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Understanding Alcohol Use Disorder National Institute on Alcohol Abuse and Alcoholism NIAAA

Understanding Alcohol Use Disorder National Institute on Alcohol Abuse and Alcoholism NIAAA

Alcoholics Anonymous, or AA, is one of the most well-known support systems for people who want to stop drinking. AA was founded in 1935 and follows a 12-step model that emphasizes responsibility, spiritual growth, relationships, and community support. Inpatient and outpatient programs offer higher levels of support for those who need more than weekly therapy sessions to manage AUDs. Some also benefit from medication-assisted treatment (MAT). To qualify for a diagnosis of alcohol use disorder, an individual must meet at least two of the following criteria within a period of 12 months.

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Other names for AUD include alcohol misuse, alcohol dependence, alcohol addiction, and alcoholism. Risk factors for developing AUD include a family history of Alcohol Use Disorder alcohol misuse, mental health conditions, and starting alcohol use at a young age. Alcohol use disorder (sometimes called alcoholism) is a common medical condition. People with this condition can’t stop drinking, even if their alcohol use upends their lives and the lives of those around them. Treatments may include medication and behavioral therapy.

If you have any of these symptoms, your drinking may already be a cause for concern. The more symptoms you have, the more serious the problem is. Send a note of thanks to Mayo Clinic researchers who are revolutionizing healthcare and improving patient outcomes. If you have additional questions about CME/CE certification, please contact the Postgraduate Institute for Medicine (PIM) at email protected. To earn AMA, AAPA, ANCC, ACPE, or ABIM MOC credit, review this article, then use the link below to log into or create a CME University account.

Continuing therapy and building resilience, developing coping strategies, and recognizing warning signs of relapse all lessen the likelihood of drinking again after a period of recovery. Mental health issues related to alcoholism can include anxiety, depression, sleep disorders, trauma disorders, and other substance use disorders. If you drink more alcohol than that, consider cutting back or quitting.

What should I do if I think that I might have an alcohol use disorder (AUD)?

These and other outpatient options may reduce stigma and other barriers to treatment. Telehealth specialty services and online support groups, for example, can allow people to maintain their routines and privacy and may encourage earlier acceptance of treatment. The NIAAA Alcohol Treatment Navigator can help you connect patients with the full range of evidence–based, professional alcohol treatment providers.

If your pattern of drinking results in repeated significant distress and problems functioning in your daily life, you likely have alcohol use disorder. However, even a mild disorder can escalate and lead to serious problems, so early treatment is important. Severity is based on the number of criteria a person meets based on their symptoms—mild (two to three criteria), moderate (four to five criteria), or severe (six or more criteria). Whether you care for youth or adults, you are likely to encounter patients with alcohol use disorder (AUD) regularly in your practice. Alcoholism is a serious condition, but recovery is possible.

Effects of alcohol misuse

Other ways to get help include talking with a mental health professional or seeking help from a support group such as Alcoholics Anonymous or a similar type of self-help group. Healthcare professionals offer AUD care in more settings than just specialty addiction programs. Addiction physicians and therapists in solo or group practices can also provide flexible outpatient care.

What Are the Symptoms of Alcohol Use Disorder?

If you think you might have an AUD, see your health care provider for an evaluation. Your provider can help make a treatment plan, prescribe medicines, and if needed, give you treatment referrals. Many people with alcohol use disorder hesitate to get treatment because they don’t recognize that they have a problem. An intervention from loved ones can help some people recognize and accept that they need professional help. If you’re concerned about someone who drinks too much, ask a professional experienced in alcohol treatment for advice on how to approach that person. Alcohol use disorder is a pattern of alcohol use that involves problems controlling your drinking, being preoccupied with alcohol or continuing to use alcohol even when it causes problems.

  • The term alcoholism is used to describe a chronic mental and physical health disorder in which a person cannot control their alcohol consumption, despite experiencing negative consequences.
  • These symptoms typically begin within hours of the last drink, often while a person is sleeping.
  • There are treatment options available for AUD, with or without therapy, that can help guide a person’s towards recovery.
  • Physical health issues related to alcoholism can include high blood pressure, high cholesterol, and damage to the brain, nervous system, pancreas, heart, and liver.
  • Send a note of thanks to Mayo Clinic researchers who are revolutionizing healthcare and improving patient outcomes.
  • If you or someone you love is struggling with their drinking, it’s important to talk with a doctor, counselor, or other healthcare professional who can help.

29 Groups vary widely in beliefs and demographics, so advise patients who are interested in joining a group to try different options to find a good fit. Licensed therapists work with people who are misusing alcohol to help them stop drinking. They can provide reinforcement and motivation techniques. They also help people identify and avoid their triggers for drinking. Alcohol misuse can adversely affect a person’s health, quality of life, and relationships.

Alcohol use disorder can be mild, moderate, or severe, depending on the number of symptoms you have. Mindfulness techniques such as yoga, meditation, breathing exercises, and visualization may be useful to some people for focusing their thoughts away from drinking. Alcohol intoxication causes slowed speech and reflexes, difficulty in concentration and memory, and poor decision-making. For example, stating, “If you drink before it’s time to leave for the movies, I will not go,” is a clear statement that states what you are and aren’t willing to tolerate. Often, people who grow up with or live with alcoholics find it difficult to set boundaries.

A study involving almost 1,000 people found that Black and Latino people and other ethnic groups were less likely than White people to get “quality” alcohol screenings. These screenings are when health care professionals ask people not only if they drink, but also how much they drink. That’s important in finding out whether someone is a heavy drinker, so they can get the right treatment. The study found that other things also affected whether people got quality alcohol screenings. Black, Latino, and other ethnic groups who had a high school education or less and who were on Medicare or Medicaid were also less likely to get the more detailed screenings. This means people in these groups could be missing out on key preventive care and treatment.

There are treatment options available for AUD, with or without therapy, that can help guide a person’s towards recovery. If a person believes that they are misusing alcohol, they should consider seeking medical help. Early intervention can help prevent some of the negative consequences of drinking.

  • Alcohol intoxication causes slowed speech and reflexes, difficulty in concentration and memory, and poor decision-making.
  • Other names for AUD include alcohol misuse, alcohol dependence, alcohol addiction, and alcoholism.
  • Treatment can be outpatient and/or inpatient and be provided by specialty programs, therapists, and health care providers.

Prevention and Risk Factors

Mutual-support groups provide peer support for stopping or reducing drinking. Group meetings are available in most communities at low or no cost, and at convenient times and locations—including an increasing presence online. This means they can be especially helpful to individuals at risk for return to drinking. Combined with medications and behavioral treatment provided by health care professionals, mutual-support groups can offer a valuable added layer of support.

It’s important to work with licensed therapists when seeking help with AUD. Therapy can help with emotional regulation, coping skills, and relapse prevention. Long-term success for many people requires a combo of individual, group and family therapy. Binge drinking does not mean you have AUD, it might be a sign that you may be at risk for developing it. Alcohol use disorder (AUD) is a chronic illness in which you can’t stop or control your drinking even though it’s hurting your social life, your job, or your health. The American Medical Association recommends a two-drink daily limit for men.


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