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2024-06-08 9:00
Alcohol and Mental Health
Alcoholism in Police Officers
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Want to know more about the link between police, alcohol abuse, and impact of trauma? Our latest blog dives into the details of law enforcement substance abuse statistics and solutions.

27 min read

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In his now famous TEDx Talk, “Why Successful Police Reform Must Start in the Therapist’s Office,” John Monaghan talks about his first case as a police officer. Feeling proud after putting a domestic abuser in the back of his cruiser, Monaghan was brought down a notch by his sergeant, who replied with “Good job, Dick Tracy, but it doesn’t sound like rocket science to me.” In other words, “catching the bad guy” was now business as usual — it was part of the job, and Monaghan did it well, helping people by taking criminals off the street. 

What he didn’t realize was that he would be the one who needed help years later, when the PTSD and substance abuse caught up with him. And Monaghan is far from alone: two to three times as many police officers die by suicide than on the job. As he says, “The silence and the bravado around this is literally killing us.” While some of the repercussions are felt during the years on the force, much of the toll takes place after retirement. “When you retire,” Monaghan explains, “you’re going to hand in your gun, your badge, but that backpack with those pebbles that now feel like boulders, you’re gonna take that with you when you go.”

What is the connection between alcohol, police officers, and mental health? And how can we make changes? Let’s dig deeper.

“The Price They Pay”

A man in uniform sitting at a table with a drink

Law enforcement substance abuse statistics paint a stark picture of the toll police work takes on members of the force. As Karen Rodwill Solomon and Jeffrey M. McGill write in The Price They Pay, research reveals a staggering difference between the numbers of people in the general population who struggle with alcohol and substance abuse and those in law enforcement: 8.2% compared to 23%. 

Moreover, exposure to violence increases the risk of Post-Traumatic Stress Injuries (PTSI) and Post-Traumatic Stress Disorder (PTSD). The consequences are dire: the combination of PTSD and substance abuse raises the risk of suicide in law enforcement officers by a factor of 10. As Solomon and McGill conclude, “This small snapshot of research paints a grim picture on how policing can negatively impact those that take up its calling.”

Here’s a more detailed overview from recent studies.

  • Between 20% and 30% of law enforcement officers have a substance abuse problem. Picture four police officers currently patrolling the streets in your neighborhood. One of them is likely struggling with drug or alcohol abuse. Now think about what this means on a larger scale. In 2022, with 708,001 U.S. law enforcement officers employed, those percentages tell us that a lot people were struggling behind the scenes of a job where lives are on the line every single day.
  • Around 17% have felt the consequences of alcohol use on their lives. According to a large-scale study involving urban police officers, over 18% of males and almost 16% of their female counterparts “reported experiencing adverse consequences from alcohol use.” 
  • Almost half admitted to drinking on the job. Another survey (referenced in the study above) found that 40% of 200 officers said they drank while on duty.
  • The heavy drinking patterns are true for both genders. Studies report that both male and female officers binge drink more frequently than the rest of the population.

The trauma and daily stress also takes a toll in other ways.

  • A quarter of all police officers thought about suicide at some point. This devastating statistic shows the true costs of this profession. The suicide rate is one of the highest, exceeding that among firefighters by a factor of 4. The average number of police deaths per year by suicide is 184 and remained steady between 2016 and 2022.
  • Many members of the force end up with PTSD. Studies show that a significant portion (between 7% and 19%) of police officers have symptoms of PTSD. This number is significantly higher compared to 3.5% among the rest of us.

The statistics paint a troubling picture, but what are the reasons behind them? Why does policing take such a heavy toll?

Police, Alcohol, and Mental Health: Exploring the Connection 

As Solomon and McGill write, police officers face the unique challenge of facing “man-made” violence head-on: “While devastation created by nature, such as wildfire, tornadoes, and hurricanes, can be far-reaching and cause cataclysmic losses, the trauma that haunts our dreams and is the most feared is man-made.” And while the rest of us can spend hours looking at YouTube videos or scanning the news for these stories, there is nothing compared to experiencing the darker sides of human nature firsthand on a daily basis.

The overwhelming nature of all this is enough to keep anyone up at night. But when it’s your job to face tragedy without a break (and, at times, without a healthy outlet for the stress that follows), the stakes are much higher.

Unfortunately, the current culture in many police precincts doesn’t allow for such an outlet. Even worse, seeking help might be discouraged, while unhealthy coping mechanisms such as drinking become the norm. Let’s explore how this happens in more detail.

Daily Risks and “Liquid Courage”

Every profession has daily stressors. Stocks drop in value, printers crash at the worst possible time, and toddlers put gummy bears in the fish tank when nobody’s looking. And, of course, there are higher-stake job woes as well, especially if we perform surgeries, operate heavy machinery, or fly planes for a living.

That said, the nature of police work in particular exposes us to some of the most traumatic aspects of life, sometimes for days on end. They see the pain people inflict on each other and are expected to put their own lives on the line to protect the victims. Sure, it’s their calling, and most of them do it without a second thought. But it takes a toll.

This is where booze comes in — but it also makes the problem worse. TV shows like Law and Order often portray detectives drinking together to take the edge off before a high-stakes chase. The “heroes” (Elliot Stabler, we’re looking at you) seem to sober up on cue and perform their duties perfectly in spite of that shot of whiskey or pint of beer. However, in real life, things are more complicated.

Police officers rush into violent scenes, chase criminals, and run toward gunfire rather than away from it much like their TV counterparts. However, the line between victim and perpetrator can blur, calling for instant decisions that are that much harder to make after a drink. Pressures from the community add an extra layer of stress, often leading to deep-seated guilt and self-doubt.

Added to that are the grueling work hours and the unpredictable (to put it mildly) work schedules, lack of sleep, and overtime shifts. The stress can act as both cause and effect, leading to mental health troubles and drinking, which then become stressors in their own right. In a TV special titled “Beneath the Vest: Conversations About Mental Health,” Pennsylvania Officer Joe Peterson shares how the daily trauma led to his mental health struggles, which in turn spread their own cloud of darkness over his life: “You fight monsters for so long that you become a monster. And I became a monster.”

“Ghosts of the Past” and PTSD

In The Price They Pay, Solomon and McGill write about the consequences of the daily trauma on police officers:

“Acts of violence and depravity committed by one human being on another are personal in nature and leave those affected by them asking the questions, ‘Why did it happen to me?’ or ‘Why did it have to happen at all?’”

Over time, these haunting questions take a heavy toll on the psyche.

Science backs up the idea that past traumas often haunt the present-day lives of police officers. As statistics show, many are at higher risk of PTSD, yet often downplay its significance, even if they’ve experienced it themselves — which is a recipe for trouble.

That said, as Monaghan suggests in his talk, there’s also such a thing as “post-traumatic growth” — the light at the end of the post-traumatic stress tunnel. However, it takes work to get there. Officers need courage to speak up, listen, and accept treatment and support. Unfortunately, that support is often lacking in police culture.

Police Culture: “Drinking and Silencing”

There’s no single “work culture” in any industry, and policing is no different. Still, research shows that there are certain trends that show up in law enforcement agencies. Activities center on boosting a sense of camaraderie, creating bonding experiences, and providing much-needed relief from the everyday pressures and stress.

And that’s exactly where drinking comes in. A rough day on the streets? Let’s grab a beer after work. Time to meet the new recruits? What better place than the usual pub around the corner. 

To make matters worse, police officers tend to downplay the risks of drinking and see efforts to address mental health repercussions of trauma and alcohol misuse as a sign of weakness. 

A recent survey study of Canadian law enforcement officers focused on answering this key question: “What helps or hinders the decision to access psychological services in a police population?” The answers — statements provided by members of the force — are honest, revealing, and, at times, heartbreaking. 

Here are some of the statements by participants shedding light on the barriers they face when it comes to seeking help:

“The environment I was in at work was very much of a suck it up attitude”—‘suck it up buttercup attitude’—we are supposed to have thick skin.”

“It is a career stopper [seeing a psychologist]. I wouldn’t go and talk to someone. So even now I understand there is no stigma, but I am still asking okay, well, what goes back? I recognize it could be detrimental to your career.”

“Who is going to know? Are they going to find out? … Am I going to come in to work one day and my supervisor is going to say, “I got a phone call from Health Services saying that you’re no longer fit for duty.”

There were many others who echoed these statements, saying that in a setting where you can expect to be put on the spot for “being off with the flu,” taking care of mental health issues can be a career-killer. And that’s regrettable, since sometimes addressing mental health symptoms is exactly what’s needed to save a police officer’s career — and possibly their life, as well as the lives of others they’re in charge of protecting.

Special Challenges Facing Women: Fitting in With “the Boys”

Women who work in traditionally male-dominated industries might feel this problem with unique intensity. To prove yourself, showing up and doing your job isn’t enough. It takes more — sometimes a whole lot more. You often have to go above and beyond what’s required, and any mistake along the way can come back to haunt you.

Granted, things are changing. Still, one of the women surveyed in the previously mentioned study explains how the issue of mental health for women opens a new can of worms:

“Number one they allowed us [women] to come into the Force, number two dear God if you have a woman who’s weak and crying and seeing a psychologist it’s even worse. Why did you allow them to come into this Force? … I am not as physically strong and if I ever overtly said I was going to see a psychologist it would make it even worse … I have to be strong because I have to show — I may be a woman, but I can still cut the mustard!”

And it’s not just the stigma of asking for help that poses a special challenge for women — drinking itself does, too. According to a study, female police officers are just as likely as male officers to binge drink, compared to outside the police force, where women tend to have lower levels of alcohol use than men. This is partly due to the stressors mentioned earlier, but the study found that female police officers are also likely to drink in less stressful work environments, which may seem counterintuitive. The lower workplace stress is associated with them feeling more comfortable on the force and with their coworkers, and they become more accustomed to the “male officer norms,” including alcohol consumption. 

This is particularly dangerous for women in many ways. Women process alcohol differently due to differences in metabolism and a higher body fat percentage. According to the CDC, it takes less to get drunk, and the alcohol takes a heavier toll health-wise. As a result, it’s easier to get trapped in a double bind: drinking to fit in with “the boys” and coping with the daily trauma, but also being afraid to ask for help for fear of revealing “feminine” weakness.

Strategies to Promote a Help-Seeking Culture in Law Enforcement

Strategies for Prevention: For Everyone’s Safety

The International Association of Chiefs of Police talks about several strategies for improving the situation when it comes to problematic alcohol use, trauma, and other mental health issues that plague the police across the globe. After all, in the end, everyone’s safety is at stake. 

1. Police Culture: Calling for Change 

Studies show that support from fellow members of the police force makes asking for help that much easier. It takes time for cultural shifts to happen, but experience shows it can be done! 

As one of the survey participants puts it:

“I think it falls under when you go get your teeth cleaned or medical checkups — get your emotional checkup.” 

And encouragement from the rest of the force — peers and supervisors alike — opens the much-needed door.

Normalizing mental health care helps create an environment where seeking care is encouraged. Monaghan talks about this in his TEDx Talk, suggesting a requirement for everyone to see a therapist several times a year to take the stigma away. It’s also crucial to train supervisors on how to identify officers who may be struggling, and how to talk with them about their difficulties. In some cases, medications might be the key to recovery. (If you’re wondering, can police officers take antidepressants? They absolutely can. However, each individual case is different, and sometimes a doctor has to clear an officer for duty, confirming that the medication won’t affect their ability to perform their job.) 

As one participant puts it, “You have to talk about it. You have to talk to psychologists and feel okay about doing that. Because my whole service, that’s not what I was brought up with, so to speak.” But it can be.

Moreover, shifting away from drinking culture is crucial for the changes to stick. Changing the social structure of the agency to include activities that don’t focus on drinking can be a starting point. For example, sporting events, group workouts, or family get-togethers all provide an outlet to decompress together without booze. 

2. Inside the Force: Calling for Conversation 

In the old days (the really old days), it was all about talking. As Solomon and McGill write, “During early wars, combat occurred during the day, then at night warriors would return to the campfire to eat and discuss their actions with fellow warriors who would listen and empathize.” 

Critical incident debriefing among the police force can achieve a similar effect. Framed as organized discussions that “take the participants mentally back to the time of the traumatic event and allow them to talk their way through their physical and emotional responses,” they allow participants to share their stories, fill in the gaps, and unburden themselves of the trauma that might be suppressed.

3. Families: Calling for Support

Finally, we can’t forget the families of law enforcement: they’re also affected! As Solomon and McGill observe, these are partners, children, and parents who actively participate in the lives of police officers and are affected by the trauma they face. After all, “families ... do more than make sure they get enough sleep, a hot meal and fresh uniforms in the closet. The faces of the families are yet to be seen.”

Summing Up

In the end, as Solomon and McGill conclude, “Society needs heroes, but most policemen, firemen, and soldiers don’t want to become heroes; they want to be men and women doing their jobs. They want to be supported and understood.”

That understanding comes from within, but it can spread like wildfire once enough people are behind it. We all deserve an opportunity to live healthy lives and, as Monaghan says, the healthier our public servants are, the healthier we’ll all be in the long run. And if you’re struggling and need some extra support, Reframe is here to help! We have a vibrant community of others who’ve been exactly where you are and know what it feels like. Check out our 24/7 Forum to share stories, get support, and hear helpful advice.

In his now famous TEDx Talk, “Why Successful Police Reform Must Start in the Therapist’s Office,” John Monaghan talks about his first case as a police officer. Feeling proud after putting a domestic abuser in the back of his cruiser, Monaghan was brought down a notch by his sergeant, who replied with “Good job, Dick Tracy, but it doesn’t sound like rocket science to me.” In other words, “catching the bad guy” was now business as usual — it was part of the job, and Monaghan did it well, helping people by taking criminals off the street. 

What he didn’t realize was that he would be the one who needed help years later, when the PTSD and substance abuse caught up with him. And Monaghan is far from alone: two to three times as many police officers die by suicide than on the job. As he says, “The silence and the bravado around this is literally killing us.” While some of the repercussions are felt during the years on the force, much of the toll takes place after retirement. “When you retire,” Monaghan explains, “you’re going to hand in your gun, your badge, but that backpack with those pebbles that now feel like boulders, you’re gonna take that with you when you go.”

What is the connection between alcohol, police officers, and mental health? And how can we make changes? Let’s dig deeper.

“The Price They Pay”

A man in uniform sitting at a table with a drink

Law enforcement substance abuse statistics paint a stark picture of the toll police work takes on members of the force. As Karen Rodwill Solomon and Jeffrey M. McGill write in The Price They Pay, research reveals a staggering difference between the numbers of people in the general population who struggle with alcohol and substance abuse and those in law enforcement: 8.2% compared to 23%. 

Moreover, exposure to violence increases the risk of Post-Traumatic Stress Injuries (PTSI) and Post-Traumatic Stress Disorder (PTSD). The consequences are dire: the combination of PTSD and substance abuse raises the risk of suicide in law enforcement officers by a factor of 10. As Solomon and McGill conclude, “This small snapshot of research paints a grim picture on how policing can negatively impact those that take up its calling.”

Here’s a more detailed overview from recent studies.

  • Between 20% and 30% of law enforcement officers have a substance abuse problem. Picture four police officers currently patrolling the streets in your neighborhood. One of them is likely struggling with drug or alcohol abuse. Now think about what this means on a larger scale. In 2022, with 708,001 U.S. law enforcement officers employed, those percentages tell us that a lot people were struggling behind the scenes of a job where lives are on the line every single day.
  • Around 17% have felt the consequences of alcohol use on their lives. According to a large-scale study involving urban police officers, over 18% of males and almost 16% of their female counterparts “reported experiencing adverse consequences from alcohol use.” 
  • Almost half admitted to drinking on the job. Another survey (referenced in the study above) found that 40% of 200 officers said they drank while on duty.
  • The heavy drinking patterns are true for both genders. Studies report that both male and female officers binge drink more frequently than the rest of the population.

The trauma and daily stress also takes a toll in other ways.

  • A quarter of all police officers thought about suicide at some point. This devastating statistic shows the true costs of this profession. The suicide rate is one of the highest, exceeding that among firefighters by a factor of 4. The average number of police deaths per year by suicide is 184 and remained steady between 2016 and 2022.
  • Many members of the force end up with PTSD. Studies show that a significant portion (between 7% and 19%) of police officers have symptoms of PTSD. This number is significantly higher compared to 3.5% among the rest of us.

The statistics paint a troubling picture, but what are the reasons behind them? Why does policing take such a heavy toll?

Police, Alcohol, and Mental Health: Exploring the Connection 

As Solomon and McGill write, police officers face the unique challenge of facing “man-made” violence head-on: “While devastation created by nature, such as wildfire, tornadoes, and hurricanes, can be far-reaching and cause cataclysmic losses, the trauma that haunts our dreams and is the most feared is man-made.” And while the rest of us can spend hours looking at YouTube videos or scanning the news for these stories, there is nothing compared to experiencing the darker sides of human nature firsthand on a daily basis.

The overwhelming nature of all this is enough to keep anyone up at night. But when it’s your job to face tragedy without a break (and, at times, without a healthy outlet for the stress that follows), the stakes are much higher.

Unfortunately, the current culture in many police precincts doesn’t allow for such an outlet. Even worse, seeking help might be discouraged, while unhealthy coping mechanisms such as drinking become the norm. Let’s explore how this happens in more detail.

Daily Risks and “Liquid Courage”

Every profession has daily stressors. Stocks drop in value, printers crash at the worst possible time, and toddlers put gummy bears in the fish tank when nobody’s looking. And, of course, there are higher-stake job woes as well, especially if we perform surgeries, operate heavy machinery, or fly planes for a living.

That said, the nature of police work in particular exposes us to some of the most traumatic aspects of life, sometimes for days on end. They see the pain people inflict on each other and are expected to put their own lives on the line to protect the victims. Sure, it’s their calling, and most of them do it without a second thought. But it takes a toll.

This is where booze comes in — but it also makes the problem worse. TV shows like Law and Order often portray detectives drinking together to take the edge off before a high-stakes chase. The “heroes” (Elliot Stabler, we’re looking at you) seem to sober up on cue and perform their duties perfectly in spite of that shot of whiskey or pint of beer. However, in real life, things are more complicated.

Police officers rush into violent scenes, chase criminals, and run toward gunfire rather than away from it much like their TV counterparts. However, the line between victim and perpetrator can blur, calling for instant decisions that are that much harder to make after a drink. Pressures from the community add an extra layer of stress, often leading to deep-seated guilt and self-doubt.

Added to that are the grueling work hours and the unpredictable (to put it mildly) work schedules, lack of sleep, and overtime shifts. The stress can act as both cause and effect, leading to mental health troubles and drinking, which then become stressors in their own right. In a TV special titled “Beneath the Vest: Conversations About Mental Health,” Pennsylvania Officer Joe Peterson shares how the daily trauma led to his mental health struggles, which in turn spread their own cloud of darkness over his life: “You fight monsters for so long that you become a monster. And I became a monster.”

“Ghosts of the Past” and PTSD

In The Price They Pay, Solomon and McGill write about the consequences of the daily trauma on police officers:

“Acts of violence and depravity committed by one human being on another are personal in nature and leave those affected by them asking the questions, ‘Why did it happen to me?’ or ‘Why did it have to happen at all?’”

Over time, these haunting questions take a heavy toll on the psyche.

Science backs up the idea that past traumas often haunt the present-day lives of police officers. As statistics show, many are at higher risk of PTSD, yet often downplay its significance, even if they’ve experienced it themselves — which is a recipe for trouble.

That said, as Monaghan suggests in his talk, there’s also such a thing as “post-traumatic growth” — the light at the end of the post-traumatic stress tunnel. However, it takes work to get there. Officers need courage to speak up, listen, and accept treatment and support. Unfortunately, that support is often lacking in police culture.

Police Culture: “Drinking and Silencing”

There’s no single “work culture” in any industry, and policing is no different. Still, research shows that there are certain trends that show up in law enforcement agencies. Activities center on boosting a sense of camaraderie, creating bonding experiences, and providing much-needed relief from the everyday pressures and stress.

And that’s exactly where drinking comes in. A rough day on the streets? Let’s grab a beer after work. Time to meet the new recruits? What better place than the usual pub around the corner. 

To make matters worse, police officers tend to downplay the risks of drinking and see efforts to address mental health repercussions of trauma and alcohol misuse as a sign of weakness. 

A recent survey study of Canadian law enforcement officers focused on answering this key question: “What helps or hinders the decision to access psychological services in a police population?” The answers — statements provided by members of the force — are honest, revealing, and, at times, heartbreaking. 

Here are some of the statements by participants shedding light on the barriers they face when it comes to seeking help:

“The environment I was in at work was very much of a suck it up attitude”—‘suck it up buttercup attitude’—we are supposed to have thick skin.”

“It is a career stopper [seeing a psychologist]. I wouldn’t go and talk to someone. So even now I understand there is no stigma, but I am still asking okay, well, what goes back? I recognize it could be detrimental to your career.”

“Who is going to know? Are they going to find out? … Am I going to come in to work one day and my supervisor is going to say, “I got a phone call from Health Services saying that you’re no longer fit for duty.”

There were many others who echoed these statements, saying that in a setting where you can expect to be put on the spot for “being off with the flu,” taking care of mental health issues can be a career-killer. And that’s regrettable, since sometimes addressing mental health symptoms is exactly what’s needed to save a police officer’s career — and possibly their life, as well as the lives of others they’re in charge of protecting.

Special Challenges Facing Women: Fitting in With “the Boys”

Women who work in traditionally male-dominated industries might feel this problem with unique intensity. To prove yourself, showing up and doing your job isn’t enough. It takes more — sometimes a whole lot more. You often have to go above and beyond what’s required, and any mistake along the way can come back to haunt you.

Granted, things are changing. Still, one of the women surveyed in the previously mentioned study explains how the issue of mental health for women opens a new can of worms:

“Number one they allowed us [women] to come into the Force, number two dear God if you have a woman who’s weak and crying and seeing a psychologist it’s even worse. Why did you allow them to come into this Force? … I am not as physically strong and if I ever overtly said I was going to see a psychologist it would make it even worse … I have to be strong because I have to show — I may be a woman, but I can still cut the mustard!”

And it’s not just the stigma of asking for help that poses a special challenge for women — drinking itself does, too. According to a study, female police officers are just as likely as male officers to binge drink, compared to outside the police force, where women tend to have lower levels of alcohol use than men. This is partly due to the stressors mentioned earlier, but the study found that female police officers are also likely to drink in less stressful work environments, which may seem counterintuitive. The lower workplace stress is associated with them feeling more comfortable on the force and with their coworkers, and they become more accustomed to the “male officer norms,” including alcohol consumption. 

This is particularly dangerous for women in many ways. Women process alcohol differently due to differences in metabolism and a higher body fat percentage. According to the CDC, it takes less to get drunk, and the alcohol takes a heavier toll health-wise. As a result, it’s easier to get trapped in a double bind: drinking to fit in with “the boys” and coping with the daily trauma, but also being afraid to ask for help for fear of revealing “feminine” weakness.

Strategies to Promote a Help-Seeking Culture in Law Enforcement

Strategies for Prevention: For Everyone’s Safety

The International Association of Chiefs of Police talks about several strategies for improving the situation when it comes to problematic alcohol use, trauma, and other mental health issues that plague the police across the globe. After all, in the end, everyone’s safety is at stake. 

1. Police Culture: Calling for Change 

Studies show that support from fellow members of the police force makes asking for help that much easier. It takes time for cultural shifts to happen, but experience shows it can be done! 

As one of the survey participants puts it:

“I think it falls under when you go get your teeth cleaned or medical checkups — get your emotional checkup.” 

And encouragement from the rest of the force — peers and supervisors alike — opens the much-needed door.

Normalizing mental health care helps create an environment where seeking care is encouraged. Monaghan talks about this in his TEDx Talk, suggesting a requirement for everyone to see a therapist several times a year to take the stigma away. It’s also crucial to train supervisors on how to identify officers who may be struggling, and how to talk with them about their difficulties. In some cases, medications might be the key to recovery. (If you’re wondering, can police officers take antidepressants? They absolutely can. However, each individual case is different, and sometimes a doctor has to clear an officer for duty, confirming that the medication won’t affect their ability to perform their job.) 

As one participant puts it, “You have to talk about it. You have to talk to psychologists and feel okay about doing that. Because my whole service, that’s not what I was brought up with, so to speak.” But it can be.

Moreover, shifting away from drinking culture is crucial for the changes to stick. Changing the social structure of the agency to include activities that don’t focus on drinking can be a starting point. For example, sporting events, group workouts, or family get-togethers all provide an outlet to decompress together without booze. 

2. Inside the Force: Calling for Conversation 

In the old days (the really old days), it was all about talking. As Solomon and McGill write, “During early wars, combat occurred during the day, then at night warriors would return to the campfire to eat and discuss their actions with fellow warriors who would listen and empathize.” 

Critical incident debriefing among the police force can achieve a similar effect. Framed as organized discussions that “take the participants mentally back to the time of the traumatic event and allow them to talk their way through their physical and emotional responses,” they allow participants to share their stories, fill in the gaps, and unburden themselves of the trauma that might be suppressed.

3. Families: Calling for Support

Finally, we can’t forget the families of law enforcement: they’re also affected! As Solomon and McGill observe, these are partners, children, and parents who actively participate in the lives of police officers and are affected by the trauma they face. After all, “families ... do more than make sure they get enough sleep, a hot meal and fresh uniforms in the closet. The faces of the families are yet to be seen.”

Summing Up

In the end, as Solomon and McGill conclude, “Society needs heroes, but most policemen, firemen, and soldiers don’t want to become heroes; they want to be men and women doing their jobs. They want to be supported and understood.”

That understanding comes from within, but it can spread like wildfire once enough people are behind it. We all deserve an opportunity to live healthy lives and, as Monaghan says, the healthier our public servants are, the healthier we’ll all be in the long run. And if you’re struggling and need some extra support, Reframe is here to help! We have a vibrant community of others who’ve been exactly where you are and know what it feels like. Check out our 24/7 Forum to share stories, get support, and hear helpful advice.

Alcohol and Mental Health
2024-06-01 9:00
Alcohol and Mental Health
Benefits of an Addiction Recovery Journal 
This is some text inside of a div block.

A journal can be a great tool in addiction recovery. Read all about the benefits and get some ideas for recovery journal prompts in our latest blog!

20 min read

Journal Your Way To a Healthier, Happier Future With Reframe!

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

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

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

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

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

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

Read Full Article  →

Some of us love writing — journals, wedding toasts, greeting cards for any occasion, you name it. Bring out the fancy pens and gold-rimmed journals, and let’s get going! Others might have a love-hate relationship with it. Maybe it brings up memories of your fifth-grade teacher marking those punctuation and spelling errors.

Regardless of our history with journaling, it can be a valuable tool for addiction recovery. Before you dig in your heels, however, remember that there are no grades or grammar checks. There are no deadlines, style guides, or word limits to worry about. In fact, you don’t even have to share it with anyone unless you want to (not even your cat, if she’s too judgy)! And we promise it’ll be worth it; journaling through recovery comes with many benefits. 

In this article, we’ll share some of the top benefits and some writing prompts to get you started.

1. Increased Creativity

In spite of the rumors, drugs and alcohol don’t actually help us be more creative, but creativity can help us overcome addiction and free our minds to be more creative. 

Woman with long hair writing in a notebook using a pen

As David Sacks writes in Psychology Today, “Many people who become addicted to drugs or alcohol have alexithymia, a term that describes people who don’t understand what they’re feeling or how others feel or can’t put their feelings into words.” Creative pursuits (such as journaling) can “allow people to express difficult thoughts, memories, and feelings without being constrained by words.”

Recovery journal prompts:

  1. The party (from Eric Maisel’s Creative Recovery). Write a short story in which several people in different places on the addiction spectrum meet at a party. What are they saying? How are they behaving? Describe the situation.
  2. The party, a year from now. Continue the story and think about the same characters a year from that time. How can they use their creative nature to end up in a different place than they were when you first “met” them at the party you described. 
  3. Join the party. Now add yourself to the mix. How do you fit in? What temptations and triggers do you face? How do you deal with them? How would you like to see yourself interacting with the characters you created?

2. Natural Dopamine Release

There’s another powerful reason journaling can be a great recovery tool — writing is a way to naturally get into a “flow state,” which helps the brain release pleasure-producing neurochemicals such as dopamine.

Flow state is all about being in “the zone”: time stands still; outside sights and sounds fade into the background; and even the voice inside your head (you know, that pesky one that tells you you “need a drink”) quiets down. Want to know more? Check out our blog “How To Enter a Flow State: 5 Ways To Get in the Zone.”

Recovery journal prompts:

  1. Pleasures of the past. Think of an activity that used to bring you joy that you haven’t done in a while and write about it. Maybe it’s a show you used to watch, a museum you liked to visit, or a forest where you went hiking several summers ago. Combining the dopamine boost of the writing process itself with the memory of a pleasant experience can feel even more rewarding, giving you that extra spark to keep going on your recovery journey.
  2. Pleasures of the future. Now fantasize about the future! Do you see yourself hiking the Machu Picchu trail? Taking a salsa dancing class? Exploring the Xcaret Park in Mexico? Soak yourself in the pleasures you have yet to experience.
Benefits of an Addiction Recovery Journal 

3. More Mindfulness

Everywhere we look these days, we’re told to be more mindful. While mindfulness may seem like a buzzword, there’s powerful neuroscience behind it! In fact, focusing our attention on the present moment by sitting quietly, observing our breath, walking, or performing daily tasks (such as folding laundry) can activate neural pathways that promote peace. At the same time, our anxiety and stress levels decrease, our compassion for others and ourselves increases, and cravings fade into the background.

Journaling can be a great mindfulness exercise that centers us on the present moment and harnesses the power of the “now.” It’s just you and the page (or the screen), nothing else. 

If it feels awkward at first, stick with it. As Idowu Koyenikan writes in Wealth for All: Living a Life of Success at the Edge of Your Ability, “The mind is just like a muscle — the more you exercise it, the stronger it gets and the more it can expand.” Similarly, writing is like a muscle that gets stronger when we exercise it. And the more we do so, the stronger our recovery gets.

Recovery journal prompts:

  1. Mindful moments. Write about a moment when you felt joy or peace today. What did you see, smell, and hear? What made this moment special? How can you create more moments like this one, and how do they contribute to your recovery? 
  2. A mindful list. This exercise is especially useful for times of stress. Simply pay attention to the sights, sounds, and smells around you and list them. For example, maybe you hear the laundry machine rumbling in the background, smell some cinnamon-flavored coffee in your cup, and see a bowl of cherry tomatoes on the kitchen counter. By giving your mind something to focus on, making a list like this is also a powerful craving buster.

Want more ideas? Check out “20 Mindful Journal Prompts To Build Stress Resilience.”

4. Better Habit Tracking

Another great use of a recovery journal? It can help us track habits and triggers related to our recovery. Neuroscience shows that tracking health habits can work wonders for consistency and success over time. It’s all about progress, not perfection: when we track our patterns over an extended period, we see overall trends rather than daily fluctuations.

In addition to spotting potential pitfalls and triggers before they lead to a full-blown relapse, tracking our recovery is a great way to celebrate milestones. By seeing our progress in writing, we can see how far we’ve come. Building and tracking small and specific habits related to our goals is also a great way to build motivation and reduce frustration along the way. The journey isn’t always linear, and that’s okay — what matters is that we’re headed in the right direction.

Curious about the ins and outs of habit tracking? Take a look at our blogs “Tracking Your Drinking Just Got Easier” and “Tracking Your Drinking Can Change Your Relationship with Alcohol.”

Recovery journal prompts:

Daily wins. At the end of each day, jot down three specific “wins.” They don’t have to be big! Maybe you were able to dismiss a craving, swap that wine for a mocktail, or walk by the liquor store down the street without going in (or better yet, without even noticing it!). Over time, looking back at these victories — no matter how small they might seem — can provide an extra boost of motivation. 

Looking back. Take a journey through your previous entries and see if any patterns emerge. Do the same triggers come up over and over again? Do certain days of the week (or times of day) seem easier than others? Write about any trends that come up.

5. Greater Gratitude

Now, tracking all those wins just might leave us feeling grateful! Gratitude journaling is yet another powerful practice that can add momentum to our addiction recovery.

Neuroscience research shows that gratitude has tangible effects on the brain, activating regions such as the anterior cingulate cortex and medial prefrontal cortex. One of the fascinating experiments that led to this discovery tracked brain activity in subjects who were asked to imagine themselves receiving unexpected gifts in the middle of the Holocaust. The researchers found that the distinct gratitude “footprint” in the brain could have an impact on our moral cognition and positive emotion processing, both of which play a role in addiction recovery. 

Gratitude also triggers the release of dopamine — the brain’s reward neurochemical, which is artificially triggered by alcohol and other drugs. In other words, gratitude can act as a powerful natural “high.” Check out “10 Benefits of a Daily Gratitude Practice” for a deeper look.

Recovery journal prompts

  1. Gratitude for today. Make it a daily practice to write down three things you’re grateful for at the end of each day. They can be small, simple things like finding your favorite candy, bumping into a friend, or petting a dog.
  2. Gratitude for the past. Write about things in your past you’re grateful for. Sometimes even the hardest situations we’ve had to face or problems we’ve had to deal with can ultimately cause us to make important shifts in our lives and create momentum for change.

P.S. Need more ideas? Check out “Gratitude Journal Prompts To Practice Daily.”

6. The Power of Visualization

Finally, let’s use our recovery journal to look to the future! There’s great power in the practice of visualization, and we can harness it through writing.

In her Psychology Today article “Seeing Is Believing: The Power of Visualization,” A.J. Adams writes, “Mental practice can get you closer to where you want to be in life.” She gives the example of Natan Sharansky, a computer specialist imprisoned in the USSR practicing mental chess to eventually beat world champion chess player Garry Kasparov in 1996.

Science backs up the power of visualization as well. It’s a well-known fact that athletes use visualization as part of their training process and experience real-life benefits from visualizing how they cross that finish line, complete a perfect pole vault, or tackle an opponent on the wrestling mat. When a Cleveland Clinic Foundation exercise psychologist had a group of subjects perform “virtual workouts” in their minds, he found that the “mental contractions” increased finger abduction strength by 35%. By the end of four weeks, however, the mental workout continued to lead to improvements, resulting in a 40% gain in strength.

Recovery journal prompts:

  1. A new you. Think of yourself in the future and describe how you feel, what you think about, and what activities you’re engaged in. First, think about where you’d like to be next month, then next year, then five years from now. Imagine yourself and the situations around you in as much detail as possible.
  2. A mental vacation. Visualize a place that makes you feel safe and fills you with creative energy and joy. It can be real or imagined — the sky's the limit. (Go to Martha’s Vineyard, Disneyworld, Emerald City, or Asgard. It’s up to you!) What can you find there to strengthen your recovery? Maybe it’s a sensation, such as the enveloping warmth of water around you as you swim through a coral reef. Perhaps it’s a special talisman you find in a place that exists in your imagination. 

Write about your special place and return to the writing when you’re struggling with cravings or triggers. It’ll be here for you and will help shift your perspective.

Summing Up

Writing, in the end, is about exploring your own life from different perspectives that can be hard to sort out in real-time. As Aldous Huxley observes, “Words can be like X-rays if you use them properly — they’ll go through anything.” Let’s use these X-rays to illuminate hidden aspects of our journey, helping clear a path through challenges and discovering unexpected joys along the way.

Some of us love writing — journals, wedding toasts, greeting cards for any occasion, you name it. Bring out the fancy pens and gold-rimmed journals, and let’s get going! Others might have a love-hate relationship with it. Maybe it brings up memories of your fifth-grade teacher marking those punctuation and spelling errors.

Regardless of our history with journaling, it can be a valuable tool for addiction recovery. Before you dig in your heels, however, remember that there are no grades or grammar checks. There are no deadlines, style guides, or word limits to worry about. In fact, you don’t even have to share it with anyone unless you want to (not even your cat, if she’s too judgy)! And we promise it’ll be worth it; journaling through recovery comes with many benefits. 

In this article, we’ll share some of the top benefits and some writing prompts to get you started.

1. Increased Creativity

In spite of the rumors, drugs and alcohol don’t actually help us be more creative, but creativity can help us overcome addiction and free our minds to be more creative. 

Woman with long hair writing in a notebook using a pen

As David Sacks writes in Psychology Today, “Many people who become addicted to drugs or alcohol have alexithymia, a term that describes people who don’t understand what they’re feeling or how others feel or can’t put their feelings into words.” Creative pursuits (such as journaling) can “allow people to express difficult thoughts, memories, and feelings without being constrained by words.”

Recovery journal prompts:

  1. The party (from Eric Maisel’s Creative Recovery). Write a short story in which several people in different places on the addiction spectrum meet at a party. What are they saying? How are they behaving? Describe the situation.
  2. The party, a year from now. Continue the story and think about the same characters a year from that time. How can they use their creative nature to end up in a different place than they were when you first “met” them at the party you described. 
  3. Join the party. Now add yourself to the mix. How do you fit in? What temptations and triggers do you face? How do you deal with them? How would you like to see yourself interacting with the characters you created?

2. Natural Dopamine Release

There’s another powerful reason journaling can be a great recovery tool — writing is a way to naturally get into a “flow state,” which helps the brain release pleasure-producing neurochemicals such as dopamine.

Flow state is all about being in “the zone”: time stands still; outside sights and sounds fade into the background; and even the voice inside your head (you know, that pesky one that tells you you “need a drink”) quiets down. Want to know more? Check out our blog “How To Enter a Flow State: 5 Ways To Get in the Zone.”

Recovery journal prompts:

  1. Pleasures of the past. Think of an activity that used to bring you joy that you haven’t done in a while and write about it. Maybe it’s a show you used to watch, a museum you liked to visit, or a forest where you went hiking several summers ago. Combining the dopamine boost of the writing process itself with the memory of a pleasant experience can feel even more rewarding, giving you that extra spark to keep going on your recovery journey.
  2. Pleasures of the future. Now fantasize about the future! Do you see yourself hiking the Machu Picchu trail? Taking a salsa dancing class? Exploring the Xcaret Park in Mexico? Soak yourself in the pleasures you have yet to experience.
Benefits of an Addiction Recovery Journal 

3. More Mindfulness

Everywhere we look these days, we’re told to be more mindful. While mindfulness may seem like a buzzword, there’s powerful neuroscience behind it! In fact, focusing our attention on the present moment by sitting quietly, observing our breath, walking, or performing daily tasks (such as folding laundry) can activate neural pathways that promote peace. At the same time, our anxiety and stress levels decrease, our compassion for others and ourselves increases, and cravings fade into the background.

Journaling can be a great mindfulness exercise that centers us on the present moment and harnesses the power of the “now.” It’s just you and the page (or the screen), nothing else. 

If it feels awkward at first, stick with it. As Idowu Koyenikan writes in Wealth for All: Living a Life of Success at the Edge of Your Ability, “The mind is just like a muscle — the more you exercise it, the stronger it gets and the more it can expand.” Similarly, writing is like a muscle that gets stronger when we exercise it. And the more we do so, the stronger our recovery gets.

Recovery journal prompts:

  1. Mindful moments. Write about a moment when you felt joy or peace today. What did you see, smell, and hear? What made this moment special? How can you create more moments like this one, and how do they contribute to your recovery? 
  2. A mindful list. This exercise is especially useful for times of stress. Simply pay attention to the sights, sounds, and smells around you and list them. For example, maybe you hear the laundry machine rumbling in the background, smell some cinnamon-flavored coffee in your cup, and see a bowl of cherry tomatoes on the kitchen counter. By giving your mind something to focus on, making a list like this is also a powerful craving buster.

Want more ideas? Check out “20 Mindful Journal Prompts To Build Stress Resilience.”

4. Better Habit Tracking

Another great use of a recovery journal? It can help us track habits and triggers related to our recovery. Neuroscience shows that tracking health habits can work wonders for consistency and success over time. It’s all about progress, not perfection: when we track our patterns over an extended period, we see overall trends rather than daily fluctuations.

In addition to spotting potential pitfalls and triggers before they lead to a full-blown relapse, tracking our recovery is a great way to celebrate milestones. By seeing our progress in writing, we can see how far we’ve come. Building and tracking small and specific habits related to our goals is also a great way to build motivation and reduce frustration along the way. The journey isn’t always linear, and that’s okay — what matters is that we’re headed in the right direction.

Curious about the ins and outs of habit tracking? Take a look at our blogs “Tracking Your Drinking Just Got Easier” and “Tracking Your Drinking Can Change Your Relationship with Alcohol.”

Recovery journal prompts:

Daily wins. At the end of each day, jot down three specific “wins.” They don’t have to be big! Maybe you were able to dismiss a craving, swap that wine for a mocktail, or walk by the liquor store down the street without going in (or better yet, without even noticing it!). Over time, looking back at these victories — no matter how small they might seem — can provide an extra boost of motivation. 

Looking back. Take a journey through your previous entries and see if any patterns emerge. Do the same triggers come up over and over again? Do certain days of the week (or times of day) seem easier than others? Write about any trends that come up.

5. Greater Gratitude

Now, tracking all those wins just might leave us feeling grateful! Gratitude journaling is yet another powerful practice that can add momentum to our addiction recovery.

Neuroscience research shows that gratitude has tangible effects on the brain, activating regions such as the anterior cingulate cortex and medial prefrontal cortex. One of the fascinating experiments that led to this discovery tracked brain activity in subjects who were asked to imagine themselves receiving unexpected gifts in the middle of the Holocaust. The researchers found that the distinct gratitude “footprint” in the brain could have an impact on our moral cognition and positive emotion processing, both of which play a role in addiction recovery. 

Gratitude also triggers the release of dopamine — the brain’s reward neurochemical, which is artificially triggered by alcohol and other drugs. In other words, gratitude can act as a powerful natural “high.” Check out “10 Benefits of a Daily Gratitude Practice” for a deeper look.

Recovery journal prompts

  1. Gratitude for today. Make it a daily practice to write down three things you’re grateful for at the end of each day. They can be small, simple things like finding your favorite candy, bumping into a friend, or petting a dog.
  2. Gratitude for the past. Write about things in your past you’re grateful for. Sometimes even the hardest situations we’ve had to face or problems we’ve had to deal with can ultimately cause us to make important shifts in our lives and create momentum for change.

P.S. Need more ideas? Check out “Gratitude Journal Prompts To Practice Daily.”

6. The Power of Visualization

Finally, let’s use our recovery journal to look to the future! There’s great power in the practice of visualization, and we can harness it through writing.

In her Psychology Today article “Seeing Is Believing: The Power of Visualization,” A.J. Adams writes, “Mental practice can get you closer to where you want to be in life.” She gives the example of Natan Sharansky, a computer specialist imprisoned in the USSR practicing mental chess to eventually beat world champion chess player Garry Kasparov in 1996.

Science backs up the power of visualization as well. It’s a well-known fact that athletes use visualization as part of their training process and experience real-life benefits from visualizing how they cross that finish line, complete a perfect pole vault, or tackle an opponent on the wrestling mat. When a Cleveland Clinic Foundation exercise psychologist had a group of subjects perform “virtual workouts” in their minds, he found that the “mental contractions” increased finger abduction strength by 35%. By the end of four weeks, however, the mental workout continued to lead to improvements, resulting in a 40% gain in strength.

Recovery journal prompts:

  1. A new you. Think of yourself in the future and describe how you feel, what you think about, and what activities you’re engaged in. First, think about where you’d like to be next month, then next year, then five years from now. Imagine yourself and the situations around you in as much detail as possible.
  2. A mental vacation. Visualize a place that makes you feel safe and fills you with creative energy and joy. It can be real or imagined — the sky's the limit. (Go to Martha’s Vineyard, Disneyworld, Emerald City, or Asgard. It’s up to you!) What can you find there to strengthen your recovery? Maybe it’s a sensation, such as the enveloping warmth of water around you as you swim through a coral reef. Perhaps it’s a special talisman you find in a place that exists in your imagination. 

Write about your special place and return to the writing when you’re struggling with cravings or triggers. It’ll be here for you and will help shift your perspective.

Summing Up

Writing, in the end, is about exploring your own life from different perspectives that can be hard to sort out in real-time. As Aldous Huxley observes, “Words can be like X-rays if you use them properly — they’ll go through anything.” Let’s use these X-rays to illuminate hidden aspects of our journey, helping clear a path through challenges and discovering unexpected joys along the way.

Alcohol and Mental Health
2024-05-18 9:00
Alcohol and Mental Health
Understanding Alcohol Blackouts and Personality Changes
This is some text inside of a div block.

Ever wonder how alcohol can cause memory blackouts and personality changes? 🍸🧠 Our latest blog post explains it all, complete with tips on how to avoid them.

17 min read

Say Goodbye to Blackouts With Reframe

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

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

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

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

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

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

Read Full Article  →

You just woke up with a pounding headache to find that a friend has posted an embarrassing video of you singing a drunken rendition of “Sweet Caroline” at the local karaoke bar, and you’re not sure whether to laugh or cry. Getting up on a stage is not in your playbook, especially when singing is involved. “Do I really sound like that?” you wonder. And more importantly, “Why don’t I remember this?” 

Unfortunately, lapses in memory and personality changes are a common part of booze-filled evenings. They can lead to innocent, albeit embarrassing, stage performances but also to more dangerous behaviors that can wreak havoc on our life.

In today’s blog post, we’ll explore the connection between alcohol use, memory, and behavior changes, and how these impact our health, relationships, and well-being. 

Alcohol’s Effects on Cognitive Function

A cross sign on the word 'alcohol', a bottle in hand, and the other hand showing a stop gesture

To fully understand blackouts, we have to understand how alcohol affects our cognitive function. Alcohol is a depressant, which means it slows down all the messengers (neurotransmitters) from our brain to the rest of our body. The more we drink, the more it impairs everything from our movements to our speech to our very consciousness. 

So, do you know what you're doing when blackout drunk? That’s a lot like asking about a tree falling in a forest. Alcohol directly targets the hippocampus, the primary structure in the brain responsible for memory. Excessive drinking disrupts the memory-making process, leading to the phenomenon of alcohol-induced blackouts. You may know what you’re doing in the moment, but you won’t have any memory of it the next morning. 

What Does Blacking Out Feel Like?

Distinct from passing out, alcohol blackouts are when we remain conscious but our brain fails to hit the “record” button. As a result, we often find large gaps in our memory from when we were intoxicated. 

So, what does blacking out feel like? It’s hard to say exactly given that most people don’t remember it, but from what we know about the general effects of alcohol, suffice it to say it’s a painful, confusing journey. The only tangible feeling is what comes the next day: you may experience one of two types of blackout:

  • En bloc blackout. This is when you have a single large chunk of information missing. Perhaps you remember throwing back that third shot of whiskey, and the next thing you know you’re riding home in an Uber a few hours later.

  • Fragmentary blackout. The most common type of blackout, fragmentary blackouts involve scattered memories with random chunks of information missing. These are also called “brownouts.”

For more details, check out our blog post “What Happens When You Black Out From Drinking?

Understanding Alcohol-Induced Personality Changes

In addition to blackouts, short-term and long-term personality changes are another common side effect of excessive drinking. 

Short-Term Effects 

You know how tight-lipped Uncle Joe gets super chatty when he drinks? Or happy Aunt Jody starts sobbing uncontrollably? Or perhaps you’ve heard someone described as an “angry drunk.” These are just a few examples of short-term personality changes brought on by alcohol. However, it’s not so much that their personality changes as it is that their normal filters and barriers come down, revealing other facets of their personalities. Could that be why you got up on the karaoke stage? Do you secretly seek the limelight?

Long-Term Effects

While short-term personality changes may make for embarrassing (and sometimes amusing) anecdotes, a repeated pattern of over-imbibing can lead to alcohol use disorder (AUD), which can alter our brain structure and chemistry, leading to lasting personality changes. Studies show, for example, that the more we drink, the more likely we are to struggle with anxiety and depression symptoms, which can significantly affect our mood.

Whether it’s an aunt who gets a little weepy when she drinks or a friend who is forever changed due to chronic misuse, it’s easy to see how alcohol can alter personalities and impact our lives. Let’s take a closer look at the possible outcomes. 

Impacts of Blackouts

The potential domino effect of drinking to the point of blacking out is nearly infinite. Every risk of normal drinking is present but to a higher degree: 


  • Health Issues. Blackouts usually happen due to binge drinking, meaning we drink way faster than our body can process, leading to faster intoxication. In addition to blackouts and personality changes, we run the risk of severe dehydration, heart problems, and alcohol poisoning, and those are only the immediate health risks. Consistent heavy drinking increases our chances of liver disease, cancer, heart disease, and stroke. 

  • Relationship problems. Binge drinking opens up a whole can of worms for relationships. Whether it's a significant other, a parent, a child, a sibling, a friend, a coworker, or a boss, heavy drinking can damage every relationship in one way or another. And heavy drinking is especially hard on families.


    Some people are angry when they drink and are more prone to violent blackouts. Some people are more amorous when they drink, making them more prone to inappropriate sexual encounters. It doesn’t take much imagination to think of all the things that could go wrong in either of those situations. 

  • Accident or injury. In addition to health hazards, when we drink to the point of blackout — referred to as alcohol-related amnesia in court — we increase the likelihood of serious injury and accidents to ourselves and others. The news is full of tragic stories that could have been avoided, and emergency rooms are filled with “hold my beer” stories on the weekends. 

  • Legal ramifications. Inappropriate relationships can lead to divorce and/or custody issues. Accidents and injuries lead to lawsuits. Violence leads to jail time. And all of these set in motion a domino effect of their own. Divorce leads to more family and financial strain. Lawsuits lead to money problems. Jail time leads to more relationship and money problems. You see where we’re going with this?
 
  • Long-term personality changes. Continued bouts of heavy drinking can alter your personality by changing your brain chemistry. It can make you more impulsive, depressed, anxious, and more prone to poor decision making. It can also shift your priorities, putting alcohol at the top of the list above people, work, and hobbies. It can also trigger more serious psychiatric disorders such as psychosis, schizophrenia, bipolar disorder, and panic disorder.

As they say in physics, “Every action has an equal and opposite reaction.” The same applies to drinking: every sip we take can increase our risk of unintended consequences. The good news is that we can change our drinking habits, no matter how bad they may have gotten, and likewise reverse alcohol’s effects on our brain chemistry.

If you’re ready to kick alcohol blackouts out of your life, there are options. There is a whole support network of people at Reframe eager and willing to help you quit or cut back on drinking and live a healthier, happier, safer life. If you’re not ready to take that step, there are some things you can start to do on your own.

Prevention and Management Tips

Prevention and Management Tips

To start you on the right track, let’s explore some ways to prevent and/or manage drinking habits to reduce the risk of alcohol blackouts and personality changes:

  1. Find your “why.” Whether it’s your health, your family, your career, or something else, find a reason that motivates you to change your alcohol habits.  

  2. Write it down. The more you see the life you want, the more you will work toward it. Write your “why” down on a piece of paper and put it somewhere you can see it frequently. You can put it on your mirror, by your key hook, on your sun visor, on your desk at work, or anywhere else. The important thing is that you see it often to remind you of your reason for change. 

  3. Track your habits. Sometimes, we don’t realize how much we do something until we write it down. Write down every instance of drinking you can remember and reflect on whether or not it led to notable memory gaps or personality changes. Hint: you might only remember because it led to a big fight or an embarrassing video afterward. Once you see it on paper, you can make appropriate goals moving forward. (Reframe’s built-in drink tracker can help you do exactly this!)

  4. Pace yourself. Once you’ve noticed a pattern, set a goal and pace yourself. If you’ve noticed, for example, that you tend to drink a lot more on Fridays, consider setting a limit or adjusting your behavior for a few weeks. Could you skip happy hour? Could you pay with cash only so that you can only buy so much? Could you set a limit of two drinks or swap out a few of your normal drinks for a tonic and lime?

  5. Find alternatives. It’s easier to stop something when you have a new thing to replace it. If alcohol is your favorite drink, consider exploring mocktails. If your friends encourage you to drink excessively, expand your social circle. If you always stop at a bar on the way home from work, find an alternate route. If drinking is your favorite form of entertainment, open yourself up to a new hobby. 

  6. Seek support. One way to find a supportive social circle (if you feel you need to) is by joining a support network of people who are also trying to quit or cut back on drinking. You can join one online (like Reframe’s 24/7 Forum) or find one locally. 

  7. Celebrate milestones. As you move forward, make a point to celebrate every win. If going one day without alcohol is a big accomplishment for you, share the news with your support network and reward yourself with a little bit of self-care (just not with alcohol). Every small step counts on the journey to greater health and well-being. 

As you put in the effort to prevent and manage your drinking habits, you can avoid blackouts and start to feel more like yourself again. 

Next Steps

Alcohol has short-term and long-term effects on every part of our body, especially our brain. Heavy drinking can lead to blackouts, and chronic misuse can lead to personality changes. Both of these can lead to numerous negative outcomes in our personal and professional lives. But there is hope! With a little determination and help from our friends, family, and resources like Reframe, we can take control of our lives and feel more present again. 

You just woke up with a pounding headache to find that a friend has posted an embarrassing video of you singing a drunken rendition of “Sweet Caroline” at the local karaoke bar, and you’re not sure whether to laugh or cry. Getting up on a stage is not in your playbook, especially when singing is involved. “Do I really sound like that?” you wonder. And more importantly, “Why don’t I remember this?” 

Unfortunately, lapses in memory and personality changes are a common part of booze-filled evenings. They can lead to innocent, albeit embarrassing, stage performances but also to more dangerous behaviors that can wreak havoc on our life.

In today’s blog post, we’ll explore the connection between alcohol use, memory, and behavior changes, and how these impact our health, relationships, and well-being. 

Alcohol’s Effects on Cognitive Function

A cross sign on the word 'alcohol', a bottle in hand, and the other hand showing a stop gesture

To fully understand blackouts, we have to understand how alcohol affects our cognitive function. Alcohol is a depressant, which means it slows down all the messengers (neurotransmitters) from our brain to the rest of our body. The more we drink, the more it impairs everything from our movements to our speech to our very consciousness. 

So, do you know what you're doing when blackout drunk? That’s a lot like asking about a tree falling in a forest. Alcohol directly targets the hippocampus, the primary structure in the brain responsible for memory. Excessive drinking disrupts the memory-making process, leading to the phenomenon of alcohol-induced blackouts. You may know what you’re doing in the moment, but you won’t have any memory of it the next morning. 

What Does Blacking Out Feel Like?

Distinct from passing out, alcohol blackouts are when we remain conscious but our brain fails to hit the “record” button. As a result, we often find large gaps in our memory from when we were intoxicated. 

So, what does blacking out feel like? It’s hard to say exactly given that most people don’t remember it, but from what we know about the general effects of alcohol, suffice it to say it’s a painful, confusing journey. The only tangible feeling is what comes the next day: you may experience one of two types of blackout:

  • En bloc blackout. This is when you have a single large chunk of information missing. Perhaps you remember throwing back that third shot of whiskey, and the next thing you know you’re riding home in an Uber a few hours later.

  • Fragmentary blackout. The most common type of blackout, fragmentary blackouts involve scattered memories with random chunks of information missing. These are also called “brownouts.”

For more details, check out our blog post “What Happens When You Black Out From Drinking?

Understanding Alcohol-Induced Personality Changes

In addition to blackouts, short-term and long-term personality changes are another common side effect of excessive drinking. 

Short-Term Effects 

You know how tight-lipped Uncle Joe gets super chatty when he drinks? Or happy Aunt Jody starts sobbing uncontrollably? Or perhaps you’ve heard someone described as an “angry drunk.” These are just a few examples of short-term personality changes brought on by alcohol. However, it’s not so much that their personality changes as it is that their normal filters and barriers come down, revealing other facets of their personalities. Could that be why you got up on the karaoke stage? Do you secretly seek the limelight?

Long-Term Effects

While short-term personality changes may make for embarrassing (and sometimes amusing) anecdotes, a repeated pattern of over-imbibing can lead to alcohol use disorder (AUD), which can alter our brain structure and chemistry, leading to lasting personality changes. Studies show, for example, that the more we drink, the more likely we are to struggle with anxiety and depression symptoms, which can significantly affect our mood.

Whether it’s an aunt who gets a little weepy when she drinks or a friend who is forever changed due to chronic misuse, it’s easy to see how alcohol can alter personalities and impact our lives. Let’s take a closer look at the possible outcomes. 

Impacts of Blackouts

The potential domino effect of drinking to the point of blacking out is nearly infinite. Every risk of normal drinking is present but to a higher degree: 


  • Health Issues. Blackouts usually happen due to binge drinking, meaning we drink way faster than our body can process, leading to faster intoxication. In addition to blackouts and personality changes, we run the risk of severe dehydration, heart problems, and alcohol poisoning, and those are only the immediate health risks. Consistent heavy drinking increases our chances of liver disease, cancer, heart disease, and stroke. 

  • Relationship problems. Binge drinking opens up a whole can of worms for relationships. Whether it's a significant other, a parent, a child, a sibling, a friend, a coworker, or a boss, heavy drinking can damage every relationship in one way or another. And heavy drinking is especially hard on families.


    Some people are angry when they drink and are more prone to violent blackouts. Some people are more amorous when they drink, making them more prone to inappropriate sexual encounters. It doesn’t take much imagination to think of all the things that could go wrong in either of those situations. 

  • Accident or injury. In addition to health hazards, when we drink to the point of blackout — referred to as alcohol-related amnesia in court — we increase the likelihood of serious injury and accidents to ourselves and others. The news is full of tragic stories that could have been avoided, and emergency rooms are filled with “hold my beer” stories on the weekends. 

  • Legal ramifications. Inappropriate relationships can lead to divorce and/or custody issues. Accidents and injuries lead to lawsuits. Violence leads to jail time. And all of these set in motion a domino effect of their own. Divorce leads to more family and financial strain. Lawsuits lead to money problems. Jail time leads to more relationship and money problems. You see where we’re going with this?
 
  • Long-term personality changes. Continued bouts of heavy drinking can alter your personality by changing your brain chemistry. It can make you more impulsive, depressed, anxious, and more prone to poor decision making. It can also shift your priorities, putting alcohol at the top of the list above people, work, and hobbies. It can also trigger more serious psychiatric disorders such as psychosis, schizophrenia, bipolar disorder, and panic disorder.

As they say in physics, “Every action has an equal and opposite reaction.” The same applies to drinking: every sip we take can increase our risk of unintended consequences. The good news is that we can change our drinking habits, no matter how bad they may have gotten, and likewise reverse alcohol’s effects on our brain chemistry.

If you’re ready to kick alcohol blackouts out of your life, there are options. There is a whole support network of people at Reframe eager and willing to help you quit or cut back on drinking and live a healthier, happier, safer life. If you’re not ready to take that step, there are some things you can start to do on your own.

Prevention and Management Tips

Prevention and Management Tips

To start you on the right track, let’s explore some ways to prevent and/or manage drinking habits to reduce the risk of alcohol blackouts and personality changes:

  1. Find your “why.” Whether it’s your health, your family, your career, or something else, find a reason that motivates you to change your alcohol habits.  

  2. Write it down. The more you see the life you want, the more you will work toward it. Write your “why” down on a piece of paper and put it somewhere you can see it frequently. You can put it on your mirror, by your key hook, on your sun visor, on your desk at work, or anywhere else. The important thing is that you see it often to remind you of your reason for change. 

  3. Track your habits. Sometimes, we don’t realize how much we do something until we write it down. Write down every instance of drinking you can remember and reflect on whether or not it led to notable memory gaps or personality changes. Hint: you might only remember because it led to a big fight or an embarrassing video afterward. Once you see it on paper, you can make appropriate goals moving forward. (Reframe’s built-in drink tracker can help you do exactly this!)

  4. Pace yourself. Once you’ve noticed a pattern, set a goal and pace yourself. If you’ve noticed, for example, that you tend to drink a lot more on Fridays, consider setting a limit or adjusting your behavior for a few weeks. Could you skip happy hour? Could you pay with cash only so that you can only buy so much? Could you set a limit of two drinks or swap out a few of your normal drinks for a tonic and lime?

  5. Find alternatives. It’s easier to stop something when you have a new thing to replace it. If alcohol is your favorite drink, consider exploring mocktails. If your friends encourage you to drink excessively, expand your social circle. If you always stop at a bar on the way home from work, find an alternate route. If drinking is your favorite form of entertainment, open yourself up to a new hobby. 

  6. Seek support. One way to find a supportive social circle (if you feel you need to) is by joining a support network of people who are also trying to quit or cut back on drinking. You can join one online (like Reframe’s 24/7 Forum) or find one locally. 

  7. Celebrate milestones. As you move forward, make a point to celebrate every win. If going one day without alcohol is a big accomplishment for you, share the news with your support network and reward yourself with a little bit of self-care (just not with alcohol). Every small step counts on the journey to greater health and well-being. 

As you put in the effort to prevent and manage your drinking habits, you can avoid blackouts and start to feel more like yourself again. 

Next Steps

Alcohol has short-term and long-term effects on every part of our body, especially our brain. Heavy drinking can lead to blackouts, and chronic misuse can lead to personality changes. Both of these can lead to numerous negative outcomes in our personal and professional lives. But there is hope! With a little determination and help from our friends, family, and resources like Reframe, we can take control of our lives and feel more present again. 

Alcohol and Mental Health
2024-05-08 9:00
Alcohol and Mental Health
What Is Dry Drunk Syndrome? Symptoms, Behaviors, and Treatment
This is some text inside of a div block.

Latching on to old behaviors in sobriety? Turns out, it’s more common than you might think! Read more about dry drunk syndrome and strategies to overcome it.

23 min read

Is Alcohol Affecting You? Reframe Can help!

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

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

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

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

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

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

Read Full Article  →

Given the wealth of information on the internet, is it any surprise when we could find ourselves scouring the web for diagnoses of our symptoms? One search and we could be going down the rabbit hole of every possible health condition and solution. For those of us in recovery, a term that pops up often is “dry drunk.” Seemingly contradictory, the term may be even more confusing after we’ve searched for answers. 

Let’s examine further what dry drunk means and explore some ways to better manage the symptoms that can accompany the condition. The journey to sobriety is no walk in the park, but having a better understanding of its challenges can help us make sure we stay on track. Before we get into the common challenges and how to overcome them, let’s first understand what “dry drunk” means. 

Dry Drunk Definition

A man sits with a beer, holding his head in despair

Dry drunk, or dry alcoholic, is a term that was originally used to describe someone who may be holding onto prior habits even after they stop drinking. The term was coined by the founders of Alcoholics Anonymous who used it to describe those in sobriety who may not be getting the help they need. However, it is no longer used in this context; today it can imply that someone in recovery may not be trying hard enough.

The meaning of dry drunk, as it is now used, refers to someone who experiences symptoms and displays certain behaviors that are attributed to dry drunk syndrome. Let’s take a closer look at what exactly dry drunk syndrome is and what symptoms and behaviors are associated with it.

What Is Dry Drunk Syndrome?

Dry drunk syndrome refers to the experiences of someone who is in sobriety but continues to display behaviors and experiences similar to the ones they endured when they were drinking. Imagine cutting sugar out of our diet but continuing to suffer its same negative effects. That can be confusing and discouraging — just as dry drunk symptoms are for someone cutting out alcohol. 

Those of us recovering from Alcohol Use Disorder (AUD) may experience dry drunk syndrome — especially if we try to white-knuckle sobriety. White knuckling in recovery refers to leaning solely on willpower to stop drinking, often without any outside support or treatment. This can compound the negative feelings of dry drunk symptoms and leave us stuck in the dry drunk stage. Let’s explore in more detail what AUD is to better understand why dry drunk symptoms can occur in recovery.  

What Is Alcohol Use Disorder (AUD)?

Alcohol use disorder is more than just a bad habit or lack of willpower — it is recognized as a mental disorder. Someone with AUD may not be able to stop drinking even if they experience harmful effects. In recovery, cutting out alcohol is a crucial step that involves emotional and behavioral challenges.

There are various stages of AUD, but regardless of the stage, the condition can have detrimental impacts on our life. A person’s mental, physical, and emotional well-being is severely affected by AUD, which can cause lingering effects of dry drunk symptoms even after quitting alcohol. Acknowledging AUD as a serious medical issue can help us understand why dry drunk syndrome can occur during recovery. Most important, it can help us prevail over these challenges. 

Another common experience in recovery is post-acute withdrawal syndrome (PAWS). Let’s take a closer look at what PAWS is to determine the similarities and differences between dry drunk syndrome and PAWS. 

Are Dry Drunk and PAWS Different?

Post-acute withdrawal syndrome (PAWS) is the stage in which a person has moved past the acute stage of withdrawal but continues to experience psychological effects. The acute stage of withdrawal typically refers to the 24 hours after our last drink, whereas PAWS symptoms can last up to six months. Some common experiences of PAWS include mood fluctuations, lower stress tolerance, insomnia, anxiety, depression, and longing for a drink. 

Dry drunk syndrome and PAWS have similar symptoms, but the terms are not used interchangeably. While neither condition is officially recognized in the DSM-5, both are common experiences for those in recovery from AUD. Medical professionals and researchers attribute dry drunk behaviors and symptoms to be part of PAWS. Let’s take a look at some of the specific symptoms that are associated with dry drunk syndrome. 

Symptoms of Dry Drunk Syndrome 

Symptoms of Dry Drunk Syndrome 

Much the way symptoms of the flu can differ from person to person, dry drunk symptoms will also vary — but there are some common ones:

  • Resentment. Feeling bitter towards friends and family is a common dry drunk behavior. Recovery from AUD comes with complicated emotions. This can lead to feelings of jealousy or resentment towards those around us who are not recovering from alcohol misuse. 
  • Anger. This is often directed toward ourselves or at recovery itself. It is frustrating to continue feeling negative effects even after quitting alcohol, so we often look for something to blame. Imagine taking medication that our doctor prescribed for the flu but finding that it has no effect. Our first reaction may be anger towards our doctor, then at ourselves for not getting better. The paradoxical effect of dry drunk syndrome after quitting alcohol can have the same effect. 
  • Romanticizing drinking. Especially with the compounding effects of feeling anger towards recovery, drinking may seem like the “good ol’ days” for someone experiencing dry drunk syndrome. Alcohol hijacks our brain’s reward system, and positive feelings from dopamine release can be linked to drinking. When quitting alcohol, it may take some time for our brain to recognize that alcohol provided a false sense of happiness when it artificially triggered the release of dopamine — leading to cravings for alcohol during PAWS.
  • Mood swings. A lower tolerance to stress and increased mood swings occur due to alcohol’s interactions with the neurotransmitters in our brain. Alcohol is categorized as a depressant, but drinking alcohol can have stimulant effects. The “up” feelings are the sense of happiness that often accompanies intoxication. The “down” or depressant effects are usually felt in the aftermath, in this case during withdrawal through low mood and low tolerance to stress. 
  • Fear of relapse. Those of us in recovery often mistakenly label dry drunk symptoms as relapse. When experiencing these symptoms, dry drunk syndrome can evoke severe feelings of stress, as we may fear reverting to old habits. Quitting alcohol is no small feat, and the thought of undoing all the progress we made can be extremely unsettling for those of us in recovery.
  • Developing other addictions. Since alcohol misuse often occurs as the result of other internal or external factors, it is common for us to turn to other coping mechanisms when quitting alcohol. This can be in the form of caffeine, gambling, exercise, and more.

Recognizing dry drunk symptoms and behaviors is the first step in helping us work through them and progress along the road to real sobriety. Deciphering the causes of dry drunk behaviors can also help us better manage the symptoms.

What Causes Dry Drunk Behaviors? 

Researchers continue to attempt to identify the causes of dry drunk behaviors, which are accepted as part of post-acute withdrawal. However, it is widely agreed that PAWS symptoms are a result of physiological changes in the brain that occur from dependence on a substance. PAWS not only occurs in recovery from AUD but also in recovery from other drug misuse, including opioids and marijuana. 

Substance misuse affects neurotransmitters in the brain, which are altered after extended periods of exposure to the substance. When the substance is removed, our neurotransmitters need time to adjust — causing prolonged symptoms associated with dry drunk syndrome. 

There are other factors besides alcohol that lead to AUD. Alcohol is commonly used as a coping mechanism or way to escape negative emotions or feelings. While the substance itself is removed in recovery, the issues leading to misuse in the first place may not have been dealt with yet. Therefore, the conflicting emotions and longing for alcohol that commonly occurs during the dry drunk period should be addressed. Recovery is often referred to as an identity transition that not only involves quitting drinking but also identifying and reworking the factors that led to alcohol misuse. 

Quitting alcohol is arguably the most important step in AUD recovery, but staying in the dry drunk stage can be dangerous. It can be compared to painting over the cracks on a dilapidated house. From the outside, the house may look brand new, but until the cracks are repaired, the house can still come crumbling down — just like our health in the limbo dry drunk stage. 

Risks of Staying a Dry Drunk

The dry drunk stage is a tricky place to be. We may be in a better place than when we were drinking, but continuing to experience the same behavioral and psychological effects can be tormenting. While the act of quitting alcohol can stop our physical health from declining, settling into this dry drunk stage can continue to negatively impact our mental health. 

Anxiety, depression, and other mental health conditions are commonly associated with post-acute withdrawal. One of the dangers of not continuing to pursue full recovery is the risk of falling deeper into a negative mental space. This could then lead to a full-blown mental disorder and put us at risk for relapse. Although symptoms of dry drunk syndrome and PAWS may be difficult to navigate, they are important stages to surmount in order to transition from the dry drunk period to true sobriety. Since dry drunk symptoms can often bring about feelings of shame or discouragement, let’s take a closer look at the prevalence of dry drunk syndrome to help us understand more about the condition. 

Is Dry Drunk Syndrome Common?

The experience of recovery is extremely individualized. However, due to the way alcohol interacts with the systems in our brain and body, we may have common symptoms and occurrences. While research on PAWS continues to require further study, UCLA’s Semel Institute for Neuroscience and Human Behavior found that PAWS occurs in over 75% of those of us recovering from AUD. 

Understanding that PAWS happens to many of us in recovery helps us feel less alone and can motivate us to continue to push through to full recovery. It can be discouraging to quit alcohol and continue to feel the same effects, but recognizing the prevalence and causes of dry drunk syndrome can help us better navigate it. 

How To Navigate Dry Drunk Syndrome 

Now that we understand that dry drunk syndrome is a common occurrence, let's explore some strategies to overcome this challenge in recovery. Symptoms of dry drunk syndrome can be frustrating and demotivating, but here are four helpful ways to manage them.

  1. Self-care. Practicing self-care can sometimes seem meaningless as most of us think of treating ourselves to a spa day or a latte on the weekends. However, these seemingly external acts can do a great deal in improving our mood and overall mental health. Self-care looks different for everyone, but some primary tasks such as eating proper meals, getting adequate rest, staying hydrated, and connecting with friends and family are ways we can improve our mental health and combat negative feelings that PAWS may evoke. 
  2. Identify triggers. When symptoms arise, it’s helpful to review the events leading up to occurrences so we can work to understand and avoid potential triggers. Triggers will vary from person to person, but some common ones include certain people, situations, or substances that may encourage old habits. Identifying our individual catalysts for dry drunk occurrences helps us avoid them or develop strategies to better manage them.
  3. Healthy distraction. While we aren’t suggesting an “out of sight, out of mind” strategy, finding healthy distractions is helpful in avoiding the trap of negative thinking. Exploring new hobbies, getting out in nature, and connecting with others helps to channel our energy into positive actions rather than ruminate on negative thoughts. 
  4. Professional assistance. The feelings and emotions associated with dry drunk symptoms can be difficult to manage on our own. Seeking professional support can help us learn positive coping strategies and open the door to other resources that can alleviate dry drunk effects. Professional support options may include medical professionals such as a primary care physicians or mental health practitioners and AUD or other support groups.

Dry drunk symptoms are unpleasant, but implementing these strategies can make them less daunting. Having support from family and friends is also helpful in persisting along the path to full recovery.

How To Support Someone Experiencing Dry Drunk Symptoms

Experiencing dry drunk symptoms in recovery can cause emotional distress and even discourage us from maintaining sobriety. Support from loved ones is integral in motivating those of us working to reduce or stop alcohol consumption to keep going. Here are some ways that our circle of support can help:

  • Offering a judgment-free space. Dry drunk symptoms can often evoke feelings of shame. By creating a judgment-free space, those of us in recovery from AUD can openly express our struggles and work through them with help from others. 
  • Assisting with accessing treatment. Professional treatment is not always easy to access, which can be a barrier for those of us in recovery seeking support. Family or friends can assist by identifying medical professionals and/or support groups. It is also helpful to offer to drive or attend a session with a loved one in order to help destigmatize and normalize seeking treatment. 
  • Acknowledging their experiences and feelings. Complicated emotions and feelings are a large aspect of dry drunk syndrome. Acknowledging the challenging experiences that we are going through can help us work through them with proper validation and support. It is helpful to remind anyone in recovery from AUD that dry drunk syndrome is common and encourage them to continue to push through to full sobriety. 
  • Providing tokens of encouragement. While emotional support is crucial, physical items can serve as tokens of encouragement and provide motivation when family and friends aren’t around. 
  • Caring for oneself. Supporting a loved one in recovery can be taxing physically and emotionally. Remembering to take time to care for oneself is important for longevity in supporting others in their journeys toward real sobriety. 

Summing Up

Many of us only hear of the silver linings of sobriety, but the reality is that recovery from AUD has no shortage of trials and tribulations. Dry drunk syndrome and its complicated symptoms can be discouraging for those of us in recovery. While the dry drunk stage is safer than alcohol misuse, there are detrimental effects if we stay stuck in it. The symptoms can be difficult to navigate, but with the strategies outlined and with support from friends and family, true sobriety is not a pipe dream. Dry drunk syndrome may visit us, but it’s not here to stay!

Given the wealth of information on the internet, is it any surprise when we could find ourselves scouring the web for diagnoses of our symptoms? One search and we could be going down the rabbit hole of every possible health condition and solution. For those of us in recovery, a term that pops up often is “dry drunk.” Seemingly contradictory, the term may be even more confusing after we’ve searched for answers. 

Let’s examine further what dry drunk means and explore some ways to better manage the symptoms that can accompany the condition. The journey to sobriety is no walk in the park, but having a better understanding of its challenges can help us make sure we stay on track. Before we get into the common challenges and how to overcome them, let’s first understand what “dry drunk” means. 

Dry Drunk Definition

A man sits with a beer, holding his head in despair

Dry drunk, or dry alcoholic, is a term that was originally used to describe someone who may be holding onto prior habits even after they stop drinking. The term was coined by the founders of Alcoholics Anonymous who used it to describe those in sobriety who may not be getting the help they need. However, it is no longer used in this context; today it can imply that someone in recovery may not be trying hard enough.

The meaning of dry drunk, as it is now used, refers to someone who experiences symptoms and displays certain behaviors that are attributed to dry drunk syndrome. Let’s take a closer look at what exactly dry drunk syndrome is and what symptoms and behaviors are associated with it.

What Is Dry Drunk Syndrome?

Dry drunk syndrome refers to the experiences of someone who is in sobriety but continues to display behaviors and experiences similar to the ones they endured when they were drinking. Imagine cutting sugar out of our diet but continuing to suffer its same negative effects. That can be confusing and discouraging — just as dry drunk symptoms are for someone cutting out alcohol. 

Those of us recovering from Alcohol Use Disorder (AUD) may experience dry drunk syndrome — especially if we try to white-knuckle sobriety. White knuckling in recovery refers to leaning solely on willpower to stop drinking, often without any outside support or treatment. This can compound the negative feelings of dry drunk symptoms and leave us stuck in the dry drunk stage. Let’s explore in more detail what AUD is to better understand why dry drunk symptoms can occur in recovery.  

What Is Alcohol Use Disorder (AUD)?

Alcohol use disorder is more than just a bad habit or lack of willpower — it is recognized as a mental disorder. Someone with AUD may not be able to stop drinking even if they experience harmful effects. In recovery, cutting out alcohol is a crucial step that involves emotional and behavioral challenges.

There are various stages of AUD, but regardless of the stage, the condition can have detrimental impacts on our life. A person’s mental, physical, and emotional well-being is severely affected by AUD, which can cause lingering effects of dry drunk symptoms even after quitting alcohol. Acknowledging AUD as a serious medical issue can help us understand why dry drunk syndrome can occur during recovery. Most important, it can help us prevail over these challenges. 

Another common experience in recovery is post-acute withdrawal syndrome (PAWS). Let’s take a closer look at what PAWS is to determine the similarities and differences between dry drunk syndrome and PAWS. 

Are Dry Drunk and PAWS Different?

Post-acute withdrawal syndrome (PAWS) is the stage in which a person has moved past the acute stage of withdrawal but continues to experience psychological effects. The acute stage of withdrawal typically refers to the 24 hours after our last drink, whereas PAWS symptoms can last up to six months. Some common experiences of PAWS include mood fluctuations, lower stress tolerance, insomnia, anxiety, depression, and longing for a drink. 

Dry drunk syndrome and PAWS have similar symptoms, but the terms are not used interchangeably. While neither condition is officially recognized in the DSM-5, both are common experiences for those in recovery from AUD. Medical professionals and researchers attribute dry drunk behaviors and symptoms to be part of PAWS. Let’s take a look at some of the specific symptoms that are associated with dry drunk syndrome. 

Symptoms of Dry Drunk Syndrome 

Symptoms of Dry Drunk Syndrome 

Much the way symptoms of the flu can differ from person to person, dry drunk symptoms will also vary — but there are some common ones:

  • Resentment. Feeling bitter towards friends and family is a common dry drunk behavior. Recovery from AUD comes with complicated emotions. This can lead to feelings of jealousy or resentment towards those around us who are not recovering from alcohol misuse. 
  • Anger. This is often directed toward ourselves or at recovery itself. It is frustrating to continue feeling negative effects even after quitting alcohol, so we often look for something to blame. Imagine taking medication that our doctor prescribed for the flu but finding that it has no effect. Our first reaction may be anger towards our doctor, then at ourselves for not getting better. The paradoxical effect of dry drunk syndrome after quitting alcohol can have the same effect. 
  • Romanticizing drinking. Especially with the compounding effects of feeling anger towards recovery, drinking may seem like the “good ol’ days” for someone experiencing dry drunk syndrome. Alcohol hijacks our brain’s reward system, and positive feelings from dopamine release can be linked to drinking. When quitting alcohol, it may take some time for our brain to recognize that alcohol provided a false sense of happiness when it artificially triggered the release of dopamine — leading to cravings for alcohol during PAWS.
  • Mood swings. A lower tolerance to stress and increased mood swings occur due to alcohol’s interactions with the neurotransmitters in our brain. Alcohol is categorized as a depressant, but drinking alcohol can have stimulant effects. The “up” feelings are the sense of happiness that often accompanies intoxication. The “down” or depressant effects are usually felt in the aftermath, in this case during withdrawal through low mood and low tolerance to stress. 
  • Fear of relapse. Those of us in recovery often mistakenly label dry drunk symptoms as relapse. When experiencing these symptoms, dry drunk syndrome can evoke severe feelings of stress, as we may fear reverting to old habits. Quitting alcohol is no small feat, and the thought of undoing all the progress we made can be extremely unsettling for those of us in recovery.
  • Developing other addictions. Since alcohol misuse often occurs as the result of other internal or external factors, it is common for us to turn to other coping mechanisms when quitting alcohol. This can be in the form of caffeine, gambling, exercise, and more.

Recognizing dry drunk symptoms and behaviors is the first step in helping us work through them and progress along the road to real sobriety. Deciphering the causes of dry drunk behaviors can also help us better manage the symptoms.

What Causes Dry Drunk Behaviors? 

Researchers continue to attempt to identify the causes of dry drunk behaviors, which are accepted as part of post-acute withdrawal. However, it is widely agreed that PAWS symptoms are a result of physiological changes in the brain that occur from dependence on a substance. PAWS not only occurs in recovery from AUD but also in recovery from other drug misuse, including opioids and marijuana. 

Substance misuse affects neurotransmitters in the brain, which are altered after extended periods of exposure to the substance. When the substance is removed, our neurotransmitters need time to adjust — causing prolonged symptoms associated with dry drunk syndrome. 

There are other factors besides alcohol that lead to AUD. Alcohol is commonly used as a coping mechanism or way to escape negative emotions or feelings. While the substance itself is removed in recovery, the issues leading to misuse in the first place may not have been dealt with yet. Therefore, the conflicting emotions and longing for alcohol that commonly occurs during the dry drunk period should be addressed. Recovery is often referred to as an identity transition that not only involves quitting drinking but also identifying and reworking the factors that led to alcohol misuse. 

Quitting alcohol is arguably the most important step in AUD recovery, but staying in the dry drunk stage can be dangerous. It can be compared to painting over the cracks on a dilapidated house. From the outside, the house may look brand new, but until the cracks are repaired, the house can still come crumbling down — just like our health in the limbo dry drunk stage. 

Risks of Staying a Dry Drunk

The dry drunk stage is a tricky place to be. We may be in a better place than when we were drinking, but continuing to experience the same behavioral and psychological effects can be tormenting. While the act of quitting alcohol can stop our physical health from declining, settling into this dry drunk stage can continue to negatively impact our mental health. 

Anxiety, depression, and other mental health conditions are commonly associated with post-acute withdrawal. One of the dangers of not continuing to pursue full recovery is the risk of falling deeper into a negative mental space. This could then lead to a full-blown mental disorder and put us at risk for relapse. Although symptoms of dry drunk syndrome and PAWS may be difficult to navigate, they are important stages to surmount in order to transition from the dry drunk period to true sobriety. Since dry drunk symptoms can often bring about feelings of shame or discouragement, let’s take a closer look at the prevalence of dry drunk syndrome to help us understand more about the condition. 

Is Dry Drunk Syndrome Common?

The experience of recovery is extremely individualized. However, due to the way alcohol interacts with the systems in our brain and body, we may have common symptoms and occurrences. While research on PAWS continues to require further study, UCLA’s Semel Institute for Neuroscience and Human Behavior found that PAWS occurs in over 75% of those of us recovering from AUD. 

Understanding that PAWS happens to many of us in recovery helps us feel less alone and can motivate us to continue to push through to full recovery. It can be discouraging to quit alcohol and continue to feel the same effects, but recognizing the prevalence and causes of dry drunk syndrome can help us better navigate it. 

How To Navigate Dry Drunk Syndrome 

Now that we understand that dry drunk syndrome is a common occurrence, let's explore some strategies to overcome this challenge in recovery. Symptoms of dry drunk syndrome can be frustrating and demotivating, but here are four helpful ways to manage them.

  1. Self-care. Practicing self-care can sometimes seem meaningless as most of us think of treating ourselves to a spa day or a latte on the weekends. However, these seemingly external acts can do a great deal in improving our mood and overall mental health. Self-care looks different for everyone, but some primary tasks such as eating proper meals, getting adequate rest, staying hydrated, and connecting with friends and family are ways we can improve our mental health and combat negative feelings that PAWS may evoke. 
  2. Identify triggers. When symptoms arise, it’s helpful to review the events leading up to occurrences so we can work to understand and avoid potential triggers. Triggers will vary from person to person, but some common ones include certain people, situations, or substances that may encourage old habits. Identifying our individual catalysts for dry drunk occurrences helps us avoid them or develop strategies to better manage them.
  3. Healthy distraction. While we aren’t suggesting an “out of sight, out of mind” strategy, finding healthy distractions is helpful in avoiding the trap of negative thinking. Exploring new hobbies, getting out in nature, and connecting with others helps to channel our energy into positive actions rather than ruminate on negative thoughts. 
  4. Professional assistance. The feelings and emotions associated with dry drunk symptoms can be difficult to manage on our own. Seeking professional support can help us learn positive coping strategies and open the door to other resources that can alleviate dry drunk effects. Professional support options may include medical professionals such as a primary care physicians or mental health practitioners and AUD or other support groups.

Dry drunk symptoms are unpleasant, but implementing these strategies can make them less daunting. Having support from family and friends is also helpful in persisting along the path to full recovery.

How To Support Someone Experiencing Dry Drunk Symptoms

Experiencing dry drunk symptoms in recovery can cause emotional distress and even discourage us from maintaining sobriety. Support from loved ones is integral in motivating those of us working to reduce or stop alcohol consumption to keep going. Here are some ways that our circle of support can help:

  • Offering a judgment-free space. Dry drunk symptoms can often evoke feelings of shame. By creating a judgment-free space, those of us in recovery from AUD can openly express our struggles and work through them with help from others. 
  • Assisting with accessing treatment. Professional treatment is not always easy to access, which can be a barrier for those of us in recovery seeking support. Family or friends can assist by identifying medical professionals and/or support groups. It is also helpful to offer to drive or attend a session with a loved one in order to help destigmatize and normalize seeking treatment. 
  • Acknowledging their experiences and feelings. Complicated emotions and feelings are a large aspect of dry drunk syndrome. Acknowledging the challenging experiences that we are going through can help us work through them with proper validation and support. It is helpful to remind anyone in recovery from AUD that dry drunk syndrome is common and encourage them to continue to push through to full sobriety. 
  • Providing tokens of encouragement. While emotional support is crucial, physical items can serve as tokens of encouragement and provide motivation when family and friends aren’t around. 
  • Caring for oneself. Supporting a loved one in recovery can be taxing physically and emotionally. Remembering to take time to care for oneself is important for longevity in supporting others in their journeys toward real sobriety. 

Summing Up

Many of us only hear of the silver linings of sobriety, but the reality is that recovery from AUD has no shortage of trials and tribulations. Dry drunk syndrome and its complicated symptoms can be discouraging for those of us in recovery. While the dry drunk stage is safer than alcohol misuse, there are detrimental effects if we stay stuck in it. The symptoms can be difficult to navigate, but with the strategies outlined and with support from friends and family, true sobriety is not a pipe dream. Dry drunk syndrome may visit us, but it’s not here to stay!

Alcohol and Mental Health
2024-04-25 9:00
Alcohol and Mental Health
Social Effects of Alcohol Use Disorder
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From family dynamics to personal relationships and community impact, the effects of alcohol misuse reach far and wide. Dive into the true impact of AUD and its social effects in our latest blog.

24 min read

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Read Full Article  →

Chances are, you know someone who has a problem with alcohol. Maybe it’s a college roommate whose drinking spiraled out of control. Maybe it’s a parent or a sibling. And maybe you yourself have been stuck in what feels like an endless cycle of resolutions and slips in an attempt to cut back or quit.

If so, you’re not alone! According to the NIAAA 2022 National Survey on Drug Use and Health, 29.5 million people over the age of 12 had AUD in 2021. With numbers that high, it’s no wonder that AUD has wide-ranging social effects. But what’s the possible impact of alcohol use on the community? And what can we do about it? Let’s dig deeper!

All About AUD

A person resting their head on a table with a half-empty glass of alcohol

According to NIAAA, AUD is “a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.” (For a deeper look, check out our blog: “Understanding the Stages of Alcohol Use Disorder: Causes and Treatment.”) It begins with alcohol misuse that gradually morphs into dependence.

  • Alcohol misuse. It’s no secret that alcohol temporarily makes us feel good, thanks to the dopamine rush it provides. But when we use alcohol too much, it disrupts the normal functioning of our brain. 
  • Alcohol dependence. Over time, our brain gets used to the “new normal” and slows down its natural dopamine production. The result? Activities that used to make us feel good no longer cut it, driving us back to booze. At this point, we might not even be getting enjoyment out of drinking, but we “need” it to function at baseline.

If we try to stop drinking suddenly once we reach the stage of dependence, some unpleasant effects set in. These physical and mental withdrawal symptoms include nausea, shakiness, unease, anxiety, insomnia, and, in severe cases, seizures and delirium tremens. While these symptoms don’t last forever, they can be medically dangerous. It’s important to seek medical help if things get rough!

Effects of AUD: 3 Spheres of Influence

AUD takes a serious toll on all aspects of our lives, including our body, mind, and social life. Here’s an overview of the effects of alcohol on all three.

Consequences of Drinking: The Physical Fallout 

According to the NIAAA, alcohol affects pretty much every major organ system in the body. (For an in-depth look, check out our blog: “Alcohol’s Long-Term Effects on the Body: Adverse Outcomes To Be Aware Of”).

  • Brain. Alcohol misuse interferes with the neurochemical balance in our brain, leading to mood disruptions, cognitive problems, and, in extreme cases, brain damage.
  • Heart. Drinking too much can disrupt our heart rhythm, cause blood pressure fluctuations, and lead to cardiomyopathy (damage to the heart muscle).
  • Liver. The liver, which metabolizes alcohol, bears the brunt of its toxic effects. Over time, excessive drinking can lead to inflammation, fatty liver, and, eventually, cirrhosis.
  • Immune system. Drinking too much — even just once — lowers our ability to fight off infections, making us more susceptible to disease.

As we can see, alcohol does our body no favors. Despite what we may have heard about the supposed “benefits” of alcohol, the WHO makes this point clear: “When it comes to alcohol consumption, there is no safe amount that does not affect health.”

Consequences of Drinking: Emotional Turmoil

Anyone who’s ever been around a drunk person or someone struggling with AUD knows that alcohol misuse can cause emotional turmoil. While it manifests differently in everyone, there are a few common consequences of alcohol: 

  • Mood swings. Emotional instability, including rapid mood swings, often comes with the territory.
  • Increased stress. We often find ourselves spiraling into a vortex of stress that only gets worse if we try to use alcohol to get temporary (if any) relief.
  • Depression and anxiety. As with stress, our depression and anxiety tend to get worse over time, even if drinking seems to relieve it for a short while.

If you are experiencing thoughts of suicide, please seek medical attention. In the United States, you can reach your local crisis hotline by dialing 988. Click here for a list of mental crisis phone numbers by country.

To learn more about the effects of alcohol misuse on our emotional and mental lives, take a look at our blog: “Understanding Alcohol's Effects on Mental Health.”

Consequences of Drinking: Social Stressors

On the social side, alcohol misuse can wreak havoc on our relationships while also affecting society as a whole:

  • Family dynamics. Family members are deeply affected by the stress of caring for and worrying about loved ones. Shifting priorities and financial problems that come with supporting a family member with AUD can cause rifts and strain bonds.
  • Relationships. Friendships, romantic relationships, and work dynamics all suffer when AUD is in the picture. 
  • Society. Whether by increasing workplace injuries or contributing to alcohol-related traffic accidents, AUD impacts society as a whole.

As we can see, the effects of AUD extend far beyond our own lives and even those of our loved ones. Let’s take a closer look at the far-reaching social effects of AUD.

Social Effects of AUD: A Closer Look

AUD notoriously shifts the dynamics within families, interpersonal relationships, communities, and society at large. When it comes to AUD, there are profound social effects that take place at each level. Let’s dig deeper!

Impact of Alcohol Use on the Family

Living in a family affected by AUD can be a daily struggle. Whether it’s a fifth-grader embarrassed to see their mom tipsy at a field hockey game or a parent worried about the frequent bouts of binge drinking their college freshman son is doing, the stress can become overwhelming. Let’s take a closer look:

  • Emotional roller coasters. The whole household feels the effects when one of the members has AUD. People feel like they have to walk on eggshells because their mood can change at any instant. What starts as a great family breakfast can end in a screaming match, while a night out can lead to an embarrassing outburst in front of family friends.
  • Broken bonds. Needless to say, AUD undermines the bonds between people who love and care for each other. AUD increases the likelihood of both divorce and domestic violence.
  • Secondary health issues. Constant worry can lead to health issues, such as heart trouble or high blood pressure. It can even trigger substance misuse in other family members.
  • Vicious cycles. Research shows that children in families affected by AUD are more likely to develop the condition themselves in the future. Plus, the missed school days, sleepless nights, and lack of much-needed support all take a hefty emotional toll.
  • Financial strain creates additional hardships. ​​The costs just keep adding up — alcohol itself, medical bills, maybe even legal fees. It's all money that could have been saved for vacations, savings for college, and basic necessities. 

The light at the end of the tunnel? While families often bear the brunt of the hardships related to AUD, they can also play a key role in recovery. As an Alcohol Research article exploring the complexities of AUD and families shows, family support is crucial in seeking help for AUD as well as in putting the pieces together afterward.

Impact of Alcohol Use on Relationships 

Family members are not the only ones who feel the social effects of AUD — friends, colleagues, and romantic partners do as well. There are several consequences of drinking in social spheres outside the home:

  • Friendships get strained. One of the hardest aspects of AUD is the isolation it often brings. Friends might mean well, but everyone has different limits. It can be frustrating to watch us change without knowing how to help, so friends might begin to pull away. We might also start isolating ourselves as alcohol becomes our main priority.
  • Codependency can set in. On the other hand, ignoring or enabling alcohol misuse can be even worse than getting distant. Codependent relationships can form as a result, especially if both people are struggling with some form of addiction.
  • Work relationships are undermined. We all know that booze and professionalism don’t mix, and many careers have stalled or ended due to alcohol misuse. The result? Our professional reputation suffers, making it harder and harder to land a new job. 
  • Intimate relationships become toxic. With booze in the picture, it can seem like drinking has become the priority for our partner at the expense of everything else. It can be heartbreaking to watch them choose alcohol over our well-being and their own health. 

Just as with family relationships, however, our interactions in other areas of life can help us overcome AUD. There’s nothing like the support of like-minded people when it comes to tackling this complex problem, and a strong social network can be a lifeline.

Impact of Alcohol Use on the Community

The social effects of AUD have large-scale implications for society as a whole:

  • The economy bears a heavy burden. According to the CDC, the economic burden of excessive alcohol use in the U.S. reached $249 billion in 2010, highlighting the significant impact on healthcare, workplace productivity, and law enforcement.
  • Drinking and driving threatens public health. The CDC reports that car accidents involving drunk drivers kill one person in the U.S. every 45 minutes — a number that tragically adds up to 32 lives lost every day. According to the National Highway Traffic Safety Administration (NHTSA), almost a third of all traffic fatalities involve alcohol.
  • Workplace injuries add to the toll. The workplace isn’t free from danger either: alcohol misuse is linked to approximately 40% of industrial fatalities and 47% of industrial injuries, according to the World Health Organization (WHO). 
  • Community resources are depleted. Emergency services and healthcare systems are often stretched thin when faced with the aftermath of excessive drinking. In addition to causing accidents, AUD is linked to many chronic health conditions, such as liver disease, heart disease, and many types of cancers, all of which require costly medical treatment.

All in all, AUD can’t be separated from the community at large. As John Donne wrote,“No man is an island”: we are all members of multiple communities and social networks that are deeply affected when alcohol misuse is in the picture.

Impact of Alcohol Misuse on the “Digital Dimension”

Finally, let’s not forget the digital world — AUD leaves a dangerous footprint here as well:

  • Social media and alcohol can be a toxic mix. Ever posted something on Facebook or Instagram and regretted it the next day? Alcohol can turn us into “keyboard warriors” who lash out at others and later regret it. It’s also easier than ever to tell the world what you’re thinking at the moment — and if alcohol is involved, it often doesn’t end well.
  • Online content can normalize problematic drinking. From articles and ads to discussion board posts, there’s a lot of content that glamorizes alcohol or, at the very least, normalizes it. This type of information can make it harder to spot signs of a problem (“If everyone’s doing it, it must be okay, right?”).

No doubt — our online lives can land us in a minefield of triggers and give us opportunities to channel our alcohol-fueled impulses in unhealthy ways. However, the opposite is also true: we can use our digital lives to find support in online communities (such as Reframe!) and discover crucial information we need to understand and tackle AUD.

Prevention and Outreach Programs

While the consequences of drinking in excess are serious, there are many ways to intervene and improve the situation. Outreach and prevention programs are a proven way to help. There are several different kinds: 

  • Education campaigns in schools. According to Alcohol Research and Health, school-based programs play a crucial role in setting the stage for a healthier approach to alcohol. The best age to start? Middle school — or possibly even younger.

    The interventions try to “address social norms around alcohol use” and support the development of “personal and social skills helping students resist pressure to use alcohol.” The best ones “involve interactive teaching approaches, use peer leaders, integrate other segments of the population into the program,” and build consistently over many years.
  • Adult education programs. Learning doesn’t stop when we leave high school (or college)! There are many programs targeted at adults that aim to spread the word about the risks of alcohol misuse. For example, the Massachusetts Drug and Alcohol Awareness Class is just one of many around the country. Courses such as this one aim to teach those who find themselves struggling with substance misuse about the risks and realities of the situation framed in a hopeful way. 
  • Community health programs. The SAMHSA guide outlines several types of community-level interventions to reduce alcohol consumption. For example, recognizing that alcohol has become increasingly easy to get in recent years (home delivery, anyone?), they suggest implementing zoning laws to limit physical availability.
  • Family assistance programs. Organizations such as SAMHSA also provide resources for families whose loved ones are struggling with AUD. These resources include brochures, videos, and links to local assistance programs.
  • Online resources and digital tools. Online resources and digital tools (such as Reframe!) can work wonders in spreading awareness and giving people easily accessible, personalized methods to reduce their drinking.

So while there are many social consequences to drinking, communities also hold a lot of positive power. Change is possible!

A Safer Drinking Culture

Tips for a Safe Society

So is there anything we can do about all of this? How do we keep ourselves, our loved ones, and our communities safe? Here are a few ideas:

  1. Start with yourself. Take a look at your drinking patterns to see if you might need to rethink your relationship with alcohol. If you‘re struggling, asking for help can be a crucial step in turning things around. 
  2. Help without enabling. Helping someone struggling with AUD can be tricky. Show support, provide information, and let them know you’re there, but don’t enable their behavior. (We know this is easier said than done! For more tips, check out our blog: “What Does It Mean To ‘Enable’ An Alcoholic?”).
  3. Keep the public conversation going. Join in (or start!) programs and events in your community to help those struggling with AUD or other types of substance misuse.
  4. Share your story. If you are on a journey to quit or cut back on booze, telling others about your experience can be a lifesaver. You might inspire someone to seek help or see their struggles with AUD in a new light, knowing that there’s a way out.

With these tips, you can play an important role in addressing the social effects of alcohol and helping your community thrive!

Summing Up

While alcohol misuse can wreak havoc on communities, communities can do a lot to address the problem head-on. Often the very people who struggled with AUD themselves can play a crucial role in helping others. 

In the words of writer Jodi Picoult, “Heroes didn't leap tall buildings or stop bullets with an outstretched hand … They bled, and they bruised, and their superpowers were as simple as listening, or loving. Heroes were ordinary people who knew that even if their own lives were impossibly knotted, they could untangle someone else's. And maybe that one act could lead someone to rescue you right back.”

Chances are, you know someone who has a problem with alcohol. Maybe it’s a college roommate whose drinking spiraled out of control. Maybe it’s a parent or a sibling. And maybe you yourself have been stuck in what feels like an endless cycle of resolutions and slips in an attempt to cut back or quit.

If so, you’re not alone! According to the NIAAA 2022 National Survey on Drug Use and Health, 29.5 million people over the age of 12 had AUD in 2021. With numbers that high, it’s no wonder that AUD has wide-ranging social effects. But what’s the possible impact of alcohol use on the community? And what can we do about it? Let’s dig deeper!

All About AUD

A person resting their head on a table with a half-empty glass of alcohol

According to NIAAA, AUD is “a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.” (For a deeper look, check out our blog: “Understanding the Stages of Alcohol Use Disorder: Causes and Treatment.”) It begins with alcohol misuse that gradually morphs into dependence.

  • Alcohol misuse. It’s no secret that alcohol temporarily makes us feel good, thanks to the dopamine rush it provides. But when we use alcohol too much, it disrupts the normal functioning of our brain. 
  • Alcohol dependence. Over time, our brain gets used to the “new normal” and slows down its natural dopamine production. The result? Activities that used to make us feel good no longer cut it, driving us back to booze. At this point, we might not even be getting enjoyment out of drinking, but we “need” it to function at baseline.

If we try to stop drinking suddenly once we reach the stage of dependence, some unpleasant effects set in. These physical and mental withdrawal symptoms include nausea, shakiness, unease, anxiety, insomnia, and, in severe cases, seizures and delirium tremens. While these symptoms don’t last forever, they can be medically dangerous. It’s important to seek medical help if things get rough!

Effects of AUD: 3 Spheres of Influence

AUD takes a serious toll on all aspects of our lives, including our body, mind, and social life. Here’s an overview of the effects of alcohol on all three.

Consequences of Drinking: The Physical Fallout 

According to the NIAAA, alcohol affects pretty much every major organ system in the body. (For an in-depth look, check out our blog: “Alcohol’s Long-Term Effects on the Body: Adverse Outcomes To Be Aware Of”).

  • Brain. Alcohol misuse interferes with the neurochemical balance in our brain, leading to mood disruptions, cognitive problems, and, in extreme cases, brain damage.
  • Heart. Drinking too much can disrupt our heart rhythm, cause blood pressure fluctuations, and lead to cardiomyopathy (damage to the heart muscle).
  • Liver. The liver, which metabolizes alcohol, bears the brunt of its toxic effects. Over time, excessive drinking can lead to inflammation, fatty liver, and, eventually, cirrhosis.
  • Immune system. Drinking too much — even just once — lowers our ability to fight off infections, making us more susceptible to disease.

As we can see, alcohol does our body no favors. Despite what we may have heard about the supposed “benefits” of alcohol, the WHO makes this point clear: “When it comes to alcohol consumption, there is no safe amount that does not affect health.”

Consequences of Drinking: Emotional Turmoil

Anyone who’s ever been around a drunk person or someone struggling with AUD knows that alcohol misuse can cause emotional turmoil. While it manifests differently in everyone, there are a few common consequences of alcohol: 

  • Mood swings. Emotional instability, including rapid mood swings, often comes with the territory.
  • Increased stress. We often find ourselves spiraling into a vortex of stress that only gets worse if we try to use alcohol to get temporary (if any) relief.
  • Depression and anxiety. As with stress, our depression and anxiety tend to get worse over time, even if drinking seems to relieve it for a short while.

If you are experiencing thoughts of suicide, please seek medical attention. In the United States, you can reach your local crisis hotline by dialing 988. Click here for a list of mental crisis phone numbers by country.

To learn more about the effects of alcohol misuse on our emotional and mental lives, take a look at our blog: “Understanding Alcohol's Effects on Mental Health.”

Consequences of Drinking: Social Stressors

On the social side, alcohol misuse can wreak havoc on our relationships while also affecting society as a whole:

  • Family dynamics. Family members are deeply affected by the stress of caring for and worrying about loved ones. Shifting priorities and financial problems that come with supporting a family member with AUD can cause rifts and strain bonds.
  • Relationships. Friendships, romantic relationships, and work dynamics all suffer when AUD is in the picture. 
  • Society. Whether by increasing workplace injuries or contributing to alcohol-related traffic accidents, AUD impacts society as a whole.

As we can see, the effects of AUD extend far beyond our own lives and even those of our loved ones. Let’s take a closer look at the far-reaching social effects of AUD.

Social Effects of AUD: A Closer Look

AUD notoriously shifts the dynamics within families, interpersonal relationships, communities, and society at large. When it comes to AUD, there are profound social effects that take place at each level. Let’s dig deeper!

Impact of Alcohol Use on the Family

Living in a family affected by AUD can be a daily struggle. Whether it’s a fifth-grader embarrassed to see their mom tipsy at a field hockey game or a parent worried about the frequent bouts of binge drinking their college freshman son is doing, the stress can become overwhelming. Let’s take a closer look:

  • Emotional roller coasters. The whole household feels the effects when one of the members has AUD. People feel like they have to walk on eggshells because their mood can change at any instant. What starts as a great family breakfast can end in a screaming match, while a night out can lead to an embarrassing outburst in front of family friends.
  • Broken bonds. Needless to say, AUD undermines the bonds between people who love and care for each other. AUD increases the likelihood of both divorce and domestic violence.
  • Secondary health issues. Constant worry can lead to health issues, such as heart trouble or high blood pressure. It can even trigger substance misuse in other family members.
  • Vicious cycles. Research shows that children in families affected by AUD are more likely to develop the condition themselves in the future. Plus, the missed school days, sleepless nights, and lack of much-needed support all take a hefty emotional toll.
  • Financial strain creates additional hardships. ​​The costs just keep adding up — alcohol itself, medical bills, maybe even legal fees. It's all money that could have been saved for vacations, savings for college, and basic necessities. 

The light at the end of the tunnel? While families often bear the brunt of the hardships related to AUD, they can also play a key role in recovery. As an Alcohol Research article exploring the complexities of AUD and families shows, family support is crucial in seeking help for AUD as well as in putting the pieces together afterward.

Impact of Alcohol Use on Relationships 

Family members are not the only ones who feel the social effects of AUD — friends, colleagues, and romantic partners do as well. There are several consequences of drinking in social spheres outside the home:

  • Friendships get strained. One of the hardest aspects of AUD is the isolation it often brings. Friends might mean well, but everyone has different limits. It can be frustrating to watch us change without knowing how to help, so friends might begin to pull away. We might also start isolating ourselves as alcohol becomes our main priority.
  • Codependency can set in. On the other hand, ignoring or enabling alcohol misuse can be even worse than getting distant. Codependent relationships can form as a result, especially if both people are struggling with some form of addiction.
  • Work relationships are undermined. We all know that booze and professionalism don’t mix, and many careers have stalled or ended due to alcohol misuse. The result? Our professional reputation suffers, making it harder and harder to land a new job. 
  • Intimate relationships become toxic. With booze in the picture, it can seem like drinking has become the priority for our partner at the expense of everything else. It can be heartbreaking to watch them choose alcohol over our well-being and their own health. 

Just as with family relationships, however, our interactions in other areas of life can help us overcome AUD. There’s nothing like the support of like-minded people when it comes to tackling this complex problem, and a strong social network can be a lifeline.

Impact of Alcohol Use on the Community

The social effects of AUD have large-scale implications for society as a whole:

  • The economy bears a heavy burden. According to the CDC, the economic burden of excessive alcohol use in the U.S. reached $249 billion in 2010, highlighting the significant impact on healthcare, workplace productivity, and law enforcement.
  • Drinking and driving threatens public health. The CDC reports that car accidents involving drunk drivers kill one person in the U.S. every 45 minutes — a number that tragically adds up to 32 lives lost every day. According to the National Highway Traffic Safety Administration (NHTSA), almost a third of all traffic fatalities involve alcohol.
  • Workplace injuries add to the toll. The workplace isn’t free from danger either: alcohol misuse is linked to approximately 40% of industrial fatalities and 47% of industrial injuries, according to the World Health Organization (WHO). 
  • Community resources are depleted. Emergency services and healthcare systems are often stretched thin when faced with the aftermath of excessive drinking. In addition to causing accidents, AUD is linked to many chronic health conditions, such as liver disease, heart disease, and many types of cancers, all of which require costly medical treatment.

All in all, AUD can’t be separated from the community at large. As John Donne wrote,“No man is an island”: we are all members of multiple communities and social networks that are deeply affected when alcohol misuse is in the picture.

Impact of Alcohol Misuse on the “Digital Dimension”

Finally, let’s not forget the digital world — AUD leaves a dangerous footprint here as well:

  • Social media and alcohol can be a toxic mix. Ever posted something on Facebook or Instagram and regretted it the next day? Alcohol can turn us into “keyboard warriors” who lash out at others and later regret it. It’s also easier than ever to tell the world what you’re thinking at the moment — and if alcohol is involved, it often doesn’t end well.
  • Online content can normalize problematic drinking. From articles and ads to discussion board posts, there’s a lot of content that glamorizes alcohol or, at the very least, normalizes it. This type of information can make it harder to spot signs of a problem (“If everyone’s doing it, it must be okay, right?”).

No doubt — our online lives can land us in a minefield of triggers and give us opportunities to channel our alcohol-fueled impulses in unhealthy ways. However, the opposite is also true: we can use our digital lives to find support in online communities (such as Reframe!) and discover crucial information we need to understand and tackle AUD.

Prevention and Outreach Programs

While the consequences of drinking in excess are serious, there are many ways to intervene and improve the situation. Outreach and prevention programs are a proven way to help. There are several different kinds: 

  • Education campaigns in schools. According to Alcohol Research and Health, school-based programs play a crucial role in setting the stage for a healthier approach to alcohol. The best age to start? Middle school — or possibly even younger.

    The interventions try to “address social norms around alcohol use” and support the development of “personal and social skills helping students resist pressure to use alcohol.” The best ones “involve interactive teaching approaches, use peer leaders, integrate other segments of the population into the program,” and build consistently over many years.
  • Adult education programs. Learning doesn’t stop when we leave high school (or college)! There are many programs targeted at adults that aim to spread the word about the risks of alcohol misuse. For example, the Massachusetts Drug and Alcohol Awareness Class is just one of many around the country. Courses such as this one aim to teach those who find themselves struggling with substance misuse about the risks and realities of the situation framed in a hopeful way. 
  • Community health programs. The SAMHSA guide outlines several types of community-level interventions to reduce alcohol consumption. For example, recognizing that alcohol has become increasingly easy to get in recent years (home delivery, anyone?), they suggest implementing zoning laws to limit physical availability.
  • Family assistance programs. Organizations such as SAMHSA also provide resources for families whose loved ones are struggling with AUD. These resources include brochures, videos, and links to local assistance programs.
  • Online resources and digital tools. Online resources and digital tools (such as Reframe!) can work wonders in spreading awareness and giving people easily accessible, personalized methods to reduce their drinking.

So while there are many social consequences to drinking, communities also hold a lot of positive power. Change is possible!

A Safer Drinking Culture

Tips for a Safe Society

So is there anything we can do about all of this? How do we keep ourselves, our loved ones, and our communities safe? Here are a few ideas:

  1. Start with yourself. Take a look at your drinking patterns to see if you might need to rethink your relationship with alcohol. If you‘re struggling, asking for help can be a crucial step in turning things around. 
  2. Help without enabling. Helping someone struggling with AUD can be tricky. Show support, provide information, and let them know you’re there, but don’t enable their behavior. (We know this is easier said than done! For more tips, check out our blog: “What Does It Mean To ‘Enable’ An Alcoholic?”).
  3. Keep the public conversation going. Join in (or start!) programs and events in your community to help those struggling with AUD or other types of substance misuse.
  4. Share your story. If you are on a journey to quit or cut back on booze, telling others about your experience can be a lifesaver. You might inspire someone to seek help or see their struggles with AUD in a new light, knowing that there’s a way out.

With these tips, you can play an important role in addressing the social effects of alcohol and helping your community thrive!

Summing Up

While alcohol misuse can wreak havoc on communities, communities can do a lot to address the problem head-on. Often the very people who struggled with AUD themselves can play a crucial role in helping others. 

In the words of writer Jodi Picoult, “Heroes didn't leap tall buildings or stop bullets with an outstretched hand … They bled, and they bruised, and their superpowers were as simple as listening, or loving. Heroes were ordinary people who knew that even if their own lives were impossibly knotted, they could untangle someone else's. And maybe that one act could lead someone to rescue you right back.”

Alcohol and Mental Health
2024-04-06 9:00
Alcohol and Mental Health
Can You Drink Alcohol While Taking Prozac
This is some text inside of a div block.

As an SSRI, Prozac is used to treat depression or anxiety disorders. Drinking while on Prozac can make our symptoms of depression worse and intensify the side effects of both substances.

24 min read

Are You Ready To Improve Your Mental Health by Cutting Back on Alcohol? Reframe Can Help! 

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

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

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

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

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

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

Read Full Article  →

It's winter, the days are getting shorter, and it always seems dark. Suddenly, our interests become less exciting, we don’t have the energy to socialize, and everything feels a little dull and gray.

This is an incredibly common scenario — hundreds of millions of people worldwide experience depression every year, and many more go undiagnosed. Luckily, there is a huge variety of treatments to help ease symptoms. The most common medication used to treat depression is called fluoxetine, also known as Prozac. It works quickly: symptoms typically start to improve after a few weeks, and for many of us, the color starts to come back into life.

Let’s imagine that we start taking Prozac, start to feel better, and decide to resume our life. Things are looking up, and we finally feel up to socializing. So, we decide to accept our friend’s invitation to a cocktail party — but is it safe to drink alcohol while we are on Prozac? 

a person holding medicines in one hand and alcohol in the other hand

In this blog, we’ll learn how Prozac interacts with alcohol and worsens depression. Let’s look at the science and explore alcohol-free activities that can help us cope with depression.

What Is an SSRI?

Selective serotonin reuptake inhibitors (SSRIs) are a class of medication commonly used to treat depression and anxiety disorders. Common SSRI medications include Lexapro, Prozac, Zoloft, or Paxil. The U.S. Food and Drug Administration (FDA) has approved the use of SSRIs to treat the following conditions:

  • Major depressive disorder (clinical depression)
  • Generalized anxiety disorder
  • Eating disorders
  • Obsessive-compulsive disorder (OCD)
  • Panic disorder
  • Post-traumatic stress disorder (PTSD)

SSRIs work by boosting the effectiveness of the neurotransmitter serotonin, which plays a critical role in regulating our mood, emotions, appetite, memory, sleep, and social behavior. Serotonin is often referred to as the “happy” chemical. That happiness we feel from spending time with a friend or walking in nature is the result of an increase in serotonin in the brain. 

After being produced, serotonin latches onto nearby neurons to trigger signals to different parts of our brain. Our body often produces more serotonin than we actually need, and our brain remedies this surplus through a natural process called reuptake, in which it reabsorbs and recycles the extra serotonin. SSRIs inhibit the reuptake of serotonin, leaving more hanging around to latch onto brain cells and boosting signal triggering.

People with depression and anxiety disorders often have a reduction in serotonin production. By inhibiting the reuptake process, SSRIs help give that smaller amount a chance to bind to nearby cells before reuptake can happen.

What Is Prozac?

Prozac is an SSRI prescribed to treat depression, OCD, and panic disorders. It helps people with mood disorders, but as with all medications, there are trade-offs. Some common side effects associated with Prozac include the following: 

  • Trouble falling or staying asleep
  • Unusual dreams
  • Gastrointestinal issues such as nausea, heartburn, or diarrhea 
  • Dry mouth
  • Weight gain or loss 
  • Excessive sweating
  • Sexual dysfunction
  • Headaches
  • Cognitive issues such as confusion, difficulty concentrating, or memory problems

Not everyone will experience these side effects, although most of us will experience at least one. If they are too unpleasant, our doctor may recommend discontinuing the medication, after which the side effects should clear up.

Minor side effects are common with Prozac, however, there are also some serious potential side effects that require immediate medical attention.


  • Shortness of breath
  • Dizziness or fainting 
  • Seizures
  • Fever
  • Allergic reaction 
  • Fast, slow, or irregular heart rate
  • Serotonin syndrome

Speak with your doctor or pharmacist if you are concerned about the side effects associated with your Prozac prescription — and always be honest about what substances you are taking.

The Link Between Alcohol and Depression 

Coping with alcohol may seem like a good solution because of the temporary relief it provides. However, drinking alcohol will actually make our depression worse! Here are some reasons why: 

  • Stronger emotions. Alcohol magnifies our emotions. If we’re already feeling anxious, irritated, or depressed, these feelings will likely intensify after drinking.
  • Disrupted sleep. Alcohol disrupts normal sleep patterns and leaves us feeling exhausted the next day. Sleep deprivation can make depression symptoms worse.

  • Dopamine roller coaster. Alcohol releases a flood of dopamine in our brain. Dopamine is the “feel-good” chemical associated with pleasure and reward. After drinking, we may find that other rewarding activities don’t feel quite as good as alcohol does, so we turn back to alcohol for the dopamine rush. We may even start losing interest in other areas of our life, a hallmark of depression.

  • Mood swings. With disruptions in serotonin and dopamine, our mood can fluctuate drastically from the neurochemical chaos caused by alcohol.
  • Stimulation fluctuation. Alcohol is a depressant, meaning it slows down our nervous system. It does this by enhancing the effectiveness of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter that calms and relaxes us. Meanwhile, it dampens the effectiveness of glutamate, a stimulating neurotransmitter. After we sober up, these chemicals rebound, leaving us overstimulated and agitated.

When we drink regularly, our brain compensates for the increased dopamine, GABA, and serotonin. Our brain adapts to this new chemical landscape altering the receptors available to these neurotransmitters, making it harder for us to have those positive feelings. These changes in our brain make us more susceptible to depression (luckily, this effect is reversible!).

All of this neurochemical chaos is more dramatic when we introduce other drugs, including SSRIs.

Dangers of Drinking Alcohol While on Prozac 

When Alcohol and Prozac Meet 

As we’ve learned, alcohol and SSRIs both influence the function of serotonin by making it more effective. Increased serotonin levels in turn can increase levels of dopamine and GABA. When we introduce both substances in the brain, they amplify one another’s side effects, including the following:

  • Confusion
  • Excessive drowsiness
  • Dizziness
  • Sleep disruption 
  • Digestive issues
  • Slowed motor skills or cognitive abilities

While some alcohol-Prozac interactions are merely unpleasant, some can actually be dangerous.

Dangers of Drinking Alcohol While on Prozac 

The combination of alcohol and Prozac may not sound too threatening, but mixing the two can be extremely dangerous at heavy levels of use. As we previously learned, alcohol can enhance the side effects of Prozac. Let’s discover some of the dangers related to using an SSRI and alcohol at the same time. 

  • Increased depression and anxiety. When we take our first few sips of alcohol, we may notice that our symptoms of depression and anxiety decrease. However, this “benefit” is short lived. After only a few hours, they start to come back, and the next day they’re worse than they were before. Drinking alcohol counteracts the benefits of Prozac in the long term and worsens our condition. 

  • Worsened side effects. One of the most concerning potential side effects of Prozac is an increase in suicidal thoughts. Drinking alcohol while on Prozac can further increase our chances of developing such thoughts and feelings. If you’re experiencing suicidal thoughts, call your local mental health crisis hotline (988 in the U.S.) or seek immediate medical attention!

  • Decreased cognition and alertness. The sedative effects of alcohol and Prozac become extreme when taken together. The combination of these substances can impact our decision making, judgment, motor coordination, reaction time, attention, and focus.
  • Extreme drowsiness or sedation. The sedative effects of Prozac and alcohol combined can make us feel extremely tired. Sudden drowsiness can leave us in vulnerable situations and lead to poor decisions. 
  • Increased risk for liver failure. Alcohol and Prozac are both metabolized in the liver. Having them in our system at the same time can strain the liver and increase our chances of liver-related complications.  
  • Risk of serotonin syndrome. Serotonin syndrome is a life-threatening condition that occurs when there is a dangerous abundance of serotonin in the brain. Symptoms of serotonin syndrome include agitation, rapid heartbeat, increased body temperature, muscle rigidity, restlessness, seizures, kidney failure, or trouble breathing. Seek immediate medical attention if you experience any of these symptoms!

Drinking alcohol while taking Prozac poses a serious risk to our overall health. Since most of these dangers aren’t necessarily life-threatening, is it safe to drink alcohol while taking Prozac?

Should I Drink on Prozac? 

While there’s no warning label on Prozac that says drinking alcohol is an immediate danger to our life, it’s not recommended to drink alcohol while on Prozac. Having a couple drinks while taking Prozac may not be life-threatening, but we might feel drunker faster or develop more intense feelings of depression or anxiety.

Ultimately, we are taking Prozac to improve our depression and anxiety. Alcohol is scientifically proven to increase depression and anxiety. If we want our symptoms to improve, it’s best to take a break from alcohol.

If we do want to drink, there are a few ways to mitigate risks and limit alcohol’s negative effects. 

  • Set limits. Limit yourself to one drink in a single drinking session and build “dry days” into your week so you’re not drinking every day.

  • Stay on a regimen. Do not stop taking Prozac if you are planning to drink! Skipping doses makes the medication ineffective and can cause further neurochemical chaos. Consult a medical professional before going off Prozac, or you could experience withdrawal symptoms. 

  • Stay self-aware. Monitor your symptoms for heightened side effects or signs of serotonin syndrome. Listen to your body and seek medical care if your side effects become severe enough to disturb you.

  • Slow down. Again, listen to your body! Prozac may make you feel drunk quicker, so go slow and consider alternating between booze and an alcohol-free drink such as water, soda, or a mocktail. 

  • Drink mindfully. Choose a drink you know you’ll enjoy so you can get the most out of each sip. 

Following these tips will allow us to enjoy an occasional drink without counteracting the Prozac too much. However, for Prozac to be fully effective, it’s best to stop drinking altogether. Let’s talk about some other ways to unwind or have fun without alcohol! 


Alternatives To Drinking While on Prozac 

As we learned, it is best not to drink alcohol while on Prozac. The good news is, there are still plenty of ways to be social and have fun without alcohol!

  • Try non-alcoholic alternatives. Mocktails are a great way to still enjoy a night in with friends or enjoy a drink at the bar without having to worry. 

  • Exercise or meditation. These activities can raise dopamine and serotonin levels without alcohol. Plus, meditation has been shown to provide some of the same benefits as deep sleep (particularly for older adults!) and exercise increases the amount of deep sleep we get each night. Better sleep means more energy for enjoying life!
 
  • Socialize without alcohol. Go on a hike or walk with friends, plan to meet at a coffee shop instead of a bar, or enjoy a movie. Consider making new, alcohol-free traditions for enjoying holidays, sports events, and celebrations.

  • Take up new hobbies. Start a new hobby such as painting, knitting, or fishing that can fill our days with activities that don’t require alcohol. Plus, learning new skills gives us a steady flow of dopamine! 

Key Takeaways

SSRIs such as Prozac are used to treat depression and anxiety disorders by blocking the reuptake of serotonin. Drinking alcohol with depression or anxiety can worsen symptoms and decrease the effectiveness of Prozac. For these reasons, it’s best to avoid drinking while taking Prozac. Thankfully, there are many ways to thrive without alcohol! 

It's winter, the days are getting shorter, and it always seems dark. Suddenly, our interests become less exciting, we don’t have the energy to socialize, and everything feels a little dull and gray.

This is an incredibly common scenario — hundreds of millions of people worldwide experience depression every year, and many more go undiagnosed. Luckily, there is a huge variety of treatments to help ease symptoms. The most common medication used to treat depression is called fluoxetine, also known as Prozac. It works quickly: symptoms typically start to improve after a few weeks, and for many of us, the color starts to come back into life.

Let’s imagine that we start taking Prozac, start to feel better, and decide to resume our life. Things are looking up, and we finally feel up to socializing. So, we decide to accept our friend’s invitation to a cocktail party — but is it safe to drink alcohol while we are on Prozac? 

a person holding medicines in one hand and alcohol in the other hand

In this blog, we’ll learn how Prozac interacts with alcohol and worsens depression. Let’s look at the science and explore alcohol-free activities that can help us cope with depression.

What Is an SSRI?

Selective serotonin reuptake inhibitors (SSRIs) are a class of medication commonly used to treat depression and anxiety disorders. Common SSRI medications include Lexapro, Prozac, Zoloft, or Paxil. The U.S. Food and Drug Administration (FDA) has approved the use of SSRIs to treat the following conditions:

  • Major depressive disorder (clinical depression)
  • Generalized anxiety disorder
  • Eating disorders
  • Obsessive-compulsive disorder (OCD)
  • Panic disorder
  • Post-traumatic stress disorder (PTSD)

SSRIs work by boosting the effectiveness of the neurotransmitter serotonin, which plays a critical role in regulating our mood, emotions, appetite, memory, sleep, and social behavior. Serotonin is often referred to as the “happy” chemical. That happiness we feel from spending time with a friend or walking in nature is the result of an increase in serotonin in the brain. 

After being produced, serotonin latches onto nearby neurons to trigger signals to different parts of our brain. Our body often produces more serotonin than we actually need, and our brain remedies this surplus through a natural process called reuptake, in which it reabsorbs and recycles the extra serotonin. SSRIs inhibit the reuptake of serotonin, leaving more hanging around to latch onto brain cells and boosting signal triggering.

People with depression and anxiety disorders often have a reduction in serotonin production. By inhibiting the reuptake process, SSRIs help give that smaller amount a chance to bind to nearby cells before reuptake can happen.

What Is Prozac?

Prozac is an SSRI prescribed to treat depression, OCD, and panic disorders. It helps people with mood disorders, but as with all medications, there are trade-offs. Some common side effects associated with Prozac include the following: 

  • Trouble falling or staying asleep
  • Unusual dreams
  • Gastrointestinal issues such as nausea, heartburn, or diarrhea 
  • Dry mouth
  • Weight gain or loss 
  • Excessive sweating
  • Sexual dysfunction
  • Headaches
  • Cognitive issues such as confusion, difficulty concentrating, or memory problems

Not everyone will experience these side effects, although most of us will experience at least one. If they are too unpleasant, our doctor may recommend discontinuing the medication, after which the side effects should clear up.

Minor side effects are common with Prozac, however, there are also some serious potential side effects that require immediate medical attention.


  • Shortness of breath
  • Dizziness or fainting 
  • Seizures
  • Fever
  • Allergic reaction 
  • Fast, slow, or irregular heart rate
  • Serotonin syndrome

Speak with your doctor or pharmacist if you are concerned about the side effects associated with your Prozac prescription — and always be honest about what substances you are taking.

The Link Between Alcohol and Depression 

Coping with alcohol may seem like a good solution because of the temporary relief it provides. However, drinking alcohol will actually make our depression worse! Here are some reasons why: 

  • Stronger emotions. Alcohol magnifies our emotions. If we’re already feeling anxious, irritated, or depressed, these feelings will likely intensify after drinking.
  • Disrupted sleep. Alcohol disrupts normal sleep patterns and leaves us feeling exhausted the next day. Sleep deprivation can make depression symptoms worse.

  • Dopamine roller coaster. Alcohol releases a flood of dopamine in our brain. Dopamine is the “feel-good” chemical associated with pleasure and reward. After drinking, we may find that other rewarding activities don’t feel quite as good as alcohol does, so we turn back to alcohol for the dopamine rush. We may even start losing interest in other areas of our life, a hallmark of depression.

  • Mood swings. With disruptions in serotonin and dopamine, our mood can fluctuate drastically from the neurochemical chaos caused by alcohol.
  • Stimulation fluctuation. Alcohol is a depressant, meaning it slows down our nervous system. It does this by enhancing the effectiveness of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter that calms and relaxes us. Meanwhile, it dampens the effectiveness of glutamate, a stimulating neurotransmitter. After we sober up, these chemicals rebound, leaving us overstimulated and agitated.

When we drink regularly, our brain compensates for the increased dopamine, GABA, and serotonin. Our brain adapts to this new chemical landscape altering the receptors available to these neurotransmitters, making it harder for us to have those positive feelings. These changes in our brain make us more susceptible to depression (luckily, this effect is reversible!).

All of this neurochemical chaos is more dramatic when we introduce other drugs, including SSRIs.

Dangers of Drinking Alcohol While on Prozac 

When Alcohol and Prozac Meet 

As we’ve learned, alcohol and SSRIs both influence the function of serotonin by making it more effective. Increased serotonin levels in turn can increase levels of dopamine and GABA. When we introduce both substances in the brain, they amplify one another’s side effects, including the following:

  • Confusion
  • Excessive drowsiness
  • Dizziness
  • Sleep disruption 
  • Digestive issues
  • Slowed motor skills or cognitive abilities

While some alcohol-Prozac interactions are merely unpleasant, some can actually be dangerous.

Dangers of Drinking Alcohol While on Prozac 

The combination of alcohol and Prozac may not sound too threatening, but mixing the two can be extremely dangerous at heavy levels of use. As we previously learned, alcohol can enhance the side effects of Prozac. Let’s discover some of the dangers related to using an SSRI and alcohol at the same time. 

  • Increased depression and anxiety. When we take our first few sips of alcohol, we may notice that our symptoms of depression and anxiety decrease. However, this “benefit” is short lived. After only a few hours, they start to come back, and the next day they’re worse than they were before. Drinking alcohol counteracts the benefits of Prozac in the long term and worsens our condition. 

  • Worsened side effects. One of the most concerning potential side effects of Prozac is an increase in suicidal thoughts. Drinking alcohol while on Prozac can further increase our chances of developing such thoughts and feelings. If you’re experiencing suicidal thoughts, call your local mental health crisis hotline (988 in the U.S.) or seek immediate medical attention!

  • Decreased cognition and alertness. The sedative effects of alcohol and Prozac become extreme when taken together. The combination of these substances can impact our decision making, judgment, motor coordination, reaction time, attention, and focus.
  • Extreme drowsiness or sedation. The sedative effects of Prozac and alcohol combined can make us feel extremely tired. Sudden drowsiness can leave us in vulnerable situations and lead to poor decisions. 
  • Increased risk for liver failure. Alcohol and Prozac are both metabolized in the liver. Having them in our system at the same time can strain the liver and increase our chances of liver-related complications.  
  • Risk of serotonin syndrome. Serotonin syndrome is a life-threatening condition that occurs when there is a dangerous abundance of serotonin in the brain. Symptoms of serotonin syndrome include agitation, rapid heartbeat, increased body temperature, muscle rigidity, restlessness, seizures, kidney failure, or trouble breathing. Seek immediate medical attention if you experience any of these symptoms!

Drinking alcohol while taking Prozac poses a serious risk to our overall health. Since most of these dangers aren’t necessarily life-threatening, is it safe to drink alcohol while taking Prozac?

Should I Drink on Prozac? 

While there’s no warning label on Prozac that says drinking alcohol is an immediate danger to our life, it’s not recommended to drink alcohol while on Prozac. Having a couple drinks while taking Prozac may not be life-threatening, but we might feel drunker faster or develop more intense feelings of depression or anxiety.

Ultimately, we are taking Prozac to improve our depression and anxiety. Alcohol is scientifically proven to increase depression and anxiety. If we want our symptoms to improve, it’s best to take a break from alcohol.

If we do want to drink, there are a few ways to mitigate risks and limit alcohol’s negative effects. 

  • Set limits. Limit yourself to one drink in a single drinking session and build “dry days” into your week so you’re not drinking every day.

  • Stay on a regimen. Do not stop taking Prozac if you are planning to drink! Skipping doses makes the medication ineffective and can cause further neurochemical chaos. Consult a medical professional before going off Prozac, or you could experience withdrawal symptoms. 

  • Stay self-aware. Monitor your symptoms for heightened side effects or signs of serotonin syndrome. Listen to your body and seek medical care if your side effects become severe enough to disturb you.

  • Slow down. Again, listen to your body! Prozac may make you feel drunk quicker, so go slow and consider alternating between booze and an alcohol-free drink such as water, soda, or a mocktail. 

  • Drink mindfully. Choose a drink you know you’ll enjoy so you can get the most out of each sip. 

Following these tips will allow us to enjoy an occasional drink without counteracting the Prozac too much. However, for Prozac to be fully effective, it’s best to stop drinking altogether. Let’s talk about some other ways to unwind or have fun without alcohol! 


Alternatives To Drinking While on Prozac 

As we learned, it is best not to drink alcohol while on Prozac. The good news is, there are still plenty of ways to be social and have fun without alcohol!

  • Try non-alcoholic alternatives. Mocktails are a great way to still enjoy a night in with friends or enjoy a drink at the bar without having to worry. 

  • Exercise or meditation. These activities can raise dopamine and serotonin levels without alcohol. Plus, meditation has been shown to provide some of the same benefits as deep sleep (particularly for older adults!) and exercise increases the amount of deep sleep we get each night. Better sleep means more energy for enjoying life!
 
  • Socialize without alcohol. Go on a hike or walk with friends, plan to meet at a coffee shop instead of a bar, or enjoy a movie. Consider making new, alcohol-free traditions for enjoying holidays, sports events, and celebrations.

  • Take up new hobbies. Start a new hobby such as painting, knitting, or fishing that can fill our days with activities that don’t require alcohol. Plus, learning new skills gives us a steady flow of dopamine! 

Key Takeaways

SSRIs such as Prozac are used to treat depression and anxiety disorders by blocking the reuptake of serotonin. Drinking alcohol with depression or anxiety can worsen symptoms and decrease the effectiveness of Prozac. For these reasons, it’s best to avoid drinking while taking Prozac. Thankfully, there are many ways to thrive without alcohol! 

Alcohol and Mental Health
2024-04-04 9:00
Alcohol and Mental Health
Exploring Spirituality In Recovery
This is some text inside of a div block.

Does spirituality play a role in recovery? Absolutely! It’s all about finding meaning and connecting to a community or source of inspiration that’s greater than ourselves.

24 min read

Ready To Change Your Relationship With Alcohol? Reframe Can Help!

Relationships are rarely a bed of roses, but there is always room for improvement. Reframe is a great place to start down that road.

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! 

Read Full Article  →

In Passage Meditation — A Complete Spiritual Practice: Train Your Mind and Find a Life That Fulfills, the renowned meditation teacher and author Eknath Easwaran writes: “There is a tale of a man who found on the road a large stone bearing the words, ‘Under me lies a great truth.’ The man strained to turn the stone over and finally succeeded. On the bottom was written, ‘Why do you want a new truth when you do not practice what you already know?’”

In this way, recovery begins to look like the “rediscovery” of a new and improved version of ourselves that already exists but has been hidden by addiction. Let’s look within and set it free!

Recovery as Rediscovery: A Holistic Process

A women meditating

Addiction affects every aspect of our lives, and recovery isn’t just a physical, mental, and emotional process —  it is a spiritual one as well. For some, the word “spirituality” might set off alarm bells, especially if they’ve had negative experiences with organized religion.

Rest assured, spirituality doesn’t have to mean going to church or performing religious rituals! 

Instead, let’s look at it as a broader concept that has to do with finding meaning in life. Recovery is all about finding a new source of meaning and rediscovering our true sense of self — an inherently creative (and exciting!) process.

There are several elements of spirituality that are particularly relevant to recovery:

  • Searching within rather than looking for external solutions. As Eshwaran suggests, the answers we’re often looking for — including those we think we find in alcohol — are already accessible to us from within. 
  • Rediscovering our true self. By looking within and aligning with our intuition, we can get back in touch with our authentic self — the way we feel when we have meaningful interactions with others, are engaged in activities we enjoy, and feel truly alive.
  • Tapping into creative possibilities. Recovery (or rediscovery) is a creative process — one that helps us combine old aspects of ourselves and our lives, which might have been overshadowed by alcohol, and see them in a new light. We are not the same as we were in the past, and that’s okay. In fact, that only makes for a more interesting and exciting future: who knows what new parts of ourselves we might be able to discover?

Benefits of a “Spiritual” Recovery

There are many benefits to adding a spiritual element to our recovery journey. 

  • Spirituality helps us find our “why.” For recovery to become a way of life (and, most importantly, a fulfilling, sustainable, and happy one), we need to feel motivated. Spiritually based motivation can act as a compass on our journey, reminding us of our reasons to change and motivating us to shift our habits. Spiritual approaches naturally connect us to a higher sense of purpose and allow us to see ourselves as a part of something greater. What that purpose is, however, is entirely up to us to define. 

    Whatever our motivation for changing our relationship with alcohol — whether it’s becoming healthier, having a better relationship with our partner, connecting with friends in a more authentic way, being more productive, or achieving our career goals — a spiritual practice can provide the structure that keeps things in perspective and reminds us to see our actions in a greater context.
  • Spirituality connects us with others. Whether we are engaged in a spiritual practice together — for example, attending a religious service, yoga class, or meditation retreat (we’ll explore specific options for spiritual practices a bit later) — we find it easier to surround ourselves with like-minded folks. But even if we’re practicing by ourselves, the very nature of spiritual pursuits makes it easier to feel empathy and connection to those around us on a daily basis.
  • It offers tools for building resilience. A lot of spiritual practices focus on transcending the difficult times in our lives and finding meaning in them. This view makes it easier to reframe challenges as opportunities for growth and discovery!
  • It helps us see cravings in a different light. By recognizing ourselves as a part of something larger than ourselves (whether that’s a community of like-minded people or a set of specific spiritual beliefs about the world), we can also see our cravings as just one element of our overall experience. Plus, the element of mindfulness that is present in most spiritual practices makes “urge surfing” that much easier!
  • It helps us build awareness of our thought patterns. Another way in which spiritual practices help us dismiss cravings and identify triggers is through their tendency to focus on the present moment and nurture a sense of awareness of our own thoughts. While this aspect — known as mindful awareness — is at the forefront of practices such as meditation or yoga, many other spiritual practices contain elements of mindfulness as well. For example, meditation is built into the 12 Steps of Alcoholics Anonymous, as well as into many traditional religions.
Types of Spiritual Approaches

Types of Spiritual Approaches

Not all spiritual approaches will work for everyone, and that’s okay! Luckily, there are many “paths to the same mountain,” as they say.

1. Traditional Religions

In a Journal of Religion and Health review article titled “Belief, Behavior, and Belonging: How Faith is Indispensable in Preventing and Recovering from Substance Abuse,” Melissa and Brian Grim describe their analysis of 130,000 congregation-based substance abuse programs that feature faith-based approaches to recovery. They argue that these programs greatly contribute to the field of addiction recovery, often without any cost to taxpayers. The vast majority (87%) of the studies they reviewed as part of their research point to faith as “faith is a positive factor in addiction prevention or recovery.”

That said, if traditional religion isn’t for you, no problem! There are other options to explore.

2. The 12 Steps and the “Higher Power” 

While the 12 steps of programs such as Alcoholics Anonymous (AA) are also not for everyone, they’re a great example of how spirituality could provide a useful structure and set of principles that help our recovery. The first three steps are all about admitting powerlessness and asking a “Higher Power” to “restore us to sanity.” This formulation may not resonate with everyone, but the point is simple: what happened to us is not our fault, and our experience with alcohol doesn’t have to mean that there’s anything “wrong” with us. Alcohol is addictive, and we simply fell into the same set of habits that millions of others have fallen into. Luckily, we have options: we can look at our situation from a broader perspective and realize that help is available. 

When viewed in this light, the “Higher Power” doesn’t have to be the traditional “God” — many AA members actually choose to see the group itself as a collective power generated by like-minded people coming together to help one another in a way that would be impossible to do alone. In any case, if this approach resonates with you, go ahead and give it a try!

3. Mindfulness and Other Forms of Meditation

In the words of writer and motivational speaker Wayne Dyer, our thoughts determine our reality. “Remember, you become what you think about all day long. How often do you clutter your mind with thoughts of non-peace? … All of these thoughts and their expressions are indications that you have become trapped in a non-peaceful mind and, therefore, a non-peaceful world.”

A way out of this “thought trap” is mindfulness, a core element in many spiritual traditions and an excellent form of spiritual recovery practice in itself. Mindfulness is incredibly simple: all it requires is to observe our own thoughts or perform any activity with our whole attention focused on it. As a spiritual recovery practice, it can help us break out of “non-peaceful” thoughts, including ones that push us closer to our addictions and habits.

There are countless benefits of mindfulness that have now been backed by science. For one thing, neuroscience research tells us that mindfulness benefits the brain by rewiring circuits responsible for stress and chronic pain and boosting those related to focus and attention! There have been many recent studies that show mindfulness as one of the best ways to boost our mental and physical health.

According to an article in the NIH newsletter News in Health, practicing mindfulness can help with a host of mental health issues, including depression, PTSD, eating disorders, and addiction. Additionally, mindfulness has other health benefits, such as lowering blood pressure and reducing stroke risk).

And as neuroimaging studies have shown, mindfulness can physically change the neurological wiring of our brain. A large-scale study in BioMed Research International titled “The Meditative Mind: A Comprehensive Meta-Analysis of MRI Studies” paints an impressive picture of the brain “on mindfulness.” According to many studies reviewed within the report, participating in mindfulness-based practices physically rewires the brain, engaging circuits that promote resilience, self-awareness, and reduced impulsivity.

4. Nature-Based Approaches to Spirituality

Spending time in nature is yet another way to connect to something greater than ourselves (without the need for organized religion or the 12 Steps). One of the best expressions of this sentiment comes from American Transcendentalist Ralph Waldo Emerson. In Nature, he writes: “In the woods, we return to reason and faith. There I feel that nothing can befall me in life,—no disgrace, no calamity, (leaving me my eyes,) which nature cannot repair.”

Nature has proven to be just as versatile within therapeutic contexts. Recently, ecotherapy has been touted as a great form of treatment for those who might be reluctant to engage in traditional talk therapy. According to psychologist Maurie Lung, “One of the top benefits that we address are for people who are trying to reduce anxiety or depression and increase relationship and connection … it’s super engaging, so for kids and teenagers ... [and] for people who are reluctant to be in therapy.”

There are many ways we can use nature as a therapeutic and spiritual springboard. There’s no need to travel tens or hundreds of miles to a faraway National Park, forest, or beach — a city park or even your own backyard will do. All we need to find is a small sanctuary away from the noise and traffic where we can feel connected to natural surroundings and walk or just simply sit and meditate.

5. Creativity-Based Approaches

As author Kurt Vonnegut said, “To practice any art, no matter how well or badly, is a way to make your soul grow. So do it.” Creativity is, indeed, another way to grow spiritually while supporting our recovery. After all, rediscovering our true self and our new purpose is an inherently creative process. That’s also what makes it fun!

One of the clearest ways in which creative pursuits can become a spiritual practice is through the state of “flow.” Defined by psychologist and author Mihaly Csikszentmihalyi as optimal experience done for its own sake, flow is liberating and spiritually fulfilling: “It is when we act freely, for the sake of the action itself rather than for ulterior motives, that we learn to become more than what we were. When we choose a goal and invest ourselves in it to the limits of concentration, whatever we do will be enjoyable. And once we have tasted this joy, we will redouble our efforts to taste it again. This is the way the self grows.”

We can achieve flow through any activity that captures our creative attention — painting, writing, gardening, cooking, or creating a digital photo collage. Flow is all about the process instead of the result (no need to be a Picasso, Chopin, or even a Top Chef contestant). By absorbing ourselves fully in the creative process, we automatically tap into something greater than ourselves — and that’s where things start to get spiritual!

Science shows that engaging in activities that make us feel fully absorbed — the kind that give us the sense of being outside of time — naturally quiet the part of our brain that’s in charge of judgments and ruminating thoughts. Such activities serve as a boost of dopamine — the feel-good neurotransmitters that get depleted with increased alcohol use. While there are many “flavors” of flow (for example, artistic pursuits or socializing with friends), spiritual practices such as prayer or meditation are among the best ways to get into this state.

Creating a Spiritual Recovery

How can we start getting in touch with our spiritual side and tap into the power of spiritual recovery? Here are some ideas:

  • Narrow down the options by exploring different spiritual paths to find what resonates with you personally. Visit religious centers and churches focused on a philosophy that sparks your interest. Check out some 12-step meetings to see if the community you find there makes you feel at home. Also, consider yoga classes and mindfulness groups in your area, as well as communities devoted to creativity and nature. Or just try them out on your own by reading, looking up resources online, listening to podcasts, or watching videos related to a practice that piques your interest.
  • Experiment with different formats and approaches after you’ve chosen a path. For example, try different types of meditation, various artistic activities, or different types of 12-step meetings, all of which have a slightly different atmosphere and rhythm.
  • Surround yourself with a community or support group that respects and supports your spiritual journey. This can be a church community, a 12-step group, a yoga or meditation community, or even a local art class or nature society. As long as the vibe is supportive and resonates with your recovery goals, it will be an enriching experience and will help you form authentic connections with people on a similar path.

Daily Spiritual Tips

Finally, let’s look at some specific suggestions for incorporating spirituality into daily life to support recovery. Drawing on the wisdom of Wayne Dyer once again, let’s take a look at how he advises us to incorporate spiritual elements into our daily lives for optimal growth (as well as recovery from addictive behaviors) in There’s a Spiritual Solution to Every Problem. His words resonate with many and have a trademark touch of warmth and compassion.

  • “Tune in” to your own thoughts. This form of mindfulness can work wonders for recovering from substance misuse or other habits. Tuning in is all about watching your thoughts without judgment, just to get a clear “lay of the land.” Don’t focus on changing anything — simply observe. You’ll find that the more you do this, the more control you’ll have over which thoughts you choose to act on. In Dyer’s words, “Activating spiritual solutions means converting inner thoughts and feelings from discord and disharmony to love.”
  • Practice “allowing” instead of striving or expecting. As Dyer says, “Perfect joy is found in the absence of striving for it, and instead realizing it is within you.”
  • Train your focus and attention. According to Dyer, “Concentration breeds efficiency while division brings inefficiency, error, and tension.”
  • Stay curious, playful, and creative. As Dyer says, “Often we use the word problem only because we have not learned that imagination and creativity can handle the situation.”

A Spiritual GPS

In Divine Living: The Essential Guide To Your True Destiny, destiny coach Anthon St. Maarten writes, “Intuition goes before you, showing you the way. Emotion follows behind, to let you know when you go astray. Listen to your inner voice: it is the calling of your spiritual GPS system seeking to keep you on track towards your true destiny.” Let’s turn to our “spiritual GPS” to jumpstart our own version of spiritual recovery!

In Passage Meditation — A Complete Spiritual Practice: Train Your Mind and Find a Life That Fulfills, the renowned meditation teacher and author Eknath Easwaran writes: “There is a tale of a man who found on the road a large stone bearing the words, ‘Under me lies a great truth.’ The man strained to turn the stone over and finally succeeded. On the bottom was written, ‘Why do you want a new truth when you do not practice what you already know?’”

In this way, recovery begins to look like the “rediscovery” of a new and improved version of ourselves that already exists but has been hidden by addiction. Let’s look within and set it free!

Recovery as Rediscovery: A Holistic Process

A women meditating

Addiction affects every aspect of our lives, and recovery isn’t just a physical, mental, and emotional process —  it is a spiritual one as well. For some, the word “spirituality” might set off alarm bells, especially if they’ve had negative experiences with organized religion.

Rest assured, spirituality doesn’t have to mean going to church or performing religious rituals! 

Instead, let’s look at it as a broader concept that has to do with finding meaning in life. Recovery is all about finding a new source of meaning and rediscovering our true sense of self — an inherently creative (and exciting!) process.

There are several elements of spirituality that are particularly relevant to recovery:

  • Searching within rather than looking for external solutions. As Eshwaran suggests, the answers we’re often looking for — including those we think we find in alcohol — are already accessible to us from within. 
  • Rediscovering our true self. By looking within and aligning with our intuition, we can get back in touch with our authentic self — the way we feel when we have meaningful interactions with others, are engaged in activities we enjoy, and feel truly alive.
  • Tapping into creative possibilities. Recovery (or rediscovery) is a creative process — one that helps us combine old aspects of ourselves and our lives, which might have been overshadowed by alcohol, and see them in a new light. We are not the same as we were in the past, and that’s okay. In fact, that only makes for a more interesting and exciting future: who knows what new parts of ourselves we might be able to discover?

Benefits of a “Spiritual” Recovery

There are many benefits to adding a spiritual element to our recovery journey. 

  • Spirituality helps us find our “why.” For recovery to become a way of life (and, most importantly, a fulfilling, sustainable, and happy one), we need to feel motivated. Spiritually based motivation can act as a compass on our journey, reminding us of our reasons to change and motivating us to shift our habits. Spiritual approaches naturally connect us to a higher sense of purpose and allow us to see ourselves as a part of something greater. What that purpose is, however, is entirely up to us to define. 

    Whatever our motivation for changing our relationship with alcohol — whether it’s becoming healthier, having a better relationship with our partner, connecting with friends in a more authentic way, being more productive, or achieving our career goals — a spiritual practice can provide the structure that keeps things in perspective and reminds us to see our actions in a greater context.
  • Spirituality connects us with others. Whether we are engaged in a spiritual practice together — for example, attending a religious service, yoga class, or meditation retreat (we’ll explore specific options for spiritual practices a bit later) — we find it easier to surround ourselves with like-minded folks. But even if we’re practicing by ourselves, the very nature of spiritual pursuits makes it easier to feel empathy and connection to those around us on a daily basis.
  • It offers tools for building resilience. A lot of spiritual practices focus on transcending the difficult times in our lives and finding meaning in them. This view makes it easier to reframe challenges as opportunities for growth and discovery!
  • It helps us see cravings in a different light. By recognizing ourselves as a part of something larger than ourselves (whether that’s a community of like-minded people or a set of specific spiritual beliefs about the world), we can also see our cravings as just one element of our overall experience. Plus, the element of mindfulness that is present in most spiritual practices makes “urge surfing” that much easier!
  • It helps us build awareness of our thought patterns. Another way in which spiritual practices help us dismiss cravings and identify triggers is through their tendency to focus on the present moment and nurture a sense of awareness of our own thoughts. While this aspect — known as mindful awareness — is at the forefront of practices such as meditation or yoga, many other spiritual practices contain elements of mindfulness as well. For example, meditation is built into the 12 Steps of Alcoholics Anonymous, as well as into many traditional religions.
Types of Spiritual Approaches

Types of Spiritual Approaches

Not all spiritual approaches will work for everyone, and that’s okay! Luckily, there are many “paths to the same mountain,” as they say.

1. Traditional Religions

In a Journal of Religion and Health review article titled “Belief, Behavior, and Belonging: How Faith is Indispensable in Preventing and Recovering from Substance Abuse,” Melissa and Brian Grim describe their analysis of 130,000 congregation-based substance abuse programs that feature faith-based approaches to recovery. They argue that these programs greatly contribute to the field of addiction recovery, often without any cost to taxpayers. The vast majority (87%) of the studies they reviewed as part of their research point to faith as “faith is a positive factor in addiction prevention or recovery.”

That said, if traditional religion isn’t for you, no problem! There are other options to explore.

2. The 12 Steps and the “Higher Power” 

While the 12 steps of programs such as Alcoholics Anonymous (AA) are also not for everyone, they’re a great example of how spirituality could provide a useful structure and set of principles that help our recovery. The first three steps are all about admitting powerlessness and asking a “Higher Power” to “restore us to sanity.” This formulation may not resonate with everyone, but the point is simple: what happened to us is not our fault, and our experience with alcohol doesn’t have to mean that there’s anything “wrong” with us. Alcohol is addictive, and we simply fell into the same set of habits that millions of others have fallen into. Luckily, we have options: we can look at our situation from a broader perspective and realize that help is available. 

When viewed in this light, the “Higher Power” doesn’t have to be the traditional “God” — many AA members actually choose to see the group itself as a collective power generated by like-minded people coming together to help one another in a way that would be impossible to do alone. In any case, if this approach resonates with you, go ahead and give it a try!

3. Mindfulness and Other Forms of Meditation

In the words of writer and motivational speaker Wayne Dyer, our thoughts determine our reality. “Remember, you become what you think about all day long. How often do you clutter your mind with thoughts of non-peace? … All of these thoughts and their expressions are indications that you have become trapped in a non-peaceful mind and, therefore, a non-peaceful world.”

A way out of this “thought trap” is mindfulness, a core element in many spiritual traditions and an excellent form of spiritual recovery practice in itself. Mindfulness is incredibly simple: all it requires is to observe our own thoughts or perform any activity with our whole attention focused on it. As a spiritual recovery practice, it can help us break out of “non-peaceful” thoughts, including ones that push us closer to our addictions and habits.

There are countless benefits of mindfulness that have now been backed by science. For one thing, neuroscience research tells us that mindfulness benefits the brain by rewiring circuits responsible for stress and chronic pain and boosting those related to focus and attention! There have been many recent studies that show mindfulness as one of the best ways to boost our mental and physical health.

According to an article in the NIH newsletter News in Health, practicing mindfulness can help with a host of mental health issues, including depression, PTSD, eating disorders, and addiction. Additionally, mindfulness has other health benefits, such as lowering blood pressure and reducing stroke risk).

And as neuroimaging studies have shown, mindfulness can physically change the neurological wiring of our brain. A large-scale study in BioMed Research International titled “The Meditative Mind: A Comprehensive Meta-Analysis of MRI Studies” paints an impressive picture of the brain “on mindfulness.” According to many studies reviewed within the report, participating in mindfulness-based practices physically rewires the brain, engaging circuits that promote resilience, self-awareness, and reduced impulsivity.

4. Nature-Based Approaches to Spirituality

Spending time in nature is yet another way to connect to something greater than ourselves (without the need for organized religion or the 12 Steps). One of the best expressions of this sentiment comes from American Transcendentalist Ralph Waldo Emerson. In Nature, he writes: “In the woods, we return to reason and faith. There I feel that nothing can befall me in life,—no disgrace, no calamity, (leaving me my eyes,) which nature cannot repair.”

Nature has proven to be just as versatile within therapeutic contexts. Recently, ecotherapy has been touted as a great form of treatment for those who might be reluctant to engage in traditional talk therapy. According to psychologist Maurie Lung, “One of the top benefits that we address are for people who are trying to reduce anxiety or depression and increase relationship and connection … it’s super engaging, so for kids and teenagers ... [and] for people who are reluctant to be in therapy.”

There are many ways we can use nature as a therapeutic and spiritual springboard. There’s no need to travel tens or hundreds of miles to a faraway National Park, forest, or beach — a city park or even your own backyard will do. All we need to find is a small sanctuary away from the noise and traffic where we can feel connected to natural surroundings and walk or just simply sit and meditate.

5. Creativity-Based Approaches

As author Kurt Vonnegut said, “To practice any art, no matter how well or badly, is a way to make your soul grow. So do it.” Creativity is, indeed, another way to grow spiritually while supporting our recovery. After all, rediscovering our true self and our new purpose is an inherently creative process. That’s also what makes it fun!

One of the clearest ways in which creative pursuits can become a spiritual practice is through the state of “flow.” Defined by psychologist and author Mihaly Csikszentmihalyi as optimal experience done for its own sake, flow is liberating and spiritually fulfilling: “It is when we act freely, for the sake of the action itself rather than for ulterior motives, that we learn to become more than what we were. When we choose a goal and invest ourselves in it to the limits of concentration, whatever we do will be enjoyable. And once we have tasted this joy, we will redouble our efforts to taste it again. This is the way the self grows.”

We can achieve flow through any activity that captures our creative attention — painting, writing, gardening, cooking, or creating a digital photo collage. Flow is all about the process instead of the result (no need to be a Picasso, Chopin, or even a Top Chef contestant). By absorbing ourselves fully in the creative process, we automatically tap into something greater than ourselves — and that’s where things start to get spiritual!

Science shows that engaging in activities that make us feel fully absorbed — the kind that give us the sense of being outside of time — naturally quiet the part of our brain that’s in charge of judgments and ruminating thoughts. Such activities serve as a boost of dopamine — the feel-good neurotransmitters that get depleted with increased alcohol use. While there are many “flavors” of flow (for example, artistic pursuits or socializing with friends), spiritual practices such as prayer or meditation are among the best ways to get into this state.

Creating a Spiritual Recovery

How can we start getting in touch with our spiritual side and tap into the power of spiritual recovery? Here are some ideas:

  • Narrow down the options by exploring different spiritual paths to find what resonates with you personally. Visit religious centers and churches focused on a philosophy that sparks your interest. Check out some 12-step meetings to see if the community you find there makes you feel at home. Also, consider yoga classes and mindfulness groups in your area, as well as communities devoted to creativity and nature. Or just try them out on your own by reading, looking up resources online, listening to podcasts, or watching videos related to a practice that piques your interest.
  • Experiment with different formats and approaches after you’ve chosen a path. For example, try different types of meditation, various artistic activities, or different types of 12-step meetings, all of which have a slightly different atmosphere and rhythm.
  • Surround yourself with a community or support group that respects and supports your spiritual journey. This can be a church community, a 12-step group, a yoga or meditation community, or even a local art class or nature society. As long as the vibe is supportive and resonates with your recovery goals, it will be an enriching experience and will help you form authentic connections with people on a similar path.

Daily Spiritual Tips

Finally, let’s look at some specific suggestions for incorporating spirituality into daily life to support recovery. Drawing on the wisdom of Wayne Dyer once again, let’s take a look at how he advises us to incorporate spiritual elements into our daily lives for optimal growth (as well as recovery from addictive behaviors) in There’s a Spiritual Solution to Every Problem. His words resonate with many and have a trademark touch of warmth and compassion.

  • “Tune in” to your own thoughts. This form of mindfulness can work wonders for recovering from substance misuse or other habits. Tuning in is all about watching your thoughts without judgment, just to get a clear “lay of the land.” Don’t focus on changing anything — simply observe. You’ll find that the more you do this, the more control you’ll have over which thoughts you choose to act on. In Dyer’s words, “Activating spiritual solutions means converting inner thoughts and feelings from discord and disharmony to love.”
  • Practice “allowing” instead of striving or expecting. As Dyer says, “Perfect joy is found in the absence of striving for it, and instead realizing it is within you.”
  • Train your focus and attention. According to Dyer, “Concentration breeds efficiency while division brings inefficiency, error, and tension.”
  • Stay curious, playful, and creative. As Dyer says, “Often we use the word problem only because we have not learned that imagination and creativity can handle the situation.”

A Spiritual GPS

In Divine Living: The Essential Guide To Your True Destiny, destiny coach Anthon St. Maarten writes, “Intuition goes before you, showing you the way. Emotion follows behind, to let you know when you go astray. Listen to your inner voice: it is the calling of your spiritual GPS system seeking to keep you on track towards your true destiny.” Let’s turn to our “spiritual GPS” to jumpstart our own version of spiritual recovery!

Alcohol and Mental Health
2024-04-02 9:00
Alcohol and Mental Health
Unraveling the Link Between Alcohol and Domestic Violence
This is some text inside of a div block.

The link between alcohol and domestic violence is complex and multifaceted. The signs of domestic violence are often vague and difficult to recognize.

17 min read

Looking Ahead to a Brighter Future

Relationships are rarely a bed of roses, but there is always room for improvement. Reframe is a great place to start down that road.

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! 

Read Full Article  →

Consider the last time you argued with your partner, spouse, or roommate. Was it about some low-priority issue like what to make for dinner, who’s paying which bills, or the thermostat setting? Or maybe it was about something more substantial, like buying a car, changing jobs, or moving away. Most of us in relationships occasionally argue — it’s bound to happen when we share space and life with others. And that’s okay! Most arguments get resolved (or not) without significant consequences.  

A picture about domestic violence

Unfortunately, there’s another darker side to this story. While for many of us, home is where we find solace, comfort, and understanding, for others, home is anything but comforting and safe.

For too many of us, home is a verbal and sometimes physical battleground. It’s a place where arguments — often fueled by alcohol — escalate into a frightening and potentially dangerous situation. Many of us, sadly, are victims of domestic violence.

Let’s delve into the realm of domestic violence by examining its complexities, causes, and the impact it has on those involved.

If you feel unsafe at home or want resources for escaping an abusive home environment, call the U.S. National Domestic Violence Hotline (800-799-7233).

Decoding Domestic Violence

Domestic violence is a complex, multifaceted social issue. Once referred to as family violence, the broader term “domestic violence” is more inclusive and encompasses all forms of relationships. It’s also important to note that domestic violence is not just limited to physical abuse but may include elements of emotional, psychological, and, sometimes, financial abuse. According to Barocas et al. (2016), defining domestic violence more broadly helps to align other existing definitions and standards, and it makes more effective interventions available to those of us affected by domestic violence.

How did adopting a broader view of domestic violence change our understanding of it? Previously, domestic abuse billboards and pamphlets showed women with blackened eyes, depicting them as typical domestic violence victims. Today, we know that characterizing domestic violence in that way describes only a small subset of its victims. After all, domestic violence doesn’t discriminate: it affects individuals across gender lines, ages, income levels, and backgrounds.

Alcohol’s influence on domestic violence is well-recognized. Contrary to common perception, people of all genders can be both perpetrators and victims.

So, how common is this problem?

Prevalence of Domestic Violence

According to the CDC, one in four women and one in seven men will experience physical violence by their intimate partner at some point during their lifetimes. Intimate partner violence reportedly occurs in over 10 million people, or 3.92% of the U.S. adult population each year.

This may seem like a shocking number. To fully understand the challenges and complexities of domestic violence requires our understanding of its dynamics and contributing factors.

Breaking Gender Stereotypes

We learned that domestic violence is not exclusive to one gender. This belief contradicts the previous belief that only men can be abusive and overlooks that people of all genders can exhibit harmful behavior, especially when alcohol is involved. Let’s start with some research on the issue.

Looking at the dynamics of domestic violence, Babock et al. (2019) found that of all reported instances of domestic abuse by their study participants, almost an equal percentage were male-initiated violence (15%) and female-initiated violence (15.5%). Twenty-five percent of study participants reported engaging in mutual violence, whereas 40.2% of females and 34.5% of males reported their involvement in domestic violence occurred in self-defense. This study supports the notion that for most participants, domestic violence is not a one-way street; both men and women initiated domestic violence or were engaged in mutual violence. 

Unraveling the Alcohol-Domestic Violence Connection

Alcohol adds another level of complexity to domestic violence because it juxtaposes behavioral and psychological factors. When we consider the relationship between alcohol and domestic violence, we need to ask a couple questions: are all alcoholics abusive? Why are some people abusive when drunk?

Exploring the link between alcohol and domestic violence requires a clear understanding of how alcohol affects the brain and how it impacts our decision making and impulse control. Let’s start there!

Alcohol’s Effect on the Brain

Alcohol is classified as a depressant because of the way it affects our central nervous system (CNS). When we consume alcohol, its depressant effects slow down communication between nerves in our brains. Drinking has a sedating effect, slowing our reaction times, impairing our coordination, and generally relaxing us. While many of us may initially feel euphoric or more sociable, excessive alcohol consumption typically intensifies its depressant effects, leading to lethargy, confusion, and even unconsciousness. 

Personality and the Alcohol Connection

Many studies have looked at the relationship between alcohol and personality as a factor in violence in general. They found that emotional instability and impulsivity — combined with personality disorders, genetic predisposition, and environmental stressors — can trigger aggression while under the influence of alcohol.

The American Addictions Center identified antisocial disorder, conduct problems, and borderline personality disorder (among several other risk factors) in alcohol-related domestic violence. The addition of personality as a factor in alcohol-related domestic violence attests to how complex this problem is. 

How Does Alcohol Lead to Domestic Violence

So far, we have learned that alcohol consumption affects our central nervous system, which in turn alters how our brain functions, especially when we drink excessively. But how does this translate into domestic violence, especially when personality and other issues are factored in? The short answer: it’s complicated! 

Let’s start with impaired judgment and impulsivity. Under the influence of alcohol, people tend to say and do things they normally wouldn’t while sober. This tendency is often referred to as alcohol’s disinhibiting effect. Here’s an example of how alcohol transforms typical behavior into something entirely different.

A couple is having a quiet evening at home while sharing a bottle of wine. During the evening, an argument starts over something inconsequential. Usually, this isn’t a huge issue; neither person blows up when sober. However, with three drinks down, the couple’s argument quickly transforms into a shouting match, name-calling, and some pushing and shoving. Slower reactions, impaired judgment, and impulsivity due to their drinking eventually lead to kicking and punching and cuts and bruises.

For some, the above scenario may be a one-off. Still, for many others, it can become a cyclical pattern, especially if one or both people are struggling with alcohol abuse or dependence. Without intervention, a destructive pattern of drinking and domestic violence often continues. 

Domestic Violence Action Steps

Dispelling Misconceptions

The research we’ve talked about paints a concerning picture. So can alcohol make you violent? And are alcoholics abusive? Dispelling misconceptions about domestic violence is a pivotal step toward creating a safer environment for those of us affected by it. 

Two misconceptions are that all alcoholics are abusive or that all people are abusive when drunk. Neither is true, nor is the suggestion that all abusers are alcoholics. The link between alcohol and domestic violence is not exact. The reality is many people engage in domestic violence without drinking, while many alcoholics are never violent toward a partner. 

The relationship between alcohol and abuse, especially when we try to account for the influence of personality and other factors, is a complex, many-layered puzzle. (Consider this blog just the basics; no single source can plumb the depths of such a multifaceted issue.)

What Can I Do If I Am Experiencing Domestic Abuse? 

While the most apparent signs of domestic violence are physical altercations, there are several nonphysical ways partners can exhibit abusive behaviors:

  • Controlling. Your partner tracks what you do, where you go, and to whom you talk. Your partner gets upset if you don’t immediately reply to texts, emails, and phone calls.

  • Demanding sex. Your partner insists on sex based on their needs, not yours. 

  • Decision making. Your partner makes decisions regarding what you wear or how you spend money.

  • Jealousy. They act jealous, even in harmless situations. Your partner may react irrationally or constantly accuse you of cheating.

  • Angry outbursts. Your partner has angry outbursts that seem to come from nowhere and then blame you.

If you live in the U.S. and are experiencing domestic violence, call the National Domestic Violence Hotline at (800) 799-7233.

Domestic Violence Action Steps


Luckily, there are resources available to overcome domestic violence.

  • Educate yourself. Knowledge is power. Learn the signs of domestic violence, its various forms, and the role of alcohol in exacerbating abusive behavior.
  • Communicate. Discuss feelings, concerns, and stressors with your partner. Healthy communication is one way to prevent them from escalating into volatile situations.
  • Establish boundaries. Set clear and healthy boundaries within your relationships by emphasizing mutual respect, kindness, and understanding. Be sure to define acceptable behavior. 
  • Encourage responsible drinking. If alcohol is a part of your life, responsible drinking habits are essential. Know your limits, choose moderation, and be mindful of how alcohol impacts your relationship — and encourage your partner to do the same.
  • Seek professional help. If you or someone you know is struggling with alcohol-related domestic violence, professional assistance is essential.
  • Leaving. Leaving is always an option and may be the best way to move on with your life. However, this too comes with risks. When contemplating leaving, ensure that you have a secure and detailed plan with support in place. 

Moving Forward

Understanding the complex and diverse nature of abuse and taking proactive steps is the best way to foster healthier relationships. There are ways to move forward and step into a safe, happy life free from violence. Quitting or cutting back on alcohol is a highly effective way to see the situation in a new light and take stock of how to move forward.

Consider the last time you argued with your partner, spouse, or roommate. Was it about some low-priority issue like what to make for dinner, who’s paying which bills, or the thermostat setting? Or maybe it was about something more substantial, like buying a car, changing jobs, or moving away. Most of us in relationships occasionally argue — it’s bound to happen when we share space and life with others. And that’s okay! Most arguments get resolved (or not) without significant consequences.  

A picture about domestic violence

Unfortunately, there’s another darker side to this story. While for many of us, home is where we find solace, comfort, and understanding, for others, home is anything but comforting and safe.

For too many of us, home is a verbal and sometimes physical battleground. It’s a place where arguments — often fueled by alcohol — escalate into a frightening and potentially dangerous situation. Many of us, sadly, are victims of domestic violence.

Let’s delve into the realm of domestic violence by examining its complexities, causes, and the impact it has on those involved.

If you feel unsafe at home or want resources for escaping an abusive home environment, call the U.S. National Domestic Violence Hotline (800-799-7233).

Decoding Domestic Violence

Domestic violence is a complex, multifaceted social issue. Once referred to as family violence, the broader term “domestic violence” is more inclusive and encompasses all forms of relationships. It’s also important to note that domestic violence is not just limited to physical abuse but may include elements of emotional, psychological, and, sometimes, financial abuse. According to Barocas et al. (2016), defining domestic violence more broadly helps to align other existing definitions and standards, and it makes more effective interventions available to those of us affected by domestic violence.

How did adopting a broader view of domestic violence change our understanding of it? Previously, domestic abuse billboards and pamphlets showed women with blackened eyes, depicting them as typical domestic violence victims. Today, we know that characterizing domestic violence in that way describes only a small subset of its victims. After all, domestic violence doesn’t discriminate: it affects individuals across gender lines, ages, income levels, and backgrounds.

Alcohol’s influence on domestic violence is well-recognized. Contrary to common perception, people of all genders can be both perpetrators and victims.

So, how common is this problem?

Prevalence of Domestic Violence

According to the CDC, one in four women and one in seven men will experience physical violence by their intimate partner at some point during their lifetimes. Intimate partner violence reportedly occurs in over 10 million people, or 3.92% of the U.S. adult population each year.

This may seem like a shocking number. To fully understand the challenges and complexities of domestic violence requires our understanding of its dynamics and contributing factors.

Breaking Gender Stereotypes

We learned that domestic violence is not exclusive to one gender. This belief contradicts the previous belief that only men can be abusive and overlooks that people of all genders can exhibit harmful behavior, especially when alcohol is involved. Let’s start with some research on the issue.

Looking at the dynamics of domestic violence, Babock et al. (2019) found that of all reported instances of domestic abuse by their study participants, almost an equal percentage were male-initiated violence (15%) and female-initiated violence (15.5%). Twenty-five percent of study participants reported engaging in mutual violence, whereas 40.2% of females and 34.5% of males reported their involvement in domestic violence occurred in self-defense. This study supports the notion that for most participants, domestic violence is not a one-way street; both men and women initiated domestic violence or were engaged in mutual violence. 

Unraveling the Alcohol-Domestic Violence Connection

Alcohol adds another level of complexity to domestic violence because it juxtaposes behavioral and psychological factors. When we consider the relationship between alcohol and domestic violence, we need to ask a couple questions: are all alcoholics abusive? Why are some people abusive when drunk?

Exploring the link between alcohol and domestic violence requires a clear understanding of how alcohol affects the brain and how it impacts our decision making and impulse control. Let’s start there!

Alcohol’s Effect on the Brain

Alcohol is classified as a depressant because of the way it affects our central nervous system (CNS). When we consume alcohol, its depressant effects slow down communication between nerves in our brains. Drinking has a sedating effect, slowing our reaction times, impairing our coordination, and generally relaxing us. While many of us may initially feel euphoric or more sociable, excessive alcohol consumption typically intensifies its depressant effects, leading to lethargy, confusion, and even unconsciousness. 

Personality and the Alcohol Connection

Many studies have looked at the relationship between alcohol and personality as a factor in violence in general. They found that emotional instability and impulsivity — combined with personality disorders, genetic predisposition, and environmental stressors — can trigger aggression while under the influence of alcohol.

The American Addictions Center identified antisocial disorder, conduct problems, and borderline personality disorder (among several other risk factors) in alcohol-related domestic violence. The addition of personality as a factor in alcohol-related domestic violence attests to how complex this problem is. 

How Does Alcohol Lead to Domestic Violence

So far, we have learned that alcohol consumption affects our central nervous system, which in turn alters how our brain functions, especially when we drink excessively. But how does this translate into domestic violence, especially when personality and other issues are factored in? The short answer: it’s complicated! 

Let’s start with impaired judgment and impulsivity. Under the influence of alcohol, people tend to say and do things they normally wouldn’t while sober. This tendency is often referred to as alcohol’s disinhibiting effect. Here’s an example of how alcohol transforms typical behavior into something entirely different.

A couple is having a quiet evening at home while sharing a bottle of wine. During the evening, an argument starts over something inconsequential. Usually, this isn’t a huge issue; neither person blows up when sober. However, with three drinks down, the couple’s argument quickly transforms into a shouting match, name-calling, and some pushing and shoving. Slower reactions, impaired judgment, and impulsivity due to their drinking eventually lead to kicking and punching and cuts and bruises.

For some, the above scenario may be a one-off. Still, for many others, it can become a cyclical pattern, especially if one or both people are struggling with alcohol abuse or dependence. Without intervention, a destructive pattern of drinking and domestic violence often continues. 

Domestic Violence Action Steps

Dispelling Misconceptions

The research we’ve talked about paints a concerning picture. So can alcohol make you violent? And are alcoholics abusive? Dispelling misconceptions about domestic violence is a pivotal step toward creating a safer environment for those of us affected by it. 

Two misconceptions are that all alcoholics are abusive or that all people are abusive when drunk. Neither is true, nor is the suggestion that all abusers are alcoholics. The link between alcohol and domestic violence is not exact. The reality is many people engage in domestic violence without drinking, while many alcoholics are never violent toward a partner. 

The relationship between alcohol and abuse, especially when we try to account for the influence of personality and other factors, is a complex, many-layered puzzle. (Consider this blog just the basics; no single source can plumb the depths of such a multifaceted issue.)

What Can I Do If I Am Experiencing Domestic Abuse? 

While the most apparent signs of domestic violence are physical altercations, there are several nonphysical ways partners can exhibit abusive behaviors:

  • Controlling. Your partner tracks what you do, where you go, and to whom you talk. Your partner gets upset if you don’t immediately reply to texts, emails, and phone calls.

  • Demanding sex. Your partner insists on sex based on their needs, not yours. 

  • Decision making. Your partner makes decisions regarding what you wear or how you spend money.

  • Jealousy. They act jealous, even in harmless situations. Your partner may react irrationally or constantly accuse you of cheating.

  • Angry outbursts. Your partner has angry outbursts that seem to come from nowhere and then blame you.

If you live in the U.S. and are experiencing domestic violence, call the National Domestic Violence Hotline at (800) 799-7233.

Domestic Violence Action Steps


Luckily, there are resources available to overcome domestic violence.

  • Educate yourself. Knowledge is power. Learn the signs of domestic violence, its various forms, and the role of alcohol in exacerbating abusive behavior.
  • Communicate. Discuss feelings, concerns, and stressors with your partner. Healthy communication is one way to prevent them from escalating into volatile situations.
  • Establish boundaries. Set clear and healthy boundaries within your relationships by emphasizing mutual respect, kindness, and understanding. Be sure to define acceptable behavior. 
  • Encourage responsible drinking. If alcohol is a part of your life, responsible drinking habits are essential. Know your limits, choose moderation, and be mindful of how alcohol impacts your relationship — and encourage your partner to do the same.
  • Seek professional help. If you or someone you know is struggling with alcohol-related domestic violence, professional assistance is essential.
  • Leaving. Leaving is always an option and may be the best way to move on with your life. However, this too comes with risks. When contemplating leaving, ensure that you have a secure and detailed plan with support in place. 

Moving Forward

Understanding the complex and diverse nature of abuse and taking proactive steps is the best way to foster healthier relationships. There are ways to move forward and step into a safe, happy life free from violence. Quitting or cutting back on alcohol is a highly effective way to see the situation in a new light and take stock of how to move forward.

Alcohol and Mental Health
2024-03-14 9:00
Alcohol and Mental Health
How To Cure a Hangover When You’re At Work
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Going to work with a hangover can be rough, but there are things you can do to make it easier! Our blog explores the strategies to keep you hydrated and comfortable without feeling overwhelmed as you recover.

21 min read

Ready To Say Goodbye to Hangovers? Reframe Can Help!

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

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

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

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

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

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

Read Full Article  →

As Irish comedy actor and writer Arthur Mathews once said, “I never met anyone who gets up out of their bed after a night on the town and says, 'Oh I wish I'd had another drink last night. That would have been a great idea.’” And yet, it happens. We have a bit too much to drink, and the day after begins with the dreaded hangover.

But what if it’s a workday? Many of us have experienced what it’s like to wake up feeling like we’ve been hit by a truck, and it’s even worse when we still have to get dressed, grab our laptop, make a coffee for the commute (if we have the time or the stomach for it), and head out to the office (or, worse, a classroom). What is the best way to deal with a hangover at work? Let’s explore some ways to make the situation a bit easier to manage.

The Brain and Body on Booze

A person working in an office

To understand hangovers — and how to fix them — it helps to first take a brief look at how alcohol affects our brain and body. Soon after the first sip, we start feeling the effects of alcohol.

  • The world feels warm and blurry. That initial warm, fuzzy, and sometimes sociable feeling we get after the first drink or two is the result of a sudden release of dopamine (the reward neurotransmitter) in the brain. Dopamine release is also what makes alcohol addictive over time, as the brain comes to expect this flood of “feel-good” neurochemical as the new normal.
  • The world slows down. Alcohol is a depressant, so after the initial dopamine rush we might feel relaxed or sluggish as it slows down our nervous system and cognitive processes.
  • The world (maybe) starts spinning. The vestibular system (which governs our sense of balance) gets thrown off, so we might lose our balance.
  • The world might even go dark. If we really overdo it, we could pass out or end up blacking out — a state in which we forget what happened while we were drunk. As far as the body is concerned, most major organ systems feel the effects as well.
  • Our stomach hits the pause button. Alcohol tends to slow digestion and can irritate the stomach lining, causing acid reflux.
  • Our liver gets to work. The liver is in charge of metabolizing alcohol, and it puts everything else on hold to get it out of our system pronto. Our body sees alcohol as a poison, so getting rid of it becomes the first order of business.
  • Our kidneys open the floodgates. Alcohol inhibits the secretion of antidiuretic hormone (ADH), also known as vasopressin. This hormone is produced by the brain and helps the kidneys manage the amount of water in the body. When ADH levels drop, the kidneys do not reabsorb as much water. The result? Increased bathroom trips throughout the night, which can leave us dehydrated and depleted of electrolytes. 
  • Our heart might beat faster. Alcohol often causes a temporary spike in heart rate and blood pressure. In some, this can show up as a potentially serious arrhythmia, also known as holiday heart syndrome.

The Next Day: Why We’re Left With a Hangover

The next day, however, we might wake up with a whole new set of symptoms — the notorious hangover. On the physical side, we might feel nauseous, have a headache or muscle aches, stomach pain, vertigo, sensitivity to light and sound, fatigue, weakness, and increased blood pressure. We might also feel more anxious and irritable than usual.

If it happens to be a workday, these symptoms might pose an extra challenge. We’ll look at some possible strategies later on, but first let’s explore the cause of the symptoms in a bit more detail.

How do the effects of alcohol on the brain and body translate into these unpleasant symptoms? There are a few different reasons, according to the National Institute on Alcohol Abuse and Alcoholism.

  • Dehydration. One of the main culprits behind hangovers is dehydration caused by the suppression of vasopressin — a hormone that tells the kidneys to retain fluids — when we drink. 
  • Inflammation. Alcohol triggers an inflammatory response from the immune system. This inflammation can affect our appetite, concentration, and memory, bringing on the overall “blah” feeling and fatigue of hangovers.
  • Acetaldehyde effects. Acetaldehyde — the toxic compound released during alcohol metabolism — adds fuel to the fire by contributing to inflammation.
  • Stomach irritation. The nausea associated with a hangover is caused by alcohol irritating the stomach lining.
  • Disrupted sleep. While alcohol might make us initially sleepy, it actually robs us of the most restorative phase of sleep (REM) and tends to disrupt our night with frequent awakenings and trips to the bathroom. Needless to say, all of this adds to the grogginess of the hangover we end up with the next morning.

Hangover Timeline

When we’re smack-dab in the middle of a hangover, it can feel like it will never end. But rest assured, it will! A typical hangover lasts around 24 hours. It peaks when the blood alcohol concentration returns to zero and starts to get better soon after. 

Curing a Hangover At Work

Bouncing back from a hangover is all about replenishing our body’s resources. However, there’s an important mental and emotional component to it as well. And, if we’re talking about curing a hangover at work, there are also important social aspects to consider.

Best Way To Deal With a Hangover at Work

Best Way To Deal With a Hangover At Work: Preparation

As you get ready to head out the door, make sure to take care of a few key steps first. (You’ll thank yourself later!)

  • Hydrate. Replenishing the water and electrolytes lost the night before is key, so drinking plenty of water before heading to work can be a game-changer. Even better — stir in an electrolyte powder mix (such as Liquid IV) for an extra boost. 
  • Don’t skip breakfast. While you might not feel like it, eating a nutritious meal with protein, carbs, and healthy fats can make a huge difference. Pick easy-to-digest foods such as toast with avocado, cereal, or a fruit and yogurt smoothie. And stay away from leftover pizza or sugary pop tarts (at least for now) to avoid sugar spikes or stomach irritation.
  • Dress comfortably. Sure, fashion has its place. However, opt for something comfortable that won’t make the nausea or stomach discomfort worse, such as a sweater dress or loose-fitting pants. Those “everyday” yoga pants or any other athletic clothing that looks like regular streetwear (but isn’t so gross to sweat in) could be a great pick.
  • Fresh air can clear your head. If time (and weather) permits, opt for a lunchtime walk or consider walking all or part of your normal commute. Gentle exercise has been known to work wonders for a hangover. A recent Journal of Clinical Medicine study investigated the impact of a hangover on the physical endurance of middle-aged adults walking the Samaria Gorge in Greece and found that while the hangover didn’t significantly affect performance, it did boost the perceived exhaustion of those who’d had a few too many the night before. So save your energy — you’ll need it!

Hungover at Work: Workload Management

Okay, you’ve made it safe and are in the building, heading for your desk. Now what? It’s time to consider what’s on the schedule for the day. 

  • Prioritize tasks. When you look over your schedule, pick three most urgent tasks and focus on those — anything that is due today or will delay other projects in the pipeline unless you get your part done. Leave other work for tomorrow, when you’re more rested and feeling better.  
  • Take breaks. A few short, frequent breaks can work wonders for improving concentration and reducing fatigue. In fact, a recent PLoS study found that frequent micro-breaks led to a statistically significant increase in performance in tasks that weren’t cognitively taxing. It also found that slightly longer breaks had a similar effect on more demanding tasks.
  • Know when to call it a day (or stay home). While sometimes going to work and getting through the day with a hangover might be doable, there are times when it’s just not the best idea. If you know it’s going to be more than you can handle, there’s nothing wrong with spending part of your day (or the whole day) working from home or even taking a day off if you need to. In the end, it may be doing more harm than good to try to go in when you’re just not physically (or mentally) up for it.

Should You Tell Others You’re Hungover At Work?

This question is a delicate one sometimes: what do you tell your colleagues or (yikes!) your boss? Do you have to tell them what’s going on and why you’re feeling unwell?

  • Be as honest as possible, but don’t feel like you have to overshare. While every situation is different, it’s probably best to be honest that you’re not feeling like your normal self, especially if you know the quality of your work today may not be up to your usual standards. That said, there’s no pressure to disclose the details of the revelries from the night before. It's more professional to keep the explanation general, focusing on not feeling well rather than the cause.
  • Instead of just stating the problem, suggest solutions. If you know you won’t be able to perform at your usual level, suggest possible ways to manage your workload effectively for the day. Tell your team you might have to work from home for part of the day, and, if you know you’ll need a bit of extra time to complete a project, tell people sooner rather than later.
  • Apologize if you need to. If you being unwell will have an impact on others, a simple apology can go a long way in maintaining good workplace relationships.
  • Don’t make it a habit. It's important to ensure this is a rare occurrence. If you keep showing up to work in a less-than-ideal state, your professional reputation might take a hit.

How To Cure a Hangover Fast At Work: Dealing With Symptoms

Now that you’re settled in and your day is off to a (hopefully) decent start, what can you do to keep hangover symptoms at bay until it’s time to go home? While there’s no “cure” for a hangover (except time), there are things that can help.

  • Stay hydrated. Keep drinking water throughout the day. The more quickly you rehydrate, the better you’ll feel.
  • Snack smart. Your desk drawer might be stocked with M&Ms, but for today consider some healthier options, (such as yogurt or raw nuts) to help maintain energy levels.
  • Take something for your headache. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can help as long as you take them with food to avoid stomach irritation. (Note of caution: stay away from acetaminophen (Tylenol) if you've been drinking heavily or frequently as it also stresses the liver and can compound the alcohol’s negative effects).
  • Avoid strong smells or loud environments. If you’re sensitive, stay away from the break room if someone is microwaving their strong-smelling leftovers. Likewise, don’t go to that burger place known for blasting loud music all day.
  • Limit caffeine. Too much coffee might worsen symptoms by upsetting your stomach or making you more jittery, so go easy on the espressos and opt for herbal tea, especially ginger to soothe nausea.

Preventing a Hangover At Work

Of course, one thing that’s better than curing a hangover at work is preventing it in the first place! Here are some tips:

  • Avoid alcohol with congeners. Congeners are natural byproducts of the production process of  some types of alcohol, such as bourbon and red wine. According to a Current Drug Abuse Reviews study, high congener intake can lead to particularly bad hangovers.
  • Be careful with happy hours. To make sure you don’t end up in the same situation again, watch your alcohol intake at work-related events that involve booze. If you know you might be tempted, opt out — or, if you can, go for non-alcoholic options.

  • Watch your intake. Most importantly, it’s always a good idea to step back and reassess your drinking patterns in general, especially if you find yourself in this situation often. Try tracking your drinking for a few weeks and see if any trends show up. (Reframe can help you do that with our daily drink tracker!)

Many Paths To Choose From

As you look at your relationship with alcohol, consider taking a break to see how your life might change as a result. If you do decide to set alcohol aside or reduce your intake, approach it with a spirit of curiosity, not deprivation. Only good things await!

As Irish comedy actor and writer Arthur Mathews once said, “I never met anyone who gets up out of their bed after a night on the town and says, 'Oh I wish I'd had another drink last night. That would have been a great idea.’” And yet, it happens. We have a bit too much to drink, and the day after begins with the dreaded hangover.

But what if it’s a workday? Many of us have experienced what it’s like to wake up feeling like we’ve been hit by a truck, and it’s even worse when we still have to get dressed, grab our laptop, make a coffee for the commute (if we have the time or the stomach for it), and head out to the office (or, worse, a classroom). What is the best way to deal with a hangover at work? Let’s explore some ways to make the situation a bit easier to manage.

The Brain and Body on Booze

A person working in an office

To understand hangovers — and how to fix them — it helps to first take a brief look at how alcohol affects our brain and body. Soon after the first sip, we start feeling the effects of alcohol.

  • The world feels warm and blurry. That initial warm, fuzzy, and sometimes sociable feeling we get after the first drink or two is the result of a sudden release of dopamine (the reward neurotransmitter) in the brain. Dopamine release is also what makes alcohol addictive over time, as the brain comes to expect this flood of “feel-good” neurochemical as the new normal.
  • The world slows down. Alcohol is a depressant, so after the initial dopamine rush we might feel relaxed or sluggish as it slows down our nervous system and cognitive processes.
  • The world (maybe) starts spinning. The vestibular system (which governs our sense of balance) gets thrown off, so we might lose our balance.
  • The world might even go dark. If we really overdo it, we could pass out or end up blacking out — a state in which we forget what happened while we were drunk. As far as the body is concerned, most major organ systems feel the effects as well.
  • Our stomach hits the pause button. Alcohol tends to slow digestion and can irritate the stomach lining, causing acid reflux.
  • Our liver gets to work. The liver is in charge of metabolizing alcohol, and it puts everything else on hold to get it out of our system pronto. Our body sees alcohol as a poison, so getting rid of it becomes the first order of business.
  • Our kidneys open the floodgates. Alcohol inhibits the secretion of antidiuretic hormone (ADH), also known as vasopressin. This hormone is produced by the brain and helps the kidneys manage the amount of water in the body. When ADH levels drop, the kidneys do not reabsorb as much water. The result? Increased bathroom trips throughout the night, which can leave us dehydrated and depleted of electrolytes. 
  • Our heart might beat faster. Alcohol often causes a temporary spike in heart rate and blood pressure. In some, this can show up as a potentially serious arrhythmia, also known as holiday heart syndrome.

The Next Day: Why We’re Left With a Hangover

The next day, however, we might wake up with a whole new set of symptoms — the notorious hangover. On the physical side, we might feel nauseous, have a headache or muscle aches, stomach pain, vertigo, sensitivity to light and sound, fatigue, weakness, and increased blood pressure. We might also feel more anxious and irritable than usual.

If it happens to be a workday, these symptoms might pose an extra challenge. We’ll look at some possible strategies later on, but first let’s explore the cause of the symptoms in a bit more detail.

How do the effects of alcohol on the brain and body translate into these unpleasant symptoms? There are a few different reasons, according to the National Institute on Alcohol Abuse and Alcoholism.

  • Dehydration. One of the main culprits behind hangovers is dehydration caused by the suppression of vasopressin — a hormone that tells the kidneys to retain fluids — when we drink. 
  • Inflammation. Alcohol triggers an inflammatory response from the immune system. This inflammation can affect our appetite, concentration, and memory, bringing on the overall “blah” feeling and fatigue of hangovers.
  • Acetaldehyde effects. Acetaldehyde — the toxic compound released during alcohol metabolism — adds fuel to the fire by contributing to inflammation.
  • Stomach irritation. The nausea associated with a hangover is caused by alcohol irritating the stomach lining.
  • Disrupted sleep. While alcohol might make us initially sleepy, it actually robs us of the most restorative phase of sleep (REM) and tends to disrupt our night with frequent awakenings and trips to the bathroom. Needless to say, all of this adds to the grogginess of the hangover we end up with the next morning.

Hangover Timeline

When we’re smack-dab in the middle of a hangover, it can feel like it will never end. But rest assured, it will! A typical hangover lasts around 24 hours. It peaks when the blood alcohol concentration returns to zero and starts to get better soon after. 

Curing a Hangover At Work

Bouncing back from a hangover is all about replenishing our body’s resources. However, there’s an important mental and emotional component to it as well. And, if we’re talking about curing a hangover at work, there are also important social aspects to consider.

Best Way To Deal With a Hangover at Work

Best Way To Deal With a Hangover At Work: Preparation

As you get ready to head out the door, make sure to take care of a few key steps first. (You’ll thank yourself later!)

  • Hydrate. Replenishing the water and electrolytes lost the night before is key, so drinking plenty of water before heading to work can be a game-changer. Even better — stir in an electrolyte powder mix (such as Liquid IV) for an extra boost. 
  • Don’t skip breakfast. While you might not feel like it, eating a nutritious meal with protein, carbs, and healthy fats can make a huge difference. Pick easy-to-digest foods such as toast with avocado, cereal, or a fruit and yogurt smoothie. And stay away from leftover pizza or sugary pop tarts (at least for now) to avoid sugar spikes or stomach irritation.
  • Dress comfortably. Sure, fashion has its place. However, opt for something comfortable that won’t make the nausea or stomach discomfort worse, such as a sweater dress or loose-fitting pants. Those “everyday” yoga pants or any other athletic clothing that looks like regular streetwear (but isn’t so gross to sweat in) could be a great pick.
  • Fresh air can clear your head. If time (and weather) permits, opt for a lunchtime walk or consider walking all or part of your normal commute. Gentle exercise has been known to work wonders for a hangover. A recent Journal of Clinical Medicine study investigated the impact of a hangover on the physical endurance of middle-aged adults walking the Samaria Gorge in Greece and found that while the hangover didn’t significantly affect performance, it did boost the perceived exhaustion of those who’d had a few too many the night before. So save your energy — you’ll need it!

Hungover at Work: Workload Management

Okay, you’ve made it safe and are in the building, heading for your desk. Now what? It’s time to consider what’s on the schedule for the day. 

  • Prioritize tasks. When you look over your schedule, pick three most urgent tasks and focus on those — anything that is due today or will delay other projects in the pipeline unless you get your part done. Leave other work for tomorrow, when you’re more rested and feeling better.  
  • Take breaks. A few short, frequent breaks can work wonders for improving concentration and reducing fatigue. In fact, a recent PLoS study found that frequent micro-breaks led to a statistically significant increase in performance in tasks that weren’t cognitively taxing. It also found that slightly longer breaks had a similar effect on more demanding tasks.
  • Know when to call it a day (or stay home). While sometimes going to work and getting through the day with a hangover might be doable, there are times when it’s just not the best idea. If you know it’s going to be more than you can handle, there’s nothing wrong with spending part of your day (or the whole day) working from home or even taking a day off if you need to. In the end, it may be doing more harm than good to try to go in when you’re just not physically (or mentally) up for it.

Should You Tell Others You’re Hungover At Work?

This question is a delicate one sometimes: what do you tell your colleagues or (yikes!) your boss? Do you have to tell them what’s going on and why you’re feeling unwell?

  • Be as honest as possible, but don’t feel like you have to overshare. While every situation is different, it’s probably best to be honest that you’re not feeling like your normal self, especially if you know the quality of your work today may not be up to your usual standards. That said, there’s no pressure to disclose the details of the revelries from the night before. It's more professional to keep the explanation general, focusing on not feeling well rather than the cause.
  • Instead of just stating the problem, suggest solutions. If you know you won’t be able to perform at your usual level, suggest possible ways to manage your workload effectively for the day. Tell your team you might have to work from home for part of the day, and, if you know you’ll need a bit of extra time to complete a project, tell people sooner rather than later.
  • Apologize if you need to. If you being unwell will have an impact on others, a simple apology can go a long way in maintaining good workplace relationships.
  • Don’t make it a habit. It's important to ensure this is a rare occurrence. If you keep showing up to work in a less-than-ideal state, your professional reputation might take a hit.

How To Cure a Hangover Fast At Work: Dealing With Symptoms

Now that you’re settled in and your day is off to a (hopefully) decent start, what can you do to keep hangover symptoms at bay until it’s time to go home? While there’s no “cure” for a hangover (except time), there are things that can help.

  • Stay hydrated. Keep drinking water throughout the day. The more quickly you rehydrate, the better you’ll feel.
  • Snack smart. Your desk drawer might be stocked with M&Ms, but for today consider some healthier options, (such as yogurt or raw nuts) to help maintain energy levels.
  • Take something for your headache. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can help as long as you take them with food to avoid stomach irritation. (Note of caution: stay away from acetaminophen (Tylenol) if you've been drinking heavily or frequently as it also stresses the liver and can compound the alcohol’s negative effects).
  • Avoid strong smells or loud environments. If you’re sensitive, stay away from the break room if someone is microwaving their strong-smelling leftovers. Likewise, don’t go to that burger place known for blasting loud music all day.
  • Limit caffeine. Too much coffee might worsen symptoms by upsetting your stomach or making you more jittery, so go easy on the espressos and opt for herbal tea, especially ginger to soothe nausea.

Preventing a Hangover At Work

Of course, one thing that’s better than curing a hangover at work is preventing it in the first place! Here are some tips:

  • Avoid alcohol with congeners. Congeners are natural byproducts of the production process of  some types of alcohol, such as bourbon and red wine. According to a Current Drug Abuse Reviews study, high congener intake can lead to particularly bad hangovers.
  • Be careful with happy hours. To make sure you don’t end up in the same situation again, watch your alcohol intake at work-related events that involve booze. If you know you might be tempted, opt out — or, if you can, go for non-alcoholic options.

  • Watch your intake. Most importantly, it’s always a good idea to step back and reassess your drinking patterns in general, especially if you find yourself in this situation often. Try tracking your drinking for a few weeks and see if any trends show up. (Reframe can help you do that with our daily drink tracker!)

Many Paths To Choose From

As you look at your relationship with alcohol, consider taking a break to see how your life might change as a result. If you do decide to set alcohol aside or reduce your intake, approach it with a spirit of curiosity, not deprivation. Only good things await!

Alcohol and Mental Health