
Recovering from alcoholism is a journey that requires ongoing commitment, and individuals in recovery may constantly battle their urges to drink. While there is no definitive way to tell if someone is a recovering alcoholic, certain behavioural patterns and lifestyle choices can provide clues. For instance, a recovering alcoholic may exhibit extreme mood swings, attend support groups or therapy sessions, and actively avoid alcohol and high-stress situations that could trigger a relapse. Understanding the signs of recovery can help loved ones provide effective support and foster a smooth transition to a sober life.
| Characteristics | Values |
|---|---|
| Treatment | Inpatient medical treatment, residential rehabilitation, behavioral treatment, medication, support groups |
| Recovery | A journey that is taken one step at a time, one day at a time |
| Suggestions | Exercise, know your triggers, seek support |
| Relapse | Relapses can occur due to stressful events such as losing a job, going through a divorce, or dealing with a death |
| Mindset | Recognizing the problem and seeking help are the first steps toward recovery; changing one's mindset can prevent the cycle of addiction from being set off |
| Support System | Family support, group therapy, individual counseling, understanding the alcoholic personality change |
| Extreme Mood Swings | Extreme mood swings and emotional upheaval are common during recovery |
What You'll Learn

Understanding the alcoholic personality change
Alcoholism is a disease that can have a profound impact on an individual's personality. While the concept of personality is complex and unique to each person, it can generally be understood as a combination of persistent behaviours and dominant characteristics, such as interests, emotional patterns, and inherent value systems. Alcohol use can drastically and rapidly alter one's personality, and these changes can be negative or positive.
Licensed marriage and family therapist Jennifer Worley explains that alcohol changes neurotransmitter levels, particularly those of gamma aminobutyric acid and dopamine. This can lead to lower inhibitions, altered judgment, cognition, and mood. Alcohol can amplify underlying feelings or tendencies, making them more pronounced. It can also make it easier for individuals to act on aggressive impulses, intensifying feelings of stress, anxiety, or anger.
Joel Touchet, also a licensed marriage and family therapist, notes that alcohol removes the filters and defence mechanisms that people typically employ in their daily lives. The behaviours and thoughts that are suppressed when sober can become unleashed when under the influence of alcohol. However, it is important to note that these personality changes may not represent an individual's core character or values. While alcohol can reveal a more accurate representation of one's internal state, it does not necessarily reflect their true personality.
The impact of alcoholism on personality can be understood through the concept of "recovering" versus "recovered." When an individual identifies as "recovering," it indicates that they are constantly fighting alcoholism. They may have periods of sobriety but are still vulnerable to relapse. On the other hand, being "recovered" suggests a more permanent state of recovery where the individual is no longer struggling to maintain sobriety. This distinction highlights the ongoing nature of the battle against alcoholism and the potential for relapse.
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Recognising that recovery isn't permanent
The reality is that recovery is a journey, often filled with twists and turns, and it is not a linear process. Relapses are common and can be triggered by stressful events such as job loss, divorce, or the death of a loved one. Recognising that recovery is not permanent means acknowledging the possibility of relapse and understanding the underlying causes. It involves helping the recovering alcoholic develop strategies to cope with triggers and manage high-stress situations. This may include seeking professional help, such as counselling or therapy, to address the underlying mental health issues that contribute to alcoholism.
Family support is also crucial in the recovery process. Living with a recovering alcoholic can be challenging and often involves dealing with extreme mood swings and emotional upheaval. Group therapy and family counselling can provide a safe space for everyone involved to express their emotions and work through underlying issues together. It is important to remember that recovery is an individual process, and what works for one person may not work for another.
Additionally, it is essential to address the stigma associated with relapse. Relapses are not failures but opportunities to learn and develop better coping mechanisms. If a relapse occurs, it is important to encourage openness and honesty about what happened, seeking help from trusted sources, and prioritising self-care. This mindset shift can help reduce the shame and guilt associated with relapses, making it easier for the recovering alcoholic to get back on track.
In conclusion, recognising that recovery isn't permanent is a critical aspect of supporting a recovering alcoholic. It involves understanding the ongoing nature of the battle against alcoholism, addressing triggers and underlying issues, and providing a strong support system to help prevent and manage relapses effectively. By doing so, we can empower individuals struggling with alcoholism to achieve long-term sobriety and a brighter, healthier future.
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Knowing the signs of relapse
Relapse is a common part of recovery from alcohol dependence. It happens when a person stops maintaining their goal of reducing or avoiding alcohol use and returns to previous levels of consumption. Relapse can be triggered by various factors, and it's important to recognize the warning signs to prevent it from occurring. Here are some key signs that someone may be at risk of relapsing:
Emotional and Mental Changes
The emotional and mental phases of relapse precede the physical act of drinking again. During these stages, the person may experience unresolved emotions, negative thinking, and a decline in self-care practices, such as inadequate sleep, poor hygiene, and unhealthy eating habits. They may also start planning to drink, obsessing over the idea, or believing they can control their alcohol consumption.
Social and Environmental Triggers
Certain people, places, and situations can trigger a relapse. Returning to places or social circles where the person previously drank heavily or being around individuals who encourage drinking can increase the risk of relapse. Personal challenges, such as problems at work, financial difficulties, or issues in personal relationships, can also act as triggers.
Cravings and Withdrawal Symptoms
Occasional cravings or thoughts about drinking are normal during recovery. However, if these cravings become persistent and intrusive, it may indicate an increased risk of relapse. Additionally, experiencing alcohol withdrawal symptoms or drinking to avoid those symptoms can be a warning sign.
Stress and Emotional Triggers
Stressful events and emotional triggers can lead to a relapse. This could include significant life changes, such as job loss, divorce, or the death of a loved one. Stress related to maintaining sobriety or feeling overwhelmed by the recovery process can also contribute to relapse.
If you recognize any of these signs in yourself or someone you know, it's important to seek help. Reach out to a support network, therapist, or counselling service. Relapse is an opportunity to learn more about triggers and develop strategies to manage them effectively.
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Providing family support
Alcohol Use Disorder (AUD) is a complex medical condition with many interrelated biological and environmental factors. It is important to remember that a person with AUD is constantly in a state of fighting alcoholism, and relapses may occur.
Offer non-judgmental support and encouragement
It is important to approach your loved one with empathy and understanding. Recognizing AUD as a medical condition can help reduce feelings of frustration and judgment. Be honest and kind, and express your concerns and support in a calm and clear manner. Avoid issuing ultimatums, as this may push your loved one away and make them less receptive to seeking help.
Educate yourself and seek support
Familiarize yourself with the signs of AUD and the various treatment options available. Researching treatment methods can help guide your loved one toward the best professional help. Remember that recovery looks different for everyone, and there is no one-size-fits-all solution. Attend support meetings, such as Al-Anon, to better understand addiction and connect with others going through similar experiences.
Create a supportive environment
Help your loved one maintain a healthy and supportive environment by eliminating alcohol-related triggers from their surroundings. Offer to accompany them to mutual-help groups and suggest engaging in enjoyable hobbies or activities that do not involve alcohol.
Set healthy boundaries
Focus on your own needs and well-being while supporting your loved one. It is important to set healthy boundaries and communicate them effectively. Remember that you are not responsible for another person's recovery, but you can provide encouragement and accountability throughout their journey.
Prepare for relapses
Relapses may occur during the recovery journey. If a relapse happens, it is important not to blame or shame your loved one. Help them find alternative treatment options or connect them with professional resources to get them back on track.
Remember, supporting a loved one with alcoholism can be emotionally and mentally demanding, so be sure to prioritize your own self-care and seek support when needed.
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Seeking behavioural treatment
Behavioural treatment for alcohol use disorder (AUD) focuses on counselling and therapy to change drinking behaviour. This can be combined with medication and support groups to help achieve and maintain recovery.
Behavioural treatment involves working with addiction counsellors or psychologists to address the underlying causes of alcohol use disorder and develop strategies to change drinking behaviour. This type of treatment aims to change the individual's relationship with alcohol and teach them how to cope with triggers and high-stress situations without relying on alcohol. Counselling can also help individuals identify their triggers and develop healthier coping mechanisms to manage stress and emotions.
Group counselling or support groups are also an important aspect of behavioural treatment. These groups provide a sense of community and support from others who are going through similar experiences. They can be especially helpful in providing ongoing support to prevent relapse. Support groups can be found in most communities and are often free or low-cost, making them accessible to those seeking help.
In addition to counselling and support groups, medication can also play a role in behavioural treatment. The U.S. Food and Drug Administration has approved several medications to help reduce alcohol cravings and prevent relapse, including naltrexone, acamprosate, topiramate, and gabapentin. These medications can be prescribed by a healthcare provider to help individuals manage their symptoms and reduce their alcohol consumption.
For those seeking behavioural treatment for alcohol use disorder, there are several resources available. The SAMHSA National Helpline (1-800-662-HELP) is a free and confidential service that provides referrals to local treatment facilities, support groups, and community-based organizations. The Recovery Village also offers a range of treatment options, including teletherapy, and state-specific resource guides to help individuals find the right treatment for their needs.
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Frequently asked questions
If someone is a recovering alcoholic, they are constantly in a state of fighting alcoholism. They may be in treatment or have quit drinking altogether. They may also be experiencing extreme mood swings and emotional upheaval.
When someone says they are "recovering," it indicates that they are still fighting alcoholism and are not yet "recovered." A recovered alcoholic is in a position where they are not fighting to stay sober.
Family support is crucial for a recovering alcoholic. This can include group therapy, individual counseling, and understanding the alcoholic personality change. It is also important to know that recovery is not permanent and relapses may occur.

