcohol easier:

1. “What If?”

As Annie Grace suggests in The Alcohol Experiment, imagine a world in which alcohol is less accepted than it is today. While in reality alcohol “is the only drug on the planet you have to justify not taking,” this doesn’t need to be the case.

How would your experience of quitting or cutting back be different? What would you do instead of drinking? How would celebrations look? Act out some possible scenarios with other group members and feel the sense of freedom this alternative reality brings. 

2. Find Your “Why”

Defining our reasons for change is important when it comes to shifting how we see alcohol and gaining momentum in our journey. Spend some time finding your “why” and share it with other group members.

Be as specific as possible. Maybe you want to make sure your mind is clear and sharp well into old age. Maybe you want to get in physical shape, lose weight, save money for a dream vacation, or have more time to spend with your kids. Defining your own reasons for change — as well as hearing those of others — can be a powerful motivator.

3. The Dopamine Dilemma

One of the trickiest parts of the alcohol journey is dealing with cravings — intense urges to drink that can hit us when we least expect it. The reason has to do with the fact that alcohol artificially boosts dopamine — the reward neurotransmitter that floods our brain with pleasure and keeps us coming back for more.

There are plenty of natural ways to boost dopamine, and group therapy is a great space to swap advice and share what works. Whether it’s a YouTube kickboxing routine, a creative board game, or an inspiring audiobook that got your dopamine flowing, it’s time to share the joy with others!

4. Practice for the Party

Social occasions can be tricky when we’re leaving booze behind, especially if we’re used to relying on it to loosen up. And while sober socializing ultimately leads to more authentic interactions and fulfilling relationships, refusing a drink might feel awkward at the beginning.

Group therapy is the ideal time to practice! Role-playing different scenarios and trying out possible responses can make it easier to do in real life.

5. The Habit Swap

Building new habits is essential during the alcohol journey. Habits physically reprogram our brain through the power of neuroplasticity: the more we engage in a certain behavior, the more natural it becomes (for better or worse).

Cutting back on alcohol is a whole lot easier with a healthy daily routine. Why not share the habits that are working for you with others in your therapy group? Maybe it’s writing morning pages, keeping a gratitude journal, or using the Pomodoro technique for productivity. Whatever it is, if it’s working for you — share it with others!

The Power of the Group

In the end, the alcohol journey is a deeply personal one. However, it’s not meant to be walked alone. There’s tremendous benefit in tapping into the power of the group and making the process less lonely, more effective, and a whole lot more fun.

And remember, Reframe’s supportive community provides the benefits of group therapy right in the palm of your hand! Check out our 24/7 Forum and our small group meetings with coaches and others just like you who’ve been where you are and are now thriving. We’re here for you!

Alcohol and Mental Health
2024-09-09 9:00
Alcohol and Mental Health
How Important Is Self-Care in Recovery?
This is some text inside of a div block.

Why is self-care so important in alcohol misuse recovery? Find out how to give your mind, body, emotions, and spirit some much-needed TLC in our latest blog about self-care in addiction recovery.

22 min read

Take Care of Yourself and Drink Less With Reframe!

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

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

You’ll meet hundreds 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  →

On TV, self-care rituals and routines are all about bubble baths, massages, and maybe getting your nails done. Just think of Monica from Friends soaking her troubles away in lavender-scented soap bubbles as Enya plays in the background; Elaine from Seinfeld going to her favorite Korean nail salon, and George finding himself unable to part with that oh-so-comfortable massage chair that’s supposed to be a gift for a friend. But there’s so much more to self-care, especially when it comes to recovery! Why is self-care so important? And how can we improve our self-care game in recovery? Let’s find out!

Self-Care in Addiction Recovery: Giving Back to Ourselves

An older man sits cross-legged in a serene park, meditating peacefully

It’s no secret that alcohol misuse wreaks havoc on our lives. While the physical effects are the most obvious, however, the problem goes deeper. Here’s an overview.

  • Alcohol damages our physical health. When it comes to the effects of booze on the body, no organ system is left untouched. From liver damage, blood pressure spikes, and digestive problems to poor sleep, weight gain, and muscle deterioration (yes, even our fitness efforts get sabotaged!), the aftermath can be a doozie to clean up. And while our body’s self-healing capabilities are remarkable, it will need some TLC to get there.
  • It creates brain fog. Critical thinking and alcohol don’t mix well. Booze slows down our higher-order brain functions, wrecks our memory, and torpedoes our attention span. As soon as we put down the booze, the brain starts to recover. However, some neuroscience-backed self-care strategies can speed things along!
  • It causes emotional turmoil. Alcohol disrupts the delicate balance of neurotransmitters in the brain, and it might take some time for the emotional seas to get calmer again. And while the withdrawal stage might be when the anxiety peaks and the mood swings turn us into Jekyll and Hyde, the effects can persist for weeks or even months afterwards. Known as post-acute withdrawal syndrome, or PAWS (and not the nice furry ones), we might feel some anxiety, depression, or an overall “ugh” feeling following us around like a shadow.
  • It damages relationships. While many consider alcohol to be “social glue,” the reality is often the exact opposite. We might feel like a social butterfly at the moment, but all those embarrassing late-night messages we wish we could unsend the next morning, plans that got canceled as we nursed another hangover, and arguments we had while under the influence probably didn’t help our social lives in the long run.
  • It puts us in conflict with our authentic self. It’s easy to miss this point, but it’s a crucial one. When we misuse alcohol (or any substance for that matter), our mind is at war with itself. On one hand, we want to drink less or quit altogether. However, at the same time, we’re pulled toward that bar, liquor aisle, or stash of bottles in the closet. Scientists refer to this state as cognitive dissonance, and, quite frankly, it’s a bummer. We want something but wish we didn’t want it at the same time. Yikes!

This is where self-care comes in! According to the National Institutes of Health, mental health “is more than the absence of a mental illness.” Instead, it’s all about thriving, enjoying our new life, and looking forward to each day when we wake up in the morning. Self-care, in turn, is the way to achieve it. As writer Lalah Delia puts it, “Self-care is how you take your power back.”

Self-Care in Recovery: Beyond the Bubble Bath

How do we go about starting a self-care routine in recovery? It’s helpful to think of it in terms of four areas — our physical, emotional, mental, and spiritual health. All four have been affected by alcohol use, and all four are in need of attention.

1. Physical Self-Care in Recovery: Healing From the Inside Out

“Self-care has become a new priority — the revelation that it’s perfectly permissible to listen to your body and do what it needs.” ― Frances Ryan

As we already know, alcohol does a number on our physical health. And while getting it out of our system is the first priority, we can take additional steps to take our recovery to the next level:

  • Everything starts with nutrition. As they say, “You are what you eat” (or drink). And while that’s (thankfully) no longer alcohol, it’s likely that the months, years, or even decades of heavy drinking left us depleted of important nutrients. As for our gut microbiota — those helpful bacteria that live in our digestive system and keep things running smoothly — well, let’s just say they’re not too happy (that is, the ones that haven’t been wiped out altogether as a result of drinking).



    What does a recovery-friendly diet look like? Plenty of whole foods like fruits, vegetables, lean proteins, and whole grains to replenish nutrients depleted by alcohol use. Foods high in B vitamins — think leafy greens, eggs, seafood, beans, and nuts — are particularly important since alcohol can deplete them. Staying hydrated with plenty of water and incorporating foods high in antioxidants, such as berries and nuts, will help our body repair itself and boost overall health.
  • Exercise gets us moving in the right direction. In addition to helping us get rid of that beer belly (or wine belly, as the case may be), exercise is an excellent way to feel better as we recover. Exercise releases endorphins, those feel-good hormones that give us a natural happiness boost. Find activities you truly enjoy — whether it’s running, hiking, kickboxing, or dancing in your living room, anything that gets you moving and breaking a sweat counts!
  • Sleep is when the restorative magic happens. While booze often gets credit for sending us into dreamland, the results are not quite as dreamy as they might seem. In fact, alcohol robs us of the most restorative stages of sleep and leads to sleep disruption as the rebound effects kick in and counteract the initial depressant effects. Aim for at least eight hours and set up a comfortable, distraction-free sleep environment that’s about 65–68°F (the optimal temperature to get the most out of REM sleep).

In the end, it’s simple: listen to your body and give it what it needs. Without alcohol drowning out your intuition, it’ll be that much easier to hear it clearly.

2. Mental Self-Care in Recovery: Clearing the Fog

“The brain is like a muscle; books are the diet and writing is the workout.” ― Stewart Stafford

Ever try to solve a quadratic equation or play a game of chess (or even Tetris) while drinking? Even though we sometimes think booze leads to “brilliant” insights at the moment, the next morning those insights tend to lose their spark (if we even remember them). That’s because alcohol slows down activity in the prefrontal cortex — the reasoning and decision-making hub of the brain — and messes with the hippocampus (which helps us store new memories).

While quitting or cutting back certainly helps us get our smarts back, it will take some time. Here are some self-care practices to help our brain get back in shape:

  • Games aren’t just for kids. One of the most effective (and fun) ways to sharpen our mental skills is by actively engaging our mind through puzzles. We can dig into crossword puzzles, Sudoku, online memory games, or even good old-fashioned Tetris to clear those cobwebs in the attic. Why not try a new one each week? Mind-training games come with an extra recovery perk: they’re a natural way to boost dopamine and increase neuroplasticity!
  • School isn’t either. Chances are, we weren’t reading War and Peace or listening to a course on conversational Japanese as we downed that bottle of wine at night. Or, if we were, we probably don’t remember much of it. Now is the time to dig into a subject that fascinates us, pick up new skills, learn new languages, and much, much more. With all the time that we’re no longer spending on drinking (or cleaning up the aftermath), the sky’s the limit!
  • Freeing up space makes room for thought clarity. While it might seem that bagging up some old T-shirts and donating them has nothing to do with our ability to focus, our physical space has a dramatic effect on the mind. In addition to making it easier to find something wearable in the closet, decluttering clears the mental cobwebs.

The key to caring for our mind is finding a technique, activity, or subject to explore that jibes with our interests. Whether it’s playing online chess, brushing up on our Spanish skills by listening to bite-sized Spanish podcasts on the way to work, or finally reading Ulysses, our brain will thank us!

3. Emotional Self-Care in Recovery: Calming the Storm

“The chaos around you is none of your business: your business is how you feel about it.” ― Jacinta Mpalyenkana

Remember those emotional storms that alcohol stirs up? Part of self-care in recovery is dealing with them. The most important takeaway is that emotions come and go, even if it might seem like the unpleasant ones will last forever. But while learning to accept them without judgment is the first step, there are self-care practices we can use to help create emotional shifts.

  • Music sets the emotional soundtrack. As singer Maria von Trapp once put it, “Music acts like a magic key to which the most tightly closed heart opens.” Sometimes listening to an energetic or cheerful song when we’re feeling down can uplift and inspire us to keep going. However, other times it can feel cathartic to lean into the emotion we’re feeling. Even a good cry to “Let It Be” by The Beatles or “Tears in Heaven” by Eric Clapton can hit the spot, allowing us to release pent-up emotions.

Playlists are a great way to keep our musical healing toolbox organized. And while you’re at it, check out Reframe’s recovery-related playlists!
  • A solid support network is key. Part of self-care — especially when it comes to managing our emotions — is surrounding ourselves with people who support us. We take our emotional healing up a notch every time we have a positive, authentic interaction, so let’s make room for them! (For more details, check out “Types of Social Support and How They Work.”)
  • Letting go of what doesn’t serve us is crucial. In the words of Curtis Tyrone Jones, “Sometimes feeling good isn’t about picking up more things to do, but about letting go of things that have nothing to do with you.” Applying this practice to our daily lives can boost our recovery. When faced with negativity, we can simply consider it without judgment, smile (in our mind, if a random grin would draw unnecessary attention), and mentally wave it goodbye as we watch it float away on a cloud (or roll into the distance on a train). The same goes for our online life as well — doing a digital detox once in a while and unfollowing people who fill our lives with negativity is a must when it comes to self-care in recovery.
  • Sound healing sounds simple, but it works. Sound healing uses vibrations and frequencies to positively affect brain waves, promoting relaxation and reducing stress. And it’s not just “New Age” stuff! Science shows that soothing sounds can lower cortisol levels and naturally boost serotonin.
  • Breathing is a powerful healing tool. Now, we know it sounds obvious — breathing is good for you. But there’s much more to this powerful tool we can add to our alcohol abuse self-care toolbox! Diaphragmatic breathing activates the parasympathetic nervous system, which reduces cortisol levels and promotes a state of calm. This physiological response can support emotional recovery by decreasing stress and enhancing emotional regulation.
  • Affirmations aren’t as corny as they first seem. In the words of Tia Walker, author of The Inspired Caregiver, “Affirmations are our mental vitamins, providing the supplementary positive thoughts we need to balance the barrage of negative events and thoughts we experience daily.” Saying them out loud, sticking them to a bathroom mirror, or setting a phone reminder to have one pop up on the screen every few hours can help reprogram our subconscious feelings about ourselves.

In the end, it’s important to keep in mind that emotions aren’t inherently “good” or “bad.” Seeing them from this neutral perspective, in turn, is often enough to take the sting out of the unpleasant while creating space for profound emotional shifts with the help of the practices in our emotional self-care toolbox.

4. Spiritual Self-Care in Recovery: Finding Purpose

“The wounded mind must be reset like a fractured bone. It cannot heal itself without spiritual realignment.” ― Anthon St. Maarten

Finally, we come to the spiritual side of things. Alcohol tends to disconnect us from our authentic self, and spiritual self-care is all about finding our way back. It’s kind of like rebooting a faulty GPS app and rediscovering things that feel meaningful and give us a sense of purpose!

Meditation rewires the brain. Meditation is a key part of many spiritual practices, and it can work wonders for getting in touch with our authentic self and tapping into a source of meaning. In fact, it’s a self-care tool that also has physical, emotional, and mental benefits and reinforces all four areas of healing. Plus, it’s a science-backed way to reduce cravings, manage stress, and switch from the “default mode network” associated with habitual, repetitive thinking to one that’s associated with new ideas and insights. Plus, it even increases the volume of the prefrontal cortex and hippocampus, helping us recover our higher-order brain functions and memory — it’s a win-win! (To learn more, take a look at “How Can Meditation Help Me Overcome Alcohol Misuse?”)

Nature has healing powers. One of the easiest sources of spiritual energy to tap into is right there, outside our window (unless we live in a basement apartment — but even then, it’s not too far away). Whether it’s a patch of grass with a tree outside our front door, a city park, or a mountain trail, a natural setting lets us tap into a profound source of peace, sustaining our recovery. And there’s science behind it! Nature relieves both physical and psychological stress, boosts endorphins, and reduces impulsivity, according to studies. (For a deep dive, check out “What Is Ecotherapy? 5 Ways Time in Nature Improves Mental Well-Being.”)

Giving back to others is giving back to ourselves. It’s easy to get stuck in our own mind when we’re stuck in the alcohol trap, and switching our focus to others can help us heal spiritually. Plus, studies show that acts of kindness boost endorphins and oxytocin, making us feel good. They also promote neuroplasticity, helping the brain to rewire and heal itself after alcohol misuse!

Gratitude works wonders. Gratitude shifts our focus from what’s wrong to what’s right — an instant mood booster that helps our spiritual healing. Science shows that practicing gratitude increases dopamine and serotonin levels, promoting joy and reducing stress without alcohol! (To learn more, check out “Gratitude Journal Prompts To Practice Daily.”)

For more information about the spiritual side of recovery, take a look at “Exploring Spirituality In Recovery.” 

Self-Care Isn’t Selfish!

All in all, it’s important to remember that self-care in recovery isn’t selfish — it’s necessary! As author L.R. Knost writes, “Taking care of myself doesn’t mean ‘me first.’ It means ‘me too’.” And here at Reframe we’re all about helping you get there!

On TV, self-care rituals and routines are all about bubble baths, massages, and maybe getting your nails done. Just think of Monica from Friends soaking her troubles away in lavender-scented soap bubbles as Enya plays in the background; Elaine from Seinfeld going to her favorite Korean nail salon, and George finding himself unable to part with that oh-so-comfortable massage chair that’s supposed to be a gift for a friend. But there’s so much more to self-care, especially when it comes to recovery! Why is self-care so important? And how can we improve our self-care game in recovery? Let’s find out!

Self-Care in Addiction Recovery: Giving Back to Ourselves

An older man sits cross-legged in a serene park, meditating peacefully

It’s no secret that alcohol misuse wreaks havoc on our lives. While the physical effects are the most obvious, however, the problem goes deeper. Here’s an overview.

  • Alcohol damages our physical health. When it comes to the effects of booze on the body, no organ system is left untouched. From liver damage, blood pressure spikes, and digestive problems to poor sleep, weight gain, and muscle deterioration (yes, even our fitness efforts get sabotaged!), the aftermath can be a doozie to clean up. And while our body’s self-healing capabilities are remarkable, it will need some TLC to get there.
  • It creates brain fog. Critical thinking and alcohol don’t mix well. Booze slows down our higher-order brain functions, wrecks our memory, and torpedoes our attention span. As soon as we put down the booze, the brain starts to recover. However, some neuroscience-backed self-care strategies can speed things along!
  • It causes emotional turmoil. Alcohol disrupts the delicate balance of neurotransmitters in the brain, and it might take some time for the emotional seas to get calmer again. And while the withdrawal stage might be when the anxiety peaks and the mood swings turn us into Jekyll and Hyde, the effects can persist for weeks or even months afterwards. Known as post-acute withdrawal syndrome, or PAWS (and not the nice furry ones), we might feel some anxiety, depression, or an overall “ugh” feeling following us around like a shadow.
  • It damages relationships. While many consider alcohol to be “social glue,” the reality is often the exact opposite. We might feel like a social butterfly at the moment, but all those embarrassing late-night messages we wish we could unsend the next morning, plans that got canceled as we nursed another hangover, and arguments we had while under the influence probably didn’t help our social lives in the long run.
  • It puts us in conflict with our authentic self. It’s easy to miss this point, but it’s a crucial one. When we misuse alcohol (or any substance for that matter), our mind is at war with itself. On one hand, we want to drink less or quit altogether. However, at the same time, we’re pulled toward that bar, liquor aisle, or stash of bottles in the closet. Scientists refer to this state as cognitive dissonance, and, quite frankly, it’s a bummer. We want something but wish we didn’t want it at the same time. Yikes!

This is where self-care comes in! According to the National Institutes of Health, mental health “is more than the absence of a mental illness.” Instead, it’s all about thriving, enjoying our new life, and looking forward to each day when we wake up in the morning. Self-care, in turn, is the way to achieve it. As writer Lalah Delia puts it, “Self-care is how you take your power back.”

Self-Care in Recovery: Beyond the Bubble Bath

How do we go about starting a self-care routine in recovery? It’s helpful to think of it in terms of four areas — our physical, emotional, mental, and spiritual health. All four have been affected by alcohol use, and all four are in need of attention.

1. Physical Self-Care in Recovery: Healing From the Inside Out

“Self-care has become a new priority — the revelation that it’s perfectly permissible to listen to your body and do what it needs.” ― Frances Ryan

As we already know, alcohol does a number on our physical health. And while getting it out of our system is the first priority, we can take additional steps to take our recovery to the next level:

  • Everything starts with nutrition. As they say, “You are what you eat” (or drink). And while that’s (thankfully) no longer alcohol, it’s likely that the months, years, or even decades of heavy drinking left us depleted of important nutrients. As for our gut microbiota — those helpful bacteria that live in our digestive system and keep things running smoothly — well, let’s just say they’re not too happy (that is, the ones that haven’t been wiped out altogether as a result of drinking).



    What does a recovery-friendly diet look like? Plenty of whole foods like fruits, vegetables, lean proteins, and whole grains to replenish nutrients depleted by alcohol use. Foods high in B vitamins — think leafy greens, eggs, seafood, beans, and nuts — are particularly important since alcohol can deplete them. Staying hydrated with plenty of water and incorporating foods high in antioxidants, such as berries and nuts, will help our body repair itself and boost overall health.
  • Exercise gets us moving in the right direction. In addition to helping us get rid of that beer belly (or wine belly, as the case may be), exercise is an excellent way to feel better as we recover. Exercise releases endorphins, those feel-good hormones that give us a natural happiness boost. Find activities you truly enjoy — whether it’s running, hiking, kickboxing, or dancing in your living room, anything that gets you moving and breaking a sweat counts!
  • Sleep is when the restorative magic happens. While booze often gets credit for sending us into dreamland, the results are not quite as dreamy as they might seem. In fact, alcohol robs us of the most restorative stages of sleep and leads to sleep disruption as the rebound effects kick in and counteract the initial depressant effects. Aim for at least eight hours and set up a comfortable, distraction-free sleep environment that’s about 65–68°F (the optimal temperature to get the most out of REM sleep).

In the end, it’s simple: listen to your body and give it what it needs. Without alcohol drowning out your intuition, it’ll be that much easier to hear it clearly.

2. Mental Self-Care in Recovery: Clearing the Fog

“The brain is like a muscle; books are the diet and writing is the workout.” ― Stewart Stafford

Ever try to solve a quadratic equation or play a game of chess (or even Tetris) while drinking? Even though we sometimes think booze leads to “brilliant” insights at the moment, the next morning those insights tend to lose their spark (if we even remember them). That’s because alcohol slows down activity in the prefrontal cortex — the reasoning and decision-making hub of the brain — and messes with the hippocampus (which helps us store new memories).

While quitting or cutting back certainly helps us get our smarts back, it will take some time. Here are some self-care practices to help our brain get back in shape:

  • Games aren’t just for kids. One of the most effective (and fun) ways to sharpen our mental skills is by actively engaging our mind through puzzles. We can dig into crossword puzzles, Sudoku, online memory games, or even good old-fashioned Tetris to clear those cobwebs in the attic. Why not try a new one each week? Mind-training games come with an extra recovery perk: they’re a natural way to boost dopamine and increase neuroplasticity!
  • School isn’t either. Chances are, we weren’t reading War and Peace or listening to a course on conversational Japanese as we downed that bottle of wine at night. Or, if we were, we probably don’t remember much of it. Now is the time to dig into a subject that fascinates us, pick up new skills, learn new languages, and much, much more. With all the time that we’re no longer spending on drinking (or cleaning up the aftermath), the sky’s the limit!
  • Freeing up space makes room for thought clarity. While it might seem that bagging up some old T-shirts and donating them has nothing to do with our ability to focus, our physical space has a dramatic effect on the mind. In addition to making it easier to find something wearable in the closet, decluttering clears the mental cobwebs.

The key to caring for our mind is finding a technique, activity, or subject to explore that jibes with our interests. Whether it’s playing online chess, brushing up on our Spanish skills by listening to bite-sized Spanish podcasts on the way to work, or finally reading Ulysses, our brain will thank us!

3. Emotional Self-Care in Recovery: Calming the Storm

“The chaos around you is none of your business: your business is how you feel about it.” ― Jacinta Mpalyenkana

Remember those emotional storms that alcohol stirs up? Part of self-care in recovery is dealing with them. The most important takeaway is that emotions come and go, even if it might seem like the unpleasant ones will last forever. But while learning to accept them without judgment is the first step, there are self-care practices we can use to help create emotional shifts.

  • Music sets the emotional soundtrack. As singer Maria von Trapp once put it, “Music acts like a magic key to which the most tightly closed heart opens.” Sometimes listening to an energetic or cheerful song when we’re feeling down can uplift and inspire us to keep going. However, other times it can feel cathartic to lean into the emotion we’re feeling. Even a good cry to “Let It Be” by The Beatles or “Tears in Heaven” by Eric Clapton can hit the spot, allowing us to release pent-up emotions.

Playlists are a great way to keep our musical healing toolbox organized. And while you’re at it, check out Reframe’s recovery-related playlists!
  • A solid support network is key. Part of self-care — especially when it comes to managing our emotions — is surrounding ourselves with people who support us. We take our emotional healing up a notch every time we have a positive, authentic interaction, so let’s make room for them! (For more details, check out “Types of Social Support and How They Work.”)
  • Letting go of what doesn’t serve us is crucial. In the words of Curtis Tyrone Jones, “Sometimes feeling good isn’t about picking up more things to do, but about letting go of things that have nothing to do with you.” Applying this practice to our daily lives can boost our recovery. When faced with negativity, we can simply consider it without judgment, smile (in our mind, if a random grin would draw unnecessary attention), and mentally wave it goodbye as we watch it float away on a cloud (or roll into the distance on a train). The same goes for our online life as well — doing a digital detox once in a while and unfollowing people who fill our lives with negativity is a must when it comes to self-care in recovery.
  • Sound healing sounds simple, but it works. Sound healing uses vibrations and frequencies to positively affect brain waves, promoting relaxation and reducing stress. And it’s not just “New Age” stuff! Science shows that soothing sounds can lower cortisol levels and naturally boost serotonin.
  • Breathing is a powerful healing tool. Now, we know it sounds obvious — breathing is good for you. But there’s much more to this powerful tool we can add to our alcohol abuse self-care toolbox! Diaphragmatic breathing activates the parasympathetic nervous system, which reduces cortisol levels and promotes a state of calm. This physiological response can support emotional recovery by decreasing stress and enhancing emotional regulation.
  • Affirmations aren’t as corny as they first seem. In the words of Tia Walker, author of The Inspired Caregiver, “Affirmations are our mental vitamins, providing the supplementary positive thoughts we need to balance the barrage of negative events and thoughts we experience daily.” Saying them out loud, sticking them to a bathroom mirror, or setting a phone reminder to have one pop up on the screen every few hours can help reprogram our subconscious feelings about ourselves.

In the end, it’s important to keep in mind that emotions aren’t inherently “good” or “bad.” Seeing them from this neutral perspective, in turn, is often enough to take the sting out of the unpleasant while creating space for profound emotional shifts with the help of the practices in our emotional self-care toolbox.

4. Spiritual Self-Care in Recovery: Finding Purpose

“The wounded mind must be reset like a fractured bone. It cannot heal itself without spiritual realignment.” ― Anthon St. Maarten

Finally, we come to the spiritual side of things. Alcohol tends to disconnect us from our authentic self, and spiritual self-care is all about finding our way back. It’s kind of like rebooting a faulty GPS app and rediscovering things that feel meaningful and give us a sense of purpose!

Meditation rewires the brain. Meditation is a key part of many spiritual practices, and it can work wonders for getting in touch with our authentic self and tapping into a source of meaning. In fact, it’s a self-care tool that also has physical, emotional, and mental benefits and reinforces all four areas of healing. Plus, it’s a science-backed way to reduce cravings, manage stress, and switch from the “default mode network” associated with habitual, repetitive thinking to one that’s associated with new ideas and insights. Plus, it even increases the volume of the prefrontal cortex and hippocampus, helping us recover our higher-order brain functions and memory — it’s a win-win! (To learn more, take a look at “How Can Meditation Help Me Overcome Alcohol Misuse?”)

Nature has healing powers. One of the easiest sources of spiritual energy to tap into is right there, outside our window (unless we live in a basement apartment — but even then, it’s not too far away). Whether it’s a patch of grass with a tree outside our front door, a city park, or a mountain trail, a natural setting lets us tap into a profound source of peace, sustaining our recovery. And there’s science behind it! Nature relieves both physical and psychological stress, boosts endorphins, and reduces impulsivity, according to studies. (For a deep dive, check out “What Is Ecotherapy? 5 Ways Time in Nature Improves Mental Well-Being.”)

Giving back to others is giving back to ourselves. It’s easy to get stuck in our own mind when we’re stuck in the alcohol trap, and switching our focus to others can help us heal spiritually. Plus, studies show that acts of kindness boost endorphins and oxytocin, making us feel good. They also promote neuroplasticity, helping the brain to rewire and heal itself after alcohol misuse!

Gratitude works wonders. Gratitude shifts our focus from what’s wrong to what’s right — an instant mood booster that helps our spiritual healing. Science shows that practicing gratitude increases dopamine and serotonin levels, promoting joy and reducing stress without alcohol! (To learn more, check out “Gratitude Journal Prompts To Practice Daily.”)

For more information about the spiritual side of recovery, take a look at “Exploring Spirituality In Recovery.” 

Self-Care Isn’t Selfish!

All in all, it’s important to remember that self-care in recovery isn’t selfish — it’s necessary! As author L.R. Knost writes, “Taking care of myself doesn’t mean ‘me first.’ It means ‘me too’.” And here at Reframe we’re all about helping you get there!

Alcohol and Mental Health
2024-09-09 9:00
Alcohol and Mental Health
AA and Dual Diagnosis: Addressing Mental Health Issues
This is some text inside of a div block.

Wondering about dual diagnosis treatment options? Our latest blog is all about AUD and co-occurring disorders. Check it out for some science-backed solutions!

24 min read

Add Reframe to Your Dual-Diagnosis Treatment Journey!

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 hundreds 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  →

A young mother worries about her children to the point of daily panic attacks. (“What if he falls out of the crib at night? What if that paint is toxic? What if ...?) Her anxiety has crossed the line of what’s normal for “new mother” concerns — but so has her drinking.

A police officer relives the domestic violence incident he witnessed with flashbacks throughout the day and nightmares when he tries to sleep. He’s also become a regular at the neighborhood bar where he goes to get relief.

AA and Dual Diagnosis Addressing Mental Health Issues

A college freshman struggles to stay focused in her large lecture-hall classes and keep up with assignments. Frustrated and on her own for the first time, her drinking is no longer just a weekend thing.

These three people have something in common: they show symptoms of alcohol misuse along with co-occurring disorders — anxiety, post-traumatic stress disorder (PTSD), and attention deficit hyperactivity disorder (ADHD). Let’s explore what dual-diagnosis treatment is all about and why 12-step programs such as Alcoholics Anonymous (AA) might not be enough to address their concerns. 

Mental Health and Addiction: AUD and Beyond

Alcohol use disorder (AUD) is a mental health disorder marked by an inability to stop drinking despite alcohol’s negative effects on our lives. When we’re caught in the grips of AUD, all aspects of our lives are affected: our health suffers, our relationships become strained, our performance at work or school declines. And yet, we can’t stop drinking.

While an outside observer might wonder, “Why can’t they just quit?” AUD is more complicated and more common than many people realize. In fact, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), as many as 28.8 million adults in America suffered from AUD in 2021. That’s over 11% of adults aged 18 or older! Picture a subway car with 50 people on board. Chances are, at least five (or more) have had AUD in the past or are currently struggling.

When Troubles Team Up

While modern science has made AUD recovery more possible (more on that later), sometimes life throws us for an extra loop. Many of those struggling with AUD have another co-occurring disorder that complicates the picture and makes recovery more challenging. Here are the most common co-occurring disorders, according to the Substance Abuse and Mental Health Services Administration (SAMHSA):

  • Anxiety and mood disorders. We all get worried sometimes. But when that worry gets in the way of our life and leads to panic attacks, chronic stress, and insomnia, we might be looking at a mental health condition known as generalized anxiety disorder (GAD).
  • Eating disorders. More than a “diet gone wrong,” eating disorders such as anorexia and bulimia affect our relationship with food in ways that threaten our health. While anorexia is all about food restriction, bulimia involves binging and using compensatory behaviors (such as purging or exercise) as a counteractive measure. Binge eating disorder (BED), in turn, involves eating large amounts of food in episodes characterized by loss of control. 
  • Schizophrenia. Marked by thoughts and perceptions that don’t match reality, schizophrenia is a severe mental health condition that affects how we feel and behave.
  • Bipolar disorder. Life with bipolar disorder is an emotional roller coaster: we might feel full of energy and euphoric one day only to wake up to a deep low the next.
  • Major depressive disorder. Life isn’t always sunshine and rainbows, and we’re all bound to feel sad at times. However, major depressive disorder (MDD) goes beyond the occasional low mood and is marked by persistent hopelessness, a lack of interest in previously enjoyable activities, and a sadness that doesn’t seem to lift. 
  • Conduct disorders. While conduct disorder is typically diagnosed during childhood, it can affect adults as well. Conduct disorders involve a pattern of disruptive and violent behaviors and difficulties following rules. The areas of the brain in charge of impulse control are compromised, leading to rash and sometimes dangerous decisions.
  • Post-traumatic stress disorder. Sometimes a traumatic event we experience — whether it’s active combat or a bad breakup — follows us for weeks, months, or even years on end, causing flashbacks and haunting our dreams. PTSD is often characterized by severe anxiety and makes daily life difficult.
  • Attention deficit hyperactivity disorder. Just as depression is more than a bout of the blues, ADHD goes beyond spacing out mid-conversation every once in a while. Characterized by persistent patterns of inattention, hyperactivity, and impulsivity, this condition makes it difficult to focus and control our impulses.

While all these mental health conditions can “team up” with AUD, some are more frequent than others, with anxiety, depression, and PTSD topping the list. However, the relationship between alcohol misuse and co-occurring disorders is often difficult to untangle. Let’s take a closer look at why.

The Puzzle of Cause and Effect

Determining which came first — AUD or other co-occurring disorders — can be a bit of a chicken-and-egg problem. Here’s why, according to NIAAA:

  • Preexisting psychiatric conditions make AUD more likely. For example, schizophrenia and bipolar disorder are known risk factors for AUD. Likewise, our anxiety or PTSD symptoms might drive us to misuse alcohol in an attempt to temporarily calm the mental storm.
  • Drinking can also serve as a trigger for some psychiatric conditions. This link is especially true for those who start drinking in adolescence because the brain isn’t fully developed yet.
  • AUD and co-occurring disorders share similar risk factors. For example, adverse childhood experiences (ACEs) or traumatic events can trigger PTSD or anxiety disorder while also serving as a catalyst for alcohol misuse.
  • Co-occurring disorders make diagnosis more difficult. This increased difficulty in diagnosis can lead to treatment delays. Given that many symptoms of AUD overlap with those of other mental health disorders, diagnosis is often difficult. For example, sleep disturbances, dysphoria, and mood swings are common in many conditions we’ve mentioned so far. No wonder it can be hard to tell which came first! 
  • AUD and co-occurring disorders tend to fuel each other. For example, if we’re struggling with PTSD, we might be more likely to use alcohol to cope, even though it only adds to the problem in the long run. No matter which came first, they can act as a tag team, increasing harms to our health in an ever-worsening cycle.

Now that we see why AUD and co-occurring disorders can cause extra trouble together, let’s take a look at the brain changes that come with them. Understanding the neuroscience behind dual diagnosis is the first step in finding the right course of treatment!

The Neuroscience Behind Dual Diagnosis

AUD and other mental health issues affect our brain chemistry, often exacerbating each other. Here’s how alcohol affects the brain and how other conditions play into these effects:

  • Our reward circuits get hijacked. Alcohol wreaks havoc on our reward circuits by boosting dopamine — the “feel-good” neurotransmitter involved in learning and habit formation. At the beginning, the boost of pleasure from dopamine release gets us hooked. However, as dependence sets in and the brain scales back natural dopamine production, we find ourselves drinking just to feel “normal” and stave off the rebound depression and anxiety that set in when the effects wear off.



    When it comes to other mental health conditions, dopamine imbalance often comes with the territory. For example, ADHD has been linked with lower dopamine levels — a feature that makes alcohol all the more appealing as a temporary “solution.” Likewise, dopamine dysregulation is a feature of bipolar disorder, playing a key role in the transition between depressive and manic episodes. Dopamine is also affected in schizophrenia, with theories suggesting both dopaminergic hyperactivity (too much dopamine) and hypoactivity (not enough dopamine) in different brain regions.
  • Other neurotransmitters are out of balance. In addition to boosting dopamine, alcohol increases levels of GABA, an inhibitory neurotransmitter, as it puts the breaks on glutamate, its excitatory counterpart. GABA and glutamate dysregulation also has been linked to anxiety and depression, as well as to bipolar disorder and schizophrenia.
  • Our prefrontal cortex gets impaired. The prefrontal cortex — the part of the brain in charge of reason and higher-order thinking — takes a back seat when alcohol is in the picture. As a result, our inhibitions loosen up, and we’re more prone to risky behavior (going home with a stranger or driving on the wrong side of the street might seem like good ideas!). 



    In a similar way, conduct disorder, as well as manic episodes in bipolar disorder, involve prefrontal cortex deficiencies and can lead to hasty decisions we might regret later. 
  • The amygdala gets “louder.” At the same time, the amygdala — the area of the brain that deals with emotions — is not kept in check by the prefrontal cortex when we drink. As a result, we might experience mood swings (much as we do if we’re struggling with bipolar disorder, anxiety, or depression). Schizophrenia, in turn, is associated with abnormal patterns of activation and deactivation in the amygdala, while conduct disorder is linked to reduced amygdala activity that leads to characteristic problems with empathy and consideration of others’ feelings.
  • Our stress response is amped up. Individuals with dual diagnosis often have an overactive stress response. The hypothalamus-pituitary-adrenal (HPA) axis becomes dysregulated, leading to heightened stress and anxiety, which can trigger substance use as a coping mechanism. Likewise, anxiety, PTSD, and the manic phase of bipolar disorder are associated with higher cortisol levels — the hallmark feature of the stress response.
  • We get stuck in “default mode.” Habits such as alcohol misuse activate the so-called default mode network (DMN), which is the brain circuitry associated with rumination, self-referential thoughts, and addictions. Likewise, ADHD has been associated with faulty top-down controls between the prefrontal cortex and the DMN.

For more information about co-occurring disorders, check out “Where To Find Help for Mental Health Issues Related to Alcohol Use” as well as “The Positive Impacts of Sobriety on Mental Health: Reduced Anxiety, Depression, and Improved Emotional Well-Being.” For now, let’s turn our attention to why 12-step programs may not be the answer to dual-diagnosis treatment and which alternatives offer a science-based approach.

AA and Dual Diagnosis: Exploring the Limitations

Those of us who struggle with alcohol may be pointed towards Alcoholics Anonymous (AA) at some point in our journey. After all, this peer-led support program has been around for almost a century!  While it has benefits, it’s not for everyone — particularly for those with a dual diagnosis. Here’s why:

  • AA is focused on alcohol. It’s no surprise that Alcoholics Anonymous focuses on, well, alcohol. While some members’ stories might speak to co-occurring disorders, the main focus is our relationship with alcohol.
  • It might not be emotionally supportive enough. Although there’s plenty of support to be found in AA and other 12-step programs, the support tends to come from the sense of community, not diagnostic or healthcare support. Also, alcoholism continues to be presented as a “character defect,” as it was in the fellowship’s early days in the 1930s. Neuroscience doesn’t come into the picture.
  • It lacks the medical resources we might need. Back in the day, AA tended to be actively anti-psychiatry and against any treatment that involved medications. While times have changed, AA is still not the place where we can find resources if we’re struggling with a psychiatric disorder (such as schizophrenia) that might require medical treatment.
  • It has a one-size-fits-all approach. AA offers the same program for everyone, centering on the 12 Steps that we “work” with a sponsor. Those of us who require a more personalized treatment plan — especially someone with AUD and a co-occurring mental health disorder — are advised to turn to specialized professionals.

While AA does have benefits, when it comes to addressing co-occurring disorders, it’s lacking. That’s where science comes in!

Dual Diagnosis Treatment: Science to the Rescue

So if AA isn’t the solution to co-occurring disorders, what is? Let’s look at some science-based strategies that can help.

1. Medication-Assisted Treatment (MAT)

Sometimes a neurochemical imbalance calls for a medical solution. These days, psychiatric medications have improved and can be tailored to our individual needs. And while the decision to go this route is always a personal one, it’s something to consider, especially if our condition is known to benefit from medication-assisted treatment (MAT). For example, antipsychotic medications are often used to treat schizophrenia, while mood stabilizers, antipsychotics, and antidepressants can help even out the highs and lows of bipolar disorder.

As for AUD, there are options for MAT as well! While some reduce alcohol’s psychoactive effects, others act as deterrents by causing unpleasant reactions when mixed with booze or by targeting the root of the problem by reducing cravings. (To learn more, check out “Which Medications Work Best To Help Me Stop Drinking?”)

2. Therapy 

Just as medical treatment has improved over the years, therapy has grown by leaps and bounds. It’s no longer all about recalling your dreams or childhood memories (though that can be part of the picture if it helps). Here’s an overview of various forms of therapy and how they can work wonders for AUD and co-occurring disorders:

  • Cognitive behavioral therapy (CBT) helps us reframe our thoughts. The technique of disclosing cognitive distortions and shifting our thinking in a way that aligns with reality can work wonders for AUD as well as for many co-occurring mental health disorders. (Want to learn more? Take a look at “How Can Cognitive Behavioral Therapy (CBT) Help With Alcohol Misuse?”)
  • Dialectical behavior therapy (DBT) is all about finding balance. Developed originally as treatment for bipolar disorder, DBT has now been used to treat AUD and other mental health conditions. Its core modules of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance help us deal with life’s ups and downs while maintaining inner peace. (Check out “How Can Dialectical Behavior Therapy (DBT) Help With Alcohol Misuse?” for more information.)
  • Interpersonal therapy focuses on building healthy relationships. It can help those with conduct disorder and anxiety-related disorders overcome barriers related to social situations.
  • EMDR therapy helps us work through trauma. Eye movement desensitization and reprocessing, or EMDR, is especially useful for PTSD, but has also been applied to AUD, anxiety, and depression when trauma is part of the overall picture. 
  • Motivational enhancement therapy builds our desire to change. Motivational coaching works wonders for building our motivation to make healthy changes in our life. It can also enhance other treatments.
  • Mindfulness-based therapy reduces stress. Mindfulness practices reduce activity in the amygdala and increase prefrontal cortex function, enhancing emotional regulation and reducing stress. (To learn more, check out “Can Mindfulness Techniques Relieve Anxiety?”)

As we can see, the world of therapy has expanded since the days of Freud and his famous couch. It’s time to explore what it can do for our dual-diagnosis treatment journey!

Summing Up

While the dual diagnosis road can be a challenging one, rest assured there’s light at the end of the tunnel! With science at our side, we’re more capable than ever of addressing the complex needs that come with co-occurring disorders.

In the end, many of us find that tackling multiple mental health challenges leaves us better equipped to tackle future obstacles in our path. Seeing the broader context of co-occurring disorders and the neuroscience behind mental health issues calls for a more comprehensive toolbox that we can use for anything the future might throw at us.

A young mother worries about her children to the point of daily panic attacks. (“What if he falls out of the crib at night? What if that paint is toxic? What if ...?) Her anxiety has crossed the line of what’s normal for “new mother” concerns — but so has her drinking.

A police officer relives the domestic violence incident he witnessed with flashbacks throughout the day and nightmares when he tries to sleep. He’s also become a regular at the neighborhood bar where he goes to get relief.

AA and Dual Diagnosis Addressing Mental Health Issues

A college freshman struggles to stay focused in her large lecture-hall classes and keep up with assignments. Frustrated and on her own for the first time, her drinking is no longer just a weekend thing.

These three people have something in common: they show symptoms of alcohol misuse along with co-occurring disorders — anxiety, post-traumatic stress disorder (PTSD), and attention deficit hyperactivity disorder (ADHD). Let’s explore what dual-diagnosis treatment is all about and why 12-step programs such as Alcoholics Anonymous (AA) might not be enough to address their concerns. 

Mental Health and Addiction: AUD and Beyond

Alcohol use disorder (AUD) is a mental health disorder marked by an inability to stop drinking despite alcohol’s negative effects on our lives. When we’re caught in the grips of AUD, all aspects of our lives are affected: our health suffers, our relationships become strained, our performance at work or school declines. And yet, we can’t stop drinking.

While an outside observer might wonder, “Why can’t they just quit?” AUD is more complicated and more common than many people realize. In fact, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), as many as 28.8 million adults in America suffered from AUD in 2021. That’s over 11% of adults aged 18 or older! Picture a subway car with 50 people on board. Chances are, at least five (or more) have had AUD in the past or are currently struggling.

When Troubles Team Up

While modern science has made AUD recovery more possible (more on that later), sometimes life throws us for an extra loop. Many of those struggling with AUD have another co-occurring disorder that complicates the picture and makes recovery more challenging. Here are the most common co-occurring disorders, according to the Substance Abuse and Mental Health Services Administration (SAMHSA):

  • Anxiety and mood disorders. We all get worried sometimes. But when that worry gets in the way of our life and leads to panic attacks, chronic stress, and insomnia, we might be looking at a mental health condition known as generalized anxiety disorder (GAD).
  • Eating disorders. More than a “diet gone wrong,” eating disorders such as anorexia and bulimia affect our relationship with food in ways that threaten our health. While anorexia is all about food restriction, bulimia involves binging and using compensatory behaviors (such as purging or exercise) as a counteractive measure. Binge eating disorder (BED), in turn, involves eating large amounts of food in episodes characterized by loss of control. 
  • Schizophrenia. Marked by thoughts and perceptions that don’t match reality, schizophrenia is a severe mental health condition that affects how we feel and behave.
  • Bipolar disorder. Life with bipolar disorder is an emotional roller coaster: we might feel full of energy and euphoric one day only to wake up to a deep low the next.
  • Major depressive disorder. Life isn’t always sunshine and rainbows, and we’re all bound to feel sad at times. However, major depressive disorder (MDD) goes beyond the occasional low mood and is marked by persistent hopelessness, a lack of interest in previously enjoyable activities, and a sadness that doesn’t seem to lift. 
  • Conduct disorders. While conduct disorder is typically diagnosed during childhood, it can affect adults as well. Conduct disorders involve a pattern of disruptive and violent behaviors and difficulties following rules. The areas of the brain in charge of impulse control are compromised, leading to rash and sometimes dangerous decisions.
  • Post-traumatic stress disorder. Sometimes a traumatic event we experience — whether it’s active combat or a bad breakup — follows us for weeks, months, or even years on end, causing flashbacks and haunting our dreams. PTSD is often characterized by severe anxiety and makes daily life difficult.
  • Attention deficit hyperactivity disorder. Just as depression is more than a bout of the blues, ADHD goes beyond spacing out mid-conversation every once in a while. Characterized by persistent patterns of inattention, hyperactivity, and impulsivity, this condition makes it difficult to focus and control our impulses.

While all these mental health conditions can “team up” with AUD, some are more frequent than others, with anxiety, depression, and PTSD topping the list. However, the relationship between alcohol misuse and co-occurring disorders is often difficult to untangle. Let’s take a closer look at why.

The Puzzle of Cause and Effect

Determining which came first — AUD or other co-occurring disorders — can be a bit of a chicken-and-egg problem. Here’s why, according to NIAAA:

  • Preexisting psychiatric conditions make AUD more likely. For example, schizophrenia and bipolar disorder are known risk factors for AUD. Likewise, our anxiety or PTSD symptoms might drive us to misuse alcohol in an attempt to temporarily calm the mental storm.
  • Drinking can also serve as a trigger for some psychiatric conditions. This link is especially true for those who start drinking in adolescence because the brain isn’t fully developed yet.
  • AUD and co-occurring disorders share similar risk factors. For example, adverse childhood experiences (ACEs) or traumatic events can trigger PTSD or anxiety disorder while also serving as a catalyst for alcohol misuse.
  • Co-occurring disorders make diagnosis more difficult. This increased difficulty in diagnosis can lead to treatment delays. Given that many symptoms of AUD overlap with those of other mental health disorders, diagnosis is often difficult. For example, sleep disturbances, dysphoria, and mood swings are common in many conditions we’ve mentioned so far. No wonder it can be hard to tell which came first! 
  • AUD and co-occurring disorders tend to fuel each other. For example, if we’re struggling with PTSD, we might be more likely to use alcohol to cope, even though it only adds to the problem in the long run. No matter which came first, they can act as a tag team, increasing harms to our health in an ever-worsening cycle.

Now that we see why AUD and co-occurring disorders can cause extra trouble together, let’s take a look at the brain changes that come with them. Understanding the neuroscience behind dual diagnosis is the first step in finding the right course of treatment!

The Neuroscience Behind Dual Diagnosis

AUD and other mental health issues affect our brain chemistry, often exacerbating each other. Here’s how alcohol affects the brain and how other conditions play into these effects:

  • Our reward circuits get hijacked. Alcohol wreaks havoc on our reward circuits by boosting dopamine — the “feel-good” neurotransmitter involved in learning and habit formation. At the beginning, the boost of pleasure from dopamine release gets us hooked. However, as dependence sets in and the brain scales back natural dopamine production, we find ourselves drinking just to feel “normal” and stave off the rebound depression and anxiety that set in when the effects wear off.



    When it comes to other mental health conditions, dopamine imbalance often comes with the territory. For example, ADHD has been linked with lower dopamine levels — a feature that makes alcohol all the more appealing as a temporary “solution.” Likewise, dopamine dysregulation is a feature of bipolar disorder, playing a key role in the transition between depressive and manic episodes. Dopamine is also affected in schizophrenia, with theories suggesting both dopaminergic hyperactivity (too much dopamine) and hypoactivity (not enough dopamine) in different brain regions.
  • Other neurotransmitters are out of balance. In addition to boosting dopamine, alcohol increases levels of GABA, an inhibitory neurotransmitter, as it puts the breaks on glutamate, its excitatory counterpart. GABA and glutamate dysregulation also has been linked to anxiety and depression, as well as to bipolar disorder and schizophrenia.
  • Our prefrontal cortex gets impaired. The prefrontal cortex — the part of the brain in charge of reason and higher-order thinking — takes a back seat when alcohol is in the picture. As a result, our inhibitions loosen up, and we’re more prone to risky behavior (going home with a stranger or driving on the wrong side of the street might seem like good ideas!). 



    In a similar way, conduct disorder, as well as manic episodes in bipolar disorder, involve prefrontal cortex deficiencies and can lead to hasty decisions we might regret later. 
  • The amygdala gets “louder.” At the same time, the amygdala — the area of the brain that deals with emotions — is not kept in check by the prefrontal cortex when we drink. As a result, we might experience mood swings (much as we do if we’re struggling with bipolar disorder, anxiety, or depression). Schizophrenia, in turn, is associated with abnormal patterns of activation and deactivation in the amygdala, while conduct disorder is linked to reduced amygdala activity that leads to characteristic problems with empathy and consideration of others’ feelings.
  • Our stress response is amped up. Individuals with dual diagnosis often have an overactive stress response. The hypothalamus-pituitary-adrenal (HPA) axis becomes dysregulated, leading to heightened stress and anxiety, which can trigger substance use as a coping mechanism. Likewise, anxiety, PTSD, and the manic phase of bipolar disorder are associated with higher cortisol levels — the hallmark feature of the stress response.
  • We get stuck in “default mode.” Habits such as alcohol misuse activate the so-called default mode network (DMN), which is the brain circuitry associated with rumination, self-referential thoughts, and addictions. Likewise, ADHD has been associated with faulty top-down controls between the prefrontal cortex and the DMN.

For more information about co-occurring disorders, check out “Where To Find Help for Mental Health Issues Related to Alcohol Use” as well as “The Positive Impacts of Sobriety on Mental Health: Reduced Anxiety, Depression, and Improved Emotional Well-Being.” For now, let’s turn our attention to why 12-step programs may not be the answer to dual-diagnosis treatment and which alternatives offer a science-based approach.

AA and Dual Diagnosis: Exploring the Limitations

Those of us who struggle with alcohol may be pointed towards Alcoholics Anonymous (AA) at some point in our journey. After all, this peer-led support program has been around for almost a century!  While it has benefits, it’s not for everyone — particularly for those with a dual diagnosis. Here’s why:

  • AA is focused on alcohol. It’s no surprise that Alcoholics Anonymous focuses on, well, alcohol. While some members’ stories might speak to co-occurring disorders, the main focus is our relationship with alcohol.
  • It might not be emotionally supportive enough. Although there’s plenty of support to be found in AA and other 12-step programs, the support tends to come from the sense of community, not diagnostic or healthcare support. Also, alcoholism continues to be presented as a “character defect,” as it was in the fellowship’s early days in the 1930s. Neuroscience doesn’t come into the picture.
  • It lacks the medical resources we might need. Back in the day, AA tended to be actively anti-psychiatry and against any treatment that involved medications. While times have changed, AA is still not the place where we can find resources if we’re struggling with a psychiatric disorder (such as schizophrenia) that might require medical treatment.
  • It has a one-size-fits-all approach. AA offers the same program for everyone, centering on the 12 Steps that we “work” with a sponsor. Those of us who require a more personalized treatment plan — especially someone with AUD and a co-occurring mental health disorder — are advised to turn to specialized professionals.

While AA does have benefits, when it comes to addressing co-occurring disorders, it’s lacking. That’s where science comes in!

Dual Diagnosis Treatment: Science to the Rescue

So if AA isn’t the solution to co-occurring disorders, what is? Let’s look at some science-based strategies that can help.

1. Medication-Assisted Treatment (MAT)

Sometimes a neurochemical imbalance calls for a medical solution. These days, psychiatric medications have improved and can be tailored to our individual needs. And while the decision to go this route is always a personal one, it’s something to consider, especially if our condition is known to benefit from medication-assisted treatment (MAT). For example, antipsychotic medications are often used to treat schizophrenia, while mood stabilizers, antipsychotics, and antidepressants can help even out the highs and lows of bipolar disorder.

As for AUD, there are options for MAT as well! While some reduce alcohol’s psychoactive effects, others act as deterrents by causing unpleasant reactions when mixed with booze or by targeting the root of the problem by reducing cravings. (To learn more, check out “Which Medications Work Best To Help Me Stop Drinking?”)

2. Therapy 

Just as medical treatment has improved over the years, therapy has grown by leaps and bounds. It’s no longer all about recalling your dreams or childhood memories (though that can be part of the picture if it helps). Here’s an overview of various forms of therapy and how they can work wonders for AUD and co-occurring disorders:

  • Cognitive behavioral therapy (CBT) helps us reframe our thoughts. The technique of disclosing cognitive distortions and shifting our thinking in a way that aligns with reality can work wonders for AUD as well as for many co-occurring mental health disorders. (Want to learn more? Take a look at “How Can Cognitive Behavioral Therapy (CBT) Help With Alcohol Misuse?”)
  • Dialectical behavior therapy (DBT) is all about finding balance. Developed originally as treatment for bipolar disorder, DBT has now been used to treat AUD and other mental health conditions. Its core modules of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance help us deal with life’s ups and downs while maintaining inner peace. (Check out “How Can Dialectical Behavior Therapy (DBT) Help With Alcohol Misuse?” for more information.)
  • Interpersonal therapy focuses on building healthy relationships. It can help those with conduct disorder and anxiety-related disorders overcome barriers related to social situations.
  • EMDR therapy helps us work through trauma. Eye movement desensitization and reprocessing, or EMDR, is especially useful for PTSD, but has also been applied to AUD, anxiety, and depression when trauma is part of the overall picture. 
  • Motivational enhancement therapy builds our desire to change. Motivational coaching works wonders for building our motivation to make healthy changes in our life. It can also enhance other treatments.
  • Mindfulness-based therapy reduces stress. Mindfulness practices reduce activity in the amygdala and increase prefrontal cortex function, enhancing emotional regulation and reducing stress. (To learn more, check out “Can Mindfulness Techniques Relieve Anxiety?”)

As we can see, the world of therapy has expanded since the days of Freud and his famous couch. It’s time to explore what it can do for our dual-diagnosis treatment journey!

Summing Up

While the dual diagnosis road can be a challenging one, rest assured there’s light at the end of the tunnel! With science at our side, we’re more capable than ever of addressing the complex needs that come with co-occurring disorders.

In the end, many of us find that tackling multiple mental health challenges leaves us better equipped to tackle future obstacles in our path. Seeing the broader context of co-occurring disorders and the neuroscience behind mental health issues calls for a more comprehensive toolbox that we can use for anything the future might throw at us.

Alcohol and Mental Health
2024-09-09 9:00
Alcohol and Mental Health
How To Stay Sober in Stressful Times
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Wondering how to manage stress in recovery while maintaining sobriety? Our latest blog has you covered! Read about alcohol’s role in stress and learn tips to keep stress at bay.

28 min read

Drink Less and Stress Less With Reframe!

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

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

You’ll meet hundreds 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  →

You’ve done the hard part: the wine rack on your kitchen counter is gone, the freezer is stocked with frozen strawberries (not vodka), and your recycling bin is full of seltzer cans (not the “hard” kind). Your sleep is better than ever, your Apple watch says your resting heart rate dropped another 10 bpm, and that outfit you bought in a smaller size to fire up some weight loss motivation finally fits.

Friends are asking — what your secret is, and it’s simple — you stopped drinking. But then life happened. Tax season came around, your air conditioner broke in the middle of summer, and your upstairs neighbor got a drum set. In short, even though you got sober, things got stressful again. Stress management in recovery is key, so let’s explore the ins and outs of maintaining sobriety no matter what life throws at you. We’ve got you!

Setting the Stage: The Science of Stress 

Sometimes it seems as if the stress response evolved just to spite us. But there’s a biological reason behind it! Back in the day of our earliest ancestors, danger was lurking around just about every corner, with saber-toothed cats, giant hyenas, and other carnivores roaming the land looking for their next meal. At the same time, disputes couldn’t be settled in court or in an email chain, so hand-to-hand combat was often the only way to go.

Stress is our biological first-response system for dealing with danger. As the name suggests, the “fight-or-flight” response is all about facing an attack head-on or making a quick getaway. Here’s what happens when we go into “emergency mode”:

  • We sound the alarm. When the amygdala — the “alarm system” of the brain — picks up a sign of danger, it sets off a series of hormone-driven changes that activate the stress response with the release of the “stress hormones” cortisol and epinephrine (aka adrenaline). 
  • All hands are on deck. After the hormones spread the word, all resources get rerouted to essential functions. Our heart and breathing rate increases to power our muscles. At the same time, epinephrine causes a dose of glucose to get released into the bloodstream as emergency fuel.
  • Everything else takes a back seat. Digestion and other processes not needed for immediate survival are put on the back burner. The only goal now is to make it out alive.

In the presence of true danger, the fight or flight response saves the day. However, for most modern-day problems, it’s overkill: we’re unlikely to be chased by a bison on our morning commute or find a swarm of killer bees in our backyard (though stranger things have happened). Still, we’re wired to respond to milder nuisances — anything from missing our bus to reading a Facebook post that rubs us the wrong way — with the same “all systems go” approach that gets our fight-or-flight response going. 

Over time, stress wreaks havoc on our body and mind, leading to inflammation, poor sleep, heart disease, stomach ulcers, psychiatric problems, and a host of other issues. And yes, it can mess with our sobriety. 

Stress and Sobriety: Reframing Our Understanding

When it comes to maintaining sobriety while managing stress in recovery, it’s crucial to understand how alcohol contributes to stress in the first place — both while we’re drinking and in the weeks or months afterwards. Here’s the condensed version: alcohol doesn’t relieve stress, it actually causes it.

First, let’s explore why alcohol isn’t (and never was) the solution to stress. Then, we’ll look at healthier ways of managing stress in recovery.

Why Do We Drink When We’re Stressed?

Why do we drink when we’re stressed in the first place? It’s all about brain chemistry:

  • Alcohol floods our brain with dopamine. That happy “fuzzy” feeling we sometimes get after a few sips is dopamine at work. Yes, it might feel good and make us forget our problems for a while. But it’s a bit like disabling our fire alarm because we don’t want it to make noise — not a great long-term solution.
  • It has a temporary relaxing effect. In addition to boosting dopamine, alcohol increases levels of GABA, an inhibitory neurotransmitter, while lowering glutamate, its excitatory counterpart. The result? All our sensations (including stressful ones) get dulled. This is one reason why stress is a trigger for relapse.

The problem is, both of these effects are temporary. Within a few hours they wear off, leaving us with rebound anxiety and depression. Plus, chances are, whatever was stressing us out in the first place is still there (bummer!).

Why Alcohol Makes Stress Worse?

In the long run, alcohol is bound to make our stress worse. Here’s why:

  • Drinking makes thinking harder. For one thing, alcohol suppresses activity in the prefrontal cortex — the decision-making and rational thinking part of the brain. Given that stressful times often call for critical thinking, this doesn’t bode well.
  • Alcohol increases physical and psychological stress. Drinking itself increases our stress levels, both by boosting cortisol and by creating cognitive dissonance. After all, we’re stuck in the trap of wanting something we desperately wish we didn’t want — talk about stressful! 
  • Alcohol hijacks our reward system. As we know, alcohol floods our brain with the reward neurotransmitter dopamine, which keeps us coming back for more. Over time, we can become dependent on booze just to feel normal: our brain puts the brakes on natural dopamine release and leads to rebound depression when alcohol is out of our system. Stress, in turn, amps up the negative effect by reducing dopamine and making it harder to find everyday activities pleasurable. The result? Our dopamine reserves face an attack on two fronts, sapping us of motivation to deal with stressful situations. 

Even if we started drinking to deal with external stressors, chances are that over time, alcohol use itself became the main source of our stress. Each time we drank, alcohol provided an illusion of relief. And yet, when the effects wore off, we were left with the original problem we tried to drown in that bottle and an ever-increasing drinking problem to boot. Our problems — and stress — only multiplied.

In other words, at a certain point alcohol started providing a temporary “solution” for the problem that it’s been creating (or at the very least contributing to). How devious!

Anxiety in Early Sobriety Is Common

That said, simply putting down the drink doesn’t make the shadow of booze-related stress disappear. Our physical cravings may be gone, but it takes some time for the neurotransmitter balance to return to normal — we’re not playing with a full neurochemical deck quite yet. 

Add to that a stressful external event, and we might find ourselves questioning our resolve to quit drinking. Thanks to a neurological quirk known as “euphoric recall,” we’re more likely to romanticize alcohol as the magic potion that made us feel better, minimizing the negative effects. As a result, that drink might start seeming more and more appealing, upping our risk of relapse.

However, we’ve been there and done that, and it hasn’t worked. It’s time to look for more sustainable ways to deal with stress in recovery and thrive as we continue our journey!

Science-Based Strategies for Managing Stress in Recovery

So if booze doesn’t help us de-stress, what does? Let’s find out!

1. Master Mindfulness 

“Life is a dance. Mindfulness is witnessing that dance.” ― Amit Ray

As far as stress-busting is concerned, mindfulness is as close to a superpower as we can get. It’s all about being in the present moment and observing it without judgment. 

  • The goal isn’t to get rid of thoughts but rather to acknowledge the fact that they are, indeed, “only thoughts.” We don’t have to jump on board with them, analyze them, or identify with them. Instead, we become tourists of our own minds, scoping out the inner workings with curiosity, and when our mind wanders (as minds do), bringing our attention back.
  • Learning to be present and observing our own mind at work is key to managing stress in recovery. Here’s why:
  • It brings profound inner peace. As the Canadian addiction expert Gabor Maté once said, “The attempt to escape from pain, is what creates more pain.” Simply by bringing our awareness to a situation without reacting to it creates breathing room that makes us feel better.
  • It boosts our emotional resilience. Science says that mindfulness helps us manage difficult emotions better by strengthening the fronto-limbic networks — the part of the brain in charge of emotion regulation.
  • It relieves stress at a physical level. Research shows that mindfulness reduces stress by lowering cortisol levels. 
  • It promotes neuroplasticity. Even more amazingly, meditation boosts neurogenesis, (the creation of new neural connections) and promotes neuroplasticity (the brain’s ability to change itself).
  • It helps us dismiss cravings. Mindfulness creates a pause that puts much-needed distance between ourselves and our urges. But there’s more! Research shows that mindfulness deactivates “default mode network” (DMN) associated with rumination and habitual thoughts (including the urge to drink). 

Tip: Tibetan Buddhist nun Pema Chödrön has a lovely mindfulness trick up her sleeve. Simply picture the source of stress in your mind and address it with the words “How delightful!” (Feel free to do it silently if you’re in a board meeting or on the train to work.) The charming absurdity is often enough to take the tension down a notch (and maybe bring on a chuckle).

Also, check out Reframe’s meditation meetings and mindfulness resources!

2. Nourish Your Body and Brain

“One cannot think well, love well, sleep well, if one has not dined well.” ― Virginia Woolf

Good nutrition is key — both for recovering after alcohol misuse and making it through stressful times. Here’s how we can use our diet to boost our resilience as we continue to heal:

  • Whole grains keep us going strong. Brown rice, quinoa, and whole-wheat bread keep our blood sugar levels balanced and reduce mood swings that stress can cause.
  • Protein rebuilds our muscles and neurotransmitters. Did you know that alcohol damages our muscles by interfering with protein synthesis? Moreover, we need protein to synthesize neurotransmitters such as dopamine. One source of this is tryptophan found in foods such as turkey, clams, legumes, and nuts.
  • Healthy fats help our brain. Fatty fish such as salmon, mackerel, and sardines as well as flaxseeds and walnuts boost brain function and reduce inflammation that both alcohol and stress contribute to.
  • Fruits and veggies are vitamin superpowers. Alcohol misuse depletes us of vitamins and minerals by messing with their absorption in the gut. Loading up on fruits and veggies restores these vital micronutrients and also helps combat stress.
  • Supplements can fill gaps. Magnesium and L-theanine are known to help combat stress by promoting relaxation and reducing anxiety levels. Vitamin B (especially thiamine), in turn, is crucial for folks recovering from alcohol misuse. Just get your doctor’s go-ahead first!

Tip: A healthy diet isn’t complete without adequate hydration. Carry a water bottle with you and set a reminder on your watch or phone to stay on track. 

3. Adapt to Life With Adaptogenic Herbs

“Generally speaking, adaptogens help you feel less stressed while increasing energy levels; some are zippy, while others are more balancing or calming.” ― Maria Noel Groves

Adaptogens have been around for centuries but have gone under the radar in modern times. A few years ago, only a hard-core wellness enthusiast could reel off the benefits of rhodiola, tulsi, ashwagandha, or holy basil (to name a few). But times are changing! 

These days there’s a lot of talk about adaptogenic herbs — natural substances that help us adapt to stress by modulating the release of stress hormones and building up our resilience. And the stress-busting effects are backed by science! Here’s how UAB scientist Anna Abel explains it

“Think about your body’s stress response as a bell curve — it goes along, peaks and then drops. That whole response is really taxing to the body. Adaptogens help flatten that curve; it is a more mellowed upward movement and therefore no crash.”

Tip: Health food stores have plenty of adaptogen-based teas, supplements, or extracts. And check out Reframe’s own line of beverages! Again, just remember to get a go-ahead from your doctor first, especially if you have specific health needs.

4. Freeze Out Stress With Cold Exposure Therapy

“I think of the cold as a noble force.” — Wim Hof

Now, this one isn’t for the faint of heart, but stick with us. Science says that cold exposure stimulates the vagus nerve and increases the production of endorphins and norepinephrine, chemicals that help regulate mood and reduce stress while keeping cravings at bay. The vagus nerve is part of the parasympathetic nervous system, which is responsible for calming the body, among other things.

Plus, there’s a host of other benefits that come with cold exposure therapy. It’s known to boost our immune system, improving our body's defense against illnesses. It also enhances circulation and metabolism, helping us feel more energized and burn calories more efficiently.

Tip: Start small. Try turning your shower to a cold temperature for a few seconds at the end of your morning routine, then gradually increase the time. Or, try dipping your face into a bowl of ice water and watch the stress melt away in seconds!

5. Breathe Deeper With Polyvagal Exercises

“Deep breathing changes the chemistry of the body by bringing oxygen into the tissue.” — Wim Hof

Want a gentler way to stimulate the vagus nerve? No problem! Breathing exercises such as “polyvagal exercises” will do the trick as well. Polyvagal exercises involve long exhalations that stimulate the vagus nerve. Plus, in addition to diaphragmatic breathing, science shows that activities such as humming, singing, or yoga help activate the parasympathetic nervous system, reducing stress. (And if you’d rather hum than stand in a cold shower, we’re with you!) 

Tip: Check out some simple but effective diaphragmatic breathing practices, alternate nostril breathing, and other breathing techniques to bust stress and cravings in one blow!

6. Make Nature Your Home

“Nature is not a place to visit. It is home.” ― Gary Snyder

One of the best stress busters out there is right outside your window! Science says that spending time in nature reduces cortisol levels, lowers blood pressure, and improves mood. In fact, a simple 20-minute walk outside will do the trick! There’s even a type of therapy known as “ecotherapy” that’s all about tapping into the magic of the outdoors. 

Tip: Make it a habit to spend some time in nature every day. A city park, tree-lined alley, and even the courtyard of your apartment building will do! Better yet, combine nature time with exercise to double the benefits!

7. Get Moving With Physical Exercise

“I don't bother with gyms, I just workout where I happen to be whether it’s in the garden or at home.” — Wim Hof

Back in the 5th century BCE, ancient physician Hippocrates touted the virtues of exercise, pointing out that “all parts of the body, if used in moderation and exercised in labors to which each is accustomed” stay healthy. Left idle, on the other hand, they “become liable to disease, defective in growth and age quickly.”

And modern science agrees! Here are some of the science-backed benefits of exercise:

Tip: Not a fan of going to the gym? No worries! Any type of movement — walking in the park (a double win since you’re also tapping into the power of nature), playing with a hula hoop in the backyard, or getting your sweat on with a kickboxing routine on YouTube will do the trick.

8. Hear the Message With Biofeedback and Neurofeedback

“Feelings are just your body talking to you about how you’re doing in the moment … Tune in to your breathing, and then your body, and then your emotions. It’s a little thing that pays off big.” ― Allyson Dinneen

Ever hear people say “Listen to your body”? While it sounds like useful advice, sometimes it’s easier said than done. 

There’s no need to stress, however, because we have a translator! Biofeedback is a type of therapy involving sensors that measure shifts in our heart rate, temperature, muscle contraction, and other physiological changes associated with stress, which appear in real time on a screen. We’re hearing our body’s message loud and clear, seeing subtle signs of stress that we might have otherwise missed. 

Neurofeedback, in turn, measures real-time changes in brain wave patterns in response to stress through electrodes placed on the scalp (don’t worry, it’s not invasive — though one drawback is that it calls for hi-tech equipment and a trip to a specialist’s office). ​​We can then use breathing techniques or other relaxation methods (more on that below) to wipe out stress at the root, before it gets more overwhelming. And before you dismiss it as sounding too hokey, rest assured — there’s a fair amount of science behind biofeedback and neurofeedback

Tip: For a more user-friendly take on biofeedback, check out handheld heart rate variability (HRV) monitors that guide you through breathing exercises and give immediate feedback on your stress levels. 

9. Declutter Your Mind With a Digital Detox

“Facebook has been spreading across the continents faster than a highly contagious Asian bird flu!” ― Gemini Adams

Ever notice how taking a “break” by scrolling through Facebook can sometimes make us feel more stressed afterwards? Maybe it’s seeing people lounging on the beach while we’re stuck indoors scrubbing the fridge. Or maybe it’s a comment that rubs us the wrong way. Either way, our online lives can add to our stress.

Taking regular breaks from social media and being mindful about the sites we visit is crucial for keeping stress at bay. And since the online world is full of alcohol triggers — maybe those people on the beach are halfway through a six-pack — it’s also key for maintaining sobriety. 

Tip: Designate a device-free hour during the day and spend it practicing mindfulness, journaling, or catching up with friends. If a whole hour is too much, break it up into 15-minute chunks throughout the day. 

10. Find Your People (and Stick With Them)

“Life is not a solo act. It's a huge collaboration, and we all need to assemble around us the people who care about us and support us in times of strife.” — Tim Gunn

Last but not least, stressful times are infinitely easier to get through with a solid team behind us. Positive social interactions boost oxytocin levels, helping us become more resilient and reducing stress. So don’t hesitate to ask for help!

Tip: Build a support network and reach out to at least one person every day. And remember, online communities such as Reframe are a wonderful source of social support!

Facing the Future 

All in all, managing stress in recovery and maintaining sobriety is all about building a rewarding and sustainable life. Instead of looking at quitting booze as a “sacrifice,” we can see it as an opportunity for change.

As journalist Germany Kent puts it, “It’s a funny thing about life, once you begin to take note of the things you are grateful for, you begin to lose sight of the things that you lack.” We can be grateful for the opportunity to become better versions of ourselves through the alcohol journey. Challenging as it may be — especially during stressful times — the struggles are bound to be worth it in the end, giving us a physical and emotional “upgrade” we never dreamt of.

You’ve done the hard part: the wine rack on your kitchen counter is gone, the freezer is stocked with frozen strawberries (not vodka), and your recycling bin is full of seltzer cans (not the “hard” kind). Your sleep is better than ever, your Apple watch says your resting heart rate dropped another 10 bpm, and that outfit you bought in a smaller size to fire up some weight loss motivation finally fits.

Friends are asking — what your secret is, and it’s simple — you stopped drinking. But then life happened. Tax season came around, your air conditioner broke in the middle of summer, and your upstairs neighbor got a drum set. In short, even though you got sober, things got stressful again. Stress management in recovery is key, so let’s explore the ins and outs of maintaining sobriety no matter what life throws at you. We’ve got you!

Setting the Stage: The Science of Stress 

Sometimes it seems as if the stress response evolved just to spite us. But there’s a biological reason behind it! Back in the day of our earliest ancestors, danger was lurking around just about every corner, with saber-toothed cats, giant hyenas, and other carnivores roaming the land looking for their next meal. At the same time, disputes couldn’t be settled in court or in an email chain, so hand-to-hand combat was often the only way to go.

Stress is our biological first-response system for dealing with danger. As the name suggests, the “fight-or-flight” response is all about facing an attack head-on or making a quick getaway. Here’s what happens when we go into “emergency mode”:

  • We sound the alarm. When the amygdala — the “alarm system” of the brain — picks up a sign of danger, it sets off a series of hormone-driven changes that activate the stress response with the release of the “stress hormones” cortisol and epinephrine (aka adrenaline). 
  • All hands are on deck. After the hormones spread the word, all resources get rerouted to essential functions. Our heart and breathing rate increases to power our muscles. At the same time, epinephrine causes a dose of glucose to get released into the bloodstream as emergency fuel.
  • Everything else takes a back seat. Digestion and other processes not needed for immediate survival are put on the back burner. The only goal now is to make it out alive.

In the presence of true danger, the fight or flight response saves the day. However, for most modern-day problems, it’s overkill: we’re unlikely to be chased by a bison on our morning commute or find a swarm of killer bees in our backyard (though stranger things have happened). Still, we’re wired to respond to milder nuisances — anything from missing our bus to reading a Facebook post that rubs us the wrong way — with the same “all systems go” approach that gets our fight-or-flight response going. 

Over time, stress wreaks havoc on our body and mind, leading to inflammation, poor sleep, heart disease, stomach ulcers, psychiatric problems, and a host of other issues. And yes, it can mess with our sobriety. 

Stress and Sobriety: Reframing Our Understanding

When it comes to maintaining sobriety while managing stress in recovery, it’s crucial to understand how alcohol contributes to stress in the first place — both while we’re drinking and in the weeks or months afterwards. Here’s the condensed version: alcohol doesn’t relieve stress, it actually causes it.

First, let’s explore why alcohol isn’t (and never was) the solution to stress. Then, we’ll look at healthier ways of managing stress in recovery.

Why Do We Drink When We’re Stressed?

Why do we drink when we’re stressed in the first place? It’s all about brain chemistry:

  • Alcohol floods our brain with dopamine. That happy “fuzzy” feeling we sometimes get after a few sips is dopamine at work. Yes, it might feel good and make us forget our problems for a while. But it’s a bit like disabling our fire alarm because we don’t want it to make noise — not a great long-term solution.
  • It has a temporary relaxing effect. In addition to boosting dopamine, alcohol increases levels of GABA, an inhibitory neurotransmitter, while lowering glutamate, its excitatory counterpart. The result? All our sensations (including stressful ones) get dulled. This is one reason why stress is a trigger for relapse.

The problem is, both of these effects are temporary. Within a few hours they wear off, leaving us with rebound anxiety and depression. Plus, chances are, whatever was stressing us out in the first place is still there (bummer!).

Why Alcohol Makes Stress Worse?

In the long run, alcohol is bound to make our stress worse. Here’s why:

  • Drinking makes thinking harder. For one thing, alcohol suppresses activity in the prefrontal cortex — the decision-making and rational thinking part of the brain. Given that stressful times often call for critical thinking, this doesn’t bode well.
  • Alcohol increases physical and psychological stress. Drinking itself increases our stress levels, both by boosting cortisol and by creating cognitive dissonance. After all, we’re stuck in the trap of wanting something we desperately wish we didn’t want — talk about stressful! 
  • Alcohol hijacks our reward system. As we know, alcohol floods our brain with the reward neurotransmitter dopamine, which keeps us coming back for more. Over time, we can become dependent on booze just to feel normal: our brain puts the brakes on natural dopamine release and leads to rebound depression when alcohol is out of our system. Stress, in turn, amps up the negative effect by reducing dopamine and making it harder to find everyday activities pleasurable. The result? Our dopamine reserves face an attack on two fronts, sapping us of motivation to deal with stressful situations. 

Even if we started drinking to deal with external stressors, chances are that over time, alcohol use itself became the main source of our stress. Each time we drank, alcohol provided an illusion of relief. And yet, when the effects wore off, we were left with the original problem we tried to drown in that bottle and an ever-increasing drinking problem to boot. Our problems — and stress — only multiplied.

In other words, at a certain point alcohol started providing a temporary “solution” for the problem that it’s been creating (or at the very least contributing to). How devious!

Anxiety in Early Sobriety Is Common

That said, simply putting down the drink doesn’t make the shadow of booze-related stress disappear. Our physical cravings may be gone, but it takes some time for the neurotransmitter balance to return to normal — we’re not playing with a full neurochemical deck quite yet. 

Add to that a stressful external event, and we might find ourselves questioning our resolve to quit drinking. Thanks to a neurological quirk known as “euphoric recall,” we’re more likely to romanticize alcohol as the magic potion that made us feel better, minimizing the negative effects. As a result, that drink might start seeming more and more appealing, upping our risk of relapse.

However, we’ve been there and done that, and it hasn’t worked. It’s time to look for more sustainable ways to deal with stress in recovery and thrive as we continue our journey!

Science-Based Strategies for Managing Stress in Recovery

So if booze doesn’t help us de-stress, what does? Let’s find out!

1. Master Mindfulness 

“Life is a dance. Mindfulness is witnessing that dance.” ― Amit Ray

As far as stress-busting is concerned, mindfulness is as close to a superpower as we can get. It’s all about being in the present moment and observing it without judgment. 

  • The goal isn’t to get rid of thoughts but rather to acknowledge the fact that they are, indeed, “only thoughts.” We don’t have to jump on board with them, analyze them, or identify with them. Instead, we become tourists of our own minds, scoping out the inner workings with curiosity, and when our mind wanders (as minds do), bringing our attention back.
  • Learning to be present and observing our own mind at work is key to managing stress in recovery. Here’s why:
  • It brings profound inner peace. As the Canadian addiction expert Gabor Maté once said, “The attempt to escape from pain, is what creates more pain.” Simply by bringing our awareness to a situation without reacting to it creates breathing room that makes us feel better.
  • It boosts our emotional resilience. Science says that mindfulness helps us manage difficult emotions better by strengthening the fronto-limbic networks — the part of the brain in charge of emotion regulation.
  • It relieves stress at a physical level. Research shows that mindfulness reduces stress by lowering cortisol levels. 
  • It promotes neuroplasticity. Even more amazingly, meditation boosts neurogenesis, (the creation of new neural connections) and promotes neuroplasticity (the brain’s ability to change itself).
  • It helps us dismiss cravings. Mindfulness creates a pause that puts much-needed distance between ourselves and our urges. But there’s more! Research shows that mindfulness deactivates “default mode network” (DMN) associated with rumination and habitual thoughts (including the urge to drink). 

Tip: Tibetan Buddhist nun Pema Chödrön has a lovely mindfulness trick up her sleeve. Simply picture the source of stress in your mind and address it with the words “How delightful!” (Feel free to do it silently if you’re in a board meeting or on the train to work.) The charming absurdity is often enough to take the tension down a notch (and maybe bring on a chuckle).

Also, check out Reframe’s meditation meetings and mindfulness resources!

2. Nourish Your Body and Brain

“One cannot think well, love well, sleep well, if one has not dined well.” ― Virginia Woolf

Good nutrition is key — both for recovering after alcohol misuse and making it through stressful times. Here’s how we can use our diet to boost our resilience as we continue to heal:

  • Whole grains keep us going strong. Brown rice, quinoa, and whole-wheat bread keep our blood sugar levels balanced and reduce mood swings that stress can cause.
  • Protein rebuilds our muscles and neurotransmitters. Did you know that alcohol damages our muscles by interfering with protein synthesis? Moreover, we need protein to synthesize neurotransmitters such as dopamine. One source of this is tryptophan found in foods such as turkey, clams, legumes, and nuts.
  • Healthy fats help our brain. Fatty fish such as salmon, mackerel, and sardines as well as flaxseeds and walnuts boost brain function and reduce inflammation that both alcohol and stress contribute to.
  • Fruits and veggies are vitamin superpowers. Alcohol misuse depletes us of vitamins and minerals by messing with their absorption in the gut. Loading up on fruits and veggies restores these vital micronutrients and also helps combat stress.
  • Supplements can fill gaps. Magnesium and L-theanine are known to help combat stress by promoting relaxation and reducing anxiety levels. Vitamin B (especially thiamine), in turn, is crucial for folks recovering from alcohol misuse. Just get your doctor’s go-ahead first!

Tip: A healthy diet isn’t complete without adequate hydration. Carry a water bottle with you and set a reminder on your watch or phone to stay on track. 

3. Adapt to Life With Adaptogenic Herbs

“Generally speaking, adaptogens help you feel less stressed while increasing energy levels; some are zippy, while others are more balancing or calming.” ― Maria Noel Groves

Adaptogens have been around for centuries but have gone under the radar in modern times. A few years ago, only a hard-core wellness enthusiast could reel off the benefits of rhodiola, tulsi, ashwagandha, or holy basil (to name a few). But times are changing! 

These days there’s a lot of talk about adaptogenic herbs — natural substances that help us adapt to stress by modulating the release of stress hormones and building up our resilience. And the stress-busting effects are backed by science! Here’s how UAB scientist Anna Abel explains it

“Think about your body’s stress response as a bell curve — it goes along, peaks and then drops. That whole response is really taxing to the body. Adaptogens help flatten that curve; it is a more mellowed upward movement and therefore no crash.”

Tip: Health food stores have plenty of adaptogen-based teas, supplements, or extracts. And check out Reframe’s own line of beverages! Again, just remember to get a go-ahead from your doctor first, especially if you have specific health needs.

4. Freeze Out Stress With Cold Exposure Therapy

“I think of the cold as a noble force.” — Wim Hof

Now, this one isn’t for the faint of heart, but stick with us. Science says that cold exposure stimulates the vagus nerve and increases the production of endorphins and norepinephrine, chemicals that help regulate mood and reduce stress while keeping cravings at bay. The vagus nerve is part of the parasympathetic nervous system, which is responsible for calming the body, among other things.

Plus, there’s a host of other benefits that come with cold exposure therapy. It’s known to boost our immune system, improving our body's defense against illnesses. It also enhances circulation and metabolism, helping us feel more energized and burn calories more efficiently.

Tip: Start small. Try turning your shower to a cold temperature for a few seconds at the end of your morning routine, then gradually increase the time. Or, try dipping your face into a bowl of ice water and watch the stress melt away in seconds!

5. Breathe Deeper With Polyvagal Exercises

“Deep breathing changes the chemistry of the body by bringing oxygen into the tissue.” — Wim Hof

Want a gentler way to stimulate the vagus nerve? No problem! Breathing exercises such as “polyvagal exercises” will do the trick as well. Polyvagal exercises involve long exhalations that stimulate the vagus nerve. Plus, in addition to diaphragmatic breathing, science shows that activities such as humming, singing, or yoga help activate the parasympathetic nervous system, reducing stress. (And if you’d rather hum than stand in a cold shower, we’re with you!) 

Tip: Check out some simple but effective diaphragmatic breathing practices, alternate nostril breathing, and other breathing techniques to bust stress and cravings in one blow!

6. Make Nature Your Home

“Nature is not a place to visit. It is home.” ― Gary Snyder

One of the best stress busters out there is right outside your window! Science says that spending time in nature reduces cortisol levels, lowers blood pressure, and improves mood. In fact, a simple 20-minute walk outside will do the trick! There’s even a type of therapy known as “ecotherapy” that’s all about tapping into the magic of the outdoors. 

Tip: Make it a habit to spend some time in nature every day. A city park, tree-lined alley, and even the courtyard of your apartment building will do! Better yet, combine nature time with exercise to double the benefits!

7. Get Moving With Physical Exercise

“I don't bother with gyms, I just workout where I happen to be whether it’s in the garden or at home.” — Wim Hof

Back in the 5th century BCE, ancient physician Hippocrates touted the virtues of exercise, pointing out that “all parts of the body, if used in moderation and exercised in labors to which each is accustomed” stay healthy. Left idle, on the other hand, they “become liable to disease, defective in growth and age quickly.”

And modern science agrees! Here are some of the science-backed benefits of exercise:

Tip: Not a fan of going to the gym? No worries! Any type of movement — walking in the park (a double win since you’re also tapping into the power of nature), playing with a hula hoop in the backyard, or getting your sweat on with a kickboxing routine on YouTube will do the trick.

8. Hear the Message With Biofeedback and Neurofeedback

“Feelings are just your body talking to you about how you’re doing in the moment … Tune in to your breathing, and then your body, and then your emotions. It’s a little thing that pays off big.” ― Allyson Dinneen

Ever hear people say “Listen to your body”? While it sounds like useful advice, sometimes it’s easier said than done. 

There’s no need to stress, however, because we have a translator! Biofeedback is a type of therapy involving sensors that measure shifts in our heart rate, temperature, muscle contraction, and other physiological changes associated with stress, which appear in real time on a screen. We’re hearing our body’s message loud and clear, seeing subtle signs of stress that we might have otherwise missed. 

Neurofeedback, in turn, measures real-time changes in brain wave patterns in response to stress through electrodes placed on the scalp (don’t worry, it’s not invasive — though one drawback is that it calls for hi-tech equipment and a trip to a specialist’s office). ​​We can then use breathing techniques or other relaxation methods (more on that below) to wipe out stress at the root, before it gets more overwhelming. And before you dismiss it as sounding too hokey, rest assured — there’s a fair amount of science behind biofeedback and neurofeedback

Tip: For a more user-friendly take on biofeedback, check out handheld heart rate variability (HRV) monitors that guide you through breathing exercises and give immediate feedback on your stress levels. 

9. Declutter Your Mind With a Digital Detox

“Facebook has been spreading across the continents faster than a highly contagious Asian bird flu!” ― Gemini Adams

Ever notice how taking a “break” by scrolling through Facebook can sometimes make us feel more stressed afterwards? Maybe it’s seeing people lounging on the beach while we’re stuck indoors scrubbing the fridge. Or maybe it’s a comment that rubs us the wrong way. Either way, our online lives can add to our stress.

Taking regular breaks from social media and being mindful about the sites we visit is crucial for keeping stress at bay. And since the online world is full of alcohol triggers — maybe those people on the beach are halfway through a six-pack — it’s also key for maintaining sobriety. 

Tip: Designate a device-free hour during the day and spend it practicing mindfulness, journaling, or catching up with friends. If a whole hour is too much, break it up into 15-minute chunks throughout the day. 

10. Find Your People (and Stick With Them)

“Life is not a solo act. It's a huge collaboration, and we all need to assemble around us the people who care about us and support us in times of strife.” — Tim Gunn

Last but not least, stressful times are infinitely easier to get through with a solid team behind us. Positive social interactions boost oxytocin levels, helping us become more resilient and reducing stress. So don’t hesitate to ask for help!

Tip: Build a support network and reach out to at least one person every day. And remember, online communities such as Reframe are a wonderful source of social support!

Facing the Future 

All in all, managing stress in recovery and maintaining sobriety is all about building a rewarding and sustainable life. Instead of looking at quitting booze as a “sacrifice,” we can see it as an opportunity for change.

As journalist Germany Kent puts it, “It’s a funny thing about life, once you begin to take note of the things you are grateful for, you begin to lose sight of the things that you lack.” We can be grateful for the opportunity to become better versions of ourselves through the alcohol journey. Challenging as it may be — especially during stressful times — the struggles are bound to be worth it in the end, giving us a physical and emotional “upgrade” we never dreamt of.

Alcohol and Mental Health
2024-09-06 9:00
Alcohol and Mental Health
Dopamine Detox: The Key Benefits and Alcohol’s Role in It
This is some text inside of a div block.

Interested in learning how to repair dopamine receptors? Dopamine detox could help! Learn more about this and where alcohol fits into the picture in our latest blog.

19 min read

Take Control of Your Mental Health With Reframe!

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

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

You’ll meet hundreds 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  →

Have you ever had a long week and to de-stress you decide to binge-watch your favorite show, scroll through social media to stay up-to-date on the latest trends, and chow down on your favorite takeout? It felt like the perfect way to unwind, yet the next day, you’re left feeling strangely restless and empty. This cycle of fleeting pleasure followed by dissatisfaction is all too common in our dopamine-driven world. 

Enter the concept of a dopamine detox — a practice that promises to hit the reset button on our brain’s reward system. But what about that cold can of beer or glass of wine that often accompanies these moments of leisure? Alcohol, a powerful player in the dopamine game, significantly influences our mental balance. Let’s explore the transformative benefits of a dopamine detox and why rethinking our relationship with alcohol can be a crucial step toward a more fulfilling life. 

Diving Into Dopamine

An illuminated brain displayed under a blue light

Dopamine is a neurotransmitter — a chemical messenger in our brain. Known as one of the “feel-good” hormones in the brain’s reward system, it plays a major role in pleasure, motivation, and learning. Dopamine sends signals to our brain that something is pleasurable, and our brain then learns that we want more of whatever it may be that makes us feel good. 

Anything from naturally fulfilling moments such as seeing our loved ones to drugs that artificially promote dopamine release can give us a sense of pleasure. Take your morning cup of coffee, for example. If it’s something we enjoy or even if it’s just the energy boost we’re chasing, coffee releases dopamine, which signals to our brain that coffee is linked to pleasure. And before we know it, that morning cup of coffee can turn into two (or five, or the whole pot!).

Dopamine is an essential hormone that affects our mood and learning. However, in our world today, there are so many things that can give us an artificial dopamine boost and oversaturate our brain that we continue to chase these highs. Data reports show that the average time people spend on social media per day skyrocketed from 90 minutes in 2013 to 143 minutes in 2024. And this is just one example. The National Center for Drug Abuse Statistics reports that 13.5% of Americans 12 and over used drugs in the last month, which is a 3.8% increase year-over-year. With the growing availability of activities and substances that provide instant gratification, the idea of a dopamine detox formed. Let’s learn more.

What Is a Dopamine Detox?

A dopamine detox is a practice developed by California psychiatrist Cameron Sepah. The practice stems from cognitive behavioral therapy (CBT) skills, which help us develop more positive behaviors. During a dopamine detox, we simply refrain from partaking in certain pleasurable stimuli for a period of time. 

The idea is that by removing unhealthy stimuli, our desire for an immediate reward decreases, and, as a result, we reduce unwanted compulsive behaviors. By rewiring our response to specific stimuli, a dopamine detox promotes finding pleasure in naturally rewarding activities that allow us to live a more fulfilling life. Sepah proposed the dopamine detox concept to target six main behavioral categories: 

  • Emotional eating
  • Excessive internet usage and gaming
  • Gambling and shopping
  • Porn and masturbation
  • Thrill and novelty seeking
  • Recreational drug use

He noted, however, that dopamine detox can be used for any behavior that is negatively affecting our life. 

The idea has since taken over the internet, but due to confusing or inaccuate information, we could end up using the practice in an incorrect, extreme, or even harmful way (don’t worry, we’ll get into how to do it properly in a bit). A common misconception is that a dopamine detox aims to lower dopamine levels. We may end up searching “how to lower dopamine” but in actuality, dopamine is a naturally occurring chemical in our body and essential for normal functions. Instead, a dopamine detox removes stimuli that constantly release dopamine and thus promote unhealthy behaviors. With a proper detox, we can develop healthier habits overall. Let’s better understand how it helps us live a more fulfilling life. 

Benefits of Doing a Dopamine Detox

When done correctly, a dopamine detox...

  • Addresses negative behaviors. By temporarily stepping away from sources of instant gratification, we give ourselves a pause to identify and modify habits that aren’t serving our long-term well-being.
  • Reduces stress. A dopamine detox gives us a break from overstimulation and chronic stress from constantly chasing dopamine hits. This helps us shift towards a more balanced lifestyle.
  • Increases awareness. Engaging in a dopamine detox encourages us to evaluate our habits and identify behaviors we want to change. This heightened awareness can foster a deeper understanding of what truly brings us joy and satisfaction.
  • Helps prevent dependence. Constantly exposing ourselves to dopamine-triggering activities and substances can create a dependence on them. A detox helps break this cycle, reducing the risk of developing dependence and promoting healthier ways to sustain a positive mood. 
  • Improves sleep. High dopamine-releasing activities such as screen time or alcohol can disrupt our sleep patterns. When we remove these stimuli, our body’s natural rhythm can be restored.
  • Promotes deeper connections. Without constant distractions, we can invest more time and energy into building and nurturing our personal relationships. 

There are many benefits of doing a dopamine detox, but it can also be harmful when not done effectively. So, what’s the right way to do a dopamine detox?

How To Reset Dopamine Levels

Another way to think of a dopamine detox is as a reset. By removing certain stimuli, our brain isn’t oversaturated with substances and activities that give us temporary feelings of pleasure. Without the extra dopamine, we can return to a level closer to baseline.

The first step in doing a dopamine detox or reset is increasing our awareness of what negative behaviors we want to change, and the triggers and emotions surrounding them. Then, we can remove the unwanted stimuli. Cameron Sepah notes that “how to dopamine detox effectively” involves starting with something that is minimally disruptive to our current lifestyle. 

For example, start with a couple of hours a day or one day out of the weekend. Take a break from scrolling endlessly on social media, mindlessly finishing a bag of chips, or pouring a couple of glasses of wine to feel more relaxed. Instead, we can spend that time reconnecting with ourselves and others. Try more relaxing activities such as meditation, taking a walk, or journaling. While we may feel bored or restless at first, we’ll slowly start to enjoy more natural ways to boost our mood, making us less interested in the allure of high dopamine-triggering substances and activities, such as alcohol. Speaking of alcohol, let’s take a closer look at the connection between alcohol and dopamine.

How Does Alcohol Affect Dopamine?

Alcohol temporarily increases dopamine release, which explains the feelings of euphoria and pleasure that are often associated with drinking. After we drink, our dopamine levels drop down, leading to the depressant effects of alcohol such as low mood, lethargy, and lack of motivation (welcome to the hangover). Since our brain naturally seeks things that are pleasurable, we may get cravings to drink and continue to drink despite the adverse effects we feel. 

Not only does alcohol cause our dopamine levels to fluctuate, but over time, our brain adapts to the high levels of dopamine that drinking can cause, and, as a result, we naturally produce less dopamine. This means that we’ll need to drink more and more alcohol to reach the same dopamine hit or level of pleasure we’re seeking. Excessive drinking decreases the natural production of dopamine, but how does it affect dopamine receptors?

Does Alcohol Kill Dopamine Receptors?

Dopamine receptors are sites that bind with dopamine. Dopamine then initiates the signaling responsible for activating certain areas of the brain responsible for pleasure. Think of dopamine as a plug and dopamine receptors as the socket. When the two connect, that’s when we get power, or in this case, when our brain receives the signal that something is pleasurable. 

Alcohol doesn’t kill dopamine receptors, but it does impact the expression of certain receptors, which has essentiallythe same effect. There are five types of dopamine receptors — D1–D5 — which have different functions and are found in different areas of the brain. Research shows that reductions in D2 receptors have been reported in those with alcohol use disorder. Similarly, a study using rats that underwent chronic intermittent ethanol exposure found disruptions specifically in D2 and D4 receptors. D2 and D4 receptors are associated with attention, sleep memory, locomotion, and impulse control. 

So, alcohol not only decreases the production of dopamine, but it also affects our ability to sense pleasure from other activities since our dopamine receptors aren’t working properly. To learn more, check out “Relationship Between Anhedonic Depression and Alcohol.” 

Now that we know how alcohol impacts our dopamine receptors, we might be wondering how to repair receptors to hopefully reverse the disruption. Searching for solutions on the internet can have us running in circles, but don’t panic! The answer is fairly simple. By avoiding alcohol, which is the substance responsible for throwing dopamine and its receptors out of whack, our body naturally restores its own balance of neurotransmitters and receptors! We’ll give our brain even more love and fuel to rebalance itself if we engaging in natural dopamine-boosting activities like these:

  • Exercise
  • Time in nature
  • Meditation
  • Exposure to sunlight
  • Listening to music

There are certainly more activities out there that naturally boost dopamine, but these are a good place to start!

Can You Drink While Doing a Dopamine Reset?

As we’ve learned, alcohol directly affects dopamine. So, choosing to do a dopamine detox without also eliminating alcohol defeats the purpose. In fact, thiis can make our drinking habits even more serious due to transfer addictions

Transfer addiction involves replacing one compulsive behavior or addiction with another. Let’s say we struggle with excessive spending and heavy drinking. We decide to do a dopamine detox and tackle our impulsive shopping habits. Our brain may be looking for that dopamine surge from shopping, but with alcohol still an option, we end up relying on drinking for that dopamine boost — further strengthening the link between alcohol and pleasure.

Avoiding alcohol during a dopamine reset helps us reap the full benefits of the practice. Skipping the drink not only prevents disruption of dopamine levels, but it also supports other neurotransmitters such as serotonin, which is responsible for feelings of happiness.

Dopamine Fasting for Alcohol Dependence 

Dopamine fasting can help prevent alcohol dependence as it's essentially a tool and motivation to avoid alcohol. By pressing pause on alcohol, we can increase our awareness of our drinking habits and triggers. Let’s say we decide to commit to doing an alcohol detox on the weekends. After doing this, we notice that stress, boredom, and maybe socializing with certain friends make us crave alcohol. By identifying triggers for our drinking and developing strategies to avoid or overcome them, we can reduce the risk of alcohol dependence. 

While a dopamine detox can be beneficial, its effects don’t last forever. Once we go back to drinking, we may find ourselves back where we started, and later on we may need another dopamine detox. Instead, we can focus on improving a negative relationship with alcohol through mindful drinking. This approach can be more sustainable than doing dopamine detoxes because we are tackling our drinking habits diirectly..

With a Clear Mind

Dopamine detox, also known as an “intentional unwind” (although it doesn’t have the same ring), helps us cultivate a life where joy is no longer tethered to fleeting highs but instead rooted in lasting, meaningful experiences. While a dopamine reset, done right, has many benefits — reducing stress, building more positive behaviors, and developing deeper connections — mindful drinking to help us quit or cut back on alcohol may be more sustainable and beneficial. So, let’s take this step towards limiting dopamine-disrupting substances to live a life of greater clarity and connection!

Have you ever had a long week and to de-stress you decide to binge-watch your favorite show, scroll through social media to stay up-to-date on the latest trends, and chow down on your favorite takeout? It felt like the perfect way to unwind, yet the next day, you’re left feeling strangely restless and empty. This cycle of fleeting pleasure followed by dissatisfaction is all too common in our dopamine-driven world. 

Enter the concept of a dopamine detox — a practice that promises to hit the reset button on our brain’s reward system. But what about that cold can of beer or glass of wine that often accompanies these moments of leisure? Alcohol, a powerful player in the dopamine game, significantly influences our mental balance. Let’s explore the transformative benefits of a dopamine detox and why rethinking our relationship with alcohol can be a crucial step toward a more fulfilling life. 

Diving Into Dopamine

An illuminated brain displayed under a blue light

Dopamine is a neurotransmitter — a chemical messenger in our brain. Known as one of the “feel-good” hormones in the brain’s reward system, it plays a major role in pleasure, motivation, and learning. Dopamine sends signals to our brain that something is pleasurable, and our brain then learns that we want more of whatever it may be that makes us feel good. 

Anything from naturally fulfilling moments such as seeing our loved ones to drugs that artificially promote dopamine release can give us a sense of pleasure. Take your morning cup of coffee, for example. If it’s something we enjoy or even if it’s just the energy boost we’re chasing, coffee releases dopamine, which signals to our brain that coffee is linked to pleasure. And before we know it, that morning cup of coffee can turn into two (or five, or the whole pot!).

Dopamine is an essential hormone that affects our mood and learning. However, in our world today, there are so many things that can give us an artificial dopamine boost and oversaturate our brain that we continue to chase these highs. Data reports show that the average time people spend on social media per day skyrocketed from 90 minutes in 2013 to 143 minutes in 2024. And this is just one example. The National Center for Drug Abuse Statistics reports that 13.5% of Americans 12 and over used drugs in the last month, which is a 3.8% increase year-over-year. With the growing availability of activities and substances that provide instant gratification, the idea of a dopamine detox formed. Let’s learn more.

What Is a Dopamine Detox?

A dopamine detox is a practice developed by California psychiatrist Cameron Sepah. The practice stems from cognitive behavioral therapy (CBT) skills, which help us develop more positive behaviors. During a dopamine detox, we simply refrain from partaking in certain pleasurable stimuli for a period of time. 

The idea is that by removing unhealthy stimuli, our desire for an immediate reward decreases, and, as a result, we reduce unwanted compulsive behaviors. By rewiring our response to specific stimuli, a dopamine detox promotes finding pleasure in naturally rewarding activities that allow us to live a more fulfilling life. Sepah proposed the dopamine detox concept to target six main behavioral categories: 

  • Emotional eating
  • Excessive internet usage and gaming
  • Gambling and shopping
  • Porn and masturbation
  • Thrill and novelty seeking
  • Recreational drug use

He noted, however, that dopamine detox can be used for any behavior that is negatively affecting our life. 

The idea has since taken over the internet, but due to confusing or inaccuate information, we could end up using the practice in an incorrect, extreme, or even harmful way (don’t worry, we’ll get into how to do it properly in a bit). A common misconception is that a dopamine detox aims to lower dopamine levels. We may end up searching “how to lower dopamine” but in actuality, dopamine is a naturally occurring chemical in our body and essential for normal functions. Instead, a dopamine detox removes stimuli that constantly release dopamine and thus promote unhealthy behaviors. With a proper detox, we can develop healthier habits overall. Let’s better understand how it helps us live a more fulfilling life. 

Benefits of Doing a Dopamine Detox

When done correctly, a dopamine detox...

  • Addresses negative behaviors. By temporarily stepping away from sources of instant gratification, we give ourselves a pause to identify and modify habits that aren’t serving our long-term well-being.
  • Reduces stress. A dopamine detox gives us a break from overstimulation and chronic stress from constantly chasing dopamine hits. This helps us shift towards a more balanced lifestyle.
  • Increases awareness. Engaging in a dopamine detox encourages us to evaluate our habits and identify behaviors we want to change. This heightened awareness can foster a deeper understanding of what truly brings us joy and satisfaction.
  • Helps prevent dependence. Constantly exposing ourselves to dopamine-triggering activities and substances can create a dependence on them. A detox helps break this cycle, reducing the risk of developing dependence and promoting healthier ways to sustain a positive mood. 
  • Improves sleep. High dopamine-releasing activities such as screen time or alcohol can disrupt our sleep patterns. When we remove these stimuli, our body’s natural rhythm can be restored.
  • Promotes deeper connections. Without constant distractions, we can invest more time and energy into building and nurturing our personal relationships. 

There are many benefits of doing a dopamine detox, but it can also be harmful when not done effectively. So, what’s the right way to do a dopamine detox?

How To Reset Dopamine Levels

Another way to think of a dopamine detox is as a reset. By removing certain stimuli, our brain isn’t oversaturated with substances and activities that give us temporary feelings of pleasure. Without the extra dopamine, we can return to a level closer to baseline.

The first step in doing a dopamine detox or reset is increasing our awareness of what negative behaviors we want to change, and the triggers and emotions surrounding them. Then, we can remove the unwanted stimuli. Cameron Sepah notes that “how to dopamine detox effectively” involves starting with something that is minimally disruptive to our current lifestyle. 

For example, start with a couple of hours a day or one day out of the weekend. Take a break from scrolling endlessly on social media, mindlessly finishing a bag of chips, or pouring a couple of glasses of wine to feel more relaxed. Instead, we can spend that time reconnecting with ourselves and others. Try more relaxing activities such as meditation, taking a walk, or journaling. While we may feel bored or restless at first, we’ll slowly start to enjoy more natural ways to boost our mood, making us less interested in the allure of high dopamine-triggering substances and activities, such as alcohol. Speaking of alcohol, let’s take a closer look at the connection between alcohol and dopamine.

How Does Alcohol Affect Dopamine?

Alcohol temporarily increases dopamine release, which explains the feelings of euphoria and pleasure that are often associated with drinking. After we drink, our dopamine levels drop down, leading to the depressant effects of alcohol such as low mood, lethargy, and lack of motivation (welcome to the hangover). Since our brain naturally seeks things that are pleasurable, we may get cravings to drink and continue to drink despite the adverse effects we feel. 

Not only does alcohol cause our dopamine levels to fluctuate, but over time, our brain adapts to the high levels of dopamine that drinking can cause, and, as a result, we naturally produce less dopamine. This means that we’ll need to drink more and more alcohol to reach the same dopamine hit or level of pleasure we’re seeking. Excessive drinking decreases the natural production of dopamine, but how does it affect dopamine receptors?

Does Alcohol Kill Dopamine Receptors?

Dopamine receptors are sites that bind with dopamine. Dopamine then initiates the signaling responsible for activating certain areas of the brain responsible for pleasure. Think of dopamine as a plug and dopamine receptors as the socket. When the two connect, that’s when we get power, or in this case, when our brain receives the signal that something is pleasurable. 

Alcohol doesn’t kill dopamine receptors, but it does impact the expression of certain receptors, which has essentiallythe same effect. There are five types of dopamine receptors — D1–D5 — which have different functions and are found in different areas of the brain. Research shows that reductions in D2 receptors have been reported in those with alcohol use disorder. Similarly, a study using rats that underwent chronic intermittent ethanol exposure found disruptions specifically in D2 and D4 receptors. D2 and D4 receptors are associated with attention, sleep memory, locomotion, and impulse control. 

So, alcohol not only decreases the production of dopamine, but it also affects our ability to sense pleasure from other activities since our dopamine receptors aren’t working properly. To learn more, check out “Relationship Between Anhedonic Depression and Alcohol.” 

Now that we know how alcohol impacts our dopamine receptors, we might be wondering how to repair receptors to hopefully reverse the disruption. Searching for solutions on the internet can have us running in circles, but don’t panic! The answer is fairly simple. By avoiding alcohol, which is the substance responsible for throwing dopamine and its receptors out of whack, our body naturally restores its own balance of neurotransmitters and receptors! We’ll give our brain even more love and fuel to rebalance itself if we engaging in natural dopamine-boosting activities like these:

  • Exercise
  • Time in nature
  • Meditation
  • Exposure to sunlight
  • Listening to music

There are certainly more activities out there that naturally boost dopamine, but these are a good place to start!

Can You Drink While Doing a Dopamine Reset?

As we’ve learned, alcohol directly affects dopamine. So, choosing to do a dopamine detox without also eliminating alcohol defeats the purpose. In fact, thiis can make our drinking habits even more serious due to transfer addictions

Transfer addiction involves replacing one compulsive behavior or addiction with another. Let’s say we struggle with excessive spending and heavy drinking. We decide to do a dopamine detox and tackle our impulsive shopping habits. Our brain may be looking for that dopamine surge from shopping, but with alcohol still an option, we end up relying on drinking for that dopamine boost — further strengthening the link between alcohol and pleasure.

Avoiding alcohol during a dopamine reset helps us reap the full benefits of the practice. Skipping the drink not only prevents disruption of dopamine levels, but it also supports other neurotransmitters such as serotonin, which is responsible for feelings of happiness.

Dopamine Fasting for Alcohol Dependence 

Dopamine fasting can help prevent alcohol dependence as it's essentially a tool and motivation to avoid alcohol. By pressing pause on alcohol, we can increase our awareness of our drinking habits and triggers. Let’s say we decide to commit to doing an alcohol detox on the weekends. After doing this, we notice that stress, boredom, and maybe socializing with certain friends make us crave alcohol. By identifying triggers for our drinking and developing strategies to avoid or overcome them, we can reduce the risk of alcohol dependence. 

While a dopamine detox can be beneficial, its effects don’t last forever. Once we go back to drinking, we may find ourselves back where we started, and later on we may need another dopamine detox. Instead, we can focus on improving a negative relationship with alcohol through mindful drinking. This approach can be more sustainable than doing dopamine detoxes because we are tackling our drinking habits diirectly..

With a Clear Mind

Dopamine detox, also known as an “intentional unwind” (although it doesn’t have the same ring), helps us cultivate a life where joy is no longer tethered to fleeting highs but instead rooted in lasting, meaningful experiences. While a dopamine reset, done right, has many benefits — reducing stress, building more positive behaviors, and developing deeper connections — mindful drinking to help us quit or cut back on alcohol may be more sustainable and beneficial. So, let’s take this step towards limiting dopamine-disrupting substances to live a life of greater clarity and connection!

Alcohol and Mental Health
2024-08-28 9:00
Alcohol and Mental Health
Is Self-Harm an Addiction? What Is the Role of Alcohol in It?
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Is self harm an addiction? And does alcohol play a role in it? Learn more about the connection, brain chemistry, and self-harm recovery options in our latest blog.

21 min read

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Read Full Article  →

In Girl in Pieces, Kathleen Glasgow writes: “I just want to feel better. My own body is my deepest enemy. It wants, it wants, it wants and when it does not get, it cries and cries and I punish it. How can you live in fear of your own body?”

And yet, so many people develop a painful relationship with what should, in theory, be our closest friend and ally — our own body. Self-harm is, unfortunately, very common and affects people across the globe. But what is it exactly? Is self-harm an addiction? And what is its relationship to alcohol?

What Is Self-Harm?

A woman sits on the floor, with a bottle of alcohol

The psychology behind self-harm can be complicated, but it comes down to this: it’s an attempt to feel emotional relief through inflicting physical pain on ourselves. It might seem counterintuitive to an outside observer, but at its heart, self-harm is usually a way to overcome overwhelming emotional distress.

While self-harm can consist of any infliction of pain or injury, there are some common patterns, according to SAMHSA:

  • Some people might cut or pierce their skin with a sharp object. 
  • Others might punch hard things, such as a wall or bed post.
  • Burning oneself with a match, cigarette, or candle is another typical form of self-injury.
  • Some might even go so far as to break bones, causing severe physical damage and pain.

It’s important to note that there’s a big difference between self-harm and suicidal behavior: the intent is not to end one’s life but rather to find some relief from (what seems at the moment like) an insurmountable emotional obstacle.

Self-Harm Facts and Statistics

While self-harm looks different in each individual case, there are some patterns that scientists and medical professionals have noted over the years. Here’s an overview:

  • Young people are at greater risk. Self harm — or “nonsuicidal self-injury” (NSSI) is far more common among adolescents and young adults. Studies show that as much as 15% to 20% of this population is affected, with the typical age of onset hovering around 13 or 14. Sadly, however, even younger populations are affected. One study found that as much as 7.6% of third-graders, 4% of sixth-graders, and 12.7% of ninth-graders admitted to engaging in NSSI at some point.
  • Men and women self-harm at similar rates. There’s a cultural assumption out there that says women self-harm more than men. However, this is a bit of a myth — studies show that both genders are equally susceptible, but women are more likely to report certain types of self-harm (especially cutting). Men, on the other hand, are more likely to use methods such as hitting or burning and are less likely to report it.
  • People with other mental health challenges are more vulnerable. If we’re struggling with depression, anxiety, and mood disorders, we’re at greater risk — no matter how old we are. It’s especially common in people who are prone to self-criticism and tend to have more self-directed negative emotions. 
  • Self-harm is a global problem. In general, the rates are roughly the same across the world, with similar demographic patterns appearing in different countries. Self-harm doesn’t occur in just one region or area. It is a global problem.

Is Self-Harm an Addiction?

People might describe self-harm as “addictive,” but is it really a true “addiction”? The answer is complex. While self-harm isn’t classified as an addiction by doctors, it does share some common features with substance misuse and addictive behaviors. Here’s an overview:

  • Self-harm is driven by urges. Just like many addictions, self-harm is driven by urges — strong compulsions to engage in a behavior. 
  • It’s often followed by a sense of relief. The relief people feel after engaging in self-harm can even reach the level of euphoria. Of course, we must remember that the relief is illusory — it doesn’t solve the underlying cause of distress that leads us to seek out a way to cope, and often the problems only multiply as a result.
  • A vicious cycle starts to form. Self-harm might provide a temporary illusion of relief, but we’re likely to feel worse when the initial euphoria wears off. And if we routinely turn to this behavior in times of stress, we may find ourselves using it more and more frequently and end up in a vicious cycle.
  • Dopamine plays an important role. Dopamine, a neurotransmitter often dubbed the "feel-good" chemical, plays a significant role in the brain's reward system. Engaging in self-harm may lead to a temporary surge of dopamine. It delivers a brief mood lift or emotional reprieve, which reinforces the behavior and makes it hard to stop, leading to a pattern of behavior.

We’ll return to the role of dopamine in self-harm a bit later when we talk about its connection with alcohol use. For now, let’s get a bit more acquainted with the emotional landscape around self-harm and look at the reasons why people might choose to self-harm. 

Why Is Self-Harm Addictive?

What is it that prompts us to go against the natural instinct to take care of our bodies and shield ourselves from pain? The reality is, any intense emotion — fear, anger, self-doubt, embarrassment, and so forth — can serve as a trigger. Once we discover a quick way to feel relief from whatever troubles us, it’s easy for that behavior to become a “quick-fix solution” to our problems, even when doing so isn’t in our best interests. As Caroline Kettlewell writes in Skin Game:

You might imagine that a person would resort to self-mutilation only under extremes of duress, but once I'd crossed that line the first time, taken that fateful step off the precipice, then almost any reason was a good enough reason, almost any provocation was provocation enough. Cutting was my all-purpose solution.

As far as science is concerned, there are a few common emotional triggers that lead people to self-injure. From an NCBI article “Why do people self-injure?”:

  • Most people self-harm in response to emotional pain. Research shows that “overwhelming negative emotion” almost always precedes NSSI: “First, by a wide margin, NSSI most commonly functions to (temporarily) alleviate overwhelming negative emotion.” Strong negative emotions usually precede the behavior, which provides an illusory and short-lived sense of much-needed relief. 
  • Some people self-injure as a form of self-punishment. Those of us prone to self-criticism are especially likely to vent our frustrations about our perceived flaws or inadequacies in this way. 
  • Some may be trying to elicit an effect in others. While less common than other reasons, sometimes a desire to elicit a response from others could be behind NSSI. It’s important to understand that these situations call for just as much empathy as the others — they’re often a desperate cry for help. 

In the end, the reasons behind NSSI will always be deeply personal and might vary. Regardless of what drives the impulse, it’s essential to be kind to ourselves and realize that there’s no shame in asking for help. There are many caring folks out there who have been where you are and know what it’s like. Don’t lose hope!

Self-Harm and Alcohol

Finally, there’s the question of self-harm, alcohol, and other forms of substance misuse. Is there a direct link between them? Do they tend to occur together? Research says that they can — for a number of reasons. Let’s take a closer look.

Alcohol Misuse and Self-Harm Can Share Similar Triggers

For one thing, the same reasons that drive us to self-harm can trigger alcohol misuse. Self-harm often co-occurs with other addictions, such as substance abuse, gambling, or eating disorders. This overlap might be due to underlying issues such as anxiety, depression, or trauma, which drive both self-harm and other addictive behaviors. The use of multiple coping mechanisms can make them tricky to untangle, but it’s crucial to do so in order to get better. Occasionally, addictions might “take turns” as we turn to one and then switch to another. This phenomenon is known as “transfer addictions” — to find out more, check out “What Are Transfer Addictions? Examining the Science.”

Alcohol’s Effects Make Self-Harm More Likely

Research shows that people are more likely to self-harm while drinking. In fact, alcohol was a factor in 21% of self-harm cases, according to one study. There are a few reasons why the two often go together:

  • Alcohol has disinhibiting effects. You know how we say and do things we normally wouldn’t after a few drinks? While sometimes the result is merely embarrassing (all those late-night texts or boozy messages we cringe over the next morning), unfortunately disinhibition can lead us down some dark paths. The reason has to do with the fact that alcohol temporarily slows down activity in the prefrontal cortex, the rational hub of the brain in charge of self-control and reason. Without the checks and balances that normally keep us safe, our impulses — including the impulse to self-harm — tend to run wild.
  • Alcohol is a depressant. Although the initial dopamine rush we get from alcohol might make us feel good, it’s ultimately a downer (in every sense of the word). It dulls our senses, and, after that initial rush, leads to a rebound effect that can leave us feeling down in the dumps. The result? We’re more likely to act on those sad feelings.

As we can see, alcohol’s effects on mood make it a particularly dangerous “partner in crime.” We’re more likely to self-harm when drunk. We are also more likely to experience urges to self-harm because of alcohol’s effects on our mental and emotional state. 

But there’s more to the story. Let’s take a deeper look at the dopamine-driven reward system that drives our habits.

The Same Brain Mechanisms Are Involved in Alcohol Misuse and Self-Harm

As you can see, there are overlapping mechanisms involved in self-harm and alcohol misuse, so the two can be self-reinforcing. Alcohol misuse is driven by dopamine — the reward neurotransmitter that plays an essential role in habit formation and learning. The brain loves habits and keeps them alive through dopamine surges that create feelings of pleasure. There’s an evolutionary reason behind this system: the neurological “reward” is meant to keep us alive by encouraging habits that increase our chances of survival, such as eating, socializing, and finding romantic partners. 

Unfortunately, this system can be hijacked by not-so-healthy activities and substances such as alcohol and other drugs. Given that both alcohol and self-harm trigger dopamine release, it’s no wonder the two tend to egg each other on, so to speak. The greater the dopamine boost, the “stickier” the habit — in this case, with tragic results.

Self Harm Recovery

Self-Harm Recovery

Recovery from self-harm involves addressing both the behavior itself and its root causes. 

  • Therapy can be a lifeline. These days, therapy is highly individualized and many methods beyond traditional talk therapy are available. For self-harm and alcohol misuse in particular, cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT), can work wonders when it comes to uncovering thought distortions, changing thought patterns, and developing healthy coping mechanisms.
  • We also need support from family and friends along the way. Support groups and sometimes medications are also used to treat underlying mental health conditions. Recovery is a gradual process of learning to manage emotions and stress in healthier ways and building resilience against the impulses to harm oneself.

And remember, Reframe is here to help you every step of the way. Our thriving community of folks just like you who have struggled with similar issues and have found a way out are more than happy to support you, offer an empathetic ear, and share their stories.

Summing Up

In the end, the journey to recovery might be a challenging one, but it’s a testament to our strength. As Cheryl Rainfield writes in Scars: 

Other times, I look at my scars and see something else: a girl who was trying to cope with something horrible that she should never have had to live through at all. My scars show pain and suffering, but they also show my will to survive. They're part of my history that'll always be there.

Many of us struggle with what seem like impossible situations and difficulties, but rest assured, there’s a way out. We believe in you! 

In Girl in Pieces, Kathleen Glasgow writes: “I just want to feel better. My own body is my deepest enemy. It wants, it wants, it wants and when it does not get, it cries and cries and I punish it. How can you live in fear of your own body?”

And yet, so many people develop a painful relationship with what should, in theory, be our closest friend and ally — our own body. Self-harm is, unfortunately, very common and affects people across the globe. But what is it exactly? Is self-harm an addiction? And what is its relationship to alcohol?

What Is Self-Harm?

A woman sits on the floor, with a bottle of alcohol

The psychology behind self-harm can be complicated, but it comes down to this: it’s an attempt to feel emotional relief through inflicting physical pain on ourselves. It might seem counterintuitive to an outside observer, but at its heart, self-harm is usually a way to overcome overwhelming emotional distress.

While self-harm can consist of any infliction of pain or injury, there are some common patterns, according to SAMHSA:

  • Some people might cut or pierce their skin with a sharp object. 
  • Others might punch hard things, such as a wall or bed post.
  • Burning oneself with a match, cigarette, or candle is another typical form of self-injury.
  • Some might even go so far as to break bones, causing severe physical damage and pain.

It’s important to note that there’s a big difference between self-harm and suicidal behavior: the intent is not to end one’s life but rather to find some relief from (what seems at the moment like) an insurmountable emotional obstacle.

Self-Harm Facts and Statistics

While self-harm looks different in each individual case, there are some patterns that scientists and medical professionals have noted over the years. Here’s an overview:

  • Young people are at greater risk. Self harm — or “nonsuicidal self-injury” (NSSI) is far more common among adolescents and young adults. Studies show that as much as 15% to 20% of this population is affected, with the typical age of onset hovering around 13 or 14. Sadly, however, even younger populations are affected. One study found that as much as 7.6% of third-graders, 4% of sixth-graders, and 12.7% of ninth-graders admitted to engaging in NSSI at some point.
  • Men and women self-harm at similar rates. There’s a cultural assumption out there that says women self-harm more than men. However, this is a bit of a myth — studies show that both genders are equally susceptible, but women are more likely to report certain types of self-harm (especially cutting). Men, on the other hand, are more likely to use methods such as hitting or burning and are less likely to report it.
  • People with other mental health challenges are more vulnerable. If we’re struggling with depression, anxiety, and mood disorders, we’re at greater risk — no matter how old we are. It’s especially common in people who are prone to self-criticism and tend to have more self-directed negative emotions. 
  • Self-harm is a global problem. In general, the rates are roughly the same across the world, with similar demographic patterns appearing in different countries. Self-harm doesn’t occur in just one region or area. It is a global problem.

Is Self-Harm an Addiction?

People might describe self-harm as “addictive,” but is it really a true “addiction”? The answer is complex. While self-harm isn’t classified as an addiction by doctors, it does share some common features with substance misuse and addictive behaviors. Here’s an overview:

  • Self-harm is driven by urges. Just like many addictions, self-harm is driven by urges — strong compulsions to engage in a behavior. 
  • It’s often followed by a sense of relief. The relief people feel after engaging in self-harm can even reach the level of euphoria. Of course, we must remember that the relief is illusory — it doesn’t solve the underlying cause of distress that leads us to seek out a way to cope, and often the problems only multiply as a result.
  • A vicious cycle starts to form. Self-harm might provide a temporary illusion of relief, but we’re likely to feel worse when the initial euphoria wears off. And if we routinely turn to this behavior in times of stress, we may find ourselves using it more and more frequently and end up in a vicious cycle.
  • Dopamine plays an important role. Dopamine, a neurotransmitter often dubbed the "feel-good" chemical, plays a significant role in the brain's reward system. Engaging in self-harm may lead to a temporary surge of dopamine. It delivers a brief mood lift or emotional reprieve, which reinforces the behavior and makes it hard to stop, leading to a pattern of behavior.

We’ll return to the role of dopamine in self-harm a bit later when we talk about its connection with alcohol use. For now, let’s get a bit more acquainted with the emotional landscape around self-harm and look at the reasons why people might choose to self-harm. 

Why Is Self-Harm Addictive?

What is it that prompts us to go against the natural instinct to take care of our bodies and shield ourselves from pain? The reality is, any intense emotion — fear, anger, self-doubt, embarrassment, and so forth — can serve as a trigger. Once we discover a quick way to feel relief from whatever troubles us, it’s easy for that behavior to become a “quick-fix solution” to our problems, even when doing so isn’t in our best interests. As Caroline Kettlewell writes in Skin Game:

You might imagine that a person would resort to self-mutilation only under extremes of duress, but once I'd crossed that line the first time, taken that fateful step off the precipice, then almost any reason was a good enough reason, almost any provocation was provocation enough. Cutting was my all-purpose solution.

As far as science is concerned, there are a few common emotional triggers that lead people to self-injure. From an NCBI article “Why do people self-injure?”:

  • Most people self-harm in response to emotional pain. Research shows that “overwhelming negative emotion” almost always precedes NSSI: “First, by a wide margin, NSSI most commonly functions to (temporarily) alleviate overwhelming negative emotion.” Strong negative emotions usually precede the behavior, which provides an illusory and short-lived sense of much-needed relief. 
  • Some people self-injure as a form of self-punishment. Those of us prone to self-criticism are especially likely to vent our frustrations about our perceived flaws or inadequacies in this way. 
  • Some may be trying to elicit an effect in others. While less common than other reasons, sometimes a desire to elicit a response from others could be behind NSSI. It’s important to understand that these situations call for just as much empathy as the others — they’re often a desperate cry for help. 

In the end, the reasons behind NSSI will always be deeply personal and might vary. Regardless of what drives the impulse, it’s essential to be kind to ourselves and realize that there’s no shame in asking for help. There are many caring folks out there who have been where you are and know what it’s like. Don’t lose hope!

Self-Harm and Alcohol

Finally, there’s the question of self-harm, alcohol, and other forms of substance misuse. Is there a direct link between them? Do they tend to occur together? Research says that they can — for a number of reasons. Let’s take a closer look.

Alcohol Misuse and Self-Harm Can Share Similar Triggers

For one thing, the same reasons that drive us to self-harm can trigger alcohol misuse. Self-harm often co-occurs with other addictions, such as substance abuse, gambling, or eating disorders. This overlap might be due to underlying issues such as anxiety, depression, or trauma, which drive both self-harm and other addictive behaviors. The use of multiple coping mechanisms can make them tricky to untangle, but it’s crucial to do so in order to get better. Occasionally, addictions might “take turns” as we turn to one and then switch to another. This phenomenon is known as “transfer addictions” — to find out more, check out “What Are Transfer Addictions? Examining the Science.”

Alcohol’s Effects Make Self-Harm More Likely

Research shows that people are more likely to self-harm while drinking. In fact, alcohol was a factor in 21% of self-harm cases, according to one study. There are a few reasons why the two often go together:

  • Alcohol has disinhibiting effects. You know how we say and do things we normally wouldn’t after a few drinks? While sometimes the result is merely embarrassing (all those late-night texts or boozy messages we cringe over the next morning), unfortunately disinhibition can lead us down some dark paths. The reason has to do with the fact that alcohol temporarily slows down activity in the prefrontal cortex, the rational hub of the brain in charge of self-control and reason. Without the checks and balances that normally keep us safe, our impulses — including the impulse to self-harm — tend to run wild.
  • Alcohol is a depressant. Although the initial dopamine rush we get from alcohol might make us feel good, it’s ultimately a downer (in every sense of the word). It dulls our senses, and, after that initial rush, leads to a rebound effect that can leave us feeling down in the dumps. The result? We’re more likely to act on those sad feelings.

As we can see, alcohol’s effects on mood make it a particularly dangerous “partner in crime.” We’re more likely to self-harm when drunk. We are also more likely to experience urges to self-harm because of alcohol’s effects on our mental and emotional state. 

But there’s more to the story. Let’s take a deeper look at the dopamine-driven reward system that drives our habits.

The Same Brain Mechanisms Are Involved in Alcohol Misuse and Self-Harm

As you can see, there are overlapping mechanisms involved in self-harm and alcohol misuse, so the two can be self-reinforcing. Alcohol misuse is driven by dopamine — the reward neurotransmitter that plays an essential role in habit formation and learning. The brain loves habits and keeps them alive through dopamine surges that create feelings of pleasure. There’s an evolutionary reason behind this system: the neurological “reward” is meant to keep us alive by encouraging habits that increase our chances of survival, such as eating, socializing, and finding romantic partners. 

Unfortunately, this system can be hijacked by not-so-healthy activities and substances such as alcohol and other drugs. Given that both alcohol and self-harm trigger dopamine release, it’s no wonder the two tend to egg each other on, so to speak. The greater the dopamine boost, the “stickier” the habit — in this case, with tragic results.

Self Harm Recovery

Self-Harm Recovery

Recovery from self-harm involves addressing both the behavior itself and its root causes. 

  • Therapy can be a lifeline. These days, therapy is highly individualized and many methods beyond traditional talk therapy are available. For self-harm and alcohol misuse in particular, cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT), can work wonders when it comes to uncovering thought distortions, changing thought patterns, and developing healthy coping mechanisms.
  • We also need support from family and friends along the way. Support groups and sometimes medications are also used to treat underlying mental health conditions. Recovery is a gradual process of learning to manage emotions and stress in healthier ways and building resilience against the impulses to harm oneself.

And remember, Reframe is here to help you every step of the way. Our thriving community of folks just like you who have struggled with similar issues and have found a way out are more than happy to support you, offer an empathetic ear, and share their stories.

Summing Up

In the end, the journey to recovery might be a challenging one, but it’s a testament to our strength. As Cheryl Rainfield writes in Scars: 

Other times, I look at my scars and see something else: a girl who was trying to cope with something horrible that she should never have had to live through at all. My scars show pain and suffering, but they also show my will to survive. They're part of my history that'll always be there.

Many of us struggle with what seem like impossible situations and difficulties, but rest assured, there’s a way out. We believe in you! 

Alcohol and Mental Health
2024-08-26 9:00
Alcohol and Mental Health
How To Help an Alcoholic in Denial
This is some text inside of a div block.

If you’re wondering how to talk to an alcoholic in denial, you’re not alone. Do alcoholics know they are alcoholics? And what can you do to help? Learn all about it in our latest blog.

23 min read

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It might start small. Maybe they seem to be going out every weekend. Then the weekend starts on Thursday, then Wednesday. First, the reasons to drink might sound more like reasons to celebrate. (“It’s trivia night! It’s Margarita Wednesday at the bar!”) Then excuses and justifications start coming up. (“It was a work event — I had to drink, or I’d stand out.” “A friend was in town this Tuesday, she dragged me to this bar, I wasn’t even planning to go.” “I had a rough lunch with the in-laws, that calls for a margarita, doesn’t it?”) Then come the hurtful comments, the wine breath in the middle of the afternoon, the bottles you happen to see sticking out of the hamper or hear as they clink in their backpack. 

The problem? They say they’re fine. That they’re in control. That it was a one-time thing. Whatever the situation is, though, you know it’s only going to get worse. But what can you do? You take your questions to Google, searching “how to talk to an alcoholic in denial,” “do alcoholics know they are alcoholics,” and so forth. Until you’re thoroughly confused. Everyone has something different to say about alcoholism denial, and you’re no closer to getting an actual answer. Let’s clear it up, shall we?

The Roots of Alcoholism Denial 

Two men sitting at a bar, enjoying beers and engaging in conversation

First things first: let’s take a step back and see what we’re dealing with. Most of us will come into contact with the negative effects of alcohol on someone close to us, and some of us might even struggle with it ourselves. Alcohol has a sneaky way of taking over — not just our evenings, but months, years, and decades of our lives. 

Here’s how Annie Grace describes it in This Naked Mind: “Alcohol erases a bit of you every time you drink it. It can even erase entire nights when you are on a binge. Alcohol does not relieve stress; it erases your senses and your ability to think. Alcohol ultimately erases your self.”

But why does alcohol hold such power over some of us? And what does being an “alcoholic” actually mean? Let’s take a deeper look.

Understanding AUD

Alcoholism — better known as alcohol use disorder (AUD) in the medical community — refers to a physical dependence on alcohol that sets in after a period of misuse. It can take years (or even decades) to develop, and some of us might be more vulnerable than others for reasons that have to do with genetics, social circumstances, or emotional tendencies. Ultimately, however, nobody is immune: alcohol is an addictive substance that causes shifts in brain chemistry, making it increasingly difficult to take a step back.

The change can be gradual, and it can be hard to pinpoint when problem drinking changes into misuse and dependence. Sometimes it might be more obvious from the outside perspective, but usually the person sliding into alcohol 

Understanding the nature of alcoholism as a chronic disease can help us approach our loved one with empathy and patience. Organizations like the National Institute on Alcohol Abuse and Alcoholism provide resources that can help deepen your understanding. Also, check out “Alcoholism: Genetic Disease or Lifestyle Choice? Debunking Myths” and “I Drink Every Night. Am I an Alcoholic?” to learn more.)

Understanding Alcoholism Denial

And denial? Well, unfortunately denial comes with the territory. In fact, it’s the running theme in most lists outlining the typical symptoms of AUD and shows up as a symptom in about 30% to over 50% of those with AUD or another substance use disorder (SUD).

Here’s how denial might show up:

  • Minimizing drinking. “I only drink on weekends!” “Just a glass or two of wine, I swear!” “Everyone else at the table was drinking even more!” There are plenty of ways our mind minimizes drinking and they are signs of a problem brewing.
  • Lying about drinking. Those bottles in the hamper or stashed away in the backpack we mentioned before? As drinking progresses, it tends to go “underground.” Our loved one starts lying about it more frequently to avoid confrontation. The result? Denial of the problem both to themselves and to others.
  • Neglecting responsibilities. As AUD progresses, it tends to take over and other responsibilities — family, friends, work — fall by the wayside. Our loved one might start being habitually late, missing appointments, and “ghosting” their friends.
  • Drinking in spite of health problems. While signs of obvious problems — such as acute liver injury or brain damage — might be months (or even years) away, bit by bit health problems start to become more and more noticeable. Alcohol misuse strains the heart, causing spikes in blood pressure and heart rate. It weakens the immune system, leading to frequent illnesses. Frequent bouts of heavy drinking lead to fatigue, irritability, forgetfulness, and a host of other symptoms that become more and more difficult to ignore. And yet the person caught in its grips might continue denying the problem, attributing the health issues to anything but the real cause.
  • Jeopardizing relationships. Along with taking a toll on health, alcohol wreaks havoc on personal relationships. Our friend or family member might become unrecognizable when under the influence, saying and doing things that seem out of character, making others keep their distance or avoid their company altogether.
  • Isolation. They might begin to withdraw in order to avoid confrontation. (Denial is a full-time job, and it gets draining. It becomes easier just to avoid the questions altogether.)
  • Experiencing blackouts and withdrawal. Blackouts — memory gaps caused by acute intoxication are serious and can potentially lead to brain damage. Withdrawal symptoms that set in when someone who has been drinking heavily suddenly stops are another serious sign. And yet, someone caught in the grip of AUD might minimize both (“So what if I forgot what we talked about — or even that we talked at all!” “I’m just under the weather, nothing to see here!”). 

The way these signs show up might be different from one person to the next, but the overall trend is clear: things are getting worse, and they’re getting worse quickly. Faced with this realization, we might find ourselves feeling desperate for a lifeline. But what can we do?

How To Help an Alcoholic in Denial

How To Help an Alcoholic in Denial

If you’re wondering how to talk to an alcoholic in denial, you’re not alone. Thousands of others have been in the difficult position you’re in today. And while the road ahead might be a long one, rest assured that recovery is possible! In the meantime, there are several tangible ways you can help your loved one start their journey.

1. Provide a Safe Space

First and foremost: it’s important to make our loved one feel safe to talk about what’s happening in a nonjudgmental environment. While it might seem as if they are oblivious to the problem, chances are there’s already an internal struggle going on inside them. Sometimes all it takes is an opportunity to let it out and reveal what’s going on to someone they trust.

To help them share their experience, be prepared to listen more than you talk. Don’t worry that you’re not “doing enough,” and don’t get overly involved in planning their path to recovery — there will be time for that in the future. The journey has to start with an active decision on their part, and this might take some time. Be patient, be there, and simply listen. Allowing your loved one to express their thoughts and feelings without interruption can foster openness and reduce defensiveness.

When you do talk, try to use "I" statements to express your concerns without sounding accusatory. For example, say, "I feel worried about how much you're drinking, and I care about your health," instead of "You're always drinking too much!"

(Want to dig deeper? Check out “How To Help a Friend Who Is Struggling With Alcohol Misuse” and “Supporting a Loved One: How To Help an Alcoholic on the Path to Recovery.)

2. Avoid Enabling

It can be difficult to tell where the line between being empathic and enabling is, but it’s an important one. Enabling can take many forms, but the bottom line is that it can unintentionally prolong both the denial and the addiction. Here are some examples:

  • Covering for their behaviors. Something as simple as telling a “little white lie” to cover for a drinking episode could seem innocent at first glance. “Maybe she’s just embarrassed, so what if I help her out by calling her work and saying she’s down with a bout of food poisoning? After all, we all have a few too many sometimes — and in a way, it’s kind of ‘food poisoning,’ isn’t it?” Unfortunately, though our intentions might be in the right place, the result is that we end up tacitly condoning the behavior, increasing the chances that it will continue.
  • Contributing to their habits. Pouring another glass of wine for someone when they insist — even though we can tell they’re slipping into dangerous territory — can be a form of enabling as well. While we might be trying to avoid conflict in the short term, it’s important to listen to our intuition on this one.
  • Making excuses. Similar to covering for someone’s behavior under the influence, making excuses to others who might be less aware of the problem can ultimately do more harm than good. “He’s had a hard day at work,” or “She just didn’t have time to eat dinner before we went out, so it hit her extra hard” — whatever the excuse might be, it’s probably not doing our loved one any favors in the long run.
  • Taking over their responsibilities. Once again, we might be inclined to do this from good intentions, but it’s unlikely to do our loved one any good long term. Taking care of household chores, picking up their kids from school, or even taking their dog out for a walk is all well and good once in a while (we all need a little help sometimes), but if it becomes a habit, it veers into enabling.

Difficult as it may be, it’s crucial to set boundaries in these situations. If possible, talk to your friend or loved one when they’re sober to make sure you’re on the same page. Be clear about what the boundaries are, and then make sure to stick to them. For example, you might decide not to be around them when they are drinking, not to cover for them when it comes to explaining their behavior to others, or not to take over their responsibilities at work or at home. (To learn more, take a look at “What Does It Mean Enabling an Alcoholic?”)

3. Find Windows of Opportunity

They get more and more rare, but they happen. Try to catch them before they close, as they’re precious moments when your loved one might be more receptive to help. 

Sometimes windows of opportunity open during moments of clarity, when the horror of the situation suddenly hits home. Other times they might come up during times when it becomes impossible to ignore the effects that alcohol is having on your loved one’s life — for example, right after losing a job or a partner. Be gentle, but be present. If they’re going to be receptive to help and honest advice, this is the time.

4. Offer Resources

The window is open? Hooray! Let’s grab the opportunity.

Gently suggest the idea of seeking help from a professional, such as a therapist or a doctor. Print out the information or write it down clearly. Remember, for someone who is under the influence a good part of the day, simple things become a challenge. (It’s not a dig, it’s just the reality of the situation.)

Don’t be discouraged or take it personally if they stash it in the back of the closet, throw it in the wastebasket, or even tell you off. Chances are, they’ll fish it out of the trash when you leave and might at least look it over and stow it away for future reference (trust us, it’s been known to happen!). When the moment is right, this information could be lifesaving.

If they do decide to take you up on the offer, do what you can to make it possible. Make calls to detox centers, get in touch with members of groups, and drive them to appointments if you can. Help is there and it’s available, but logistics can sometimes get in the way, especially with the fog of AUD making daily tasks difficult. You’re doing an amazing job, and every little bit helps — don’t underestimate the power of these “small” gestures!

5. Tell Your Story

Last but certainly not least, if you’ve been where your loved one is yourself, share your story. There’s absolutely nothing as valuable as knowing that someone who has been caught in the same trap has found a way out. Don’t share details if you don’t want to, but please share the hope. It can be a lifeline. 

A Light at the End of the Tunnel

Finally, don’t lose hope in the process, daunting as it may be. As Russell Brand writes in Recovery: Freedom from Our Addiction, “You need only allow gentle hope to enter your heart. Exhale and allow hope, and give yourself some time. This is a process of change that requires a good deal of self-compassion, which is neither stagnant nor permissive. We can just start by being a little kinder to ourselves and open to the possibility that life doesn’t have to be bloody awful.” Trust the millions who’ve been where you are and found a light at the end of the tunnel.

It might start small. Maybe they seem to be going out every weekend. Then the weekend starts on Thursday, then Wednesday. First, the reasons to drink might sound more like reasons to celebrate. (“It’s trivia night! It’s Margarita Wednesday at the bar!”) Then excuses and justifications start coming up. (“It was a work event — I had to drink, or I’d stand out.” “A friend was in town this Tuesday, she dragged me to this bar, I wasn’t even planning to go.” “I had a rough lunch with the in-laws, that calls for a margarita, doesn’t it?”) Then come the hurtful comments, the wine breath in the middle of the afternoon, the bottles you happen to see sticking out of the hamper or hear as they clink in their backpack. 

The problem? They say they’re fine. That they’re in control. That it was a one-time thing. Whatever the situation is, though, you know it’s only going to get worse. But what can you do? You take your questions to Google, searching “how to talk to an alcoholic in denial,” “do alcoholics know they are alcoholics,” and so forth. Until you’re thoroughly confused. Everyone has something different to say about alcoholism denial, and you’re no closer to getting an actual answer. Let’s clear it up, shall we?

The Roots of Alcoholism Denial 

Two men sitting at a bar, enjoying beers and engaging in conversation

First things first: let’s take a step back and see what we’re dealing with. Most of us will come into contact with the negative effects of alcohol on someone close to us, and some of us might even struggle with it ourselves. Alcohol has a sneaky way of taking over — not just our evenings, but months, years, and decades of our lives. 

Here’s how Annie Grace describes it in This Naked Mind: “Alcohol erases a bit of you every time you drink it. It can even erase entire nights when you are on a binge. Alcohol does not relieve stress; it erases your senses and your ability to think. Alcohol ultimately erases your self.”

But why does alcohol hold such power over some of us? And what does being an “alcoholic” actually mean? Let’s take a deeper look.

Understanding AUD

Alcoholism — better known as alcohol use disorder (AUD) in the medical community — refers to a physical dependence on alcohol that sets in after a period of misuse. It can take years (or even decades) to develop, and some of us might be more vulnerable than others for reasons that have to do with genetics, social circumstances, or emotional tendencies. Ultimately, however, nobody is immune: alcohol is an addictive substance that causes shifts in brain chemistry, making it increasingly difficult to take a step back.

The change can be gradual, and it can be hard to pinpoint when problem drinking changes into misuse and dependence. Sometimes it might be more obvious from the outside perspective, but usually the person sliding into alcohol 

Understanding the nature of alcoholism as a chronic disease can help us approach our loved one with empathy and patience. Organizations like the National Institute on Alcohol Abuse and Alcoholism provide resources that can help deepen your understanding. Also, check out “Alcoholism: Genetic Disease or Lifestyle Choice? Debunking Myths” and “I Drink Every Night. Am I an Alcoholic?” to learn more.)

Understanding Alcoholism Denial

And denial? Well, unfortunately denial comes with the territory. In fact, it’s the running theme in most lists outlining the typical symptoms of AUD and shows up as a symptom in about 30% to over 50% of those with AUD or another substance use disorder (SUD).

Here’s how denial might show up:

  • Minimizing drinking. “I only drink on weekends!” “Just a glass or two of wine, I swear!” “Everyone else at the table was drinking even more!” There are plenty of ways our mind minimizes drinking and they are signs of a problem brewing.
  • Lying about drinking. Those bottles in the hamper or stashed away in the backpack we mentioned before? As drinking progresses, it tends to go “underground.” Our loved one starts lying about it more frequently to avoid confrontation. The result? Denial of the problem both to themselves and to others.
  • Neglecting responsibilities. As AUD progresses, it tends to take over and other responsibilities — family, friends, work — fall by the wayside. Our loved one might start being habitually late, missing appointments, and “ghosting” their friends.
  • Drinking in spite of health problems. While signs of obvious problems — such as acute liver injury or brain damage — might be months (or even years) away, bit by bit health problems start to become more and more noticeable. Alcohol misuse strains the heart, causing spikes in blood pressure and heart rate. It weakens the immune system, leading to frequent illnesses. Frequent bouts of heavy drinking lead to fatigue, irritability, forgetfulness, and a host of other symptoms that become more and more difficult to ignore. And yet the person caught in its grips might continue denying the problem, attributing the health issues to anything but the real cause.
  • Jeopardizing relationships. Along with taking a toll on health, alcohol wreaks havoc on personal relationships. Our friend or family member might become unrecognizable when under the influence, saying and doing things that seem out of character, making others keep their distance or avoid their company altogether.
  • Isolation. They might begin to withdraw in order to avoid confrontation. (Denial is a full-time job, and it gets draining. It becomes easier just to avoid the questions altogether.)
  • Experiencing blackouts and withdrawal. Blackouts — memory gaps caused by acute intoxication are serious and can potentially lead to brain damage. Withdrawal symptoms that set in when someone who has been drinking heavily suddenly stops are another serious sign. And yet, someone caught in the grip of AUD might minimize both (“So what if I forgot what we talked about — or even that we talked at all!” “I’m just under the weather, nothing to see here!”). 

The way these signs show up might be different from one person to the next, but the overall trend is clear: things are getting worse, and they’re getting worse quickly. Faced with this realization, we might find ourselves feeling desperate for a lifeline. But what can we do?

How To Help an Alcoholic in Denial

How To Help an Alcoholic in Denial

If you’re wondering how to talk to an alcoholic in denial, you’re not alone. Thousands of others have been in the difficult position you’re in today. And while the road ahead might be a long one, rest assured that recovery is possible! In the meantime, there are several tangible ways you can help your loved one start their journey.

1. Provide a Safe Space

First and foremost: it’s important to make our loved one feel safe to talk about what’s happening in a nonjudgmental environment. While it might seem as if they are oblivious to the problem, chances are there’s already an internal struggle going on inside them. Sometimes all it takes is an opportunity to let it out and reveal what’s going on to someone they trust.

To help them share their experience, be prepared to listen more than you talk. Don’t worry that you’re not “doing enough,” and don’t get overly involved in planning their path to recovery — there will be time for that in the future. The journey has to start with an active decision on their part, and this might take some time. Be patient, be there, and simply listen. Allowing your loved one to express their thoughts and feelings without interruption can foster openness and reduce defensiveness.

When you do talk, try to use "I" statements to express your concerns without sounding accusatory. For example, say, "I feel worried about how much you're drinking, and I care about your health," instead of "You're always drinking too much!"

(Want to dig deeper? Check out “How To Help a Friend Who Is Struggling With Alcohol Misuse” and “Supporting a Loved One: How To Help an Alcoholic on the Path to Recovery.)

2. Avoid Enabling

It can be difficult to tell where the line between being empathic and enabling is, but it’s an important one. Enabling can take many forms, but the bottom line is that it can unintentionally prolong both the denial and the addiction. Here are some examples:

  • Covering for their behaviors. Something as simple as telling a “little white lie” to cover for a drinking episode could seem innocent at first glance. “Maybe she’s just embarrassed, so what if I help her out by calling her work and saying she’s down with a bout of food poisoning? After all, we all have a few too many sometimes — and in a way, it’s kind of ‘food poisoning,’ isn’t it?” Unfortunately, though our intentions might be in the right place, the result is that we end up tacitly condoning the behavior, increasing the chances that it will continue.
  • Contributing to their habits. Pouring another glass of wine for someone when they insist — even though we can tell they’re slipping into dangerous territory — can be a form of enabling as well. While we might be trying to avoid conflict in the short term, it’s important to listen to our intuition on this one.
  • Making excuses. Similar to covering for someone’s behavior under the influence, making excuses to others who might be less aware of the problem can ultimately do more harm than good. “He’s had a hard day at work,” or “She just didn’t have time to eat dinner before we went out, so it hit her extra hard” — whatever the excuse might be, it’s probably not doing our loved one any favors in the long run.
  • Taking over their responsibilities. Once again, we might be inclined to do this from good intentions, but it’s unlikely to do our loved one any good long term. Taking care of household chores, picking up their kids from school, or even taking their dog out for a walk is all well and good once in a while (we all need a little help sometimes), but if it becomes a habit, it veers into enabling.

Difficult as it may be, it’s crucial to set boundaries in these situations. If possible, talk to your friend or loved one when they’re sober to make sure you’re on the same page. Be clear about what the boundaries are, and then make sure to stick to them. For example, you might decide not to be around them when they are drinking, not to cover for them when it comes to explaining their behavior to others, or not to take over their responsibilities at work or at home. (To learn more, take a look at “What Does It Mean Enabling an Alcoholic?”)

3. Find Windows of Opportunity

They get more and more rare, but they happen. Try to catch them before they close, as they’re precious moments when your loved one might be more receptive to help. 

Sometimes windows of opportunity open during moments of clarity, when the horror of the situation suddenly hits home. Other times they might come up during times when it becomes impossible to ignore the effects that alcohol is having on your loved one’s life — for example, right after losing a job or a partner. Be gentle, but be present. If they’re going to be receptive to help and honest advice, this is the time.

4. Offer Resources

The window is open? Hooray! Let’s grab the opportunity.

Gently suggest the idea of seeking help from a professional, such as a therapist or a doctor. Print out the information or write it down clearly. Remember, for someone who is under the influence a good part of the day, simple things become a challenge. (It’s not a dig, it’s just the reality of the situation.)

Don’t be discouraged or take it personally if they stash it in the back of the closet, throw it in the wastebasket, or even tell you off. Chances are, they’ll fish it out of the trash when you leave and might at least look it over and stow it away for future reference (trust us, it’s been known to happen!). When the moment is right, this information could be lifesaving.

If they do decide to take you up on the offer, do what you can to make it possible. Make calls to detox centers, get in touch with members of groups, and drive them to appointments if you can. Help is there and it’s available, but logistics can sometimes get in the way, especially with the fog of AUD making daily tasks difficult. You’re doing an amazing job, and every little bit helps — don’t underestimate the power of these “small” gestures!

5. Tell Your Story

Last but certainly not least, if you’ve been where your loved one is yourself, share your story. There’s absolutely nothing as valuable as knowing that someone who has been caught in the same trap has found a way out. Don’t share details if you don’t want to, but please share the hope. It can be a lifeline. 

A Light at the End of the Tunnel

Finally, don’t lose hope in the process, daunting as it may be. As Russell Brand writes in Recovery: Freedom from Our Addiction, “You need only allow gentle hope to enter your heart. Exhale and allow hope, and give yourself some time. This is a process of change that requires a good deal of self-compassion, which is neither stagnant nor permissive. We can just start by being a little kinder to ourselves and open to the possibility that life doesn’t have to be bloody awful.” Trust the millions who’ve been where you are and found a light at the end of the tunnel.

Alcohol and Mental Health
2024-08-21 9:00
Alcohol and Mental Health
Decoding the Depressant Effects of Alcohol: Empowering Healthier Drinking Habits
This is some text inside of a div block.

Alcohol is a depressant that slows down brain function and affects mood, motor skills, and mental health. Learn more about its impact and make informed choices today!

9 min read

Empower Your Habits

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

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

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

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

Read Full Article  →

Alcohol is a widely consumed beverage that has significant effects on the mind and body. Despite its popularity, many people are unaware that alcohol is classified as a depressant. This article delves into what it means for alcohol to be a depressant, how it functions in this capacity, and how it compares to other depressants.

Key Takeaways

  • Definition of Depressants: Depressants are substances that slow down the central nervous system, leading to decreased brain activity and relaxation.
  • Alcohol as a Depressant: Alcohol slows down brain function, impairs motor skills, and affects mood and behavior.
  • Comparison with Other Depressants: Alcohol shares similarities with other depressants like benzodiazepines and barbiturates but also has unique effects and risks.

What Are Depressants?

Decoding the Depressant Effects of Alcohol Empowering Healthier Drinking Habits

Depressants are a class of drugs that reduce the activity of the central nervous system (CNS). They are often prescribed to treat conditions such as anxiety, insomnia, and seizures. Common effects of depressants include sedation, muscle relaxation, and reduced anxiety. These substances work by enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that inhibits brain activity.

Common Types of Depressants

  • Alcohol: Widely consumed and socially accepted, it is the most common depressant.
  • Benzodiazepines: Medications like Valium and Xanax, often used to treat anxiety and insomnia.
  • Barbiturates: Older class of sedative drugs, less commonly used today due to their high potential for overdose.

How Alcohol Functions as a Depressant

Alcohol impacts the central nervous system by enhancing the effects of GABA, similar to other depressants. When you drink alcohol, GABA activity increases, leading to a slowing down of brain function. This results in the characteristic effects of alcohol consumption, such as impaired judgment, motor skills, and cognitive functions.

Short-Term Effects

  • Relaxation and Euphoria: Initially, alcohol may cause feelings of relaxation and euphoria.
  • Impaired Coordination and Judgment: As more alcohol is consumed, motor skills and decision-making abilities become impaired.
  • Reduced Inhibitions: Alcohol lowers inhibitions, which can lead to risky behaviors.

Long-Term Effects

  • Dependence and Addiction: Prolonged use can lead to physical and psychological dependence.
  • Mental Health Issues: Chronic alcohol use is linked to depression and anxiety disorders. For more information, read How Are Alcohol Use and Depression Linked?
  • Physical Health Problems: Long-term alcohol use can lead to liver disease, cardiovascular problems, and other health issues.

Comparison with Other Depressants

Alcohol shares several characteristics with other depressants but also has unique aspects that set it apart.

Benzodiazepines

  • Similarities: Both enhance GABA activity and are used for their calming effects.
  • Differences: Benzodiazepines are typically prescribed and regulated, whereas alcohol is widely available and often abused.

Barbiturates

  • Similarities: Both can cause sedation and are used to treat similar medical conditions.
  • Differences: Barbiturates have a higher risk of overdose and are less commonly prescribed today.

Unique Aspects of Alcohol

  • Social Acceptance: Alcohol is more socially accepted and integrated into various cultural practices.
  • Legal Status: Unlike many other depressants, alcohol is legal for adult consumption in most countries.
  • Behavioral Effects: Alcohol often leads to more pronounced changes in behavior and social interactions.

The Impact of Alcohol on Mental and Physical Health

Understanding that alcohol is a depressant can help individuals make more informed choices about their drinking habits. The depressant effects of alcohol can have both short-term and long-term impacts on mental and physical health.

Mental Health

  • Mood Disorders: Alcohol can exacerbate conditions like depression and anxiety. For more details, see Is Alcohol a Depressant? What Does It Mean?.
  • Cognitive Impairment: Chronic alcohol use can lead to lasting cognitive deficits and memory problems.

Physical Health

  • Liver Damage: Long-term alcohol use is a leading cause of liver disease.
  • Cardiovascular Issues: Alcohol can contribute to high blood pressure and other cardiovascular problems.
  • Sensory Impairment: Alcohol affects your senses, leading to impaired vision, hearing, and coordination. Learn more in What Happens to Your Senses When Alcohol Begins To Affect You?.

Strategies for Healthier Drinking Habits

Building healthier drinking habits involves understanding the risks associated with alcohol and making conscious choices to moderate consumption.

Limit Intake

  • Set Limits: Establish a maximum number of drinks per week.
  • Alternate with Non-Alcoholic Beverages: Drink water or other non-alcoholic beverages between alcoholic drinks.

Seek Support

  • Counseling: Professional help can provide strategies and support for reducing alcohol consumption.
  • Support Groups: Groups like Alcoholics Anonymous offer community and accountability.

Monitor Mental Health

  • Regular Check-Ins: Assess your mental health regularly and seek help if you notice signs of depression or anxiety.
  • Medication Interactions: Be cautious about drinking alcohol if you are taking medications, especially antidepressants. For more information, read Should You Drink Alcohol While Taking Antidepressants?.

FAQs about Alcohol as a Depressant

What makes alcohol a depressant?

Alcohol is classified as a depressant because it slows down the central nervous system, leading to decreased brain activity and relaxation.

How does alcohol affect mental health?

Alcohol can exacerbate mental health conditions like depression and anxiety. Chronic use can lead to long-term cognitive impairments.

Is alcohol more dangerous than other depressants?

While alcohol and other depressants share similar risks, alcohol is more widely available and socially accepted, which can lead to higher rates of abuse and addiction.

Can you drink alcohol while on antidepressants?

It is generally not recommended to drink alcohol while taking antidepressants, as it can interfere with the medication's effectiveness and exacerbate side effects. For more details, see Should You Drink Alcohol While Taking Antidepressants?.

What are the long-term effects of alcohol use?

Long-term alcohol use can lead to liver disease, cardiovascular problems, mental health issues, and cognitive impairments.

Understanding alcohol as a depressant can help you make more informed choices about your drinking habits, ultimately leading to a healthier relationship with alcohol.

Alcohol is a widely consumed beverage that has significant effects on the mind and body. Despite its popularity, many people are unaware that alcohol is classified as a depressant. This article delves into what it means for alcohol to be a depressant, how it functions in this capacity, and how it compares to other depressants.

Key Takeaways

  • Definition of Depressants: Depressants are substances that slow down the central nervous system, leading to decreased brain activity and relaxation.
  • Alcohol as a Depressant: Alcohol slows down brain function, impairs motor skills, and affects mood and behavior.
  • Comparison with Other Depressants: Alcohol shares similarities with other depressants like benzodiazepines and barbiturates but also has unique effects and risks.

What Are Depressants?

Decoding the Depressant Effects of Alcohol Empowering Healthier Drinking Habits

Depressants are a class of drugs that reduce the activity of the central nervous system (CNS). They are often prescribed to treat conditions such as anxiety, insomnia, and seizures. Common effects of depressants include sedation, muscle relaxation, and reduced anxiety. These substances work by enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that inhibits brain activity.

Common Types of Depressants

  • Alcohol: Widely consumed and socially accepted, it is the most common depressant.
  • Benzodiazepines: Medications like Valium and Xanax, often used to treat anxiety and insomnia.
  • Barbiturates: Older class of sedative drugs, less commonly used today due to their high potential for overdose.

How Alcohol Functions as a Depressant

Alcohol impacts the central nervous system by enhancing the effects of GABA, similar to other depressants. When you drink alcohol, GABA activity increases, leading to a slowing down of brain function. This results in the characteristic effects of alcohol consumption, such as impaired judgment, motor skills, and cognitive functions.

Short-Term Effects

  • Relaxation and Euphoria: Initially, alcohol may cause feelings of relaxation and euphoria.
  • Impaired Coordination and Judgment: As more alcohol is consumed, motor skills and decision-making abilities become impaired.
  • Reduced Inhibitions: Alcohol lowers inhibitions, which can lead to risky behaviors.

Long-Term Effects

  • Dependence and Addiction: Prolonged use can lead to physical and psychological dependence.
  • Mental Health Issues: Chronic alcohol use is linked to depression and anxiety disorders. For more information, read How Are Alcohol Use and Depression Linked?
  • Physical Health Problems: Long-term alcohol use can lead to liver disease, cardiovascular problems, and other health issues.

Comparison with Other Depressants

Alcohol shares several characteristics with other depressants but also has unique aspects that set it apart.

Benzodiazepines

  • Similarities: Both enhance GABA activity and are used for their calming effects.
  • Differences: Benzodiazepines are typically prescribed and regulated, whereas alcohol is widely available and often abused.

Barbiturates

  • Similarities: Both can cause sedation and are used to treat similar medical conditions.
  • Differences: Barbiturates have a higher risk of overdose and are less commonly prescribed today.

Unique Aspects of Alcohol

  • Social Acceptance: Alcohol is more socially accepted and integrated into various cultural practices.
  • Legal Status: Unlike many other depressants, alcohol is legal for adult consumption in most countries.
  • Behavioral Effects: Alcohol often leads to more pronounced changes in behavior and social interactions.

The Impact of Alcohol on Mental and Physical Health

Understanding that alcohol is a depressant can help individuals make more informed choices about their drinking habits. The depressant effects of alcohol can have both short-term and long-term impacts on mental and physical health.

Mental Health

  • Mood Disorders: Alcohol can exacerbate conditions like depression and anxiety. For more details, see Is Alcohol a Depressant? What Does It Mean?.
  • Cognitive Impairment: Chronic alcohol use can lead to lasting cognitive deficits and memory problems.

Physical Health

  • Liver Damage: Long-term alcohol use is a leading cause of liver disease.
  • Cardiovascular Issues: Alcohol can contribute to high blood pressure and other cardiovascular problems.
  • Sensory Impairment: Alcohol affects your senses, leading to impaired vision, hearing, and coordination. Learn more in What Happens to Your Senses When Alcohol Begins To Affect You?.

Strategies for Healthier Drinking Habits

Building healthier drinking habits involves understanding the risks associated with alcohol and making conscious choices to moderate consumption.

Limit Intake

  • Set Limits: Establish a maximum number of drinks per week.
  • Alternate with Non-Alcoholic Beverages: Drink water or other non-alcoholic beverages between alcoholic drinks.

Seek Support

  • Counseling: Professional help can provide strategies and support for reducing alcohol consumption.
  • Support Groups: Groups like Alcoholics Anonymous offer community and accountability.

Monitor Mental Health

  • Regular Check-Ins: Assess your mental health regularly and seek help if you notice signs of depression or anxiety.
  • Medication Interactions: Be cautious about drinking alcohol if you are taking medications, especially antidepressants. For more information, read Should You Drink Alcohol While Taking Antidepressants?.

FAQs about Alcohol as a Depressant

What makes alcohol a depressant?

Alcohol is classified as a depressant because it slows down the central nervous system, leading to decreased brain activity and relaxation.

How does alcohol affect mental health?

Alcohol can exacerbate mental health conditions like depression and anxiety. Chronic use can lead to long-term cognitive impairments.

Is alcohol more dangerous than other depressants?

While alcohol and other depressants share similar risks, alcohol is more widely available and socially accepted, which can lead to higher rates of abuse and addiction.

Can you drink alcohol while on antidepressants?

It is generally not recommended to drink alcohol while taking antidepressants, as it can interfere with the medication's effectiveness and exacerbate side effects. For more details, see Should You Drink Alcohol While Taking Antidepressants?.

What are the long-term effects of alcohol use?

Long-term alcohol use can lead to liver disease, cardiovascular problems, mental health issues, and cognitive impairments.

Understanding alcohol as a depressant can help you make more informed choices about your drinking habits, ultimately leading to a healthier relationship with alcohol.

Alcohol and Mental Health
2024-08-10 9:00
Alcohol and Mental Health
15 Recovery Quotes for Family and Loved Ones
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Loving an addict can be challenging and heartbreaking, but there’s hope! Check out or blog for 15 inspirational addiction quotes for family and loved ones of those who are struggling.

24 min read

Reframe — A Community for Habit Change

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 hundreds 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  →

Addiction often changes our loved ones into people we might no longer recognize. Sometimes the changes take years, sometimes months, or even a few weeks. Either way, you start noticing that your friend, partner, child, or even parent is slowly turning into someone you don’t recognize. Maybe they’re spending more time out (or in their room), maybe they’re canceling plans, lying, or even stealing from you. Recovery feels like it’s within reach (“If only they’d just stop!”) and yet so incredibly far — almost impossible — at the same time.

Rest assured, it’s possible. Many have recovered from addiction, and your loved one can, too! In the meantime, you can learn how to support your friend or family member while taking care of your own mental and physical health.

The Challenges of Loving an Addict

A concerned man checks the temperature of his sick wife

Loving an addict can be one of the most frustrating, exhausting, and heartbreaking experiences. As Emilie Pine puts it in Notes to Self,

“It is hard to love an addict. Not only practically difficult, in the picking up after them and the handling of those aspects of life they're not able for themselves, but metaphysically hard. It feels like bashing yourself against a wall, not just your head, but your whole self. It makes your heart hard. Caught between ultimatums (stop drinking) and radical acceptance (I love you no matter what) the person who loves the addict exhausts and renews their love on a daily basis.”

And yet, if that’s you — you’re certainly not alone. According to NIAAA’s 2022 National Survey on Drug Use and Health (NSDUH), as many as 29.5 million people ages 12 and older had alcohol use disorder (AUD) in the past year. Add to that the millions of cases of drug addiction, and the numbers are truly staggering.

If you’re in this boat, please don’t lose hope! Recovery is absolutely possible. In the meantime, be sure to take care of yourself. (For a deeper look at this subject, check out our blogs: Supporting a Loved One: How To Help an Alcoholic on the Path to Recovery and How To Help Your Teen With Alcohol Recovery.)

Hearing about others’ experiences can be incredibly helpful, and getting help and support for yourself in the process is also essential. Quotes can be an important part of this process by helping you reframe the situation, gain perspective, understand addiction, and know that recovery is possible.

Understanding Addiction: Quotes for Family Members

Addiction is a paradox. It’s a lonely state to be in, and yet it affects everyone in the surrounding community in ways that can be hard to untangle. Here are some quotes to shed light on what makes addiction tick.

1. “Drinkers think they are trying to escape, but really they are trying to overcome a mental disorder they didn't know they had.” ― Matthew Perry, Friends, Lovers, and the Big Terrible Thing

While people naturally look for the “why” behind addiction, the truth is that at a certain point, the psychological or environmental factors that may have triggered that first dose or first drink are largely irrelevant. Once addiction gets going, it’s a physical process driven by changes in brain chemistry.

Biologically, addiction sets in as a result of the brain’s reward system going haywire. Driven by dopamine, the reward neurochemical, it’s a cycle of dependence that sets in when we come to rely on substances (such as alcohol) that artificially trigger the reward circuit.

However, that doesn’t mean the brain can’t change — it absolutely can, thanks to the power of neuroplasticity. (To learn more, check out “How Alcohol Affects the Brain: A Look Into the Science.”)

2. “We’re all running from pain. Some of us take pills. Some of us couch surf while binge-watching Netflix. Some of us read romance novels. We’ll do almost anything to distract ourselves from ourselves. Yet all this trying to insulate ourselves from pain seems only to have made our pain worse.” ― Anna Lembke, Dopamine Nation: Finding Balance in the Age of Indulgence

Addiction seems a bit less foreign if we think of it in terms of degrees. We all have the potential to be “dopamine junkies,” chasing after things that make us feel good. It’s natural! However, for one reason or another (most likely a combination of genetics, life circumstances, and pure chance), some of us are a bit more sensitive to the effects and end up getting caught up in a devastating spiral.

3. “No one saves us but ourselves. No one can and no one may. We ourselves must walk the path.” — Buddha

One of the main (and also most frustrating) things to understand about addiction is that we can’t fix it for someone else — they must do so by themselves. You can help by pointing your loved one in the right direction and offering tools and advice (especially if you’ve been there yourself at some point). However, in the end it’s their puzzle to solve.

Is it a solvable puzzle, however? Absolutely. The key lies in changing our relationship with alcohol or another drug: once we see through the illusion of pleasure it supposedly creates and the empty promises it never actually delivers on, quitting becomes simple. The great news? Once we reframe our understanding in this way, it’s almost impossible to “unsee” the new reality.

Loving an Addict: Quotes for Family and Friends

Family and friends can find it incredibly difficult to find balance in life when addiction is in the picture. How do we support our loved one without enabling them? Can we ever bring back the person we knew and loved who seems to be a shell of their former self? 

While we can’t “make” someone recover, we can help ignite a spark of inspiration that could eventually lead to change. Here are some quotes about doing just that (as well as some about what to avoid).

4. “My identity shifted when I got into recovery. That’s who I am now, and it actually gives me greater pleasure to have that identity than to be a musician or anything else. It gives me a spiritual anchor.” — Eric Clapton

Our passions can be a lifeline in recovery. Encourage the addict you love to pursue what once made them happy. Whatever it was is still there, even if it’s been obscured by alcohol or drugs. That guitar they used to play but haven’t touched in years? Ask them to play you a song (just one, for a few minutes). A lot of times a few minutes of going back to what used to give us joy can serve as a “hook,” if not now then at some point in the future.

5. “I used to spend so much time reacting and responding to everyone else that my life had no direction. Other people's lives, problems, and wants set the course for my life. Once I realized it was okay for me to think about and identify what I wanted, remarkable things began to take place in my life.” ― Melody Beattie, The Language of Letting Go: Daily Meditations on Codependency

At the same time, don’t forget yourself in the process. What gives you joy? Is it music? Hiking? Making photo collages? Don’t let any emotional turmoil around you stop you from taking a few minutes each day to do something that brings you joy. It’s not selfish — it’s actually the opposite. It will keep you going and keep you from losing the connection to your authentic self. 

6. “We rescue people from their responsibilities. We take care of people’s responsibilities for them. Later we get mad at them for what we’ve done. Then we feel used and sorry for ourselves. That is the pattern, the triangle.” ― Melody Beattie, Codependent No More: How to Stop Controlling Others and Start Caring for Yourself

Another wise thought from Melody Beattie, this one gets to the heart of what happens when we don’t leave room for ourselves in the process of caring for an addict. It can feel like an impossible cycle to break: our loved one clearly can’t take care of their own basic needs, so we stock their fridge, pay their bills, walk their dog, and help drive them to appointments with medical professionals we hope they’ll listen to. And yet we also resent them for it. 

How you find balance in this vicious cycle (or triangle, as Beattie calls it) is up to you. The key is to not overextend yourself — ask others for help, don’t blame yourself for not being Superman (or Superwoman). You already are a hero by being there for your loved one. But you’re also human.

Child of an Addict: Quotes To Cope With Parents’ Struggles

Watching a parent struggle with addiction can be heartbreaking and confusing. After all, these are the people that are supposed to care for us — and yet, we often end up as the caretakers. Here are some thoughts others have shared that can help you cope.

7. “We are lovable. Even if the most important person in your world rejects you, you are still real, and you are still okay.” ― Melody Beattie, Codependent No More: How to Stop Controlling Others and Start Caring for Yourself

First and foremost, when our parents struggle with addiction, it can feel as if we don’t matter — but we do. You matter, and you deserve to be loved and cared for.

8. “Our parents can show us a lot of things: they can show us how we are to be and what things we ought to strive for, or they can show us how not to be and what things we ought to stray from.” ― C. JoyBell C.

Reframing the situation as an important lesson (although, maybe not a welcome one) can help you be more at peace with it. Ideally, our parents serve as guides for how to behave and interact with the world, and it’s easy to feel that the world “owes” us something if they weren’t. But they might also show us what mistakes not to repeat — and there’s value in those lessons as well.

9. “Detaching does not mean we don’t care. It means we learn to love, care, and be involved without going crazy.” ― Melody Beattie, Codependent No More: How to Stop Controlling Others and Start Caring for Yourself

Sometimes, there’s simply nothing we can do at the moment to change the situation. And difficult as it may be, it’s okay to take a step back. There’s always hope in the future, but in the meantime, it’s fine (and maybe even necessary) to close certain doors.

Losing Someone To Addiction: Quotes To Cope With Loss

Unfortunately, sometimes no matter what we do, the outcome can be tragic. Many have lost loved ones to addiction. Here are some quotes to cope with loss.

10. “Tears shed for another person are not a sign of weakness. They are a sign of a pure heart.” ― José N. Harris, Mi Vida: A Story of Faith, Hope and Love

The pain never completely goes away, and it’s never wrong to feel it. Try to see it as the evidence of love for the dear friend or family member who will always be with you in spirit.

11. “We are all the pieces of what we remember. We hold in ourselves the hopes and fears of those who love us. As long as there is love and memory, there is no true loss.” ― Cassandra Clare, City of Heavenly Fire

While it’s never wrong to feel our pain, it’s also never wrong to let it change and become a source of inspiration. The hardest experiences can transform into something meaningful with time.

12. “Life seems sometimes like nothing more than a series of losses, from beginning to end. That's the given. How you respond to those losses, what you make of what's left, that's the part you have to make up as you go.” ― Katharine Weber, The Music Lesson

Transcending pain is all about accepting the loss while making something meaningful out of the experience. For example, when (and if) you’re ready, you could be a lifeline for someone who is facing similar challenges.

Choosing Drugs Over Family: Quotes To Ease the Pain

Once dependence on a substance sets in, the addict’s personality and behaviors inevitably change. It can seem like all they want is to find their drug of choice — whether that’s a bottle of wine at the local store (or hidden in the hamper), a drug they bought from a seedy dealer, or even a prescription they lied about misusing. These quotes shed light on the situation.

13. “I have no power at all over people, places and things, and if I ever for a moment mistakenly believe that I do, and act as if I do, pain is on its way.” ― Russell Brand, Recovery: Freedom from Our Addictions

While this quote refers to the experience of an addict (who has recovered and is now helping others do the same!), it’s equally relevant to the experience of family and loved ones. For better or worse, what happens outside of our control isn’t up to us.

14. “We don’t have to take things so personally. We take things to heart that we have no business taking to heart. For instance, saying ‘If you loved me you wouldn’t drink’ to an alcoholic makes as much sense as saying ‘If you loved me, you wouldn’t cough’ to someone who has pneumonia.” ― Melody Beattie, Codependent No More: How to Stop Controlling Others and Start Caring for Yourself

Remember how we said that addiction is a physical process that gains momentum without our control? Understanding the nature of addiction — so painful to witness and experience firsthand — can ultimately help us.

15. “Sometimes, no matter how hard we try for someone and hope that they will get better in time — they never do. Abusive relationships shouldn’t have a key to your chambers of heart. Hold your key and keep it close. Don’t end up getting addicted to such pain or human beings — for that matter. You might not be Thor but they can surely be Loki and hold you prisoner to their trickster nature.” ― Sijdah Hussain, Red Sugar, No More

It’s easier said than done to point out that the actions of others are not up to us to control. There’s always that small glimmer of hope that maybe “this time will be different.” And sometimes it is!

But the truth is, even if the situation doesn’t change, you have another important life to protect — your own. And that’s not only an option, it’s actually your most important responsibility.

Looking to the Future

In the end, addiction leaves a mark on everyone who experiences it — whether firsthand or as a witness. But there’s hope! Thousands of people (many of them part of the Reframe community) have found the light of recovery at the end of the tunnel and are leading happier, healthier lives than they ever thought possible. We wish you the best of luck on your journey. Remember, the Reframe community is here to support you along the way.

Addiction often changes our loved ones into people we might no longer recognize. Sometimes the changes take years, sometimes months, or even a few weeks. Either way, you start noticing that your friend, partner, child, or even parent is slowly turning into someone you don’t recognize. Maybe they’re spending more time out (or in their room), maybe they’re canceling plans, lying, or even stealing from you. Recovery feels like it’s within reach (“If only they’d just stop!”) and yet so incredibly far — almost impossible — at the same time.

Rest assured, it’s possible. Many have recovered from addiction, and your loved one can, too! In the meantime, you can learn how to support your friend or family member while taking care of your own mental and physical health.

The Challenges of Loving an Addict

A concerned man checks the temperature of his sick wife

Loving an addict can be one of the most frustrating, exhausting, and heartbreaking experiences. As Emilie Pine puts it in Notes to Self,

“It is hard to love an addict. Not only practically difficult, in the picking up after them and the handling of those aspects of life they're not able for themselves, but metaphysically hard. It feels like bashing yourself against a wall, not just your head, but your whole self. It makes your heart hard. Caught between ultimatums (stop drinking) and radical acceptance (I love you no matter what) the person who loves the addict exhausts and renews their love on a daily basis.”

And yet, if that’s you — you’re certainly not alone. According to NIAAA’s 2022 National Survey on Drug Use and Health (NSDUH), as many as 29.5 million people ages 12 and older had alcohol use disorder (AUD) in the past year. Add to that the millions of cases of drug addiction, and the numbers are truly staggering.

If you’re in this boat, please don’t lose hope! Recovery is absolutely possible. In the meantime, be sure to take care of yourself. (For a deeper look at this subject, check out our blogs: Supporting a Loved One: How To Help an Alcoholic on the Path to Recovery and How To Help Your Teen With Alcohol Recovery.)

Hearing about others’ experiences can be incredibly helpful, and getting help and support for yourself in the process is also essential. Quotes can be an important part of this process by helping you reframe the situation, gain perspective, understand addiction, and know that recovery is possible.

Understanding Addiction: Quotes for Family Members

Addiction is a paradox. It’s a lonely state to be in, and yet it affects everyone in the surrounding community in ways that can be hard to untangle. Here are some quotes to shed light on what makes addiction tick.

1. “Drinkers think they are trying to escape, but really they are trying to overcome a mental disorder they didn't know they had.” ― Matthew Perry, Friends, Lovers, and the Big Terrible Thing

While people naturally look for the “why” behind addiction, the truth is that at a certain point, the psychological or environmental factors that may have triggered that first dose or first drink are largely irrelevant. Once addiction gets going, it’s a physical process driven by changes in brain chemistry.

Biologically, addiction sets in as a result of the brain’s reward system going haywire. Driven by dopamine, the reward neurochemical, it’s a cycle of dependence that sets in when we come to rely on substances (such as alcohol) that artificially trigger the reward circuit.

However, that doesn’t mean the brain can’t change — it absolutely can, thanks to the power of neuroplasticity. (To learn more, check out “How Alcohol Affects the Brain: A Look Into the Science.”)

2. “We’re all running from pain. Some of us take pills. Some of us couch surf while binge-watching Netflix. Some of us read romance novels. We’ll do almost anything to distract ourselves from ourselves. Yet all this trying to insulate ourselves from pain seems only to have made our pain worse.” ― Anna Lembke, Dopamine Nation: Finding Balance in the Age of Indulgence

Addiction seems a bit less foreign if we think of it in terms of degrees. We all have the potential to be “dopamine junkies,” chasing after things that make us feel good. It’s natural! However, for one reason or another (most likely a combination of genetics, life circumstances, and pure chance), some of us are a bit more sensitive to the effects and end up getting caught up in a devastating spiral.

3. “No one saves us but ourselves. No one can and no one may. We ourselves must walk the path.” — Buddha

One of the main (and also most frustrating) things to understand about addiction is that we can’t fix it for someone else — they must do so by themselves. You can help by pointing your loved one in the right direction and offering tools and advice (especially if you’ve been there yourself at some point). However, in the end it’s their puzzle to solve.

Is it a solvable puzzle, however? Absolutely. The key lies in changing our relationship with alcohol or another drug: once we see through the illusion of pleasure it supposedly creates and the empty promises it never actually delivers on, quitting becomes simple. The great news? Once we reframe our understanding in this way, it’s almost impossible to “unsee” the new reality.

Loving an Addict: Quotes for Family and Friends

Family and friends can find it incredibly difficult to find balance in life when addiction is in the picture. How do we support our loved one without enabling them? Can we ever bring back the person we knew and loved who seems to be a shell of their former self? 

While we can’t “make” someone recover, we can help ignite a spark of inspiration that could eventually lead to change. Here are some quotes about doing just that (as well as some about what to avoid).

4. “My identity shifted when I got into recovery. That’s who I am now, and it actually gives me greater pleasure to have that identity than to be a musician or anything else. It gives me a spiritual anchor.” — Eric Clapton

Our passions can be a lifeline in recovery. Encourage the addict you love to pursue what once made them happy. Whatever it was is still there, even if it’s been obscured by alcohol or drugs. That guitar they used to play but haven’t touched in years? Ask them to play you a song (just one, for a few minutes). A lot of times a few minutes of going back to what used to give us joy can serve as a “hook,” if not now then at some point in the future.

5. “I used to spend so much time reacting and responding to everyone else that my life had no direction. Other people's lives, problems, and wants set the course for my life. Once I realized it was okay for me to think about and identify what I wanted, remarkable things began to take place in my life.” ― Melody Beattie, The Language of Letting Go: Daily Meditations on Codependency

At the same time, don’t forget yourself in the process. What gives you joy? Is it music? Hiking? Making photo collages? Don’t let any emotional turmoil around you stop you from taking a few minutes each day to do something that brings you joy. It’s not selfish — it’s actually the opposite. It will keep you going and keep you from losing the connection to your authentic self. 

6. “We rescue people from their responsibilities. We take care of people’s responsibilities for them. Later we get mad at them for what we’ve done. Then we feel used and sorry for ourselves. That is the pattern, the triangle.” ― Melody Beattie, Codependent No More: How to Stop Controlling Others and Start Caring for Yourself

Another wise thought from Melody Beattie, this one gets to the heart of what happens when we don’t leave room for ourselves in the process of caring for an addict. It can feel like an impossible cycle to break: our loved one clearly can’t take care of their own basic needs, so we stock their fridge, pay their bills, walk their dog, and help drive them to appointments with medical professionals we hope they’ll listen to. And yet we also resent them for it. 

How you find balance in this vicious cycle (or triangle, as Beattie calls it) is up to you. The key is to not overextend yourself — ask others for help, don’t blame yourself for not being Superman (or Superwoman). You already are a hero by being there for your loved one. But you’re also human.

Child of an Addict: Quotes To Cope With Parents’ Struggles

Watching a parent struggle with addiction can be heartbreaking and confusing. After all, these are the people that are supposed to care for us — and yet, we often end up as the caretakers. Here are some thoughts others have shared that can help you cope.

7. “We are lovable. Even if the most important person in your world rejects you, you are still real, and you are still okay.” ― Melody Beattie, Codependent No More: How to Stop Controlling Others and Start Caring for Yourself

First and foremost, when our parents struggle with addiction, it can feel as if we don’t matter — but we do. You matter, and you deserve to be loved and cared for.

8. “Our parents can show us a lot of things: they can show us how we are to be and what things we ought to strive for, or they can show us how not to be and what things we ought to stray from.” ― C. JoyBell C.

Reframing the situation as an important lesson (although, maybe not a welcome one) can help you be more at peace with it. Ideally, our parents serve as guides for how to behave and interact with the world, and it’s easy to feel that the world “owes” us something if they weren’t. But they might also show us what mistakes not to repeat — and there’s value in those lessons as well.

9. “Detaching does not mean we don’t care. It means we learn to love, care, and be involved without going crazy.” ― Melody Beattie, Codependent No More: How to Stop Controlling Others and Start Caring for Yourself

Sometimes, there’s simply nothing we can do at the moment to change the situation. And difficult as it may be, it’s okay to take a step back. There’s always hope in the future, but in the meantime, it’s fine (and maybe even necessary) to close certain doors.

Losing Someone To Addiction: Quotes To Cope With Loss

Unfortunately, sometimes no matter what we do, the outcome can be tragic. Many have lost loved ones to addiction. Here are some quotes to cope with loss.

10. “Tears shed for another person are not a sign of weakness. They are a sign of a pure heart.” ― José N. Harris, Mi Vida: A Story of Faith, Hope and Love

The pain never completely goes away, and it’s never wrong to feel it. Try to see it as the evidence of love for the dear friend or family member who will always be with you in spirit.

11. “We are all the pieces of what we remember. We hold in ourselves the hopes and fears of those who love us. As long as there is love and memory, there is no true loss.” ― Cassandra Clare, City of Heavenly Fire

While it’s never wrong to feel our pain, it’s also never wrong to let it change and become a source of inspiration. The hardest experiences can transform into something meaningful with time.

12. “Life seems sometimes like nothing more than a series of losses, from beginning to end. That's the given. How you respond to those losses, what you make of what's left, that's the part you have to make up as you go.” ― Katharine Weber, The Music Lesson

Transcending pain is all about accepting the loss while making something meaningful out of the experience. For example, when (and if) you’re ready, you could be a lifeline for someone who is facing similar challenges.

Choosing Drugs Over Family: Quotes To Ease the Pain

Once dependence on a substance sets in, the addict’s personality and behaviors inevitably change. It can seem like all they want is to find their drug of choice — whether that’s a bottle of wine at the local store (or hidden in the hamper), a drug they bought from a seedy dealer, or even a prescription they lied about misusing. These quotes shed light on the situation.

13. “I have no power at all over people, places and things, and if I ever for a moment mistakenly believe that I do, and act as if I do, pain is on its way.” ― Russell Brand, Recovery: Freedom from Our Addictions

While this quote refers to the experience of an addict (who has recovered and is now helping others do the same!), it’s equally relevant to the experience of family and loved ones. For better or worse, what happens outside of our control isn’t up to us.

14. “We don’t have to take things so personally. We take things to heart that we have no business taking to heart. For instance, saying ‘If you loved me you wouldn’t drink’ to an alcoholic makes as much sense as saying ‘If you loved me, you wouldn’t cough’ to someone who has pneumonia.” ― Melody Beattie, Codependent No More: How to Stop Controlling Others and Start Caring for Yourself

Remember how we said that addiction is a physical process that gains momentum without our control? Understanding the nature of addiction — so painful to witness and experience firsthand — can ultimately help us.

15. “Sometimes, no matter how hard we try for someone and hope that they will get better in time — they never do. Abusive relationships shouldn’t have a key to your chambers of heart. Hold your key and keep it close. Don’t end up getting addicted to such pain or human beings — for that matter. You might not be Thor but they can surely be Loki and hold you prisoner to their trickster nature.” ― Sijdah Hussain, Red Sugar, No More

It’s easier said than done to point out that the actions of others are not up to us to control. There’s always that small glimmer of hope that maybe “this time will be different.” And sometimes it is!

But the truth is, even if the situation doesn’t change, you have another important life to protect — your own. And that’s not only an option, it’s actually your most important responsibility.

Looking to the Future

In the end, addiction leaves a mark on everyone who experiences it — whether firsthand or as a witness. But there’s hope! Thousands of people (many of them part of the Reframe community) have found the light of recovery at the end of the tunnel and are leading happier, healthier lives than they ever thought possible. We wish you the best of luck on your journey. Remember, the Reframe community is here to support you along the way.

Alcohol and Mental Health