


Caroline Beidler, MSW is an author, speaker, and the Managing Editor of Recovery.com. She writes about topics related to addiction, mental health, and trauma recovery, informed by her personal experience and professional expertise.

Dr. Mala, is the Chief Clinical Officer at Recovery.com, where she develops impartial and informative resources for people seeking addiction and mental health treatment.




Caroline Beidler, MSW is an author, speaker, and the Managing Editor of Recovery.com. She writes about topics related to addiction, mental health, and trauma recovery, informed by her personal experience and professional expertise.

Dr. Mala, is the Chief Clinical Officer at Recovery.com, where she develops impartial and informative resources for people seeking addiction and mental health treatment.
Alcohol addiction, also known as alcohol use disorder (AUD), is an inability to control or stop drinking alcohol even though alcohol use is causing problems in a person’s life, such as negatively affecting health, relationships, work, and other responsibilities.<sup>1</sup> One of the criteria for AUD is a physical dependence on alcohol is characterized by withdrawal symptoms. Alcohol withdrawal can have a range of symptoms, some of which can be potentially dangerous or even life-threatening.<sup>1,2,3</sup> Research on alcohol withdrawal indicates that:<sup>4</sup>
During alcohol withdrawal, a person can experience several symptoms that range in severity depending on how long they’ve been alcohol dependent, how much alcohol they consume, and other physical health conditions.<sup>2</sup> Long-term alcohol use can lead to a person developing a physiological dependence on alcohol. If a person stops drinking or drastically reduces the amount they drink, they may experience withdrawal symptoms.<sup>2,3</sup> Alcohol withdrawal symptoms typically present as the opposite of the pleasurable or positive effects that a person drinks alcohol for.<sup>2</sup> Symptoms can range in severity, and severe withdrawal symptoms can sometimes be deadly without proper intervention and care.<sup>2</sup>
Withdrawal symptoms can vary widely from person to person. Factors that can influence the course and severity of alcohol withdrawal include:<sup>2,5</sup>
Common alcohol withdrawal symptoms can range from mild to severe and can include:
Mild Symptoms (6-12 hours after last drink):<sup>1</sup>
Moderate Symptoms (12-48 hours after last drink):<sup>1</sup>
Severe Symptoms (48-72 hours after last drink – Delirium Tremens):<sup>1,4,5</sup>
Emergency Symptoms:
Seek immediate help from a medical professional if you or a loved one experiences the following severe withdrawal symptoms:<sup>1</sup>
Treatment medications can play an important role in managing potentially life-threatening symptoms of alcohol withdrawal. Benzodiazepines are commonly used to help reduce the likelihood and severity of withdrawal seizures and DT.<sup>6</sup>
Other medications such as anticonvulsants, antipsychotics, beta-blockers, and alpha-adrenergic agonists are sometimes used off-label or to treat specific symptoms as needed.
While mild withdrawal symptoms can sometimes be managed at home, medical supervision is strongly advised, especially for those with a history of heavy drinking. Detoxing alone can be dangerous, and individuals should not hesitate to seek professional guidance if necessary.
Professional medical help may be required for those at risk of severe withdrawal. Medical professionals can administer medications to help manage withdrawal symptoms and reduce the likelihood of complications like seizures or DTs.
Even if you think your withdrawal symptoms are mild, always consult a healthcare provider before stopping alcohol use. Their expertise can help determine the safest approach for detoxing based on your health history.
Detoxification is only the first step in recovery. Maintaining long-term sobriety requires a multi-faceted approach that can include therapy and counseling, support groups and peer support, and healthy lifestyle changes.
Mental health support can also be a key factor in addressing alcohol detox and alcohol addiction. Connecting with therapy and counseling, support groups, and other supports that promote healthy lifestyle changes can be key. Alcohol use disorder is a medical condition that needs ongoing support and treatment just like other health issues and health conditions.
Recovery from alcohol dependence is not just about stopping drinking—it’s about reclaiming your life, one step at a time. Alcohol detoxification can be overwhelming, but with the right knowledge, support, and self-care, the process becomes more manageable.
Withdrawal symptoms range from mild discomfort to severe, life-threatening conditions, making medical supervision an important consideration for safety.
Staying hydrated, nourishing your body, getting enough rest, and avoiding triggers are crucial to a successful detox. Most importantly, you don’t have to go through this alone—support from loved ones, professional treatment programs, and recovery groups can make all the difference. The path to sobriety may have its challenges, but every step forward is a step toward a healthier, more fulfilling life.
1. National Institute on Alcohol Abuse and Alcoholism. (2021, December.). The cycle of alcohol addiction. https://www.niaaa.nih.gov/publications/cycle-alcohol-addiction
2. Newman RK, Stobart Gallagher MA, Gomez AE. Alcohol Withdrawal. (2022, Aug 29). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK441882/
3. National Institute on Alcohol Abuse and Alcoholism. (2021, April). Understanding Alcohol Use Disorder. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-alcohol-use-disorder
4. Rahman A, Paul M. Delirium Tremens. (2022, Aug 22). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK482134/
5. Soyka, M. (2013). Management of withdrawal syndromes and relapse prevention in drug and alcohol dependence. Dialogues in Clinical Neuroscience, 15(4), 585–594. https://pubmed.ncbi.nlm.nih.gov/9672434/
6. Chandra, M., Choudhary, M., & Sachdeva, A. (2015). Alcohol withdrawal syndrome: Benzodiazepines and beyond. Journal of Clinical and Diagnostic Research, 9(9), VE01-VE07. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606320/
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