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Neuroscience: The Brain in Addiction and Recovery National Institute on Alcohol Abuse and Alcoholism NIAAA

Why Do Alcoholics Drink

Some chronic alcoholics develop a condition called Wernicke-Korsakoff syndrome, which results from a thiamine (vitamin B-1) deficiency. The condition, which is sometimes called wet brain, is characterized by eye movement disorders, loss of muscle coordination, confusion and memory issues. It affects more men than women and is fatal 10 to 20 percent of the time. Between 90 and 100 percent of alcoholics develop a fatty liver, which can progress to cirrhosis. Up to 35 percent of alcoholics develop liver inflammation known as alcoholic hepatitis, and 8 to 20 percent will develop cirrhosis, a severe scarring of the liver that hinders the organ’s ability to function normally.

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This makes you want to drink more often, even if it causes harm. Some people may drink alcohol to the point that it causes problems, but they’re not physically dependent on alcohol. Alcoholism, referred to as alcohol use disorder, occurs when someone drinks so much that their body eventually becomes dependent on or addicted to alcohol. Friends and family How does alcohol affect your skin Long and short-term effects members of people who have an alcohol addiction can benefit from professional support or by joining programs like Al-Anon.

But without a routine or daily responsibilities, alcohol use can more easily spiral, he says. Alcohol can be especially problematic in older adults because it can conflict with medications and worsen the symptoms of other health problems that are common among older people. More resources for a variety of healthcare professionals can be found in the Additional Links for Patient Care. Blacking out from drinking too much is a warning sign of this stage, along with lying about drinking, drinking excessively, and thinking obsessively about drinking.

  1. But some people who drink face a risk of developing this chronic and progressive disease, which affects roughly 1 in every 8 Americans and contributes to about 88,000 deaths annually.
  2. Alcohol addiction, also known as alcoholism, is a disease that affects people of all walks of life.
  3. Or maybe a cold beer at a baseball game just feels right.
  4. Because their stupidity — which reigns supreme in America — has a tragic element.

Graduate School of Addiction Studies

For this reason, intervention and aftercare are important for those struggling to recover from alcohol addiction. Establishing a foundation in recovery is key to avoiding setbacks. Wesurveyed 2,136 American adultswho either wanted to stop drinking alcohol or had already tried to (successfully or not).

Renewal Center for Ongoing Recovery

Go to an Al-Anon or Alateen meeting or set up an appointment with a mental health professional. At the end of the day, the person with addiction has to be willing to accept help. Those in the end stage of alcoholism, or late or deteriorative stage, are consumed by their drinking. Years of chronic alcohol consumption have ravaged their body and mind, and their lives revolve around little else other than the bottle. In the beginning stages of alcoholism, drinking escalates and the individual develops an increased tolerance for alcohol. Those biological changes pave the way for the second stage, which is marked by a physical dependence on the drug.

Internally, though, significant biological changes are occurring. In some people, the initial reaction may feel like an increase in energy. But as you continue to drink, you become drowsy and have less control over your actions.

“It’s addictive for people … and then it’s causing problems. We can’t then get frustrated with those people because we built out a cultural norm around it,” he says. “So the actual cause (of any health benefit) probably wasn’t the alcohol at all,” Dr. Oesterle says. Additionally, alcohol can damage the nerves in the inner ear, affecting balance. This is a recipe for falls, which are typically much more traumatic in older adults and can even be deadly.

More severe withdrawal symptoms can include fever, seizures, high blood pressure, and hallucinations. Typically, alcoholics drink and continue to drink to avoid these unpleasant symptoms. Cirrhosis of the liverOur liver filters out harmful substances, cleans our blood, stores energy and aids in digestion. Too much alcohol can be toxic to liver cells, causing dehydration and permanent scarring—which ultimately affects the blood flow. With excessive alcohol consumption, this important organ can’t metabolize Vitamin D, which could develop into a deficiency.

Many people addicted to alcohol also turn to 12-step programs like Alcoholics Anonymous (AA). There are also other support groups that don’t follow the 12-step model, such as SMART Recovery and Sober Recovery. The important thing is that we understand our relationship with alcohol, realize where it may not be serving us, and make informed decisions about its presence in our lives. Many watch the clock until 5 p.m., then gratefully reach for a drink, our chosen marker of transition off the clock, particularly in the work-from-home experiences during the pandemic. Alcohol, then, represents the daily end of responsibility, the party flag beckoning us to relax and have some fun.

This is of particular concern when you’re taking certain medications that also depress the brain’s function. Typically, a diagnosis of alcohol use disorder doesn’t require any other type of diagnostic test. There’s a chance your doctor may order blood work to check your liver function if you show signs or symptoms of liver disease. Ultimately, sobriety is the responsibility of the person who has the alcohol addiction. It’s important to not enable destructive behaviors and to maintain appropriate boundaries if the person with the alcohol addiction is still drinking. This can mean cutting off financial assistance or making it difficult for them to fulfill the addiction.

Why Do Alcoholics Drink

While people with this condition may start drinking again, studies show that with treatment, most people are able to reduce how much they drink or stop drinking entirely. The brain mediates our motivation to repeat behaviors that lead to pleasurable, rewarding states or reduce uncomfortable, distressing physical or emotional states. In this context, drinking alcohol can be motivated by its ability to provide both relief from aversive states and reward. These dual, powerful reinforcing effects help explain why some people drink and why some people use alcohol to excess. With repeated heavy drinking, however, tolerance develops and the ability of alcohol to produce pleasure and relieve discomfort decreases.

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