Understanding that I was an alcoholic
Home » Sobriety » Are You An Alcoholic? Signs You Might Have A Drinking Problem
|

Are You An Alcoholic? Signs You Might Have A Drinking Problem

When you hear the word “alcoholic”, what image comes to mind?

Is it the drunk, out-of-control father sitting in a recliner, wearing a wife beater and pounding sixers while wreaking havoc on his wife and family?

Is it the stumbling homeless man who smells like ethanol begging for change on the corner and sipping something out of a brown, paper bag?

Maybe it’s Meg Ryan falling over in her shower because she’s pissy drunk at three o’clock in the afternoon a la When a Man Loves a Woman.

The word “alcoholic” is loaded. It’s heavy. Nobody wants it. Yet when our drinking becomes problematic and out of control, it’s often the only thing we’re left with. 

But what does it even mean? And WHO does it describe?

Questioning if you’re an alcoholic?

What is alcoholism?

The term du jour is actually alcohol abuse disorder (AUD), but it’s basically the same thing. It’s meant to encompass both chronic alcohol abuse and dependence. There are 16 million Americans currently battling various stages of AUD and, of course, it doesn’t happen overnight. 

Alcohol use disorder (sometimes called alcoholism) is a medical condition. It involves heavy or frequent alcohol drinking even when it causes problems, emotional distress or physical harm.

Source: https://my.clevelandclinic.org/health/diseases/3909-alcoholism

How do we even get on this path? For many of us, we start out experimenting with alcohol and then allowing ourselves to go overboard. Despite the repercussions, we decide it’s worth the excitement to try again.

When you’re young, it’s presented as a rite of passage. Somehow getting trashed and engaging in risky behavior while puking in your friend’s hat and dying the next day of a hangover is normal.

We push the boundaries more. Instead of partying just on the weekends, we add a Wednesday into the mix. Maybe we get a DUI or have a regrettable hookup. Maybe something worse happens. 

Par for the course, right? We’ll grow out of our partying ways eventually. 

But many of us don’t. We take the alcohol out of the party and into our everyday adult lives.

Early Signs of Alcoholism & Alcohol Abuse

Our little dance with addiction typically starts with occasional binge drinking. It’s that experimental stage I just mentioned. How far can we take it? What’s the most amount of drinking I can do and still drag myself to class or work the next morning?

From there, we progress into weekend drinkers. We go hard every weekend without fail. Drinking becomes the catalyst for getting together with friends. 

“Hey, you guys wanna come over and have some drinks?”

The frequency of those invitations increases. You go from drinking as a social activity to drinking as a way to decompress and drinking as stress relief. The invitations become, “I’ve had a horrible day. Want to grab a drink at the bar after work?”

This was my MO during my problem drinking days. I worked a high-stress job that ramped pre-existing mental health problems to unmanageable levels. Rather than get help or switch careers, I drank. 

Not alone…at first.

My misery had company for a while. My coworkers and I had our go-to happy hour spot where we drank away the heaviness of our week. I was routinely the first one to get there and the last one to leave.

But that’s where it started.

95,000 Americans die of from the effects of alcohol use each year.

Source: https://drugabusestatistics.org/alcohol-abuse-statistics/

What are the stages of Alcohol Use Disorder?

Alcohol abuse doesn’t happen suddenly. It’s insidious that way. It is progressive. For anyone questioning their own drinking or feeling concerned about a loved one, it’s useful to understand the stages of alcoholism.

  • The At-Risk Stage: This is the beginning stage where you drink socially or to relieve stress. At this stage, you might start developing a tolerance for alcohol which requires you to drink more to get the same effect.
  • Early Alcohol Use Disorder: At this stage, you start to experience blackouts. You begin drinking alone or hide the amount of drinking from friends and loved ones. This is also the stage when you begin to think about alcohol a lot.
  • Mid-Stage Alcohol Use Disorder: As your alcohol use progresses, you begin to feel like you’ve lost control of your drinking. It interferes with your daily life, impacting a wide range of things from your work life, personal relationships, and mental health. At this stage, organ damage is detectable.
  • End-Stage Alcohol Use Disorder: This is the final stage of alcohol use disorder when alcohol takes precedence over every other aspect of life. At this stage, there is extensive organ damage and a high risk of death.

At-Risk Drinking

It’s important to get clarity on some basic terms we use when talking about drinking. Talking about alcohol consumption in terms of “heavy” or “too much” is subjective. That is why we’ll use the agreed-upon definition of these terms when discussing health risks associated with alcohol consumption.

Binge drinking is defined as 4+ drinks for men and 3+ drinks for women on a single day or occasion.

Heavy drinking is considered 5 or more episodes of binge drinking in a given month. Once you engage in moderate to heavy drinking on a regular basis, you’re at risk for alcohol dependence.

Your brain becomes accustomed to using alcohol as a way to boost dopamine and deal with stress, boredom, and other unpleasant feelings. It produces less dopamine on its own and becomes dependent on the artificial boost of dopamine from alcohol. 

As your brain adjusts to the constant presence of alcohol, it starts to close dopamine receptors, which in turn, forces you to drink more alcohol to get the same effect (more on that in a bit).

Eventually, you experience increased depression, anxiety, and sleep problems

At this stage, you might also notice more reckless behaviors appear like driving while drunk or engaging in risky sexual activity.

problem drinking and alcoholism

Social Problems Caused By Drinking

As you begin to enter into the at-risk stage or even early alcohol use disorder, your personal relationships become more seriously effective. Common problems include:

  • Losing relationships with others
  • Erratic behavior 
  • No longer receiving social invitations
  • Changing friends and social circles frequently
  • Struggling to communicate with strangers

I spent years hopping from one social circle to the next. People got sick of my shit. Drunk me could suck the oxygen out of any room and frequently did. 

Even when I made an effort to be a better friend or make myself available to others, I couldn’t connect. It felt like my brain was stuck in off-mode. 

Despite my efforts, I couldn’t will myself the ability to be an engaged, present friend. I couldn’t shake the feeling that I just wanted to go drink somewhere. 

60% of people who drink increased their consumption of alcohol during the COVID-19 lockdowns.

Source: https://drugabusestatistics.org/alcohol-abuse-statistics/

Alcohol Dependence

If problem drinking continues unchecked, you may end up physically dependent on alcohol to function. In the dependence stage, you lack control over your drinking. You want to stop or drink less, but you can’t. 

This is also the stage where your tolerance increases. Despite the damaging effects of drinking on your overall health, which you can really feel at this point, you continue drinking.

At this stage, you start feeling withdrawal symptoms like tremors, sweating, and irritability. You may also experience insomnia, digestive issues, and a racing heart. 

I used to wake up every morning feeling like my heart would explode out of my chest. I tried to bury myself under blankets and pillows to calm down. I’d ask my husband to hold me while I took deep, ash-flavored breaths. (I’m still haunted by memories of next-day breath that no toothpaste could vanquish.) 

I desperately needed to stop, but would inevitably go back to drinking as soon as I came home from work. 

 

Alcohol Addiction

When you can no longer physically or psychologically function without alcohol, you are officially in the mid-stage alcoholic territory. 

I never wanted to end up in that place. In fact, the mere mention of the word “alcoholic” angered me to my core. Once, during an attempt to see a therapist and get help, the topic of my drinking came up.

“I think there’s a problem here,” she said. “You need to go to AA.” 

It was painfully obvious she was right and yet I’d never felt so offended.

I told her what she could do with herself and never went back. I was in denial.

Clearly, I ticked all the boxes, and yet the fact that I was able to maintain a job, pay my bills on time, and enjoy an otherwise normal life, made me believe that I was somehow above the whole alcoholic thing.

But I wasn’t. Every medical assessment I took pointed towards a problem, but I was not receptive to the idea and refused help.

Alcoholism Quiz

If you think you might have a drinking problem, you can also take the following Alcohol Use Disorder Identification Test (AUDIT).

These questions are similar to what a medical professional would ask you, however, it is not a substitute for medical advice or an official diagnosis. Use this quiz as a tool to examine your drinking patterns.

Welcome to your Alcohol Use (AUDIT) quiz

1
1. How often do you have a drink containing alcohol?
2
How many units of alcohol do you drink on a typical day when you are drinking?
A unit of alcohol is one standard drink. Examples of one standard drink include:
  • 12 oz can of beer with about 5% alcohol
  • 5 fl oz of wine (roughly 12% alcohol)
  • 1.5 fl oz shot of spirits like vodka, rum, or whiskey (about 40% alcohol)
3
How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year?
4
How often during the last year have you found that you were not able to stop drinking once you had started?
5
How often during the last year have you failed to do what was normally expected from you because of drinking?
6
How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session?
7
How often during the last year have you had a feeling of guilt or remorse after drinking?
8
How often during the last year have you been unable to remember what happened the night before because you had been drinking?
9
Have you or someone else been injured as a result of your drinking?
10
Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down?

Who gets called an alcoholic?

We’re accustomed to accepting the stigma of alcoholism. Alcoholism is viewed as a personal failure and weakness. It’s an icky word, basically taboo, the kind of word we lower our voice to say. 

In my mind, that word was for people who lost their homes and families to alcohol, for people who woke up and drank first thing in the morning, people with hidden bottles stashed around the office. 

There was an ugliness to it I did not want.

Despite destroying relationships, burning professional bridges, creating drama in my own family and marriage, I refused to entertain the idea that I, too, was an alcoholic.

It’s why I didn’t get help sooner. In retrospect, it was also stupid on my part to allow my ego and fixation with a label to keep me from getting the help I needed. Hopefully, you won’t make the same mistakes I did.

Do you have to call yourself an alcoholic?

Do you have to identify as an alcoholic?

Hot point of contention in the recovery community. I’m not an expert, but my opinion is that you don’t. However, there is a caveat!

You have to admit you have a problem.

My hangup with identifying (or not) as an alcoholic was an excuse I used against myself to continue drinking. 

It became an obstacle to my own healing. Rejecting that label meant I was unable to see alcohol as the real villain in my life. 

I knew I drank to escape feeling stressed, miserable, and like my life had no joy or meaning. But I didn’t know that alcohol was reshaping my brain in ways that made those conditions worse. 

Instead, I focused on the stigma of the label and the ultimately pointless debate over whether I had a “disease” for which there was no “cure.” 

I had to shift my focus to sobriety and healing.

If calling yourself an alcoholic is the final step that brings you to sobriety, counseling, and healing (as it has for thousands of people), then that’s what you should do. Embrace it. There is nothing shameful in it.

If, for whatever reason, it prevents you from getting help and quitting alcohol, let it go. 

As long as you get sober and turn your life around, what difference does it make? 

Context matters. 

If you’re rejecting the label alcoholic because you want to leave yourself the option to drink again, that’s a problem. You haven’t accepted that you need to quit drinking yet and, consequently, will likely stay on that relapse merry-go-round.  

But if you reject calling yourself an alcoholic because it’s not serving you and you’re living your best, alcohol-free life without it, then I say do what works for you. 

Whether or not you identify as an alcoholic is less important than whether you’re getting sober and getting your life back on track. 

Know the warning signs of a drinking problem and get help. Everything else is secondary. 

Access should not be a barrier to help.

Soberish is proudly sponsored by BetterHelp. If you have tried (and failed) to find a therapist who has the knowledge and background to help you navigate your specific issues, try BetterHelp. Learn more about my counseling journey with BetterHelp or visit their website below.

Similar Posts

11 Comments

  1. I am 72 and I am an alcoholic. Last year I had emergency surgery for a brain bleed. I had the symptoms of a stroke that had developed over several weeks. I was losing control of my left side. After a scan the surgery was carried out within hours and I was back at work in a fortnight.
    The surgeon told me that I would have been dead within 2 days if I had not had the operation.
    I have been a very heavy drinker for many years probably getting through more than a bottle of gin a day.
    Over the past dozen years I have had a heart bypass, two hip replacements, two hernia ops and now the brain bleed.
    I was the senior partner in a professional firm and retired 11 years ago. I then set up a property management business looking after rented properties for landlords and intend to work as long as I am fit to do so.
    The surgeon reckoned that the bleed came about from a fall and a strike on my head. I don’t recall anything like that happening but I have given my behaviour a lot of thought. I was asked why I continued to abuse myself with drink after the NHS kept fixing me and sending me back to work.
    I must have been a functioning alcoholic as most people around me never really saw me drunk and I was able to keep working.
    I came to a lifetime decision to change and tomorrow will be day 200 for me. That is without alcohol for 200 days. My daughter in law is due to have a baby on day 250 and I may have one small drink to celebrate the baby as I promised her I would stay tea total til the baby arrived.
    I keep a few bottles of spirit and wine in the house and get great pleasure pouring a drink for visitors.
    I have been asked why don’t I have just a few drinks now and again but I know I can’t because I am an alcoholic and would finish the whole bottle.
    I used to tell lies about how much I was drinking but now tell lies about how much I am saving!
    It has taken me a long time to bring myself to tell anyone about all this. Perhaps I am only doing this to salve my soul for the guilt of the excesses of all the years past but I hope maybe my story could help someone else.
    Peter
    .

  2. So very beautifully written. Your journey is inspiring and gives me comfort when looking at my truth. Thank you.

  3. this is such a wonderful post..thank you for sharing. I especially relate to when you open up to folks in your life and they don’t believe you…or say “you’re not that bad” and it’s sometimes even more hurtful because it’s like asking for help and rather than someone saying “I’ll help you” them saying “But you don’t need help” you know? Anyway, thank you for this really thoughtful post. <3

  4. I feel people, especially those in AA, use the term to define who they are. That’s why AA didn’t work for me. That is not who I am. Do I have a problem? Yes. Is that who I am as a person? No! My road trip has seen seen some bumps along the way but I keep trying. I dont know if the road will ever be smooth but I refuse to define who I am by the trip I am taking.

  5. Our stories are so alike. I felt uncomfortable using the word,even in meetings. This came from what other peoples understanding of the word. Certain people assumed I’d been a terrible mother, been to prison etcetc. Its not that I was deluded about where my drinking brought me, believe me I know Exactly where it brought me and the pain I caused For me being an alcoholic means using alcohol to take the edge of my feelings. That’s it. Simple as. I loved this post, wishing all the best S x

Leave a Reply

Your email address will not be published. Required fields are marked *