Learn / 23 Essential Facts About Alcohol Addiction
It can be hard to trust what you hear about alcohol addiction. And when you’re planning for recovery, you need to know exactly what you’re facing. These alcohol facts can help you make important decisions about treatment.
Alcohol addiction is a chronic disease1 with serious, long-term health effects. This condition is also known as alcohol use disorder (AUD) or alcoholism. AUD is highly treatable and can go into long-term remission.
Anyone can develop AUD, regardless of age, gender, ethnicity, socioeconomic status, and so on. Because alcohol is socially acceptable in most parts of the world, it can be hard to tell when your drinking gets out of hand.
The National Institute on Alcohol Abuse and Alcoholism (NIAA) tracks alcohol facts and statistics in the U.S. According to their most recent data, 28.6 million adults had alcohol use disorder2 in 2021. That’s 11.3% of everyone in the country aged 18 or older.
Many factors can make you vulnerable to alcohol addiction.3 For example, alcohol addiction tends to run in families. On the surface, that implies AUD is genetic. But this could also be an environmental issue, because childhood trauma increases your risk of addiction. Studies show that mental health issues like post-traumatic stress disorder (PTSD) and depression can also play a role.
Over time, excessive drinking can cause severe physical health problems:4
Alcohol abuse also increases your risk of developing mental health problems.5
For most people, alcohol use disorder is progressive.6 In other words, it gets worse over time. Without proper treatment, your alcohol addiction will likely get more severe.
When you first quit drinking, you may develop some or all of the following alcohol withdrawal symptoms:7
Without proper treatment, withdrawing from alcohol can be fatal. When you first enter recovery for AUD, it’s extremely important to get the medical care you need.
There are countless ways to heal from addiction. Rehab for alcohol addiction can include a combination of medical treatments, talk therapy, support groups, and other activities. Different programs offer various types of therapy. Some even develop individualized care plans for each client.
Alcohol addiction commonly co-occurs with other mental health issues. People with AUD have higher rates of depression,8 anxiety, PTSD, and other substance use disorders. If you’re healing from multiple conditions at once, you will likely need specialized treatment.
Relapse is a common part of alcohol addiction recovery. In one study, at least 60% of people with AUD relapsed9 within the first year of recovery. Certain risk factors — like clinical depression — make relapse more likely. On the other hand, having a strong support network reduces your risk of relapse.10 That could include a therapist, support groups, family, and trusted friends. Building out your support system is an essential part of healing. You can start this process during rehab by making a specific plan for aftercare.
Alcohol abuse can profoundly affect your closest relationships, in every stage of addiction and recovery. While untreated AUD can severely impact whole families,11 treatment has the opposite effect. Experts say it’s impossible to separate alcohol addiction from family dynamics. That’s why many rehabs offer family therapy as a central part of treatment.
Drinking alcohol, and especially alcohol abuse, can interfere with brain function.12 Specifically, it interferes with memory, motor function, and judgment. These effects are worse for teenagers and for people with chronic, long-term addiction.
Early intervention and treatment for alcohol addiction can significantly improve the chances of successful recovery.
Social support is essential during recovery13 from alcohol addiction. A wealth of data shows that people with stronger relationships recover more quickly and completely. Your support network could include family, friends, colleagues, your care team, and members of a support group. Given the high success rate of Alcoholics Anonymous (A.A.), it might be a good place to start building your community.
Despite the stigma surrounding addiction, healthcare professionals agree that AUD is a serious medical issue. The American Psychiatric Association (APA), for example, explains that people with alcohol addiction “have lost reliable control of their alcohol use.14 It doesn’t matter what kind of alcohol someone drinks or even how much: Alcohol-dependent people are often unable to stop drinking once they start.” If you have a diagnosis of AUD, you’ll probably need professional treatment to recover.
Heavy drinking can interfere with immune function.15 As a result, chronic alcohol abuse increases your risk of pneumonia, respiratory problems, liver disease, and certain types of cancer. People with AUD have a higher rate of complications after surgery and may heal from injuries more slowly.
Anyone can abuse alcohol. However, some data shows that AUD disproportionally affects marginalized communities. For example, having less education and lower socioeconomic status greatly increases your risk of alcohol addiction.16 This is true regardless of genetics or family history. Other studies report that race also plays a role in AUD,17 and that Black communities are at greater risk.
Recent studies show a link between binge drinking and alcohol addiction.18 We still need more information about how they relate. It could be true that binge drinking raises your risk of developing an addiction in the future. On the other hand, some say that binge drinking itself is a sign of addiction. If that’s the case, the act itself wouldn’t increase your risk of AUD. But either way, it can still qualify as alcohol abuse. If you binge drink regularly, you might consider getting treatment for alcohol addiction.
Relapse is a common part of recovery from alcohol addiction. It is not a sign of failure. When you think of AUD as a disease, it’s easier to make sense of this pattern. The National Institute of Health (NIH) compares addiction to other chronic conditions,19 like asthma and high blood pressure: “Relapse is common and similar across these illnesses. Therefore, substance use disorders should be treated like any other chronic illness. Relapse serves as a sign for resumed, modified, or new treatment.”
Drinking as a teenager20 increases your risk of developing AUD as an adult. One study found that people who drank alcohol before age 15 were 3.5 times more likely to abuse alcohol. Underage drinking can also change or interfere with the way your brain develops. For teenagers with alcohol addiction, family therapy is usually an important part of treatment.
If you have a mental health diagnosis in addition to AUD, it’s called dual diagnosis. Recovering from co-occurring disorders can be complex. Studies show that it’s most effective to treat mental health issues and addiction21 at the same time. By integrating different types of therapy, you can address the root cause of both issues simultaneously. Many residential rehabs use this holistic approach to treatment.
Long-term alcohol addiction can lead to brain damage.22 This can occur in several different ways:
There are many factors to consider when you’re planning recovery. For example, do you need to detox from alcohol before starting rehab? While you’re in treatment, will you need ongoing medical care? Are you interested in attending a faith-based program that follows the 12 Steps? There’s no right or wrong way to approach treatment, but it’s important to find a center that can meet your unique needs.
Compare rehabs that treat alcohol addiction to find the right program for you.
Spotlight on Alcohol Use Disorder (AUD) and Substance Use Disorder (SUD). #updateDate#, https://www.hsrd.research.va.gov/news/feature/aud-sud.cfm.
Alcohol Use Disorder (AUD) in the United States: Age Groups and Demographic Characteristics | National Institute on Alcohol Abuse and Alcoholism (NIAAA). https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-disorder-aud-united-states-age-groups-and-demographic-characteristics. Accessed 28 Aug. 2023.
Understanding Alcohol Use Disorder | National Institute on Alcohol Abuse and Alcoholism (NIAAA). https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-alcohol-use-disorder. Accessed 28 Aug. 2023.
Alcohol’s Effects on the Body | National Institute on Alcohol Abuse and Alcoholism (NIAAA). https://www.niaaa.nih.gov/alcohols-effects-health/alcohols-effects-body. Accessed 28 Aug. 2023.
“Mental Health Issues: Alcohol Use Disorder and Common Co-occurring Conditions.” National Institute on Alcohol Abuse and Alcoholism. https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/mental-health-issues-alcohol-use-disorder-and-common-co-occurring-conditions#pub-toc1
Vaillant, George E., and Susanne Hiller-Sturmhöfel. “The Natural History of Alcoholism.” Alcohol Health and Research World, vol. 20, no. 3, 1996, pp. 152–61. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6876506/.
Newman RK, Stobart Gallagher MA, Gomez AE. Alcohol Withdrawal. [Updated 2023 Jul 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441882/
“Mental Health Issues: Alcohol Use Disorder and Common Co-occurring Conditions.” National Institute on Alcohol Abuse and Alcoholism. https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/mental-health-issues-alcohol-use-disorder-and-common-co-occurring-conditions#pub-toc1
Nguyen LC, Durazzo TC, Dwyer CL, Rauch AA, Humphreys K, Williams LM, Padula CB. Predicting relapse after alcohol use disorder treatment in a high-risk cohort: The roles of anhedonia and smoking. J Psychiatr Res. 2020 Jul;126:1-7. doi: 10.1016/j.jpsychires.2020.04.003. Epub 2020 Apr 30. PMID: 32403028; PMCID: PMC8476113.
Sliedrecht, Wilco, et al. “Alcohol Use Disorder Relapse Factors: A Systematic Review.” Psychiatry Research, vol. 278, Aug. 2019, pp. 97–115. ScienceDirect, https://doi.org/10.1016/j.psychres.2019.05.038.
McCrady BS, Flanagan JC. The Role of the Family in Alcohol Use Disorder Recovery for Adults. Alcohol Res. 2021 May 6;41(1):06. doi: 10.35946/arcr.v41.1.06. PMID: 33981521; PMCID: PMC8104924.
Alcohol and the Brain: An Overview | National Institute on Alcohol Abuse and Alcoholism (NIAAA). https://www.niaaa.nih.gov/publications/alcohol-and-brain-overview. Accessed 28 Aug. 2023.
Booth BM, Russell DW, Soucek S, Laughlin PR. Social support and outcome of alcoholism treatment: an exploratory analysis. Am J Drug Alcohol Abuse. 1992;18(1):87-101. doi: 10.3109/00952999209001614. PMID: 1562009.
“Understanding Alcohol Use Disorders and Their Treatment.” Https://Www.Apa.Org, https://www.apa.org/topics/substance-use-abuse-addiction/alcohol-disorders. Accessed 28 Aug. 2023.
Sarkar D, Jung MK, Wang HJ. Alcohol and the Immune System. Alcohol Res. 2015;37(2):153–5. PMCID: PMC4590612.
Calling S, Ohlsson H, Sundquist J, Sundquist K, Kendler KS. Socioeconomic status and alcohol use disorders across the lifespan: A co-relative control study. PLoS One. 2019 Oct 17;14(10):e0224127. doi: 10.1371/journal.pone.0224127. PMID: 31622449; PMCID: PMC6797188.
Carr MM, Potenza MN, Serowik KL, Pietrzak RH. Race, Ethnicity, and Clinical Features of Alcohol Use Disorder Among US Military Veterans: Results From the National Health and Resilience in Veterans Study. Am J Addict. 2021 Jan;30(1):26-33. doi: 10.1111/ajad.13067. Epub 2020 Jun 22. PMID: 32573050; PMCID: PMC7752825.
Addolorato G, Vassallo GA, Antonelli G, Antonelli M, Tarli C, Mirijello A, Agyei-Nkansah A, Mentella MC, Ferrarese D, Mora V, Barbàra M, Maida M, Cammà C, Gasbarrini A; Alcohol Related Disease Consortium*. Binge Drinking among adolescents is related to the development of Alcohol Use Disorders: results from a Cross-Sectional Study. Sci Rep. 2018 Aug 22;8(1):12624. doi: 10.1038/s41598-018-29311-y. Erratum in: Sci Rep. 2018 Oct 16;8(1):15476. PMID: 30135518; PMCID: PMC6105639.
NIDA. 2023, March 9. Treatment and Recovery. Retrieved from https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery on 2023, August 28
“Get the Facts About Underage Drinking.” National Institute on Alcohol Abuse and Alcoholism. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/underage-drinking#:~:text=Research%20shows%20that%20people%20who,(AUD)%20later%20in%20life.
Kelly TM, Daley DC. Integrated treatment of substance use and psychiatric disorders. Soc Work Public Health. 2013;28(3-4):388-406. doi: 10.1080/19371918.2013.774673. PMID: 23731427; PMCID: PMC3753025.
Alcohol Brain Damage Symptoms. 3 July 2019, https://www.medicalnewstoday.com/articles/325644.
Alcohol-Related Brain Damage (ARBD): What Is It and Who Gets It? | Alzheimer’s Society. https://www.alzheimers.org.uk/about-dementia/types-dementia/alcohol-related-brain-damage-arbd. Accessed 28 Aug. 2023.
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