
Alcohol use disorder (AUD) is a condition that affects millions of people and can turn their lives upside down. It is characterised by an inability to stop drinking even when it puts one's health and safety at risk. If you think you may have an alcohol problem, the first step is to recognise that you may have an issue and then reach out to a healthcare provider. They will recommend treatments and resources to aid your recovery, including medication and therapy. Treatment options can vary, from inpatient medical treatment to residential rehabilitation, behavioural treatment, and counselling. The right support can help you conquer your drinking problem and get your life back on track.
| Characteristics | Values |
|---|---|
| Alcohol use disorder diagnosis | Healthcare providers diagnose the condition by examining symptoms and using the criteria laid out in the DSM-5. |
| Alcohol use disorder severity | Mild (2-3 criteria), Moderate (4-5 criteria), Severe (6 or more criteria) |
| Treatment options | Inpatient medical treatment, Residential rehabilitation, Behavioral treatment, Medication, Therapy |
| Signs of a drinking problem | Craving the next drink, Drinking in unsafe situations, Interference with work, school, relationships, and hobbies, Withdrawal symptoms, Impulsive behaviour, Inability to say no to more alcohol, Relationship issues, Health problems, Memory blackouts, Increased conflict, Legal issues |
| Support | Substance abuse helplines, Alcohol counselling services, Therapy (individual/group), Medication, Digital self-help programs |
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What You'll Learn

Recognising the problem
Recognising that you may have an alcohol problem can be challenging, and it's important to remember that you are not alone in this struggle. Alcohol use disorder affects millions of people, and the first step towards recovery is acknowledging the issue. Here are some signs that may indicate a drinking problem:
Loss of Control
Do you find yourself drinking more than you intended or for longer periods than planned? Do you have trouble controlling your drinking, often ending up consuming more alcohol than you wanted? This loss of control is a key indicator of a drinking problem.
Cravings and Impulsive Behaviour
Do you experience strong cravings for alcohol, finding it difficult to think about anything else until you get a drink? Do these cravings lead to impulsive behaviour, such as drinking in unsafe situations or driving after drinking? Cravings and impulsive drinking behaviour suggest a loss of control and a potential alcohol problem.
Withdrawal Symptoms
Withdrawal symptoms are a common sign of alcohol dependence. Do you experience symptoms such as trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart, or feelings of unease when the effects of alcohol wear off? Withdrawal symptoms can be uncomfortable and distressing, often leading to more drinking to alleviate them.
Negative Consequences
Alcohol use disorder is characterised by continued drinking despite negative consequences. Do you continue to drink even though it causes or exacerbates health problems, relationship issues, or difficulties at work or school? If alcohol is causing problems in your life and you are unable to stop drinking, it may be a sign of alcohol use disorder.
Increased Tolerance
Have you noticed that you need to drink more than before to achieve the desired effect? Increased tolerance is a sign that your body has adapted to higher levels of alcohol consumption, indicating a potential drinking problem.
If you recognise these signs in yourself, it may be time to seek professional help. Healthcare providers can assess your symptoms and advise appropriate treatments to support your recovery.
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Seeking professional help
Recognising that you may have an alcohol problem is the first step towards getting better. If you are concerned about your drinking, healthcare providers can help diagnose the severity of your condition and recommend treatments and resources to support your recovery.
Healthcare providers will determine whether you have alcohol use disorder (AUD) and whether your condition is mild, moderate, or severe. This diagnosis will be based on criteria laid out in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). If you have two to three symptoms, your condition is considered mild; four to five symptoms indicate a moderate condition, and six or more symptoms indicate a severe condition.
If you are diagnosed with AUD, your treatment will depend on the severity of your condition. Treatment options may include medication, therapy, or a combination of both. If your condition is severe, your healthcare provider may recommend inpatient medical treatment or residential rehabilitation.
- Speak to your healthcare provider: Share your concerns about your drinking habits and be honest about your symptoms and their impact on your life. Your healthcare provider can assess your condition and recommend the best course of action.
- Consider therapy: Behavioural treatment, such as counselling or psychology services, can help you change your drinking behaviour. Cognitive-behavioural therapy (CBT) is a scientifically backed approach that teaches skills to help reduce or stop drinking. Individual therapy can also be combined with group therapy or support groups for additional support.
- Explore medication options: Certain prescription medications, such as naltrexone, acamprosate, or disulfiram, can help reduce alcohol dependence. These medications can be prescribed by a healthcare provider and may be a crucial part of your treatment plan.
- Evaluate treatment programs: Look into specialised treatment programs or facilities that offer comprehensive evidence-based approaches. The NIAAA Alcohol Treatment Navigator provides a three-step roadmap to finding higher-quality, science-backed alcohol treatment. Consider the program's cost, coverage by your health insurance, and the treatment methods offered.
- Address mental health: Alcohol use disorder often co-occurs with mental health issues. Ensure that any treatment program addresses both your alcohol use and your mental health needs. This dual approach can help you manage underlying issues that may be contributing to your alcohol problem.
- Seek support: Recovery from alcohol use disorder is an ongoing process, and it's essential to have a strong support system. Consider reaching out to family and friends who can provide emotional support and encouragement. Additionally, support groups or peer support services specifically for individuals with alcohol problems can connect you with others going through similar experiences.
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Treatment options
If you think you may have an alcohol problem, it is important to seek professional help. Alcohol use disorder (AUD) is a medical condition characterised by a person's drinking causing distress or harm. It can affect anyone, regardless of age, gender, lifestyle, and background, and can develop at any time. Treatment options for AUD include:
Behavioural Treatment: This treatment focuses on counselling that changes your drinking behaviour. You may work with addiction counsellors or psychologists. Cognitive behavioural therapy (CBT) is a type of behavioural therapy that teaches skills to help people stop or reduce drinking. CBT can be self-guided through web-based programs or prescribed by a healthcare professional.
Medication: Prescription medication can help reduce alcohol dependence. Examples include naltrexone, acamprosate, and disulfiram.
Inpatient Medical Treatment: For severe cases of AUD, inpatient medical treatment or residential rehabilitation may be recommended.
Support Groups: Support groups such as Alcoholics Anonymous (AA) can provide a sense of community and accountability for those struggling with AUD.
Mindfulness Strategies: Mindfulness strategies for addiction are also gaining traction as a treatment option for AUD.
When seeking treatment, it is important to consider the cost and your health insurance coverage. Additionally, evaluate the different treatment programs to ensure they offer evidence-based and comprehensive approaches that address both mental health and alcohol treatment.
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Withdrawal symptoms
Alcohol withdrawal symptoms arise because alcohol changes your brain chemistry. When you drink heavily over an extended period, your brain adjusts to the presence of alcohol. However, when you suddenly stop or reduce your alcohol intake, your brain has to rapidly readjust, resulting in these unpleasant withdrawal symptoms.
The severity and number of withdrawal symptoms you experience can indicate the extent of your alcohol problem. The more symptoms you exhibit, the more pressing the need to address your drinking habits. If you suspect you have an alcohol problem, it is crucial to seek professional help. Healthcare providers can assess your symptoms and determine the best course of action, which may include inpatient medical treatment or residential rehabilitation, depending on the severity of your condition.
Treatment for alcohol withdrawal often involves medication to reduce alcohol dependence, such as naltrexone, acamprosate, or disulfiram. Therapy, particularly cognitive-behavioral therapy, is also effective in addressing the underlying behavioral and psychological aspects of alcohol use disorder. These treatments aim to help individuals change their drinking behavior and develop strategies to maintain sobriety.
It is important to recognize that alcohol use disorder affects millions of people, and seeking help is a courageous step towards recovery. Resources are available to support you in overcoming alcohol-related challenges and regaining control of your life.
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Long-term recovery
Recognising that you may have an alcohol problem is the first step towards getting better. If you are concerned about your drinking, it is important to seek professional support. Treatment for alcohol problems can vary depending on the severity of the condition and individual circumstances. Here are some steps to consider for long-term recovery:
Behavioural Treatment
Behavioural treatment focuses on counselling and therapy to change drinking behaviour. This may involve working with addiction counsellors or psychologists who can provide individual therapy, group therapy, or both. Cognitive behavioural therapy (CBT) is a rapidly emerging approach that teaches skills to help reduce or stop drinking. CBT can be accessed through self-guided web-based programs or prescribed by a healthcare professional. Mindfulness strategies have also been shown to be effective in addiction treatment.
Medication
Medication can be prescribed to help reduce alcohol dependence. Examples include naltrexone, acamprosate, and disulfiram. These medications can be prescribed by a healthcare provider and may be covered by health insurance.
Residential Rehabilitation
Inpatient medical treatment or residential rehabilitation may be recommended for severe cases. This involves staying at a facility to receive intensive treatment and support. The cost of residential rehabilitation can vary, and some programs may offer sliding-scale fees or payment plans for those without insurance.
Support Groups
Support groups such as Alcoholics Anonymous (AA) can provide a sense of community and accountability during recovery. These groups offer a space to connect with others going through similar experiences and can be a valuable source of ongoing support.
Lifestyle Changes
Remember, recovery is a journey, and relapses may occur. It often takes multiple attempts to maintain sobriety, so it is important to be compassionate and non-judgmental towards yourself and others going through the same experience.
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Frequently asked questions
Alcohol use disorder (AUD) is a medical condition characterised by drinking that causes distress or harm. Doctors will assess a patient's likelihood of AUD by asking a series of questions, including whether the patient has continued to drink despite health problems, whether they have tried to reduce their drinking and failed, and whether they experience withdrawal symptoms. If you think you may have AUD, speak to a healthcare provider.
Treatment options include medication, therapy, and behavioural treatment. The Substance Abuse and Mental Health Services Administration operates a National Helpline (800–662–HELP (4357)) and there are several e-health tools available to help people cut down or quit drinking, such as CBT4CBT, a self-guided, web-based cognitive-behavioural therapy program.
Family members are often the first to notice a problem with alcohol. If you are concerned about a loved one's drinking, encourage them to speak to a healthcare provider. Offer your support and help them find treatment options.











































