AUD has lots of common features, but did you know there are 5 types of drinkers, as defined by the NIAAA? Learn all about the “5 types of alcoholism” in our latest blog!
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!
The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.
Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol.
And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).
The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today!
A college student spends weekend after weekend throwing back jello shots and frat party punch. A grad student at the university does the same and has to drop out, spending the rest of the year in rehab. A mother sips wine out of a juice bottle after a PTA meeting. A teenager sneaks sips of vodka out of her parents’ liquor cabinet. The homeless man on the sidewalk clutches a beer can in a paper bag.
Who is an “alcoholic”? Although you might be tempted to say, “It’s the last one,” it could easily be all five. Alcohol use disorder (AUD) doesn’t discriminate and comes in many forms, some of which can be harder to recognize than others. Let’s take a closer look at different types of alcoholism and how they lead to five distinct types of drinkers.
First things first: we have to know what we’re dealing with. AUD is a medical condition characterized by an inability to stop or control alcohol use despite adverse consequences. As far as the science of AUD is concerned, it’s all about the brain: alcohol changes our neurochemistry in ways that can lead to misuse and, eventually, dependence. (For a deep dive, check out “Alcohol Misuse vs. Dependence: What's the Difference?”)
Over the years, there’s been much debate about the causes of AUD. Is it a habit? Is it a disease, and if so, is it genetic? Or is our environment at play? While answers remain murky, it’s clear that all of these factors can play a role. What starts out as a habit can morph into physical dependence, and certain genetic and social factors can set the process in motion.
What’s clear, though, is that there are certain hallmark characteristics of AUD:
Now that we have an idea of what AUD is, let’s take a deeper look at the five typical forms it tends to take.
While AUD has many common features, research by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) has pinpointed five different types of drinkers, each with unique characteristics and needs. As NIAAA Director Ting-Kai Li explains,
“Clinicians have long recognized diverse manifestations of alcoholism, and researchers have tried to understand why some alcoholics improve with specific medications and psychotherapies while others do not. The classification system described in this study will have broad application in both clinical and research settings.”
Let’s take a closer look!
We’ll start with that college student — let’s call him Jason — who is finally on his own sharing a freshman dorm room with three other guys who, just like him, work hard during the week and play hard on the weekend. Only Jason’s week starts to become more and more weekend-heavy: there’s a beer and pizza special at the local bar on Thursdays (and no, they don’t check IDs), then weekly parties at the dance club on Wednesdays.
He pulls it off without a problem, making it all the way to senior year and graduating with honors. When it’s exam time, Jason is at the library studying. When his parents visit, he cleans up the beer cans from the counter, shoves the tequila bottle under his bed, and throws his wine-stained T-shirt in the hamper. It doesn’t cross his mind that anything is amiss — it’s college, after all! The best years of your life, right?
Except that for Jason, the party doesn’t stop well into his 20s. His friends are settling down, some are even having kids. But Jason doesn’t feel like slowing down — hey, we’re still young! Why not keep the fun times going?
According to the NIAAA, Jason is one of the many young adults who make up the most common types of drinkers — around 31.5%. They’re rarely daily drinkers, but when they do drink, they often consume alcohol in large quantities — what many refer to as "binge drinking."
These habits, in turn, can stick around and have long-lasting effects later in life. Booze can become a go-to way to manage stress, social anxiety, or the pressures of life as a young professional. With lines between problematic and social drinking frequently blurred in our 20s and early 30s, it can be hard to spot the problem before it progresses into the more severe stages of AUD.
There’s neuroscience behind the reasons why young people are especially susceptible to unhealthy drinking that progresses to AUD:
Jason struggled with alcohol use throughout his 20s, but found that AA and inpatient treatment wasn’t for him. Instead, he decided to dive into books on recovery. He continued on his journey with the Reframe app and found that its community of others who could sympathize especially helpful.
Sarah, a grad student in her late 20s, had a hard childhood. Her parents fought from the time she was a baby, exposing her to screaming matches and, later on, a bitter custody battle. As a result, she had trouble forming attachments and began showing traits of Conduct Disorder, even spending some time in juvenile detention after shoplifting makeup from a local pharmacy. As she grew up, she continued having trouble with relationships and started developing signs of Antisocial Personality Disorder.
Throughout this time, alcohol became a frequent companion for Sarah, who falls into the “young antisocial” type of AUD (about 21% of all cases). With booze freely available at home (her parents closed their eyes to the problem, if they even noticed it), Sarah developed a drinking habit in her teens. By the time she started her grad school career, she had all the hallmark signs of AUD and ended up at the emergency room after getting alcohol poisoning several times. She would start her day drinking a six-pack of hard apple cider just to stop the shakes, then attend her sociology lectures with wine in her coffee mug.
Neurological hallmarks of antisocial personality (ASP) make AUD more likely:
Eventually, Sarah had to drop out of the program and face her demons by going through inpatient treatment at a dual-diagnosis center. Still, it took years — the overlapping challenges of ASP and social anxiety made the already rough process even lengthier. She’s been working with a Reframe coach who specializes in trauma to help and encourage her along the way.
Samantha has it together. At just 32 years old, she’s the vice president of her publishing company, mother of two, and an active member of her school’s PTA. She has tons of friends, many of them other moms who get together frequently at her immaculate house with its manicured lawn and perfectly groomed labradoodles (adorable!). And yes, when her friends are over, there’s an obligatory bottle of wine (or three) on the coffee table. “Mommy juice, anyone?” Her husband even got her a T-shirt that says, “Kids in bed. House looks fine. Time for Mommy to drink some wine!”
And while to the outside world it looks like Samantha is on top of the world, she has a secret. Her wine habit has gotten out of control — way out of control. Like other “functional alcoholics” (which make up about 19.5% of the total), she seems to be handling her life well. However, she’s now drinking on a daily basis, starting earlier and earlier. At one point, she even started pouring wine into an empty juice bottle and taking sips during her PTA meeting. Embarrassing, yes. But not as embarrassing as being caught with her hands shaking as she’s passing out the flyers.
And while she’s still running every morning, she’s been noticing that her body is starting to stage a revolt: her lung capacity isn’t quite as high, her muscles ache, and her blood pressure has gotten higher. Maybe it’s all the stress? No, she knows it’s probably the booze. But she feels stuck, clinging on to the very thing that’s fueling her stress in an attempt to find relief.
From a neuroscience perspective, functional drinkers share certain traits:
After a friend confided in her about having the same problem, Sarah found a women’s support group that helped her get on track. Free from the prison of cognitive dissonance, she’s doing better than ever in her job and as a parent. And her body is breathing a sign of relief — in fact, she’s training for a marathon in a few months! Reframe is helping her stay on track, and she especially enjoys the community forum and monthly challenges.
Drinking has been the norm in Fran’s family. It fueled the fights between her parents for as long as she can remember, led her grandfather to develop diabetes, and kept her brother from completing his senior year of high school. That said, nobody treats it as the root of the problem — wine flows freely at family gatherings, while the fights, illnesses, and poor choices are blamed on anything but the booze. Stressful jobs, a sweet tooth, and plain old laziness — there’s always an explanation for the problem.
And so Fran doesn’t think twice about it. After all, she hasn’t lost a job or a husband. She’s still in school (and, on top of that, is the star of her volleyball team). She still thinks of alcohol as a crucial ingredient for having fun (“This restaurant doesn’t serve booze, so why bother going?”)
The “intermediate familial” subtype is common, making up about 19% of different types of alcoholism. Unfortunately, excessive drinking is “familiar” in both senses: it’s Fran’s go-to habit, and it literally “runs in the family.” Genetics and environment play a big role here, joining forces in a way that leaves us feeling helpless and stuck. (But rest assured, there’s hope! More on that later.)
Biology looms large in the case of the intermediate familial subtype:
After Fran came across a memoir written by someone with a similar type of experience and family background, something clicked. She realized she was going down the same path as many of her relatives, but also realized that she had a choice to take a different approach. So she did! Now she’s happily alcohol-free and enjoys checking out the Reframe app readings about the latest neuroscience research on the role that genetics and environment play in alcohol misuse.
And finally, there’s Tommy. Unlike the previous four, Tommy has no doubt that he has a problem — and neither does anyone else who runs into him sitting on the sidewalk with his “hidden” (but ever-so-obvious) bottle. He’s been to rehab more times than he can remember, has been warned about his dangerously high liver enzyme levels, and has even woken up in jail a few times for reasons he can’t remember no matter how hard he tries. He has also struggled with intrusive thoughts but doesn’t take the meds for schizophrenia that helped him at one point, about a decade ago.
And yet, his “chronic severe” subtype of alcoholism is actually the most rare, making up only 9% of the total. Chronic severe drinkers are likely to struggle with other psychiatric conditions, such as depression, schizophrenia, bipolar disorder, anxiety, and other substance misuse problems. Unlike many of the other types of drinkers, they’re the most likely to seek help (which makes sense, given that the red flags are hard to miss). However, in spite of the fact that about two thirds seek treatment, the profound effects of alcohol can keep them trapped, leading to multiple attempts at recovery.
There are large-scale (and often devastating) changes that happen in the brain when we drink chronically for a long time:
Tommy’s road took a couple of years of trial and error, but once he found the right treatment team who addressed all of his mental health challenges along with his AUD (for which he ultimately found helpful medication), he found a way out. Once he did, he became really active in helping others, including those he met in the Reframe community.
While AUD is a major challenge, it’s crucial to keep in mind that recovery is possible. Yes, all five of our characters (even Tommy) can get better! If you think you might be in the same (or similar) boat, here are some places to start.
And remember, Reframe is here to help you every step of the way! The journey might seem daunting at first, but we have already helped millions of people just like you change their relationship with alcohol and go on to be the healthiest and happiest versions of themselves. It’s absolutely possible!
A college student spends weekend after weekend throwing back jello shots and frat party punch. A grad student at the university does the same and has to drop out, spending the rest of the year in rehab. A mother sips wine out of a juice bottle after a PTA meeting. A teenager sneaks sips of vodka out of her parents’ liquor cabinet. The homeless man on the sidewalk clutches a beer can in a paper bag.
Who is an “alcoholic”? Although you might be tempted to say, “It’s the last one,” it could easily be all five. Alcohol use disorder (AUD) doesn’t discriminate and comes in many forms, some of which can be harder to recognize than others. Let’s take a closer look at different types of alcoholism and how they lead to five distinct types of drinkers.
First things first: we have to know what we’re dealing with. AUD is a medical condition characterized by an inability to stop or control alcohol use despite adverse consequences. As far as the science of AUD is concerned, it’s all about the brain: alcohol changes our neurochemistry in ways that can lead to misuse and, eventually, dependence. (For a deep dive, check out “Alcohol Misuse vs. Dependence: What's the Difference?”)
Over the years, there’s been much debate about the causes of AUD. Is it a habit? Is it a disease, and if so, is it genetic? Or is our environment at play? While answers remain murky, it’s clear that all of these factors can play a role. What starts out as a habit can morph into physical dependence, and certain genetic and social factors can set the process in motion.
What’s clear, though, is that there are certain hallmark characteristics of AUD:
Now that we have an idea of what AUD is, let’s take a deeper look at the five typical forms it tends to take.
While AUD has many common features, research by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) has pinpointed five different types of drinkers, each with unique characteristics and needs. As NIAAA Director Ting-Kai Li explains,
“Clinicians have long recognized diverse manifestations of alcoholism, and researchers have tried to understand why some alcoholics improve with specific medications and psychotherapies while others do not. The classification system described in this study will have broad application in both clinical and research settings.”
Let’s take a closer look!
We’ll start with that college student — let’s call him Jason — who is finally on his own sharing a freshman dorm room with three other guys who, just like him, work hard during the week and play hard on the weekend. Only Jason’s week starts to become more and more weekend-heavy: there’s a beer and pizza special at the local bar on Thursdays (and no, they don’t check IDs), then weekly parties at the dance club on Wednesdays.
He pulls it off without a problem, making it all the way to senior year and graduating with honors. When it’s exam time, Jason is at the library studying. When his parents visit, he cleans up the beer cans from the counter, shoves the tequila bottle under his bed, and throws his wine-stained T-shirt in the hamper. It doesn’t cross his mind that anything is amiss — it’s college, after all! The best years of your life, right?
Except that for Jason, the party doesn’t stop well into his 20s. His friends are settling down, some are even having kids. But Jason doesn’t feel like slowing down — hey, we’re still young! Why not keep the fun times going?
According to the NIAAA, Jason is one of the many young adults who make up the most common types of drinkers — around 31.5%. They’re rarely daily drinkers, but when they do drink, they often consume alcohol in large quantities — what many refer to as "binge drinking."
These habits, in turn, can stick around and have long-lasting effects later in life. Booze can become a go-to way to manage stress, social anxiety, or the pressures of life as a young professional. With lines between problematic and social drinking frequently blurred in our 20s and early 30s, it can be hard to spot the problem before it progresses into the more severe stages of AUD.
There’s neuroscience behind the reasons why young people are especially susceptible to unhealthy drinking that progresses to AUD:
Jason struggled with alcohol use throughout his 20s, but found that AA and inpatient treatment wasn’t for him. Instead, he decided to dive into books on recovery. He continued on his journey with the Reframe app and found that its community of others who could sympathize especially helpful.
Sarah, a grad student in her late 20s, had a hard childhood. Her parents fought from the time she was a baby, exposing her to screaming matches and, later on, a bitter custody battle. As a result, she had trouble forming attachments and began showing traits of Conduct Disorder, even spending some time in juvenile detention after shoplifting makeup from a local pharmacy. As she grew up, she continued having trouble with relationships and started developing signs of Antisocial Personality Disorder.
Throughout this time, alcohol became a frequent companion for Sarah, who falls into the “young antisocial” type of AUD (about 21% of all cases). With booze freely available at home (her parents closed their eyes to the problem, if they even noticed it), Sarah developed a drinking habit in her teens. By the time she started her grad school career, she had all the hallmark signs of AUD and ended up at the emergency room after getting alcohol poisoning several times. She would start her day drinking a six-pack of hard apple cider just to stop the shakes, then attend her sociology lectures with wine in her coffee mug.
Neurological hallmarks of antisocial personality (ASP) make AUD more likely:
Eventually, Sarah had to drop out of the program and face her demons by going through inpatient treatment at a dual-diagnosis center. Still, it took years — the overlapping challenges of ASP and social anxiety made the already rough process even lengthier. She’s been working with a Reframe coach who specializes in trauma to help and encourage her along the way.
Samantha has it together. At just 32 years old, she’s the vice president of her publishing company, mother of two, and an active member of her school’s PTA. She has tons of friends, many of them other moms who get together frequently at her immaculate house with its manicured lawn and perfectly groomed labradoodles (adorable!). And yes, when her friends are over, there’s an obligatory bottle of wine (or three) on the coffee table. “Mommy juice, anyone?” Her husband even got her a T-shirt that says, “Kids in bed. House looks fine. Time for Mommy to drink some wine!”
And while to the outside world it looks like Samantha is on top of the world, she has a secret. Her wine habit has gotten out of control — way out of control. Like other “functional alcoholics” (which make up about 19.5% of the total), she seems to be handling her life well. However, she’s now drinking on a daily basis, starting earlier and earlier. At one point, she even started pouring wine into an empty juice bottle and taking sips during her PTA meeting. Embarrassing, yes. But not as embarrassing as being caught with her hands shaking as she’s passing out the flyers.
And while she’s still running every morning, she’s been noticing that her body is starting to stage a revolt: her lung capacity isn’t quite as high, her muscles ache, and her blood pressure has gotten higher. Maybe it’s all the stress? No, she knows it’s probably the booze. But she feels stuck, clinging on to the very thing that’s fueling her stress in an attempt to find relief.
From a neuroscience perspective, functional drinkers share certain traits:
After a friend confided in her about having the same problem, Sarah found a women’s support group that helped her get on track. Free from the prison of cognitive dissonance, she’s doing better than ever in her job and as a parent. And her body is breathing a sign of relief — in fact, she’s training for a marathon in a few months! Reframe is helping her stay on track, and she especially enjoys the community forum and monthly challenges.
Drinking has been the norm in Fran’s family. It fueled the fights between her parents for as long as she can remember, led her grandfather to develop diabetes, and kept her brother from completing his senior year of high school. That said, nobody treats it as the root of the problem — wine flows freely at family gatherings, while the fights, illnesses, and poor choices are blamed on anything but the booze. Stressful jobs, a sweet tooth, and plain old laziness — there’s always an explanation for the problem.
And so Fran doesn’t think twice about it. After all, she hasn’t lost a job or a husband. She’s still in school (and, on top of that, is the star of her volleyball team). She still thinks of alcohol as a crucial ingredient for having fun (“This restaurant doesn’t serve booze, so why bother going?”)
The “intermediate familial” subtype is common, making up about 19% of different types of alcoholism. Unfortunately, excessive drinking is “familiar” in both senses: it’s Fran’s go-to habit, and it literally “runs in the family.” Genetics and environment play a big role here, joining forces in a way that leaves us feeling helpless and stuck. (But rest assured, there’s hope! More on that later.)
Biology looms large in the case of the intermediate familial subtype:
After Fran came across a memoir written by someone with a similar type of experience and family background, something clicked. She realized she was going down the same path as many of her relatives, but also realized that she had a choice to take a different approach. So she did! Now she’s happily alcohol-free and enjoys checking out the Reframe app readings about the latest neuroscience research on the role that genetics and environment play in alcohol misuse.
And finally, there’s Tommy. Unlike the previous four, Tommy has no doubt that he has a problem — and neither does anyone else who runs into him sitting on the sidewalk with his “hidden” (but ever-so-obvious) bottle. He’s been to rehab more times than he can remember, has been warned about his dangerously high liver enzyme levels, and has even woken up in jail a few times for reasons he can’t remember no matter how hard he tries. He has also struggled with intrusive thoughts but doesn’t take the meds for schizophrenia that helped him at one point, about a decade ago.
And yet, his “chronic severe” subtype of alcoholism is actually the most rare, making up only 9% of the total. Chronic severe drinkers are likely to struggle with other psychiatric conditions, such as depression, schizophrenia, bipolar disorder, anxiety, and other substance misuse problems. Unlike many of the other types of drinkers, they’re the most likely to seek help (which makes sense, given that the red flags are hard to miss). However, in spite of the fact that about two thirds seek treatment, the profound effects of alcohol can keep them trapped, leading to multiple attempts at recovery.
There are large-scale (and often devastating) changes that happen in the brain when we drink chronically for a long time:
Tommy’s road took a couple of years of trial and error, but once he found the right treatment team who addressed all of his mental health challenges along with his AUD (for which he ultimately found helpful medication), he found a way out. Once he did, he became really active in helping others, including those he met in the Reframe community.
While AUD is a major challenge, it’s crucial to keep in mind that recovery is possible. Yes, all five of our characters (even Tommy) can get better! If you think you might be in the same (or similar) boat, here are some places to start.
And remember, Reframe is here to help you every step of the way! The journey might seem daunting at first, but we have already helped millions of people just like you change their relationship with alcohol and go on to be the healthiest and happiest versions of themselves. It’s absolutely possible!
Explore the complex relationship between alcohol consumption and its exacerbation of depressive symptoms, highlighting the immediate and long-term psychological impacts, and offering strategies for healthier habits.
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!
The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.
Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol.
And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).
The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!
Alcohol has long been used as a social lubricant and a means of relaxation. However, its impact on mental health, particularly its ability to exacerbate depressive symptoms, is often overlooked or underestimated. Understanding the complex relationship between alcohol and depression is crucial for anyone looking to build healthier drinking habits and improve their overall well-being.
At first glance, alcohol might seem like a mood enhancer. It often makes us feel more sociable, relaxed, and temporarily happy. However, alcohol is, in fact, a depressant. This dual nature can be misleading, as the initial euphoria quickly gives way to a host of negative psychological effects.
When you consume alcohol, it initially stimulates the release of dopamine, the brain's "feel-good" chemical. This surge in dopamine can create a temporary sense of euphoria. However, this feeling is short-lived. As alcohol continues to affect the central nervous system, it begins to slow down brain activity, leading to impaired judgment, reduced inhibitions, and eventually, a depressive state.
For more on the immediate and lasting impacts of alcohol on mental health, check out our article on How Alcohol Worsens Your Mental Health.
Regular alcohol consumption can lead to significant changes in brain chemistry. Over time, alcohol reduces the levels of neurotransmitters like serotonin and norepinephrine, which are essential for regulating mood. Lower levels of these chemicals can lead to increased feelings of depression and anxiety.
Additionally, chronic alcohol use can increase the production of dynorphin, a chemical that contributes to feelings of dysphoria and depression. This creates a vicious cycle where individuals may drink more to alleviate their depressive symptoms, only to find that their condition worsens over time.
For a deeper dive into how alcohol affects brain chemistry and mental health, read our detailed article on The Connection Between Alcohol and Mental Health.
Many people turn to alcohol as a form of self-medication to cope with stress, anxiety, or depressive symptoms. While this might provide temporary relief, it often leads to a worsening of symptoms in the long run. Alcohol can disrupt sleep patterns, increase anxiety, and create a dependency that makes it even harder to manage depressive symptoms without it.
Studies have shown that persistent and excessive drinking can significantly increase the risk of developing major depressive disorder (MDD). Alcohol misuse can aggravate pre-existing depressive symptoms, making it more difficult for individuals to find effective treatment.
For more information on how alcohol can serve as a depressant and its broader implications, you can read our article on Is Alcohol a Depressant? What Does It Mean?.
Alcohol disrupts the balance of neurotransmitters in the brain, which are crucial for mood regulation. Chronic alcohol use can lead to a decrease in serotonin levels, contributing to depressive symptoms. Moreover, alcohol-induced changes in the brain's reward system can make it more challenging to experience pleasure from everyday activities, further exacerbating depression.
Alcohol consumption triggers the release of cortisol, a stress hormone. Elevated cortisol levels can alter brain chemistry and negatively impact the body's ability to handle stress. Over time, this can lead to heightened anxiety and depressive symptoms, creating a cycle that is difficult to break.
One of the most effective ways to improve mental health and reduce depressive symptoms is to cut back on alcohol consumption. Even small reductions can lead to significant improvements in mood and overall well-being.
Finding healthier ways to cope with stress and anxiety is crucial. Exercise, meditation, and engaging in hobbies can provide natural mood boosts and help manage depressive symptoms without relying on alcohol.
If you find it difficult to reduce alcohol consumption on your own, seeking professional help can be beneficial. Therapists and counselors can provide strategies and support to help you manage both your alcohol use and depressive symptoms effectively.
While alcohol might seem like a quick fix for stress or a way to unwind, its long-term impact on mental health can be detrimental. Understanding the relationship between alcohol and depression is essential for anyone looking to build healthier drinking habits. By reducing alcohol consumption and finding alternative ways to manage stress and anxiety, you can improve your mental well-being and break the cycle of alcohol-induced depression.
Alcohol has long been used as a social lubricant and a means of relaxation. However, its impact on mental health, particularly its ability to exacerbate depressive symptoms, is often overlooked or underestimated. Understanding the complex relationship between alcohol and depression is crucial for anyone looking to build healthier drinking habits and improve their overall well-being.
At first glance, alcohol might seem like a mood enhancer. It often makes us feel more sociable, relaxed, and temporarily happy. However, alcohol is, in fact, a depressant. This dual nature can be misleading, as the initial euphoria quickly gives way to a host of negative psychological effects.
When you consume alcohol, it initially stimulates the release of dopamine, the brain's "feel-good" chemical. This surge in dopamine can create a temporary sense of euphoria. However, this feeling is short-lived. As alcohol continues to affect the central nervous system, it begins to slow down brain activity, leading to impaired judgment, reduced inhibitions, and eventually, a depressive state.
For more on the immediate and lasting impacts of alcohol on mental health, check out our article on How Alcohol Worsens Your Mental Health.
Regular alcohol consumption can lead to significant changes in brain chemistry. Over time, alcohol reduces the levels of neurotransmitters like serotonin and norepinephrine, which are essential for regulating mood. Lower levels of these chemicals can lead to increased feelings of depression and anxiety.
Additionally, chronic alcohol use can increase the production of dynorphin, a chemical that contributes to feelings of dysphoria and depression. This creates a vicious cycle where individuals may drink more to alleviate their depressive symptoms, only to find that their condition worsens over time.
For a deeper dive into how alcohol affects brain chemistry and mental health, read our detailed article on The Connection Between Alcohol and Mental Health.
Many people turn to alcohol as a form of self-medication to cope with stress, anxiety, or depressive symptoms. While this might provide temporary relief, it often leads to a worsening of symptoms in the long run. Alcohol can disrupt sleep patterns, increase anxiety, and create a dependency that makes it even harder to manage depressive symptoms without it.
Studies have shown that persistent and excessive drinking can significantly increase the risk of developing major depressive disorder (MDD). Alcohol misuse can aggravate pre-existing depressive symptoms, making it more difficult for individuals to find effective treatment.
For more information on how alcohol can serve as a depressant and its broader implications, you can read our article on Is Alcohol a Depressant? What Does It Mean?.
Alcohol disrupts the balance of neurotransmitters in the brain, which are crucial for mood regulation. Chronic alcohol use can lead to a decrease in serotonin levels, contributing to depressive symptoms. Moreover, alcohol-induced changes in the brain's reward system can make it more challenging to experience pleasure from everyday activities, further exacerbating depression.
Alcohol consumption triggers the release of cortisol, a stress hormone. Elevated cortisol levels can alter brain chemistry and negatively impact the body's ability to handle stress. Over time, this can lead to heightened anxiety and depressive symptoms, creating a cycle that is difficult to break.
One of the most effective ways to improve mental health and reduce depressive symptoms is to cut back on alcohol consumption. Even small reductions can lead to significant improvements in mood and overall well-being.
Finding healthier ways to cope with stress and anxiety is crucial. Exercise, meditation, and engaging in hobbies can provide natural mood boosts and help manage depressive symptoms without relying on alcohol.
If you find it difficult to reduce alcohol consumption on your own, seeking professional help can be beneficial. Therapists and counselors can provide strategies and support to help you manage both your alcohol use and depressive symptoms effectively.
While alcohol might seem like a quick fix for stress or a way to unwind, its long-term impact on mental health can be detrimental. Understanding the relationship between alcohol and depression is essential for anyone looking to build healthier drinking habits. By reducing alcohol consumption and finding alternative ways to manage stress and anxiety, you can improve your mental well-being and break the cycle of alcohol-induced depression.
Explore the psychological pressures of Blackout Wednesday and discover effective mental health strategies to maintain sobriety during this high-pressure social event, often marked by excessive drinking.
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!
The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.
Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol.
And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).
The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!
Blackout Wednesday, also known as "Drinksgiving," marks the night before Thanksgiving and is notorious for heavy drinking, particularly among college students and young adults. The combination of reuniting with old friends and the extended holiday break often leads to excessive alcohol consumption. This article delves into the psychological pressures of Blackout Wednesday and offers mental health strategies to maintain sobriety during such social pressures.
Blackout Wednesday has grown in cultural significance, especially among younger generations. It is a night of reunions and celebrations, often centered around alcohol. The informal nature of the event, coupled with the fact that most people don't have work the next day, makes it a prime time for binge drinking. However, this can lead to dangerous behaviors and significant health risks.
The pressures to participate in Blackout Wednesday can be immense. Here are some key psychological factors at play:
Understanding these pressures helps in developing strategies to navigate them effectively.
Maintaining sobriety during Blackout Wednesday requires a combination of mental preparation, support systems, and practical strategies. Here are some effective strategies:
Before heading out, set clear intentions about your drinking goals. Whether you plan to stay completely sober or limit your alcohol intake, having a clear plan can help you stay committed. Reflect on your reasons for wanting to stay sober and remind yourself of the benefits.
Adopt a mindful approach to celebrations. Focus on the quality of interactions rather than the quantity of drinks. Engage in meaningful conversations and activities that do not revolve around alcohol. This shift in focus can help reduce the temptation to drink excessively.
Surround yourself with friends and family who respect your decision to stay sober. Having a support system can provide encouragement and accountability. If you feel comfortable, communicate your intentions to stay sober to your friends, and ask for their support.
Plan alternative activities that do not involve alcohol. For instance, you can host a game night, go to a movie, or participate in a physical activity like bowling or hiking. Engaging in these activities can provide a fun and fulfilling way to spend the evening without drinking.
Bring your own alcohol-free beverages to social gatherings. This ensures you have something to drink and helps you avoid the temptation of alcoholic drinks. There are many delicious non-alcoholic options available, from sparkling water to mocktails.
Take care of your mental and physical health. Ensure you get enough sleep, eat nutritious foods, and engage in regular physical activity. Practicing self-care can boost your overall well-being and make it easier to resist the urge to drink.
It’s important to learn to say no confidently. If someone offers you a drink, politely decline and stick to your decision. You can prepare responses in advance, such as, “No thanks, I’m not drinking tonight,” or “I’m taking a break from alcohol.”
If you find it challenging to stay sober, consider seeking professional help. Therapists and support groups can provide valuable guidance and support. Cognitive-behavioral therapy (CBT) is particularly effective in helping individuals develop coping strategies and change detrimental thought patterns.
Focus on staying present in the moment. Mindfulness practices, such as deep breathing exercises and meditation, can help you stay grounded and reduce anxiety. Staying present allows you to enjoy the moment without feeling the need to escape through alcohol.
After the event, take time to reflect on your experience. Celebrate your successes and acknowledge any challenges you faced. Reflecting on your progress can provide valuable insights and strengthen your commitment to maintaining sobriety in the future.
By understanding the pressures of Blackout Wednesday and employing these mental health strategies, you can maintain your sobriety and enjoy the festivities without compromising your well-being.
Blackout Wednesday, also known as "Drinksgiving," marks the night before Thanksgiving and is notorious for heavy drinking, particularly among college students and young adults. The combination of reuniting with old friends and the extended holiday break often leads to excessive alcohol consumption. This article delves into the psychological pressures of Blackout Wednesday and offers mental health strategies to maintain sobriety during such social pressures.
Blackout Wednesday has grown in cultural significance, especially among younger generations. It is a night of reunions and celebrations, often centered around alcohol. The informal nature of the event, coupled with the fact that most people don't have work the next day, makes it a prime time for binge drinking. However, this can lead to dangerous behaviors and significant health risks.
The pressures to participate in Blackout Wednesday can be immense. Here are some key psychological factors at play:
Understanding these pressures helps in developing strategies to navigate them effectively.
Maintaining sobriety during Blackout Wednesday requires a combination of mental preparation, support systems, and practical strategies. Here are some effective strategies:
Before heading out, set clear intentions about your drinking goals. Whether you plan to stay completely sober or limit your alcohol intake, having a clear plan can help you stay committed. Reflect on your reasons for wanting to stay sober and remind yourself of the benefits.
Adopt a mindful approach to celebrations. Focus on the quality of interactions rather than the quantity of drinks. Engage in meaningful conversations and activities that do not revolve around alcohol. This shift in focus can help reduce the temptation to drink excessively.
Surround yourself with friends and family who respect your decision to stay sober. Having a support system can provide encouragement and accountability. If you feel comfortable, communicate your intentions to stay sober to your friends, and ask for their support.
Plan alternative activities that do not involve alcohol. For instance, you can host a game night, go to a movie, or participate in a physical activity like bowling or hiking. Engaging in these activities can provide a fun and fulfilling way to spend the evening without drinking.
Bring your own alcohol-free beverages to social gatherings. This ensures you have something to drink and helps you avoid the temptation of alcoholic drinks. There are many delicious non-alcoholic options available, from sparkling water to mocktails.
Take care of your mental and physical health. Ensure you get enough sleep, eat nutritious foods, and engage in regular physical activity. Practicing self-care can boost your overall well-being and make it easier to resist the urge to drink.
It’s important to learn to say no confidently. If someone offers you a drink, politely decline and stick to your decision. You can prepare responses in advance, such as, “No thanks, I’m not drinking tonight,” or “I’m taking a break from alcohol.”
If you find it challenging to stay sober, consider seeking professional help. Therapists and support groups can provide valuable guidance and support. Cognitive-behavioral therapy (CBT) is particularly effective in helping individuals develop coping strategies and change detrimental thought patterns.
Focus on staying present in the moment. Mindfulness practices, such as deep breathing exercises and meditation, can help you stay grounded and reduce anxiety. Staying present allows you to enjoy the moment without feeling the need to escape through alcohol.
After the event, take time to reflect on your experience. Celebrate your successes and acknowledge any challenges you faced. Reflecting on your progress can provide valuable insights and strengthen your commitment to maintaining sobriety in the future.
By understanding the pressures of Blackout Wednesday and employing these mental health strategies, you can maintain your sobriety and enjoy the festivities without compromising your well-being.
Wondering what alcoholic rage syndrome is all about? Science says it’s a mixture of brain chemistry, psychological factors, and social surroundings. Learn why alcohol can leave one person raging more than the next — and what to do about it — in our latest blog.
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!
The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.
Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol.
And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).
The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!
Imagine this: everyone is sitting around the table, having a pleasant conversation, passing around platters of nachos and sipping on salt-rimmed margaritas. Everyone is acting presentable, and the atmosphere is, as they say “classy.” Then, a few margaritas in, the conversation gets a bit louder. You look over and see your friend’s face getting red and, before you know it, voices are raised and you’re wondering if you’ll have to duck when that plate of nachos goes flying across the table. Yikes!
We’ve heard of the “raging alcoholic” or “angry drunk” stereotype, but is there any truth to the idea? Is alcohol really the culprit? What is a raging alcoholic, and how does alcohol send someone into a drunken rage? What are some alcoholic rage symptoms? Let’s explore what alcoholic rage syndrome is all about.
If you follow true crime, you’ve heard about the notorious Murdaugh trials in South Carolina, with the latest being the trial of Alec Murdaugh convicted for killing his son and wife. And although nothing justifies murder, the son Paul Murdaugh was quite a character (and not in a good way). And much of it came down to his drinking. Those close to him would talk about his personality under the influence — a character prominent enough to be seen as his alter-ego, “Timmy.” What was Paul Murdaugh — “Timmy” — like when drunk? Well, let’s just say you wouldn’t want to get into Timmy’s way. Timmy would get angry. Timmy would get abusive. Ultimately, Timmy would lead to the death of Paul’s girlfriend who drowned in a boating accident that Paul (in drunken Timmy mode) was responsible for.
The truth is, while this case might be extreme, many of us might recognize signs of an inner Timmy in ourselves or in someone we know. Why are alcoholics angry? And do angry drunks mean what they say? Alcoholic rage syndrome, also known as alcohol-induced aggression or alcohol-related aggression, refers to a pattern of intense anger and aggression that occurs in people under the influence of alcohol. Ranging from verbal outbursts to physical violence, this behavior can pose a serious risk to our health and safety, as well as to the well-being of those around us. (For more information, check out “Why Do I Get Angry When I Drink?”)
Does everyone have an “inner Timmy”? Not necessarily, studies show that while alcohol and aggression do, indeed, share a neurological link, not everyone gets aggressive after having a few too many.
In particular, “alcoholic rage syndrome” seems to be linked to antisocial personality disorder (ASPD). Those with tendencies to what’s colloquially known as sociopathy may be more prone to alcohol-related aggression. The hallmark traits of the condition involve difficulties empathizing with other people, disregarding societal norms for what’s considered “right” and “wrong,” ignoring the feelings of others, and behaving in impulsive ways.
Part of the story has to do with neurotransmitters. From the first sip, alcohol sends our brain chemistry into disarray, altering the delicate balance of neurochemicals in charge of impulse control and mood regulation. Here’s the gist:
Although the effects of alcohol on our brain chemistry kick in right away, over time the situation gets more and more complex. The brain gets used to the “new normal” and can lead to more pronounced long-term changes in our personality (read: our alter ego sets up camp and can become a permanent fixture). (For more information, check out “How Alcohol Affects the Brain: A Look Into the Science” and “Alcohol and Emotions: How Alcohol Plays with Your Feelings.”)
By acting as a central nervous system depressant, alcohol also takes our prefrontal cortex — the hub of logic, and reasoning — temporarily “offline.” Without our decision-making powerhouse running the show, we have less control over our behavior and are more prone to impulsivity and aggression.
In other words, we’re likely to do things — including giving others an earful as soon as we feel irked — without thinking about the potential fallout. We might also misread social cues and lash out in response to perceived slights, non-existent threats, or frustrations.
The past has a sneaky way of making a less-than-pleasant appearance when we’re drinking. It might be something small that nagged us recently — the way our partner never makes the bed or the way our mother-in-law said the paella we tried to impress her with needed more salt. On the other hand, something deeper and more traumatic could also resurface: we might be dealing with unresolved trauma, an illness of a close relative, or financial problems. Either way, mixing any type of psychological “baggage” with booze is trouble waiting to happen — our anger is that much more likely to erupt if there’s already trouble brewing in the background.
In a similar way, our present surroundings can play a role. If we hang out with people who throw digs at each other (or at us) or normalize alcohol-induced aggression, it’s more likely to make an appearance. Perhaps our friends play it off as funny, or maybe they downplay it due to their own insecurities — whatever the reason is, if our environment makes our “inner Timmy” feel welcome, he’s more likely to show up.
While alcohol can induce rage, sometimes the tables are switched: we might also crave alcohol when we’re already angry. Why? The answer has to do with the nature of all cravings — they’re misguided attempts to feel better in the moment by silencing an emotion or external circumstance we don’t want to experience. The problem is, when booze becomes the answer, it backfires — big time. (To dive into the details, check out “Why Do I Crave Alcohol When I'm Angry?”)
Symptoms of alcoholic rage syndrome run the gamut from verbal tiffs to outright violence. Here’s an overview:
Now that we know what alcoholic rage syndrome is, can we do anything about it? In other words, can we make our inner “Sammy” or “Jimmy” (or whatever name your boozy alter-ego might have) stay away for good? Absolutely.
If you do decide to take a break from booze, know that you’re in for a treat. In addition to helping your relationships, a life with less alcohol will leave you healthier and happier in a myriad different ways: your sleep will improve, your heart and liver will heal, you’ll find yourself getting sick less frequently, and you might even lose weight. And that’s just the beginning! If you need help starting, Reframe is here to help with science-backed strategies and tools to make the journey easy and fun.
Imagine this: everyone is sitting around the table, having a pleasant conversation, passing around platters of nachos and sipping on salt-rimmed margaritas. Everyone is acting presentable, and the atmosphere is, as they say “classy.” Then, a few margaritas in, the conversation gets a bit louder. You look over and see your friend’s face getting red and, before you know it, voices are raised and you’re wondering if you’ll have to duck when that plate of nachos goes flying across the table. Yikes!
We’ve heard of the “raging alcoholic” or “angry drunk” stereotype, but is there any truth to the idea? Is alcohol really the culprit? What is a raging alcoholic, and how does alcohol send someone into a drunken rage? What are some alcoholic rage symptoms? Let’s explore what alcoholic rage syndrome is all about.
If you follow true crime, you’ve heard about the notorious Murdaugh trials in South Carolina, with the latest being the trial of Alec Murdaugh convicted for killing his son and wife. And although nothing justifies murder, the son Paul Murdaugh was quite a character (and not in a good way). And much of it came down to his drinking. Those close to him would talk about his personality under the influence — a character prominent enough to be seen as his alter-ego, “Timmy.” What was Paul Murdaugh — “Timmy” — like when drunk? Well, let’s just say you wouldn’t want to get into Timmy’s way. Timmy would get angry. Timmy would get abusive. Ultimately, Timmy would lead to the death of Paul’s girlfriend who drowned in a boating accident that Paul (in drunken Timmy mode) was responsible for.
The truth is, while this case might be extreme, many of us might recognize signs of an inner Timmy in ourselves or in someone we know. Why are alcoholics angry? And do angry drunks mean what they say? Alcoholic rage syndrome, also known as alcohol-induced aggression or alcohol-related aggression, refers to a pattern of intense anger and aggression that occurs in people under the influence of alcohol. Ranging from verbal outbursts to physical violence, this behavior can pose a serious risk to our health and safety, as well as to the well-being of those around us. (For more information, check out “Why Do I Get Angry When I Drink?”)
Does everyone have an “inner Timmy”? Not necessarily, studies show that while alcohol and aggression do, indeed, share a neurological link, not everyone gets aggressive after having a few too many.
In particular, “alcoholic rage syndrome” seems to be linked to antisocial personality disorder (ASPD). Those with tendencies to what’s colloquially known as sociopathy may be more prone to alcohol-related aggression. The hallmark traits of the condition involve difficulties empathizing with other people, disregarding societal norms for what’s considered “right” and “wrong,” ignoring the feelings of others, and behaving in impulsive ways.
Part of the story has to do with neurotransmitters. From the first sip, alcohol sends our brain chemistry into disarray, altering the delicate balance of neurochemicals in charge of impulse control and mood regulation. Here’s the gist:
Although the effects of alcohol on our brain chemistry kick in right away, over time the situation gets more and more complex. The brain gets used to the “new normal” and can lead to more pronounced long-term changes in our personality (read: our alter ego sets up camp and can become a permanent fixture). (For more information, check out “How Alcohol Affects the Brain: A Look Into the Science” and “Alcohol and Emotions: How Alcohol Plays with Your Feelings.”)
By acting as a central nervous system depressant, alcohol also takes our prefrontal cortex — the hub of logic, and reasoning — temporarily “offline.” Without our decision-making powerhouse running the show, we have less control over our behavior and are more prone to impulsivity and aggression.
In other words, we’re likely to do things — including giving others an earful as soon as we feel irked — without thinking about the potential fallout. We might also misread social cues and lash out in response to perceived slights, non-existent threats, or frustrations.
The past has a sneaky way of making a less-than-pleasant appearance when we’re drinking. It might be something small that nagged us recently — the way our partner never makes the bed or the way our mother-in-law said the paella we tried to impress her with needed more salt. On the other hand, something deeper and more traumatic could also resurface: we might be dealing with unresolved trauma, an illness of a close relative, or financial problems. Either way, mixing any type of psychological “baggage” with booze is trouble waiting to happen — our anger is that much more likely to erupt if there’s already trouble brewing in the background.
In a similar way, our present surroundings can play a role. If we hang out with people who throw digs at each other (or at us) or normalize alcohol-induced aggression, it’s more likely to make an appearance. Perhaps our friends play it off as funny, or maybe they downplay it due to their own insecurities — whatever the reason is, if our environment makes our “inner Timmy” feel welcome, he’s more likely to show up.
While alcohol can induce rage, sometimes the tables are switched: we might also crave alcohol when we’re already angry. Why? The answer has to do with the nature of all cravings — they’re misguided attempts to feel better in the moment by silencing an emotion or external circumstance we don’t want to experience. The problem is, when booze becomes the answer, it backfires — big time. (To dive into the details, check out “Why Do I Crave Alcohol When I'm Angry?”)
Symptoms of alcoholic rage syndrome run the gamut from verbal tiffs to outright violence. Here’s an overview:
Now that we know what alcoholic rage syndrome is, can we do anything about it? In other words, can we make our inner “Sammy” or “Jimmy” (or whatever name your boozy alter-ego might have) stay away for good? Absolutely.
If you do decide to take a break from booze, know that you’re in for a treat. In addition to helping your relationships, a life with less alcohol will leave you healthier and happier in a myriad different ways: your sleep will improve, your heart and liver will heal, you’ll find yourself getting sick less frequently, and you might even lose weight. And that’s just the beginning! If you need help starting, Reframe is here to help with science-backed strategies and tools to make the journey easy and fun.
Does alcohol make you tell the truth? Science says not really. Plus, more people than ever are lying about drinking itself. Learn more in our latest blog!
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!
The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.
Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol.
And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).
The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today!
There’s an episode of Seinfeld that opens with a bit Jerry does about medical tests and our all-too-common urge to “do well”:
“Remember in school, they'd do hearing tests? And you'd really be listening, you know … Trying to do well … I wanted to do unbelievable on that hearing test. I wanted them to come to me after the hearing test and go: ‘We think you may have something close to super hearing. We're sending the results to Washington. We'd like you to meet the president.’"
Unfortunately, this urge to “do well” can come at a hefty price when it comes to lying about our drinking habits. Imagine you’re at the doctor’s office for an annual physical. You know that question is coming … on an average week, how much do you drink? You do a quick tally in your head and respond, “five, maybe six drinks?” But it’s actually 10. Or 15. Or maybe even a lot more.
There are lots of reasons for being less than truthful. Maybe you counted that restaurant “glass” of wine as one drink when it’s actually 2 and a half. Maybe you’re embarrassed to give the actual number. Maybe you’ve simply lost track.
Whatever the case may be, the question is important and leads to the larger topic of alcohol and telling (or not telling) the truth. Does alcohol make you tell the truth when you’re under the influence? Or does it actually do the opposite? And what about lying about drinking — why does it seem to be so common?
Do people tell the truth when drunk? Many people would probably say yes. After all, loosening up and getting chatty (sometimes a bit too chatty) is a classic effect of booze.
Alcohol is often seen as the ultimate “truth serum.” Another Seinfeld episode illustrates this: Elaine and the peach Schnapps, which (apparently without her consent) makes her “tell the truth.” Given how prone most Seinfeld characters are to fibbing (whether under the influence or not), the effect is quite dramatic. Relationships are strained, a destination wedding erupts in a fist fight, and the characters return with physical injuries on top of nasty hangovers. And, of course, it’s all very funny — at least on TV.
In reality, however, things get more serious. Alcohol affects the brain in a number of ways, and our truth-telling abilities get affected in the process. Here’s the gist.
So does alcohol make you tell the truth? As we can see, the answer depends on what we mean by “truth.” By temporarily messing with the brain’s self-regulating properties, it prevents us from hitting the brakes when it comes to oversharing. However, it also skews the content of what we’re sharing in the first place, distorting the accuracy of our stories.
But what about lying about drinking itself? Do people do it? Oh, yes. You bet they do. According to an American Addiction Centers survey that asked 3,000 Americans if they tell their doctors the truth about their drinking, around 1 in 5 (21%) admitted to telling an occasional (or not-so-occasional) fib. Men were a bit more likely to lie, making up 60% of the fibbers.
It’s worth noting that doctors can usually tell if we bend the truth. For example, as Ohio physician Amber Tully told The Huffington Post, there are other indicators of drinking: “For instance, triglycerides might be high in someone who drinks a lot, or I could see certain elevated enzymes if I’m testing liver function. High blood pressure in someone with no other risk factors might clue me into excessive drinking.”
The body keeps score, as they say.
We’re not helping ourselves by lying to the physician who is there to help us. If you’re thinking, “What’s the harm in bending the truth a little,” well, there are quite a few reasons.
So why do people do it, especially in an ultra-private (HIPAA-protected) context? Especially one where the stakes — our health — are some of the highest?
The distortion of reality we just talked about is only part of the reason. There are other issues at play. Let's explore!
Let’s start by giving ourselves the benefit of the doubt. Maybe we made an honest mistake! After all, it can be difficult to count those drinks (or count anything, for that matter) once we get going.
Moreover, we might be confused about what “counts” as a drink in the first place. Picture a “glass of wine,” for instance. In the U.S., a “standard drink” (or one “unit”) is defined as 14 grams of pure alcohol.
For wine, this adds up to a 5 oz. serving, or one “glass.” However, anything from a thimble to a pitcher could technically be called a “glass.” And, of course, the amount of alcohol units inside doesn’t automatically adjust to the name of the drinkware we use to put it in: just because it fits in one glass doesn’t mean it’s “one drink.” You know those jumbo-sized ones at restaurants? They can easily hold two or more. (To learn more, check out “Alcohol Units.”)
Further down the “innocence scale,” there’s denial.
The truth is, alcohol is addictive. By releasing a cocktail (pardon the pun) of pleasure-inducing neurotransmitters such as dopamine, alcohol hijacks the brain’s reward system, making us come back for more. Over time, our drinking can slide into misuse and, eventually dependence — we feel as if we “need” alcohol to feel normal and might experience withdrawal symptoms if we attempt to stop.
This gradual slip into alcohol misuse might go unnoticed for a time, but it’s likely that, at a certain point, we’ll start questioning our habits and worrying about the health consequences. At the same time, the addictive pull of booze makes it difficult to let go or cut back.
The result is cognitive dissonance: we want something more and more, all the while wishing we didn’t want it. Since cognitive dissonance is a stressful state to be in, the brain “mutes” one of the competing voices to stop the mental struggle. In other words, we start to side with our own “preferred” version of reality (or, to put it bluntly, we believe our own lies).
Eventually, we come to the point where denial doesn’t quite hold up anymore. As much as we’d like to keep believing our own version of reality, we simply can’t anymore. At this point, we’re likely to feel ashamed.
The silver lining? Shame can also be the way out. Let’s see how it can help us get out of the trap set by alcohol as we explore the way back to the truth. (For more information, check out “Regret and Shame: Harnessing Their Power in Your Journey.”)
Before you start feeling hopeless with all this talk of lies, shame, and regret — relax. We’ve got great news for you! Just as we can lose touch with our authentic selves when alcohol is in the picture, we can find our way back.
If you commit to being honest with yourself about your drinking habits, the rest of the pieces will fall into place. It’s never too late, and in time you can rediscover a version of yourself that’s happier and healthier than the one looking back at you in the mirror today.
The most exciting part? There are no limits here. Many find that once they start their journey of self-discovery, the result is a level of well-being they’ve never experienced before, with, or without alcohol. Challenges help us grow into versions of ourselves that surpass our own expectations.
And those healthy habits truly do add up. As Gretchen Rubin writes in Better Than Before: Mastering the Habits of Our Everyday Lives, “Habits are the invisible architecture of daily life. We repeat about 40 percent of our behavior almost daily, so our habits shape our existence, and our future. If we change our habits, we change our lives.”
There’s an episode of Seinfeld that opens with a bit Jerry does about medical tests and our all-too-common urge to “do well”:
“Remember in school, they'd do hearing tests? And you'd really be listening, you know … Trying to do well … I wanted to do unbelievable on that hearing test. I wanted them to come to me after the hearing test and go: ‘We think you may have something close to super hearing. We're sending the results to Washington. We'd like you to meet the president.’"
Unfortunately, this urge to “do well” can come at a hefty price when it comes to lying about our drinking habits. Imagine you’re at the doctor’s office for an annual physical. You know that question is coming … on an average week, how much do you drink? You do a quick tally in your head and respond, “five, maybe six drinks?” But it’s actually 10. Or 15. Or maybe even a lot more.
There are lots of reasons for being less than truthful. Maybe you counted that restaurant “glass” of wine as one drink when it’s actually 2 and a half. Maybe you’re embarrassed to give the actual number. Maybe you’ve simply lost track.
Whatever the case may be, the question is important and leads to the larger topic of alcohol and telling (or not telling) the truth. Does alcohol make you tell the truth when you’re under the influence? Or does it actually do the opposite? And what about lying about drinking — why does it seem to be so common?
Do people tell the truth when drunk? Many people would probably say yes. After all, loosening up and getting chatty (sometimes a bit too chatty) is a classic effect of booze.
Alcohol is often seen as the ultimate “truth serum.” Another Seinfeld episode illustrates this: Elaine and the peach Schnapps, which (apparently without her consent) makes her “tell the truth.” Given how prone most Seinfeld characters are to fibbing (whether under the influence or not), the effect is quite dramatic. Relationships are strained, a destination wedding erupts in a fist fight, and the characters return with physical injuries on top of nasty hangovers. And, of course, it’s all very funny — at least on TV.
In reality, however, things get more serious. Alcohol affects the brain in a number of ways, and our truth-telling abilities get affected in the process. Here’s the gist.
So does alcohol make you tell the truth? As we can see, the answer depends on what we mean by “truth.” By temporarily messing with the brain’s self-regulating properties, it prevents us from hitting the brakes when it comes to oversharing. However, it also skews the content of what we’re sharing in the first place, distorting the accuracy of our stories.
But what about lying about drinking itself? Do people do it? Oh, yes. You bet they do. According to an American Addiction Centers survey that asked 3,000 Americans if they tell their doctors the truth about their drinking, around 1 in 5 (21%) admitted to telling an occasional (or not-so-occasional) fib. Men were a bit more likely to lie, making up 60% of the fibbers.
It’s worth noting that doctors can usually tell if we bend the truth. For example, as Ohio physician Amber Tully told The Huffington Post, there are other indicators of drinking: “For instance, triglycerides might be high in someone who drinks a lot, or I could see certain elevated enzymes if I’m testing liver function. High blood pressure in someone with no other risk factors might clue me into excessive drinking.”
The body keeps score, as they say.
We’re not helping ourselves by lying to the physician who is there to help us. If you’re thinking, “What’s the harm in bending the truth a little,” well, there are quite a few reasons.
So why do people do it, especially in an ultra-private (HIPAA-protected) context? Especially one where the stakes — our health — are some of the highest?
The distortion of reality we just talked about is only part of the reason. There are other issues at play. Let's explore!
Let’s start by giving ourselves the benefit of the doubt. Maybe we made an honest mistake! After all, it can be difficult to count those drinks (or count anything, for that matter) once we get going.
Moreover, we might be confused about what “counts” as a drink in the first place. Picture a “glass of wine,” for instance. In the U.S., a “standard drink” (or one “unit”) is defined as 14 grams of pure alcohol.
For wine, this adds up to a 5 oz. serving, or one “glass.” However, anything from a thimble to a pitcher could technically be called a “glass.” And, of course, the amount of alcohol units inside doesn’t automatically adjust to the name of the drinkware we use to put it in: just because it fits in one glass doesn’t mean it’s “one drink.” You know those jumbo-sized ones at restaurants? They can easily hold two or more. (To learn more, check out “Alcohol Units.”)
Further down the “innocence scale,” there’s denial.
The truth is, alcohol is addictive. By releasing a cocktail (pardon the pun) of pleasure-inducing neurotransmitters such as dopamine, alcohol hijacks the brain’s reward system, making us come back for more. Over time, our drinking can slide into misuse and, eventually dependence — we feel as if we “need” alcohol to feel normal and might experience withdrawal symptoms if we attempt to stop.
This gradual slip into alcohol misuse might go unnoticed for a time, but it’s likely that, at a certain point, we’ll start questioning our habits and worrying about the health consequences. At the same time, the addictive pull of booze makes it difficult to let go or cut back.
The result is cognitive dissonance: we want something more and more, all the while wishing we didn’t want it. Since cognitive dissonance is a stressful state to be in, the brain “mutes” one of the competing voices to stop the mental struggle. In other words, we start to side with our own “preferred” version of reality (or, to put it bluntly, we believe our own lies).
Eventually, we come to the point where denial doesn’t quite hold up anymore. As much as we’d like to keep believing our own version of reality, we simply can’t anymore. At this point, we’re likely to feel ashamed.
The silver lining? Shame can also be the way out. Let’s see how it can help us get out of the trap set by alcohol as we explore the way back to the truth. (For more information, check out “Regret and Shame: Harnessing Their Power in Your Journey.”)
Before you start feeling hopeless with all this talk of lies, shame, and regret — relax. We’ve got great news for you! Just as we can lose touch with our authentic selves when alcohol is in the picture, we can find our way back.
If you commit to being honest with yourself about your drinking habits, the rest of the pieces will fall into place. It’s never too late, and in time you can rediscover a version of yourself that’s happier and healthier than the one looking back at you in the mirror today.
The most exciting part? There are no limits here. Many find that once they start their journey of self-discovery, the result is a level of well-being they’ve never experienced before, with, or without alcohol. Challenges help us grow into versions of ourselves that surpass our own expectations.
And those healthy habits truly do add up. As Gretchen Rubin writes in Better Than Before: Mastering the Habits of Our Everyday Lives, “Habits are the invisible architecture of daily life. We repeat about 40 percent of our behavior almost daily, so our habits shape our existence, and our future. If we change our habits, we change our lives.”
Explore the profound effects of alcohol on self-perception and self-worth, including its impact on confidence, identity, and emotional well-being, and strategies to mitigate these effects.
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!
The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.
Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol.
And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).
The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!
Alcohol consumption has pervasive effects on both our physical health and our psychological well-being. However, one of the most profound impacts it has is on our self-perception and self-worth. Understanding these effects is crucial for anyone looking to build healthier drinking habits and reframe their relationship with alcohol. This article explores the psychological and emotional effects of alcohol, focusing on how it influences self-perception and self-worth.
Self-perception is essentially how we see ourselves, and it is a fundamental aspect of our mental health. Alcohol has a significant impact on self-perception in various ways:
Self-worth, or self-esteem, is our overall sense of value or worth as a person. Alcohol can have a detrimental impact on this aspect of mental health:
Understanding the impact of alcohol on self-perception and self-worth can be further illuminated through Carol Ryff’s Six-Factor Model of Psychological Well-Being. This model identifies six dimensions that contribute to overall mental health:
Reclaiming self-perception and self-worth from the clutches of alcohol is possible. According to the article How To Take Back Your Power From Alcohol, there are several strategies to regain control:
It’s also important to differentiate between self-esteem and self-confidence. The article Self-Esteem vs. Self-Confidence: How Are They Different? explains that self-esteem is about overall self-worth, while self-confidence is about trust in one’s abilities. Alcohol might temporarily boost self-confidence but often at the expense of long-term self-esteem.
The impact of alcohol on self-perception and self-worth is profound and multifaceted. Understanding these effects is crucial for anyone looking to build healthier drinking habits and reframe their relationship with alcohol. By focusing on the dimensions of psychological well-being, breaking the cycle of dependence, and employing strategies to build self-esteem and self-worth, it is possible to regain control and lead a fulfilling life.
Alcohol consumption has pervasive effects on both our physical health and our psychological well-being. However, one of the most profound impacts it has is on our self-perception and self-worth. Understanding these effects is crucial for anyone looking to build healthier drinking habits and reframe their relationship with alcohol. This article explores the psychological and emotional effects of alcohol, focusing on how it influences self-perception and self-worth.
Self-perception is essentially how we see ourselves, and it is a fundamental aspect of our mental health. Alcohol has a significant impact on self-perception in various ways:
Self-worth, or self-esteem, is our overall sense of value or worth as a person. Alcohol can have a detrimental impact on this aspect of mental health:
Understanding the impact of alcohol on self-perception and self-worth can be further illuminated through Carol Ryff’s Six-Factor Model of Psychological Well-Being. This model identifies six dimensions that contribute to overall mental health:
Reclaiming self-perception and self-worth from the clutches of alcohol is possible. According to the article How To Take Back Your Power From Alcohol, there are several strategies to regain control:
It’s also important to differentiate between self-esteem and self-confidence. The article Self-Esteem vs. Self-Confidence: How Are They Different? explains that self-esteem is about overall self-worth, while self-confidence is about trust in one’s abilities. Alcohol might temporarily boost self-confidence but often at the expense of long-term self-esteem.
The impact of alcohol on self-perception and self-worth is profound and multifaceted. Understanding these effects is crucial for anyone looking to build healthier drinking habits and reframe their relationship with alcohol. By focusing on the dimensions of psychological well-being, breaking the cycle of dependence, and employing strategies to build self-esteem and self-worth, it is possible to regain control and lead a fulfilling life.
Explore how family relationships and history shape drinking habits, highlighting the roles of parental influence, family dynamics, and genetic predispositions, and offering strategies for healthier drinking behaviors.
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!
The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.
Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol.
And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).
The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!
Understanding the intricate web of factors that influence drinking habits is essential in addressing alcohol misuse and developing healthier drinking behaviors. One of the most significant influences comes from family relationships and history. This article delves into how family dynamics and history can shape an individual's relationship with alcohol, and offers insights into fostering healthier drinking habits.
Family relationships play a pivotal role in shaping an individual’s attitudes and behaviors towards alcohol. The impact can be both direct and indirect, influencing drinking habits through various mechanisms:
Parents serve as primary role models for their children. The way parents handle alcohol significantly affects their children's attitudes towards drinking. For instance, children of parents who drink responsibly are more likely to develop moderate drinking habits. Conversely, children who grow up in households where alcohol misuse is prevalent may adopt similar behaviors.
As discussed in How Parents' Drinking Habits Affect Their Kids, children of parents who misuse alcohol often face emotional and psychological challenges, including trust issues and low self-esteem. These children might internalize these issues and turn to alcohol as a coping mechanism.
Growing up in a household with alcohol misuse can lead to long-lasting emotional and psychological effects. Children in such environments may experience neglect, emotional abuse, and inconsistent parenting, which can contribute to the development of unhealthy drinking habits later in life. The emotional turmoil and instability can push individuals towards alcohol as a means to escape or cope with their feelings.
The overall family dynamic and communication patterns also play a crucial role. In families where open communication about alcohol and its effects is encouraged, children are more likely to develop a healthy relationship with alcohol. On the other hand, in families where alcohol is a taboo subject, children might lack the information and support needed to understand and manage their drinking habits effectively.
Family history, particularly the presence of alcohol use disorder (AUD) in close relatives, is a significant risk factor for developing similar issues. Genetics and environmental factors combine to influence drinking behaviors.
Research has shown that genetics can account for about 50% of the risk of developing AUD. If a parent or close relative struggles with alcohol misuse, the likelihood of an individual developing similar issues increases. This genetic predisposition means that some people are more vulnerable to the effects of alcohol and may develop dependence more quickly.
Apart from genetics, learned behaviors play a critical role. Children often mimic their parents' coping mechanisms. If they observe their parents using alcohol to deal with stress, anxiety, or other emotional issues, they might adopt the same approach. This learned behavior can perpetuate a cycle of alcohol misuse across generations.
In the article Understanding Alcoholism's Impact on Families: How To Help, it is highlighted that the emotional and psychological toll on family members can lead to long-term issues, including fear, anxiety, and difficulties in forming healthy relationships. These factors can contribute to the development of unhealthy drinking habits.
Understanding the impact of family relationships and history on drinking habits is the first step towards breaking the cycle of alcohol misuse. Here are some strategies to foster healthier drinking behaviors:
Encouraging open communication about alcohol and its effects within the family can help demystify the subject and provide children with the knowledge they need to make informed decisions. Education about the risks associated with alcohol misuse and the importance of moderation can empower individuals to develop healthier drinking habits.
For families struggling with alcohol misuse, seeking professional help can be crucial. Therapy and counseling can address underlying emotional and psychological issues, providing family members with the tools they need to cope in healthier ways. Family therapy can also help improve communication and strengthen relationships, creating a supportive environment for recovery.
Developing and promoting healthy coping mechanisms is essential in preventing alcohol misuse. Encouraging activities such as exercise, meditation, and hobbies can provide alternative ways to deal with stress and emotional challenges. Teaching children and adolescents healthy ways to cope with life's difficulties can reduce their reliance on alcohol as a coping tool.
Support groups like Al-Anon and Alateen offer support to family members affected by someone else's drinking. These groups provide a safe space to share experiences, gain insights, and find support from others facing similar challenges. Engaging with such resources can help family members navigate the complexities of alcohol misuse and its impact on their lives.
Family relationships and history significantly influence drinking habits. Understanding these influences is crucial in developing strategies to promote healthier drinking behaviors. By fostering open communication, seeking professional help, building healthy coping mechanisms, and utilizing support groups, individuals and families can break the cycle of alcohol misuse and build a healthier future.
By exploring these related articles, you can gain a deeper understanding of the various factors influencing drinking habits and find additional strategies to support healthier drinking behaviors.
Understanding the intricate web of factors that influence drinking habits is essential in addressing alcohol misuse and developing healthier drinking behaviors. One of the most significant influences comes from family relationships and history. This article delves into how family dynamics and history can shape an individual's relationship with alcohol, and offers insights into fostering healthier drinking habits.
Family relationships play a pivotal role in shaping an individual’s attitudes and behaviors towards alcohol. The impact can be both direct and indirect, influencing drinking habits through various mechanisms:
Parents serve as primary role models for their children. The way parents handle alcohol significantly affects their children's attitudes towards drinking. For instance, children of parents who drink responsibly are more likely to develop moderate drinking habits. Conversely, children who grow up in households where alcohol misuse is prevalent may adopt similar behaviors.
As discussed in How Parents' Drinking Habits Affect Their Kids, children of parents who misuse alcohol often face emotional and psychological challenges, including trust issues and low self-esteem. These children might internalize these issues and turn to alcohol as a coping mechanism.
Growing up in a household with alcohol misuse can lead to long-lasting emotional and psychological effects. Children in such environments may experience neglect, emotional abuse, and inconsistent parenting, which can contribute to the development of unhealthy drinking habits later in life. The emotional turmoil and instability can push individuals towards alcohol as a means to escape or cope with their feelings.
The overall family dynamic and communication patterns also play a crucial role. In families where open communication about alcohol and its effects is encouraged, children are more likely to develop a healthy relationship with alcohol. On the other hand, in families where alcohol is a taboo subject, children might lack the information and support needed to understand and manage their drinking habits effectively.
Family history, particularly the presence of alcohol use disorder (AUD) in close relatives, is a significant risk factor for developing similar issues. Genetics and environmental factors combine to influence drinking behaviors.
Research has shown that genetics can account for about 50% of the risk of developing AUD. If a parent or close relative struggles with alcohol misuse, the likelihood of an individual developing similar issues increases. This genetic predisposition means that some people are more vulnerable to the effects of alcohol and may develop dependence more quickly.
Apart from genetics, learned behaviors play a critical role. Children often mimic their parents' coping mechanisms. If they observe their parents using alcohol to deal with stress, anxiety, or other emotional issues, they might adopt the same approach. This learned behavior can perpetuate a cycle of alcohol misuse across generations.
In the article Understanding Alcoholism's Impact on Families: How To Help, it is highlighted that the emotional and psychological toll on family members can lead to long-term issues, including fear, anxiety, and difficulties in forming healthy relationships. These factors can contribute to the development of unhealthy drinking habits.
Understanding the impact of family relationships and history on drinking habits is the first step towards breaking the cycle of alcohol misuse. Here are some strategies to foster healthier drinking behaviors:
Encouraging open communication about alcohol and its effects within the family can help demystify the subject and provide children with the knowledge they need to make informed decisions. Education about the risks associated with alcohol misuse and the importance of moderation can empower individuals to develop healthier drinking habits.
For families struggling with alcohol misuse, seeking professional help can be crucial. Therapy and counseling can address underlying emotional and psychological issues, providing family members with the tools they need to cope in healthier ways. Family therapy can also help improve communication and strengthen relationships, creating a supportive environment for recovery.
Developing and promoting healthy coping mechanisms is essential in preventing alcohol misuse. Encouraging activities such as exercise, meditation, and hobbies can provide alternative ways to deal with stress and emotional challenges. Teaching children and adolescents healthy ways to cope with life's difficulties can reduce their reliance on alcohol as a coping tool.
Support groups like Al-Anon and Alateen offer support to family members affected by someone else's drinking. These groups provide a safe space to share experiences, gain insights, and find support from others facing similar challenges. Engaging with such resources can help family members navigate the complexities of alcohol misuse and its impact on their lives.
Family relationships and history significantly influence drinking habits. Understanding these influences is crucial in developing strategies to promote healthier drinking behaviors. By fostering open communication, seeking professional help, building healthy coping mechanisms, and utilizing support groups, individuals and families can break the cycle of alcohol misuse and build a healthier future.
By exploring these related articles, you can gain a deeper understanding of the various factors influencing drinking habits and find additional strategies to support healthier drinking behaviors.
PTSD is a mental health disorder that is complicated by alcohol misuse. The consequences of combining alcohol and PTSD can lead to panic attacks and a worsening of symptoms.
PTSD can be a disabling condition, and, when combined with alcohol, it generally becomes worse. Whether you’re looking for assistance with PTSD symptoms, anxiety, alcohol-related issues, or simply seeking a path to better wellness, Reframe is a great place to start.
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with science-backed knowledge to empower you 100% of the way. Our proven program has helped millions worldwide 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 thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also be able 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 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!
For many of us, waking up on a workday morning is generally not the highlight of our day. Still, we pull ourselves together, grab a coffee, and head out (or head to our home office), even if we do it begrudgingly. And that’s the way it goes! However, this is not the case for all of us.
Imagine waking up every morning with the weight of yesterday's nightmares on our mind. Worse yet, every routine task, whether a trip to the grocery store or a simple phone call, becomes a potential trigger for past traumas.
Unfortunately, some of us don’t have to imagine this scenario. Struggles like these are the reality for those of us living with post-traumatic stress disorder (PTSD). It’s a condition in which life becomes a daily struggle to find a semblance of stability in the midst of persisting traumatic memories.
Let’s delve into the challenging aspects of PTSD by exploring its causes, risk factors, connection to alcohol misuse, and ways of coping with it.
The American Psychiatric Association defines PTSD as a psychiatric disorder that may occur in people who experienced or witnessed one or more traumatic events. Examples of traumatic events include:
Traumatic events may be emotionally or physically harmful, or even life-threatening. The consequences of being exposed to traumatic events include mental, physical, social, and spiritual well-being effects.
Although an estimated 70% of adults in the United States will experience at least one traumatic event in their lifetime, only 20% will go on to develop PTSD. The disparity between those exposed to traumatic events and others who develop the disorder may be based on the level of trauma experienced or possibly the stigma around seeking professional help, which hides the reality of this statistic.
Looking at the overall picture, approximately 3.6% or 9.25 million adults in the U.S. have PTSD in any given year. Women are twice as likely as men to develop the disorder, with 1 in 9 women developing PTSD at some point in their lifetime.
People who have PTSD experience a wide range of symptoms.
Flashbacks are the most common and well-known symptom of PTSD. These are more than “bad memories” — they are vivid experiences in which parts of a traumatic event are re-experienced. It may feel like the event is happening again in the moment.
Not all PTSD sufferers experience all symptoms. Furthermore, not everyone with these symptoms meets the requirements of PTSD. To better understand PTSD, the Diagnostic and Statistical Manual for Mental Disorders (DSM-V) identifies these key diagnostic criteria.
1. One or more incidents of exposure to actual or threatened death, serious injury, or sexual violence
2. One or more intrusive symptoms associated with the traumatic event, starting after the traumatic event occurred
3. Persistently avoiding triggers associated with the traumatic event
4. Negative changes in thoughts and mood associated with the traumatic event
5. Loss of interest or participation in significant activities
6. Two or more changes in arousal and reactivity associated with the traumatic event
7. The above symptoms are present for more than one month.
8. The symptoms cause distress or impairment in social, occupational, or other important areas of functioning.
9. The symptoms are not a result of the effects of a substance such as medication, alcohol, or another medical condition.
The most obvious risk factor for PTSD is exposure to a traumatic event. However, as we learned, not everyone who experiences or witnesses a traumatic event will develop PTSD. This discrepancy is primarily due to the type of trauma, the length or frequency of exposure, and the increased vulnerability of some groups of individuals. The following is a list of individuals who are more at risk for developing PTSD.
Sadly, many people with PTSD suffer in silence. Perhaps it’s the stigma or a fear that no one will understand. Unfortunately, their silence stands in the way of treatment and recovery. Recently, celebrities have stepped forward to share their stories of PTSD and raise awareness of this often debilitating condition. Lady Gaga and Prince Harry are two vocal advocates of PTSD awareness.
Those of us who drink do so for many reasons. Some of us like to drink to relax, chill out, or unwind, while others enjoy having a glass or two of wine with a meal or a beer while socializing. Still, for some, drinking alcohol serves an entirely different purpose. Some of us may consume alcohol as a coping mechanism or a form of self-medication. For those of us struggling with the distress of PTSD, alcohol can transform from a social lubricant into a temporary respite from pain.
There’s a reason everything feels a little less intense when drinking: alcohol is categorized as a depressant, meaning it slows down signals in our brain. Drinking affects our body and brain by slowing our reaction time, impairing our coordination and judgment, and generally relaxing us.
Alcohol’s feel-good effects are short-lived. The National Institute on Alcohol Abuse and Alcoholism explains this phenomenon as the brain’s attempt to quickly adjust to alcohol’s induced positive effects to maintain balance. When the buzz wears off, we may feel more restless and anxious than we did before we drank. In other words, alcohol really does more harm than good.
We just learned that excessive consumption of alcohol often has a boomerang effect on those of us who use it as a coping method or self-medication. This effect has particular relevance for anyone who struggles with PTSD.
Research on the connection between alcohol and PTSD dates back 40 years and has consistently found that alcohol use disorder (AUD) is much higher among people with PTSD diagnoses than those with no PTSD symptoms. Over the years, research on PTSD and alcohol (and PTSD and alcohol abuse, in particular) shows constant comorbidity and point sto self-medicating as a reasonable hypothesis.
For people struggling with alcohol and PTSD, it’s clear that consuming alcohol does little to help them cope; instead, it only temporarily numbs traumatic memories. In other words, the combination of PTSD and alcohol abuse is not only a poor coping mechanism, it can also be a harmful one.
The unfortunate consequence of PTSD and alcohol abuse is often a worsening of PTSD’s symptoms. We learned that one of PTSD’s symptoms is increased reactivity. In some people who drink excessively while struggling with PTSD, their increased reactivity translates into panic attacks. While panic attacks on their own are not dangerous, for someone with PTSD, they can induce intense fear, anxiety, and flashbacks.
Many people with post-traumatic stress disorder (PTSD) experience blackouts. These can also occur as a result of excessive alcohol intake. PTSD-alcohol blackouts may include intense flashbacks, or they may involve a dissociation from reality.
Other mental or physical health problems often accompany PTSD and drinking problems. According to the U.S. Department of Veterans Affairs, up to half of adults with both PTSD and drinking problems also have one or more of the following serious problems.
Without treatment for PTSD and alcohol abuse, a person can develop a destructive cycle of PTSD symptoms followed by drinking for relief of symptoms followed by increased PTSD symptoms and so on.
Current treatment strategies for the control of trauma-associated symptoms of Post Traumatic Stress Disorder (PTSD) related to alcohol misuse have recently been updated by Veterans Affairs (VA) and the Department of Defense (DoD) after over a decade of dedicated research. The most recent evidence suggests dramatic benefits from the use of trauma-focused therapies:
Drug treatment options are an evidence-based supplement to therapy, but neither of these work on their own. Common drugs prescribed to treat PTSD include antidepressants, anxiolytics, and antipsychotics. Evidence suggests particularly strong benefits from sertraline (Zoloft), paroxetine (Paxil), and venlafaxine (Effexor).
Dealing with PTSD symptoms can be a struggle. Healthy coping mechanisms offer a lifeline through alternative paths to relief of PTSD symptoms. From mindfulness practices to therapeutic interventions, the journey toward healing involves reclaiming the semblance of normalcy that trauma seeks to unravel.
1. Mindful journaling. Create a daily journal to explore and express your emotions. Use prompts to delve into both positive and challenging experiences. This practice fosters self-awareness, allowing you to identify triggers and feelings that may contribute to alcohol misuse.
2. Strong support systems. Connect with friends, family, or support groups who understand the complexities of PTSD and alcohol misuse. Share your journey, lean on others for support, and let them be a guiding light during challenging times.
3. Quitting or cutting back on alcohol. If you choose to consume alcohol, do so mindfully. Set limits, be aware of your triggers, and recognize when it's becoming a coping mechanism. Consider exploring alcohol-free alternatives during social events.
4. Physical activity. Engage in regular physical activity, as it has proven benefits for mental health. Whether it's a brisk walk, yoga, or dance, movement can be a powerful tool in managing both PTSD symptoms and alcohol misuse.
5. Artistic expression. Explore creative outlets as a form of therapy. Whether it's painting, writing, or playing music, artistic expression can provide a channel for processing emotions and breaking free from the constraints of trauma.
6. Professional guidance. Reach out to mental health professionals specializing in trauma and addiction. They can provide personalized guidance, therapeutic interventions, and a roadmap to recovery tailored to your unique journey.
7. The Reframe app. A mindful drinking app like Reframe is an excellent supplement to the above options. Reframe offers a holistic approach to your well-being with daily readings on a variety of topics, a 24/7 forum of fellow Reframers ready to cheer you on, 1-on-1 coaching, daily Zoom meetings, courses, and challenges.
If you’re experiencing PTSD, you are not alone. There are many resources out there to help you develop coping skills so you can move forward and thrive.
If you are experiencing a mental health crisis, please dial 988 (in the United States) to be connected with mental health resources in your area. If you live outside the U.S., dial your local mental health crisis line.
For many of us, waking up on a workday morning is generally not the highlight of our day. Still, we pull ourselves together, grab a coffee, and head out (or head to our home office), even if we do it begrudgingly. And that’s the way it goes! However, this is not the case for all of us.
Imagine waking up every morning with the weight of yesterday's nightmares on our mind. Worse yet, every routine task, whether a trip to the grocery store or a simple phone call, becomes a potential trigger for past traumas.
Unfortunately, some of us don’t have to imagine this scenario. Struggles like these are the reality for those of us living with post-traumatic stress disorder (PTSD). It’s a condition in which life becomes a daily struggle to find a semblance of stability in the midst of persisting traumatic memories.
Let’s delve into the challenging aspects of PTSD by exploring its causes, risk factors, connection to alcohol misuse, and ways of coping with it.
The American Psychiatric Association defines PTSD as a psychiatric disorder that may occur in people who experienced or witnessed one or more traumatic events. Examples of traumatic events include:
Traumatic events may be emotionally or physically harmful, or even life-threatening. The consequences of being exposed to traumatic events include mental, physical, social, and spiritual well-being effects.
Although an estimated 70% of adults in the United States will experience at least one traumatic event in their lifetime, only 20% will go on to develop PTSD. The disparity between those exposed to traumatic events and others who develop the disorder may be based on the level of trauma experienced or possibly the stigma around seeking professional help, which hides the reality of this statistic.
Looking at the overall picture, approximately 3.6% or 9.25 million adults in the U.S. have PTSD in any given year. Women are twice as likely as men to develop the disorder, with 1 in 9 women developing PTSD at some point in their lifetime.
People who have PTSD experience a wide range of symptoms.
Flashbacks are the most common and well-known symptom of PTSD. These are more than “bad memories” — they are vivid experiences in which parts of a traumatic event are re-experienced. It may feel like the event is happening again in the moment.
Not all PTSD sufferers experience all symptoms. Furthermore, not everyone with these symptoms meets the requirements of PTSD. To better understand PTSD, the Diagnostic and Statistical Manual for Mental Disorders (DSM-V) identifies these key diagnostic criteria.
1. One or more incidents of exposure to actual or threatened death, serious injury, or sexual violence
2. One or more intrusive symptoms associated with the traumatic event, starting after the traumatic event occurred
3. Persistently avoiding triggers associated with the traumatic event
4. Negative changes in thoughts and mood associated with the traumatic event
5. Loss of interest or participation in significant activities
6. Two or more changes in arousal and reactivity associated with the traumatic event
7. The above symptoms are present for more than one month.
8. The symptoms cause distress or impairment in social, occupational, or other important areas of functioning.
9. The symptoms are not a result of the effects of a substance such as medication, alcohol, or another medical condition.
The most obvious risk factor for PTSD is exposure to a traumatic event. However, as we learned, not everyone who experiences or witnesses a traumatic event will develop PTSD. This discrepancy is primarily due to the type of trauma, the length or frequency of exposure, and the increased vulnerability of some groups of individuals. The following is a list of individuals who are more at risk for developing PTSD.
Sadly, many people with PTSD suffer in silence. Perhaps it’s the stigma or a fear that no one will understand. Unfortunately, their silence stands in the way of treatment and recovery. Recently, celebrities have stepped forward to share their stories of PTSD and raise awareness of this often debilitating condition. Lady Gaga and Prince Harry are two vocal advocates of PTSD awareness.
Those of us who drink do so for many reasons. Some of us like to drink to relax, chill out, or unwind, while others enjoy having a glass or two of wine with a meal or a beer while socializing. Still, for some, drinking alcohol serves an entirely different purpose. Some of us may consume alcohol as a coping mechanism or a form of self-medication. For those of us struggling with the distress of PTSD, alcohol can transform from a social lubricant into a temporary respite from pain.
There’s a reason everything feels a little less intense when drinking: alcohol is categorized as a depressant, meaning it slows down signals in our brain. Drinking affects our body and brain by slowing our reaction time, impairing our coordination and judgment, and generally relaxing us.
Alcohol’s feel-good effects are short-lived. The National Institute on Alcohol Abuse and Alcoholism explains this phenomenon as the brain’s attempt to quickly adjust to alcohol’s induced positive effects to maintain balance. When the buzz wears off, we may feel more restless and anxious than we did before we drank. In other words, alcohol really does more harm than good.
We just learned that excessive consumption of alcohol often has a boomerang effect on those of us who use it as a coping method or self-medication. This effect has particular relevance for anyone who struggles with PTSD.
Research on the connection between alcohol and PTSD dates back 40 years and has consistently found that alcohol use disorder (AUD) is much higher among people with PTSD diagnoses than those with no PTSD symptoms. Over the years, research on PTSD and alcohol (and PTSD and alcohol abuse, in particular) shows constant comorbidity and point sto self-medicating as a reasonable hypothesis.
For people struggling with alcohol and PTSD, it’s clear that consuming alcohol does little to help them cope; instead, it only temporarily numbs traumatic memories. In other words, the combination of PTSD and alcohol abuse is not only a poor coping mechanism, it can also be a harmful one.
The unfortunate consequence of PTSD and alcohol abuse is often a worsening of PTSD’s symptoms. We learned that one of PTSD’s symptoms is increased reactivity. In some people who drink excessively while struggling with PTSD, their increased reactivity translates into panic attacks. While panic attacks on their own are not dangerous, for someone with PTSD, they can induce intense fear, anxiety, and flashbacks.
Many people with post-traumatic stress disorder (PTSD) experience blackouts. These can also occur as a result of excessive alcohol intake. PTSD-alcohol blackouts may include intense flashbacks, or they may involve a dissociation from reality.
Other mental or physical health problems often accompany PTSD and drinking problems. According to the U.S. Department of Veterans Affairs, up to half of adults with both PTSD and drinking problems also have one or more of the following serious problems.
Without treatment for PTSD and alcohol abuse, a person can develop a destructive cycle of PTSD symptoms followed by drinking for relief of symptoms followed by increased PTSD symptoms and so on.
Current treatment strategies for the control of trauma-associated symptoms of Post Traumatic Stress Disorder (PTSD) related to alcohol misuse have recently been updated by Veterans Affairs (VA) and the Department of Defense (DoD) after over a decade of dedicated research. The most recent evidence suggests dramatic benefits from the use of trauma-focused therapies:
Drug treatment options are an evidence-based supplement to therapy, but neither of these work on their own. Common drugs prescribed to treat PTSD include antidepressants, anxiolytics, and antipsychotics. Evidence suggests particularly strong benefits from sertraline (Zoloft), paroxetine (Paxil), and venlafaxine (Effexor).
Dealing with PTSD symptoms can be a struggle. Healthy coping mechanisms offer a lifeline through alternative paths to relief of PTSD symptoms. From mindfulness practices to therapeutic interventions, the journey toward healing involves reclaiming the semblance of normalcy that trauma seeks to unravel.
1. Mindful journaling. Create a daily journal to explore and express your emotions. Use prompts to delve into both positive and challenging experiences. This practice fosters self-awareness, allowing you to identify triggers and feelings that may contribute to alcohol misuse.
2. Strong support systems. Connect with friends, family, or support groups who understand the complexities of PTSD and alcohol misuse. Share your journey, lean on others for support, and let them be a guiding light during challenging times.
3. Quitting or cutting back on alcohol. If you choose to consume alcohol, do so mindfully. Set limits, be aware of your triggers, and recognize when it's becoming a coping mechanism. Consider exploring alcohol-free alternatives during social events.
4. Physical activity. Engage in regular physical activity, as it has proven benefits for mental health. Whether it's a brisk walk, yoga, or dance, movement can be a powerful tool in managing both PTSD symptoms and alcohol misuse.
5. Artistic expression. Explore creative outlets as a form of therapy. Whether it's painting, writing, or playing music, artistic expression can provide a channel for processing emotions and breaking free from the constraints of trauma.
6. Professional guidance. Reach out to mental health professionals specializing in trauma and addiction. They can provide personalized guidance, therapeutic interventions, and a roadmap to recovery tailored to your unique journey.
7. The Reframe app. A mindful drinking app like Reframe is an excellent supplement to the above options. Reframe offers a holistic approach to your well-being with daily readings on a variety of topics, a 24/7 forum of fellow Reframers ready to cheer you on, 1-on-1 coaching, daily Zoom meetings, courses, and challenges.
If you’re experiencing PTSD, you are not alone. There are many resources out there to help you develop coping skills so you can move forward and thrive.
If you are experiencing a mental health crisis, please dial 988 (in the United States) to be connected with mental health resources in your area. If you live outside the U.S., dial your local mental health crisis line.
Alcoholism in veterans is often the unfortunate fallout of PTSD. What’s the science behind the connection? And is there a way out? Find out more in our latest blog!
Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!
The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.
Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol.
And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).
The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today!
“There’s a group of people coming to kill all of us right now.” In his talk about dealing with PTSD after his 2009 tour in Afghanistan, Brandon talks about the terrifying realization he had during his first days of combat. The experience left him with the kind of emotional turmoil that makes everyday situations trigger intense outbursts.
Brandon’s story is, unfortunately, all too common among the ranks of veterans. And often it leads to substance abuse. What is the link between veterans and alcoholism? And is alcoholism a VA disability? Let’s find out more.
Most of us can’t imagine the horrors of war. But for thousands of veterans, the sights and sounds of extreme fear, pain, and death were once an everyday reality. Understandably, it leaves wounds — physical ones, but invisible ones as well.
The roots of veteran alcohol abuse are often connected to the trauma left behind after the gunshots have ceased and the dust has settled on the battlefield. Life has moved on, but something in the mind clings to the horrors of the past, trying to make sense of them.
In The Evil Hours: A Biography of Post-Traumatic Stress Disorder, David Morris writes about the devastating effects of PTSD. It can make it feel as if we’re stuck in time, unable to find our “groove” for years on end:
“Trauma destroys the fabric of time. In normal time you move from one moment to the next, sunrise to sunset, birth to death. After trauma, you may move in circles, find yourself being sucked backwards into an eddy or bouncing like a rubber ball from now to then to back again ... In the traumatic universe the basic laws of matter are suspended: ceiling fans can be helicopters, car exhaust can be mustard gas.”
In psychological terms, post-traumatic stress disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a traumatic event. It can have many causes and can manifest in different ways, often leading to alcoholism in veterans and others who experience it.
As New York Times columnist David Brooks writes in “The Moral Injury,”
“People generally don’t suffer high rates of PTSD after natural disasters. Instead, people suffer from PTSD after moral atrocities. Soldiers who’ve endured the depraved world of combat experience their own symptoms. Trauma is an expulsive cataclysm of the soul.”
For veterans, traumatic experiences such as combat exposure, military sexual trauma, or the loss of comrades can trigger symptoms of PTSD.
The main feature of PTSD is that the memories persist, intruding on our daily experience of life and making it difficult to move on.
The symptoms of PTSD may include a number of psychological traits and patterns:
Research shows that alcohol use disorder (AUD) is very common in veterans. Part of the reason has to do with simple demographics: AUD is more common in males. Around 90% of veterans who receive AUD care from Veterans Affairs (VA) are male — a percentage that matches the overall gender composition of the veteran population, which is predominantly male. According to the NIH, 65% of those seeking help for substance abuse disorder(SUD) report alcohol as their “drug of choice.” However, some might be hesitant to admit to using other drugs because of the stigma or possible impact on their military careers.
As for PTSD, at least 7% of veterans are likely to experience it. However, this is probably an underestimate. If we dig deeper and look at the statistics related to recent wars, the numbers are even higher. As it turns out, 15% of veterans who participated in Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF) experienced PTSD in the last year. And 29% (almost a third!) will experience PTSD at some point in their lives. Understandably, PTSD is also 3 times more likely in veterans who were deployed (i.e. went overseas and saw combat) than those who were not.
The numbers tend to be higher among women. In 2021, there were 6 million veterans using VA care. Out of them, 10% of males and 19% of females were diagnosed with PTSD. Unfortunately, the reason has to do with the prevalence of sexual trauma that adds to the burden women often face in the military. The numbers are staggering: as many as 1 in 3 women (compared to 1 in 50 men) receiving VA services reported sexual trauma related to their time in the service.
With over 2.5 million soldiers deployed to Afghanistan or Iraq, since September 11, 2001, PTSD has been called an “epidemic” among veterans. The implications are devastating: according to the UNC School of Medicine Institute for Trauma Recovery, “1 veteran commits suicide in the U.S. every 80 minutes.”
The VA uses a system of ratings to classify combat-related disabilities. They are expressed as percentages, with higher values indicating a higher level of disability (and possible compensation).
Some of us might be wondering, what is the “PTSD with alcohol use disorder” VA rating? And is alcoholism a VA disability in the first place?
While alcoholism doesn’t “count” as a primary VA disability, its aftereffects (as well as the PTSD that might have led up to it) do. For example, if a veteran receives a 50% disability rating for PTSD, that number could go up to 70% as a result of AUD-related health effects.
Research has shown a strong association between PTSD and alcoholism in veterans. According to studies, veterans with PTSD are more likely to develop alcohol use disorder compared to those without PTSD.
The relationship between PTSD and alcoholism is complex and multifaceted, with several factors coming into play:
There’s a lot of guilt that comes with combat-related PTSD. As Brooks writes in “The Moral Injury,”
“Many veterans feel guilty because they lived while others died. Some feel ashamed because they didn’t bring all their men home and wonder what they could have done differently to save them. When they get home they wonder if there’s something wrong with them because they find war repugnant but also thrilling. They hate it and miss it. Many of their self-judgments go to extremes … The self-condemnation can be crippling.”
Added to the guilt are many other emotions, including fear, anger, and hopelessness. Intrusive memories, nightmares, and hyperarousal can make the challenge of dealing with these difficult feelings appear insurmountable.
We need coping strategies to overcome challenges as heavy as PTSD and AUD, but it’s not always obvious what we should do. Without adequate resources or access to psychological help, alcohol or drugs might seem like the easiest “quick fix.”
As a central nervous system depressant, alcohol temporarily slows down our thinking and dulls our reflexes, creating an illusion of relaxation. However, the effect is only temporary: the emotional pain and psychological distress might fade into the background for some time, but usually come back stronger once the boozy haze wears off.
As veteran Jake Wood writes in Among You: The Extraordinary True Story of a Soldier Broken By War, experiencing combat and PTSD changes something in the very biology of our emotional landscape:
“You are no longer human, with all those depths and highs and nuances of emotion that define you as a person. There is no feeling anymore, because to feel any emotion would also be to beckon the overwhelming blackness from you. My mind has now locked all this down. And without any control of this self-defense mechanism my subconscious has operated. I do not feel anymore.”
This emotional “dullness” is a classic sign of dopamine depletion, which can be a symptom of PTSD and alcoholism alike. The “feel-good chemical” is part of the brain’s reward system, which normally makes activities such as socializing, eating, or pursuing romantic interests enjoyable.
Traumatic experiences can cause neurological shifts in our reward system (as well as in our natural endorphin levels) that make it hard for us to experience joy. It makes all the more sense why alcohol — which boosts dopamine and endorphins in the short term — seems like a solution. However, over time the brain produces less of the neurochemical to rebalance itself, leading to dependence and addiction. The result? Both PTSD and alcohol misuse become further entrenched and more difficult to overcome.
Last but not least, one of the most crippling effects of living with the memories of active combat is the fact that it can be an incredibly lonely experience. Most of us haven’t experienced it directly, and while we might be able to empathize at a human level, it’s not the same. Heartbreaking as it is, our gestures of empathy are simply not enough. As veteran Jake Wood writes in Among You: The Extraordinary True Story of a Soldier Broken By War, “I feel no emotional connection to these outwardly human gestures. I am not there, because I never left Afghanistan.”
As a result, veterans can fall into a downward spiral of isolation, retreating from life rather than trying to find connection and meaning. Once alcohol is in the picture, the spiral turns into a vortex: drinking to cope with the trauma only increases the isolation, fueling addictive behavior as time goes on. (To find out more, take a look at “How Do Loneliness and Alcohol Fuel Each Other.”)
While PTSD and AUD alike can seem like an impossible trap, there’s light at the end of the tunnel. Many have made it out to the other side. That said, it takes some hard work — but it can absolutely be done! Here are some ideas to start with.
With these steps, you can start your journey to rediscovering life and redefining your place in it. And remember, Reframe is here to support you every step of the way!
In the end, it’s crucial to remember that both PTSD and AUD are medical conditions. And while it’s our responsibility to address them, it’s never our fault if we find ourselves struggling. We should never feel alone in the process — let’s not lose sight of the fact that recovery is possible, and there’s so much hope and joy waiting for us.
“There’s a group of people coming to kill all of us right now.” In his talk about dealing with PTSD after his 2009 tour in Afghanistan, Brandon talks about the terrifying realization he had during his first days of combat. The experience left him with the kind of emotional turmoil that makes everyday situations trigger intense outbursts.
Brandon’s story is, unfortunately, all too common among the ranks of veterans. And often it leads to substance abuse. What is the link between veterans and alcoholism? And is alcoholism a VA disability? Let’s find out more.
Most of us can’t imagine the horrors of war. But for thousands of veterans, the sights and sounds of extreme fear, pain, and death were once an everyday reality. Understandably, it leaves wounds — physical ones, but invisible ones as well.
The roots of veteran alcohol abuse are often connected to the trauma left behind after the gunshots have ceased and the dust has settled on the battlefield. Life has moved on, but something in the mind clings to the horrors of the past, trying to make sense of them.
In The Evil Hours: A Biography of Post-Traumatic Stress Disorder, David Morris writes about the devastating effects of PTSD. It can make it feel as if we’re stuck in time, unable to find our “groove” for years on end:
“Trauma destroys the fabric of time. In normal time you move from one moment to the next, sunrise to sunset, birth to death. After trauma, you may move in circles, find yourself being sucked backwards into an eddy or bouncing like a rubber ball from now to then to back again ... In the traumatic universe the basic laws of matter are suspended: ceiling fans can be helicopters, car exhaust can be mustard gas.”
In psychological terms, post-traumatic stress disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a traumatic event. It can have many causes and can manifest in different ways, often leading to alcoholism in veterans and others who experience it.
As New York Times columnist David Brooks writes in “The Moral Injury,”
“People generally don’t suffer high rates of PTSD after natural disasters. Instead, people suffer from PTSD after moral atrocities. Soldiers who’ve endured the depraved world of combat experience their own symptoms. Trauma is an expulsive cataclysm of the soul.”
For veterans, traumatic experiences such as combat exposure, military sexual trauma, or the loss of comrades can trigger symptoms of PTSD.
The main feature of PTSD is that the memories persist, intruding on our daily experience of life and making it difficult to move on.
The symptoms of PTSD may include a number of psychological traits and patterns:
Research shows that alcohol use disorder (AUD) is very common in veterans. Part of the reason has to do with simple demographics: AUD is more common in males. Around 90% of veterans who receive AUD care from Veterans Affairs (VA) are male — a percentage that matches the overall gender composition of the veteran population, which is predominantly male. According to the NIH, 65% of those seeking help for substance abuse disorder(SUD) report alcohol as their “drug of choice.” However, some might be hesitant to admit to using other drugs because of the stigma or possible impact on their military careers.
As for PTSD, at least 7% of veterans are likely to experience it. However, this is probably an underestimate. If we dig deeper and look at the statistics related to recent wars, the numbers are even higher. As it turns out, 15% of veterans who participated in Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF) experienced PTSD in the last year. And 29% (almost a third!) will experience PTSD at some point in their lives. Understandably, PTSD is also 3 times more likely in veterans who were deployed (i.e. went overseas and saw combat) than those who were not.
The numbers tend to be higher among women. In 2021, there were 6 million veterans using VA care. Out of them, 10% of males and 19% of females were diagnosed with PTSD. Unfortunately, the reason has to do with the prevalence of sexual trauma that adds to the burden women often face in the military. The numbers are staggering: as many as 1 in 3 women (compared to 1 in 50 men) receiving VA services reported sexual trauma related to their time in the service.
With over 2.5 million soldiers deployed to Afghanistan or Iraq, since September 11, 2001, PTSD has been called an “epidemic” among veterans. The implications are devastating: according to the UNC School of Medicine Institute for Trauma Recovery, “1 veteran commits suicide in the U.S. every 80 minutes.”
The VA uses a system of ratings to classify combat-related disabilities. They are expressed as percentages, with higher values indicating a higher level of disability (and possible compensation).
Some of us might be wondering, what is the “PTSD with alcohol use disorder” VA rating? And is alcoholism a VA disability in the first place?
While alcoholism doesn’t “count” as a primary VA disability, its aftereffects (as well as the PTSD that might have led up to it) do. For example, if a veteran receives a 50% disability rating for PTSD, that number could go up to 70% as a result of AUD-related health effects.
Research has shown a strong association between PTSD and alcoholism in veterans. According to studies, veterans with PTSD are more likely to develop alcohol use disorder compared to those without PTSD.
The relationship between PTSD and alcoholism is complex and multifaceted, with several factors coming into play:
There’s a lot of guilt that comes with combat-related PTSD. As Brooks writes in “The Moral Injury,”
“Many veterans feel guilty because they lived while others died. Some feel ashamed because they didn’t bring all their men home and wonder what they could have done differently to save them. When they get home they wonder if there’s something wrong with them because they find war repugnant but also thrilling. They hate it and miss it. Many of their self-judgments go to extremes … The self-condemnation can be crippling.”
Added to the guilt are many other emotions, including fear, anger, and hopelessness. Intrusive memories, nightmares, and hyperarousal can make the challenge of dealing with these difficult feelings appear insurmountable.
We need coping strategies to overcome challenges as heavy as PTSD and AUD, but it’s not always obvious what we should do. Without adequate resources or access to psychological help, alcohol or drugs might seem like the easiest “quick fix.”
As a central nervous system depressant, alcohol temporarily slows down our thinking and dulls our reflexes, creating an illusion of relaxation. However, the effect is only temporary: the emotional pain and psychological distress might fade into the background for some time, but usually come back stronger once the boozy haze wears off.
As veteran Jake Wood writes in Among You: The Extraordinary True Story of a Soldier Broken By War, experiencing combat and PTSD changes something in the very biology of our emotional landscape:
“You are no longer human, with all those depths and highs and nuances of emotion that define you as a person. There is no feeling anymore, because to feel any emotion would also be to beckon the overwhelming blackness from you. My mind has now locked all this down. And without any control of this self-defense mechanism my subconscious has operated. I do not feel anymore.”
This emotional “dullness” is a classic sign of dopamine depletion, which can be a symptom of PTSD and alcoholism alike. The “feel-good chemical” is part of the brain’s reward system, which normally makes activities such as socializing, eating, or pursuing romantic interests enjoyable.
Traumatic experiences can cause neurological shifts in our reward system (as well as in our natural endorphin levels) that make it hard for us to experience joy. It makes all the more sense why alcohol — which boosts dopamine and endorphins in the short term — seems like a solution. However, over time the brain produces less of the neurochemical to rebalance itself, leading to dependence and addiction. The result? Both PTSD and alcohol misuse become further entrenched and more difficult to overcome.
Last but not least, one of the most crippling effects of living with the memories of active combat is the fact that it can be an incredibly lonely experience. Most of us haven’t experienced it directly, and while we might be able to empathize at a human level, it’s not the same. Heartbreaking as it is, our gestures of empathy are simply not enough. As veteran Jake Wood writes in Among You: The Extraordinary True Story of a Soldier Broken By War, “I feel no emotional connection to these outwardly human gestures. I am not there, because I never left Afghanistan.”
As a result, veterans can fall into a downward spiral of isolation, retreating from life rather than trying to find connection and meaning. Once alcohol is in the picture, the spiral turns into a vortex: drinking to cope with the trauma only increases the isolation, fueling addictive behavior as time goes on. (To find out more, take a look at “How Do Loneliness and Alcohol Fuel Each Other.”)
While PTSD and AUD alike can seem like an impossible trap, there’s light at the end of the tunnel. Many have made it out to the other side. That said, it takes some hard work — but it can absolutely be done! Here are some ideas to start with.
With these steps, you can start your journey to rediscovering life and redefining your place in it. And remember, Reframe is here to support you every step of the way!
In the end, it’s crucial to remember that both PTSD and AUD are medical conditions. And while it’s our responsibility to address them, it’s never our fault if we find ourselves struggling. We should never feel alone in the process — let’s not lose sight of the fact that recovery is possible, and there’s so much hope and joy waiting for us.
