Many aspects of the 12 steps of Alcoholics Anonymous (AA) can be humbling.

Step nine, in particular, gets people to work through shame and discomfort as they meet people they’ve hurt face-to-face to apologize. An apology here would be considered part of a person’s direct amends.

How do living amends compare? Are they the right choice for your recovery process? If so, how do you go about making them?

To help you answer these questions, we put together a guide to the living version of step nine.

Living vs. Direct Amends at a Glance

While living and direct amends might come roughly the same during a recovery journey, they’re not the same.

One focuses on direct contact, while the other narrows in on indirect actions. One is mentioned in the Big Book of AA, and the other isn’t.

The Traditional, Direct Route

Making direct amends is step nine in the 12-step program. That’s when the recovering alcoholic reaches out to people they’ve hurt before getting sober in an attempt to make things right.

Two Forms of Living Amends

There isn’t one solid definition to go by. In fact, there are two ways to look at living amends.

The first is when you take actions (donate, volunteer, etc.) whenever you can’t directly reach out to the affected person. Going by this take, you can think of living amends as a replacement for direct amends in step nine.

On the other hand, some people consider living amends to be a whole sober lifestyle. Regardless if they can or can’t apologize directly, they choose to walk the walk and make better choices. This way, they live the sort of life that doesn’t create the need for more amends later.

For instance, someone who used to spend the holidays drunk might see showing up to every holiday sober as part of their living amends to their family. Similarly, a parent could do their best to prove to their kids that they’re sober and planning to stay this way.

Living Amends as an Alternative Approach to Step Nine

For the next sections, we’ll focus mainly on the first take on living amends (replacing direct amends in certain situations).

After all, you could say that direct amends include the same change in behavior that the second approach to living amends does. If they don’t, then they might just be a hollow performance.

3 Situations Where Living Amends Can Come In Handy

So, people can choose to make living amends when they feel like they can’t (or shouldn’t) reach out to someone directly. Why might that be?

Well, each addiction recovery journey is a little different, and people will change how they tackle step nine based on their unique circumstances. With that in mind, let’s take a look at three possible scenarios:

1. When Direct Amends Do More Harm Than Good

The Big Book only mentions one clear-cut exception for the direct approach of step nine. That would be whenever you believe making direct amends will cause even more damage.

Sometimes, simply contacting a person that you’ve victimized because of your addiction can hurt them again. You might trigger so much pain and stress that they’ve been trying to work through for a while now.

In this case, leaving the person be and opting for living amends could be a wise choice.

Side Note: If the affected person refuses the apologies, some people could switch to the living approach. The idea isn’t necessarily to absolve their sense of guilt but rather to give themselves a chance to work on their behavior through interactions with other people.

2. When You Don’t Actually Know the Affected Person

An Alcohol Use Disorder (AUD) can bring out the worst in people. Maybe you ripped someone off because you needed cash. Or perhaps you endangered someone’s life because you drove under the influence at one point.

Either way, you know you’ve hurt a random stranger and would like to make amends now that you’re sober. But you don’t know their name, and you have no idea where to start looking.

Even if you could somehow track them down, it might not be the best idea to do so. Odds are, you’ll only creep them out because they’ll get worried they have a stalker on their hand.

This would be a great time to opt for living amends.

3. When the Person Has Passed Away

Suppose you knew the affected person personally, but they passed away before you could get to step nine of the program. Some recovering alcoholics would recommend making living amends as an alternative.

Examples of Living Amends

To help you understand what most people mean when they say living amends, we’ve put together a few examples.

• Being nice to a senior neighbor because you hurt an innocent old man/woman back when you were drinking.
• Working hard to make sure you’re an extra cautious driver because you used to endanger people with your driving.
• Volunteering your time or donating money to a non-profit organization and doing it with a specific affected person in mind.

How to Make Living Amends

Approaching step nine can spread anxiety and fear in the hearts of many of those going through the AA program. This is true regardless of whether you choose to take the living or the direct routes.

There isn’t one “right” way to make amends as part of your 12-step program, which might make you even more worried. However, there are a few tips that can help you out.

1. Make Sure You’ve Covered the Previous Step

Before worrying about the “right” approach to making amends, focus on getting through step eight. That’s when the restitution process begins, and you can break down the step into two crucial components:

• Creating a list of everyone you’ve harmed.
• Getting in a mental space where you’re willing to make amends to everyone on the list.

It might be helpful to resort to the moral inventory that you’ve made for step four of the program.

Odds are, your list will begin with loved ones (family members and friends) or previous partners. As you go further, you’ll start adding coworkers, neighbors, acquaintances, and even random strangers.

Take your time with this list. It won’t be easy, and you’ll likely feel waves of regret washing over you. This can be a sign that you’re working on your sense of morality.

And when you’re done, sit down and reflect on the names. Make sure that, deep down, you’re willing to make all the necessary amends. This should help you develop boundaries and clean “your side of the street.”

Don’t go on apologizing to anyone just yet. The goal at this point is simply to become willing to make your amends when the time comes.

2. Talk to Your Sponsor

After completing step eight, you’ll have to categorize the names based on the sort of amends you can (or can’t) make.

How do you decide who gets direct amends, who gets partial amends, and when making living amends is the way to go? Well, your sponsor (or treatment counselor) can help you with the categorization.

The key is to be completely honest. If you’re in doubt about a specific name on the list, tell your sponsor the whole story. This way, they can help you decide if direct contact is a good idea.

3. Know That Living Amends Should Never Be a Cop-Out

Sometimes, living amends get a bad rap because people see it as a cop-out. They think a person will choose them over the usual, direct route to avoid the shame or embarrassment of saying sorry.

Just keep in mind that you should never use the concept of living amends to run away from an apology.

Living amends have their time and place. You have to be honest with yourself about whether you have a valid reason to opt out of direct amends.

4. Be Ready to Redo the Steps

As time passes, more of your mistakes might be revealed, and you’ll realize you still have messes to clean up.

So, don’t feel bad if you have to deal with more living amends later. It’s all part of your recovery process.

Get the Guidance You Need Today

No matter how ashamed you are about the mistakes you’ve made, you’re still not your disease. Making your amends will help you get the sense of relief and hope you’re looking for.

But whether you choose to make living amends or traditional direct amends, there’s no denying that the ninth step doesn’t exist in a vacuum.

You still need to seek addiction treatment, work the program, and commit to sober living. It’s hard work, but it’s the sort of hard work that leads to growth.

If you’re feeling stuck, get in touch with our team today. Long Island Interventions can help you find AA groups and 12-step programs near you.

Helpful Resources

• Alcoholics Anonymous: The Twelve Steps
• Alcoholics Anonymous: Step Nine

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Published on: 2025-04-26
Updated on: 2025-04-28

The short answer is no. It’s not safe to stop drinking alcohol cold turkey. Some people have done it before, but it’s never recommended because of its mental and physical ramifications.

If anything, some people can’t be allowed to quit drinking cold turkey because their conditions would pose an even greater risk than usual.

If you’re interested in knowing the long answer, this guide is for you.

How Does Alcohol Use Disorder Happen?

It’s easy to mistake alcohol addiction for being a mental disorder, thinking that the struggling individuals are mentally addicted to drinking and simply can’t stop.

While this is partially true, judging a person struggling with alcohol dependence based on cravings alone is a common mistake, since addiction has both a mental and physical aspect to it.

The Physical Addiction

Here’s the physical aspect of the process at a glance:

Brain Chemistry Alterations

Alcohol addiction begins with fundamental changes to brain chemistry. When consumed, alcohol affects several key neurotransmitters, particularly GABA (gamma-aminobutyric acid) and glutamate.

Alcohol enhances GABA activity, which is inhibitory, while simultaneously inhibiting glutamate, which is excitatory. This creates the relaxed, sedated feeling associated with drinking.

Additionally, alcohol triggers dopamine release in the brain’s reward center, producing pleasurable feelings that reinforce drinking behavior.

In other words, the simple act of drinking makes you feel relaxed and rewarded.

Tolerance Development

As alcohol consumption continues regularly, the body adapts to its presence through a process called tolerance. The brain attempts to maintain homeostasis (balance) by decreasing GABA receptor sensitivity and increasing glutamate activity to counteract alcohol’s effects.

This neuroadaptation means that over time, the same amount of alcohol produces diminished effects, compelling the individual to drink larger quantities to achieve the desired sensation.

You can tell how this escalating consumption pattern significantly increases the risk of developing dependence and addiction.

Physical Dependence and Alcohol Withdrawal Syndrome

Physical dependence represents the stage where the body has adapted so thoroughly to alcohol’s presence that functioning without it becomes difficult or impossible.

When alcohol is no longer present, the brain’s compensatory mechanisms (the reduced GABA sensitivity and increased glutamate activity) suddenly create a state of hyperexcitability.

It doesn’t take long after the last drink for this imbalance to quickly manifest as withdrawal symptoms. They can range from uncomfortable to life-threatening, including tremors, sweating, increased heart rate, high blood pressure, and potentially seizures.

The Mental Addiction

The mental aspect makes it even harder:

Psychological Dependence

While physical addiction involves bodily adaptations, psychological dependence centers on emotional and mental reliance on alcohol. This shows as annoyingly powerful cravings and an increasing preoccupation with obtaining and consuming alcohol.

Many individuals begin using alcohol to enhance positive emotions or escape negative ones.

Over time, the brain forms strong associations between alcohol and emotional relief, creating automatic thought patterns that trigger cravings in response to certain situations, emotions, or environmental cues.

You can be doing a good job going through your day without cravings, and suddenly get a huge urge to drink because you heard bad news. Your brain has already linked “feeling good” with drinking, so the cravings start as soon as your emotional condition drops.

The Addiction Cycle

Alcohol addiction has a repeating cycle that we can divide into three distinct stages.

The first involves binge/intoxication and is characterized by the pursuit of reward through drinking.

The second involves withdrawal/negative affect, where the absence of alcohol creates negative emotional states that drive continued drinking for relief.

The final stage involves preoccupation/anticipation, where compromised executive function leads to obsessive thinking about alcohol and impaired decision-making, which eventually leads back to drinking to start the whole thing all over again.

As this cycle repeats, progressive changes occur in brain structure and function, driving the transition from controlled use to chronic, compulsive misuse.

Emotional Regulation Breakdown

Many individuals initially turn to alcohol as a coping mechanism for stress, anxiety, depression, or trauma.

While alcohol might temporarily relieve emotional discomfort, research demonstrates that this approach ultimately enhances negative emotional states between drinking episodes.

Normal stress-management skills and emotional regulation capabilities may deteriorate, leaving alcohol as the perceived only viable option for emotional relief.

This dependence becomes self-reinforcing as alcohol use creates additional problems that generate more stress, which the person then attempts to manage with more drinking.

Dangers of Quitting Alcohol Cold Turkey

With everything we’ve mentioned so far, one would want to put an end to it and pull the plug on alcohol once and for all. Here’s why doing so abruptly is a bad idea:

Severe Withdrawal Syndrome

Suddenly stopping alcohol consumption after developing dependence triggers a cascade of withdrawal symptoms as the body attempts to reestablish equilibrium.

Early withdrawal symptoms typically begin within 6-24 hours after the last drink and include anxiety, insomnia, nausea, abdominal discomfort, and increased heart rate.

As withdrawal progresses, symptoms can intensify significantly to include tremors, excessive sweating, and profound confusion.

Without medical supervision, these symptoms can become overwhelming, often driving individuals back to drinking simply to find relief.

Life-Threatening Complications

While withdrawal itself is uncomfortable, certain complications can be fatal when attempting to quit alcohol without medical supervision.

Seizures may occur 24-48 hours after the last drink and can happen without warning. The most dangerous withdrawal complication is delirium tremens (DTs), which typically develops 48-72 hours after drinking stops in approximately 5% of individuals with alcohol dependence.

DTs is characterized by severe confusion, hallucinations, high fever, and autonomic instability.

Other potentially fatal complications include cardiac arrhythmias and gastric bleeding, particularly in individuals with pre-existing conditions.

Individual Risk Factors

Several factors increase the likelihood of experiencing severe or complicated withdrawal when attempting to quit alcohol cold turkey.

The duration and intensity of alcohol dependence significantly impact withdrawal severity. Those who’ve been heavy drinkers for years face greater risks than those with shorter-term dependence.

Medical history also plays a role in determining risk, particularly for individuals with previous episodes of alcohol withdrawal, cardiovascular disease, or liver disease.

Additional risk factors include older age, poor nutritional status, the presence of infections, and concurrent use of other substances.

Medical professionals use the Clinical Institute Withdrawal Assessment for Alcohol (CIWA) scale to assess these risk factors and determine appropriate interventions during detoxification.

Psychological Distress and Relapse Risk

Beyond physical dangers, quitting alcohol cold turkey produces significant psychological distress that can be equally hazardous.

Acute alcohol withdrawal often triggers intense anxiety, depression, and mood swings that can be overwhelming without support. In some cases, individuals experience temporary psychosis with hallucinations and severe paranoia.

The psychological distress of withdrawal substantially increases relapse risk.

For example, when facing severe withdrawal symptoms alone, many individuals return to drinking simply to alleviate their suffering, creating a cycle of attempted cessation followed by relapse that deepens feelings of failure and shame.

How to Quit Alcohol Safely

Here’s the optimum approach to tapering alcohol, minimizing symptoms of alcohol withdrawal, and other side effects:

Professional Intervention

The recovery journey begins with an intervention. A structured conversation conducted with professional help can be a great start.

At Long Island Interventions, we understand that effectively treating addiction is not a one-size-fits-all approach, and interventions are often necessary to help someone commit to receiving life-saving help.

Our interventions are compassionately designed to break through denial while offering a clear path to recovery.

We provide statewide intervention services throughout New York, New Jersey, and Connecticut, ensuring that families have access to professional guidance during this critical first step.

Medical Assessment and Detoxification

Safe alcohol recovery begins with a comprehensive medical assessment to evaluate dependence severity and identify co-occurring conditions.

This critical step allows healthcare providers to anticipate potential complications and develop an appropriate detoxification protocol.

Medical detox significantly reduces the risks associated with alcohol withdrawal by providing constant monitoring and immediate intervention when needed.

During this process, medical professionals observe vital signs, assess withdrawal symptoms using the CIWA scale, and administer medications to manage symptoms and prevent complications.

These medications might include benzodiazepines to prevent seizures and reduce anxiety, anticonvulsants, and nutritional supplements to address deficiencies common in alcohol use disorder.

Inpatient Rehabilitation Programs

Following detoxification, many individuals benefit from inpatient rehabilitation, which is a structured, immersive treatment environment that provides distance from triggers while focusing exclusively on recovery.

Inpatient rehabilitation typically involves residing at a treatment facility for 28-90 days, depending on individual needs.

During this time, clients participate in various evidence-based therapies specifically designed to address both physical and psychological aspects of addiction.

Outpatient Treatment Options

For individuals with strong support systems, less severe dependence, or those transitioning from inpatient care, outpatient treatment provides flexible recovery options while maintaining daily responsibilities.

Long Island Interventions facilitates connections to various outpatient programs, including standard outpatient therapy and more structured Intensive Outpatient Programs (IOPs).

Standard outpatient treatment typically involves attending therapy sessions 1-3 times weekly while living at home.

Intensive Outpatient Programs require more substantial time commitments, usually 3-8 hours of treatment per day, 3-5 days per week. Evening IOP programs accommodate work schedules, making recovery accessible to those who cannot take extended leaves from employment.

Evidence-Based Therapeutic Approaches

Effective treatment for alcohol use disorder involves various therapeutic approaches that address the underlying causes of addiction while developing healthier coping mechanisms.

Through our affiliate providers, clients can access several evidence-based therapies including Cognitive-Behavioral Therapy (CBT), which helps identify and change unhealthy thought patterns related to drinking.

Dialectical Behavior Therapy (DBT) combines cognitive-behavioral techniques with mindfulness practices, helping clients regulate emotions without resorting to alcohol.

We also have motivational Enhancement Therapy, which works particularly well for clients ambivalent about change, strengthening internal motivation for recovery.

Lastly, contingency management provides tangible rewards for maintaining sobriety, reinforcing positive behavioral changes through predetermined rewards and consequences.

Holistic Recovery Methods

Recovery extends beyond addressing the physical aspects of addiction to encompass emotional, mental, and spiritual well-being.

Holistic addiction treatment approaches offered through Long Island Interventions’ network include nutritional counseling, art therapy, fitness programs, and meditation practices.

These complementary therapies support overall wellness while developing healthy interests and coping mechanisms that can replace drinking behaviors.

We also have Christian-based rehab programs that incorporate faith elements for those who find strength in spiritual practice.

Specialized Treatment Programs

Long Island Interventions recognizes that effective recovery often requires addressing the specific needs of different populations.

We facilitate connections to specialized programs, including LGBT addiction treatment, which acknowledges the unique challenges faced by this community while creating safe, inclusive environments.

Dual diagnosis treatment addresses the approximately 29% of individuals with substance use disorders who also have co-occurring mental health conditions.

These integrated programs combine pharmacological approaches with therapeutic interventions to address both conditions simultaneously, significantly improving recovery outcomes.

Settle for Nothing But the Best

Recovery from alcohol use disorder is a lifelong journey that continues long after formal treatment ends. Long Island Interventions emphasizes the importance of comprehensive aftercare planning to maintain sobriety and prevent relapse.

This typically includes ongoing therapy sessions, regular check-ins with treatment providers, and active participation in support groups. Many clients benefit from sober living arrangements as a transitional step between structured treatment and independent living.

Our approach to aftercare is personalized, recognizing that each individual’s path to sustained recovery is unique.

If you or a loved one is considering alcohol detox, we’d love to hear from you.

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Published on: 2025-04-26
Updated on: 2025-04-28

Recovering from addiction shouldn’t be done alone, which is why sober living houses exist.

These houses serve as drug-free, supportive environments for people recovering from substance use disorder, helping them regain sobriety and rebuild their lives before moving back into their houses.

But like any other shared space, sober living houses often have a set of rules created to keep things running smoothly.

In this article, we’ll explain how these houses work, the rules you’ll likely encounter if you’re considering one, and the consequences of violating these rules.

An Overview of How Sober Living Homes Work

The term ‘sober living houses’ refers to places where people recovering from addiction can reside until they regain their sobriety. They’re a form of recovery housing that helps patients transition from a treatment center to a normal life.

During their stay, these people must abide by the place’s rules and go through drug and alcohol testing regularly.

They’ll have communal spaces to share with others, like living areas and kitchens. They may also have roommates, depending on the number of people residing in the house at the moment.

Sober living houses can be either owned privately by people or by businesses and charities. Depending on the facilities of each place, the rent may go up or down. However, these houses don’t offer treatment of any kind, like inpatient and outpatient treatment, and they’re not supervised by medical staff.

They’re merely a place where people recovering can live without access to drugs until they become 100% sober. But to do that, they have to follow the rules.

For people who don’t need to stay at sober houses, sober coaches and companions are available to help them.

Origin of Sober Living Houses

Sober living houses started as far back as the 1930s, when Alcoholics Anonymous (AA) originated.

When it was first founded, people suffering from addiction could participate in the community and its 12-step program, getting the help they needed for recovery.

In the 1940s, AA members started realizing how hard it is for people recovering from substance use to find low-cost housing while still regaining sobriety.  That’s why they started acquiring houses and making them available for recovering residents.

When the demand became too much for these houses, AA started requiring people to get sober before residing in the houses, which is where the concept of sober living houses came from.

How Much Do Sober Living Houses Cost?

To reside in a sober home, guests have to pay rent, which can be as low as $500 or as high as $5000, depending on the area, amenities offered, and size. Some houses offer meals, while others don’t, creating a price difference.

It’s worth noting that sober living houses aren’t covered by insurance because they don’t provide any medical services. Most houses don’t accept insurance, so the residents will handle all expenses.

The good news is that some sober houses, run by charities, are suitable for low-income residents.

What’s the Difference Between Sober Living Houses and Halfway Houses?

Halfway houses are often confused with sober living houses, but they have different rules and regulations. For example, halfway houses can’t accept patients unless they’ve completed their addiction recovery process at the rehab center.

They also can’t stay at the halfway house for more than 12 months, while sober living houses don’t have limitations on the length of stay.

Halfway houses are also often government-funded and may be court-mandated in some cases. Meanwhile, most sober living houses are privately run, which means they’re not supervised by any governmental organization.

The way they work, as long as guests pay rent and follow the rules, they can stay for as much as they want. Their stay isn’t cut short unless they violate the rules, like using drugs in the house.

Generally, both housing options offer transitional living environments for people recovering from drug abuse, but they work differently.

Sober Living House Rules

Staying in a sober living house comes with a set of rules that residents have to abide by. Not all guests necessarily go through addiction treatment before living in these houses, so it’s essential to ensure that no drugs will be used inside, hence the rules.

Here are sober living house rules that most houses go by:

No Drugs or Alcohol

It goes without saying that drug use and alcohol abuse are a no-no in sober living houses. To make sure guests aren’t using any drugs, they go through regular tests to make sure they’re still sober. Guests who break their sobriety aren’t allowed to stay at these houses.

No Stealing

All sober living houses will have strict rules in place to prevent stealing, even if it’s taking food from another guest without asking for permission. Guests who are found stealing are usually told to leave the house immediately.

No Destruction

Destroying anything in the house, even if it’s something as small as a vase, isn’t allowed. The same goes for bed sheets, curtains, etc.

Curfew Time and Sleeping in the House

Sober living houses gather people from all backgrounds and places, so to keep the place running successfully, there are some rules everyone has to adhere to, like curfew time. If guests go out, they should return before their curfew, and in the case of any delays or exceptions, they should communicate that beforehand.

Some sober living houses will lift the curfew for residents who are in good standing and follow the rules, especially if they’re employed.

Aside from curfew time, sleeping outside of the house is also not allowed. Sometimes, overnight passes are given to residents, depending on how well they follow the rules. Other than that, all residents must sleep at the house.

Attending All House Meetings

Sober living houses usually host group meetings every once in a while to promote communication. In these meetings, guests get to openly communicate with each other and give feedback about any issues concerning the house.

Attending those meetings is mandatory for all guests. Some houses also mandate 12-step meetings for the first few months of staying there.

Respecting Staff and Doing House Chores

Some sober living houses will assign chores to residents to keep them busy, especially if they don’t go out much. The chores are mostly basic and simple, like cleaning the common areas and keeping the personal spaces organized.

There may also be some rules related to the orderliness of the house, like taking the trash out every day and abstaining from throwing litter on the ground.

Aside from chores, residents in sober living houses are also obligated to respect the staff and treat them with kindness. The same goes for other guests and their visitors. Any disruptive behavior may risk the guest’s residence being cut short.

Paying Rent on Time

Sober living houses aren’t free; guests have to pay rent, and they have to pay it on time to avoid the risk of termination.

Additional Sober Living House Rules

While the previous rules are applied in all sober living houses, some rules may or may not be applied, depending on the house you’re considering.

Here’s a list of additional rules that you may find:

• No sexual activity between residents
• No verbal confrontation between the residents and the staff
• All prescription medications for the residents must be approved by the house manager and taken as prescribed
• Residents must report others who violate the rules if they witness it
• Residents must attend a minimum number of AA or NA meetings during the first few months of their stay at the sober living house
• Residents must stay in the house for a minimum period of time before leaving (Usually 90 days)
• For unusual job requirements, the residents must get approval from the house manager or the staff
• No overnight guests and no loitering outside

What Happens If Sober Living House Rules Aren’t Followed?

To support the mental health of guests and keep them comfortable, sober living houses have to make sure that everyone follows the rules.

So what happens if a resident doesn’t follow the house’s rules?

These houses often have systems in place to address rule violations. Residents who violate zero-tolerance rules, like drug or alcohol use, may be terminated immediately.

Meanwhile, residents who break basic rules, like forgetting to do chores, will often receive verbal warnings. If it gets too much, they’ll get probationary periods.

Final Thoughts

Sober living houses offer structure and accountability, which people recovering from addiction desperately need. The pressure of jumping straight back into everyday life may be overwhelming for a lot of people, so these houses serve as a transitional period.

While the rules may seem strict at first, they’re there for a reason: to keep the space comfortable and supportive for all residents while they’re working on regaining their sobriety.

Whether you’re looking into a sober living house for yourself or helping a loved one recovering from substance abuse, it’d be wise to educate yourself on how these houses work and the rules they set.

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Published on: 2025-04-26
Updated on: 2025-04-28

Cymbalta (duloxetine) is an FDA-approved prescription medication primarily used to treat depression, anxiety disorders, diabetic peripheral neuropathic pain, fibromyalgia, and certain types of chronic pain.

It belongs to a class of medications called serotonin-norepinephrine reuptake inhibitors (SNRIs).

This class of medications works by affecting the balance of certain neurotransmitters in the brain.

Specifically, it inhibits the reuptake of serotonin and norepinephrine, two chemical messengers that play important roles in mood regulation, pain perception, and various cognitive functions.

When Cymbalta prevents the reabsorption of these neurotransmitters, it essentially keeps their levels in the synaptic space between neurons high enough to enhance their signaling capabilities.

This mechanism helps normalize mood regulation circuits that have become dysregulated in depression and anxiety.

Cymbalta’s Additional Effects on the Body

Cymbalta has various other effects on the body, and you need to understand them first before you can understand how drinking can alter them.

When a person takes Cymbalta, it’s absorbed in the gastrointestinal tract and reaches peak blood concentrations within 6 hours.

The medication is highly protein-bound in the bloodstream and is metabolized primarily in the liver before being eliminated through urine.

Throughout this journey, it affects a variety of systems:

• Central Nervous System: Besides mood improvement and pain reduction, it can affect sleep patterns, concentration, and energy levels.
• Gastrointestinal System: You can expect some common side effects, including nausea, dry mouth, constipation, or diarrhea, especially during initial treatment.
• Cardiovascular System: May cause high blood pressure or heart rate in some individuals.
• Metabolic Effects: Can occasionally influence appetite and weight.
• Urinary Function: May affect urination patterns in some people.

Note: Most potential side effects tend to diminish after the first few weeks of treatment as the body adjusts to the medication. As long as you’re taking the medication as prescribed, bearing with the side effects of Cymbalta for a week or two will diminish them considerably.

How Does Drinking on Cymbalta Affect the Body?

We understood the normal, now let’s look at the abnormal. The combination of Cymbalta and alcohol is not pleasant. Here’s why:

Enhanced Central Nervous System Depression

Cymbalta and alcohol affect the central nervous system through different mechanisms. When combined, these effects can multiply rather than simply add together.

Alcohol acts as a central nervous system depressant, while Cymbalta modulates neurotransmitters that regulate mood and pain perception.

This interaction creates a synergistic effect that can significantly impair cognitive function, coordination, and judgment beyond what would be expected from alcohol consumption alone.

Amplification of Side Effects

The combination of Cymbalta and alcohol typically intensifies the side effects associated with each substance independently.

Dizziness, drowsiness, and impaired judgment (which are common effects of both Cymbalta and alcohol) become more pronounced when the substances are taken together.

Someone who might normally tolerate a single alcoholic drink may experience exaggerated symptoms when that same drink is consumed while taking Cymbalta.

This can create unpredictable responses that can be particularly dangerous in situations requiring alertness, like driving or working a physically intensive job.

These side effects can become even worse because people may increase their doses. Since alcohol can reduce the effect of Cymbalta, some people may try to counteract that by increasing the dose.

In these cases, we don’t have only the risk of side effects, but also the risk of overdose.

Liver Health Implications

The liver bears the primary responsibility for metabolizing both Cymbalta and alcohol, creating a potential burden when these substances are combined.

Both Cymbalta and alcohol require processing by the liver’s enzyme systems. When consumed simultaneously, they compete for these metabolic pathways, potentially affecting the liver’s capacity to process either substance efficiently.

This competition can lead to higher blood concentrations of both substances remaining in the system for longer periods.

There’s also a concern for individuals with existing liver disease or liver problems, as this additional stress is particularly concerning and may increase the risk of liver damage.

Even for those with healthy liver function, frequent co-consumption can potentially affect liver health over time.

Treatment Efficacy Concerns

Another concerning matter we have is the impact this combination can have on the very conditions Cymbalta is prescribed to treat.

Alcohol is known to exacerbate symptoms of depression and anxiety. When consumed while taking Cymbalta, it can potentially counteract the therapeutic benefits of the medication and possibly worsen the underlying condition.

This creates a concerning scenario where a person’s depression might deepen, potentially increasing suicidal thoughts, a risk already present with antidepressant medications like Cymbalta.

Plus, some individuals take Cymbalta for pain management conditions like neuropathy or fibromyalgia, and even if they don’t get a mental health effect, they’ll get a physical one.

That’s because the diminished effectiveness of the drug can impact symptom control despite ongoing medication.

Blackouts and Memory Impairment

Those who drink alcohol with Cymbalta may experience memory impairments and blackouts in some cases.

Both substances can independently affect memory formation, but together they create a combination that can lead to partial or complete amnesia for events that occur while under their influence.

These blackouts can be concerning because individuals may engage in behaviors without forming memories of these actions.

You can tell how the inability to recall important conversations, decisions, or activities can have serious professional, personal, and safety implications.

How to Handle Alcohol Use Disorder While Taking Cymbalta

If you’re an occasional drinker and had Cymbalta prescribed by a healthcare professional, the easy solution is to stop that occasional alcohol intake.

However, if you or a loved one is unable to stop alcohol abuse because of the withdrawal symptoms, you may ask your healthcare provider to change your medication.

Of course, this isn’t the ideal solution, since you’ll be settling for a less effective medication, plus you’re still unable to quit drinking.

At Long Island Interventions, we understand that overcoming alcohol use can feel overwhelming, especially when combined with medications like Cymbalta.

Whether you’re struggling with alcohol withdrawal symptoms or looking for effective treatment options, we’re here to guide you every step of the way.

Our personalized approach ensures you receive the care and support you need to reclaim your well-being.

1. Comprehensive Assessment and Personalized Treatment Plans

The first step in helping you quit drinking is understanding your unique situation. Our team conducts a thorough assessment of your health conditions, lifestyle, and history of substance use.

This evaluation allows us to create a tailored treatment plan that addresses your specific needs.

• Medical Evaluation: We assess any medical complications, including liver health or potential drug interactions, to ensure safe and effective care.
• Mental Health Support: If you’re dealing with major depressive disorder or anxiety, our team integrates mental health care into your recovery plan.
• Customized Goals: We work with you to set realistic and achievable milestones on your journey to sobriety.

2. Safe and Comfortable Detoxification

Alcohol withdrawal can be challenging, but our medically supervised detox programs make the process as safe and comfortable as possible. We focus on minimizing withdrawal symptoms while ensuring your body begins to heal.

• 24/7 Medical Monitoring: Our experienced professionals monitor your progress around the clock to address any complications promptly.
• Medication-Assisted Treatment (MAT): If needed, we provide medications approved by the Food and Drug Administration (FDA) to ease withdrawal symptoms and reduce cravings.
• Holistic Support: Alongside medical care, we offer therapies like relaxation techniques and nutrition counseling to support your overall well-being.

3. Evidence-Based Therapy for Long-Term Recovery

Quitting alcohol isn’t just about stopping drinking, it’s about building a healthier future. That’s why we offer a range of evidence-based therapies designed to address the root causes of substance use.

• Cognitive Behavioral Therapy (CBT): Learn how to identify and change thought patterns that lead to drinking.
• Group Therapy: Connect with others who understand your journey and build a supportive community.
• Family Counseling: Strengthen relationships and create a network of support at home.

Our therapy programs also focus on preventing relapse by helping you develop coping mechanisms for triggers and stressors.

4. Dual Diagnosis Treatment

Many individuals who struggle with alcohol use also face co-occurring mental health conditions like depression or anxiety. At Long Island Interventions, we specialize in dual diagnosis treatment to ensure both issues are addressed simultaneously.

• Integrated Care: Our team includes experts in psychiatry who work closely with addiction specialists to provide seamless care.
• Focus on Medication Safety: If you’re taking medications like Cymbalta, we ensure that your treatment plan avoids worsening symptoms or causing serotonin syndrome.
• Improved Mental Health: By treating both mental health conditions and substance use together, we help you achieve long-term stability.

5. Ongoing Support After Treatment

Recovery doesn’t end when treatment does. We provide ongoing support through aftercare programs designed to help you maintain sobriety and continue thriving.

• Outpatient Programs: Flexible treatment options allow you to balance recovery with daily responsibilities.
• Sober Living Homes: Safe, supportive environments where you can practice new skills in a structured setting.
• Alumni Networks: Stay connected with peers who share your commitment to sobriety.

Why Choose Long Island Interventions?

At Long Island Interventions, we’re more than just a treatment center, we’re a partner in your journey toward better health. Here’s what sets us apart:

• Experienced Team: Our staff includes licensed counselors, certified addiction specialists, and medical professionals dedicated to your success.
• Compassionate Care: We treat every individual with respect and empathy, creating a welcoming environment where healing can begin.
• Proven Results: Our evidence-based approach has helped countless individuals overcome alcohol use and regain control of their lives.

Take the First Step Today

You don’t have to face this journey alone. It doesn’t matter if you’re dealing with alcohol or other substances. Long Island Interventions is here to help.

Contact us today for a confidential consultation and take the first step toward lasting recovery. Together, we’ll help you build a healthier future free from alcohol dependence.

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Published on: 2025-04-26
Updated on: 2025-04-28

Alcohol can change a lot about a person’s behavior. It can lower inhibitions, alter judgment, cause irritability, and create a bit of a lying problem.

While all these issues can damage interpersonal relationships, we’ll be focusing on the last one in this post.

What’s the link between alcoholics and lying? How should you react? Read on to find out.

Things People With Drinking Problems Lie About

Before we dig deep into why lying is such a common issue with Alcohol use disorder (AUD), let’s check out what the lies are usually about.

• Their alcohol consumption. They’ll tell you it was one drink only.
• The effect alcohol has on them. They’ll say it relaxes them or makes them good company.
• How “in control” they are. Expect them to talk about how they know their limits and can quit anytime.
• Shifting the blame. They might frame things differently to show that whatever happened wasn’t their fault.

Why People With Alcohol Abuse Disorders Lie

Note that when a person suffering from AUD lies, they’re rarely doing it to be mean or hurt your feelings. There’s usually underlying shame and denial at play.

Shame

A person who suffers from alcohol addiction might feel bad about their reality. They probably can’t bear the idea of being seen at their lowest. So, they start embellishing to salvage their image.

It’s important to put yourself in the person’s shoes and see how they might be ashamed. This will be very important later because it’ll help you approach the issue without judgment.

Denial

Denial is so common in cases of alcohol misuse that it’s sometimes considered a symptom of the disease. And it’s the sort of symptom that can get progressively worse.

It starts as a defense mechanism when the person’s drinking habits bring in all sorts of problems at work or home.

When they say things like “I can stop drinking whenever I want,” they might believe it on some level (self-deception is a tricky thing). That doesn’t mean it’s true, though.

Alcohol itself changes the brain, making it harder for the person to get accurate insight regarding their health condition. Unfortunately, this only fuels the cycle of addiction.

Avoidance

Sometimes, people suffering from AUD don’t lie because they believe the lie. They do it in hopes that you might buy it.

If you poke around and ask a loved one about their drinking habit, they might see it as a mere interruption. Since addiction wants what it wants, it convinces them that the fastest way to get this conversation over with is to lie. Then, they’ll tell you whatever they think you want to hear.

Fear of forced change can also be a motivator here.

Maybe they know their addiction isn’t exactly great. Yet, drinking feels more comfortable and familiar than going through rehab and committing to sobriety. So, they do their best to avoid the change that an honest conversation would bring.

Reacting to the Lies

Looking away and ignoring the lies isn’t the answer. It just sends a message that they can get away with it again and again.

Instead, you want to let them know you’re not buying the lies.

Important Note: Don’t put yourself in danger. If you’re worried that your friend/family member will get violent during the confrontation, only do it in a safe space with a trained interventionist.

5 Tips for Dealing With a Loved One’s Constant Lying

So, going along with the lies is off the table. What else can you do?

Try to spot these lies, understand the motivation behind them, and get the person some help. You also need to do all that without hurting yourself along the way.

Getting in touch with a professional interventionist might be your best bet here, and we’ll get to the details in a minute. But, for now, let’s look at some nifty tips to keep in mind.

1. Educate Yourself

Start by reading about the disease itself and how the addiction cycle can affect the entire family.

The goal isn’t to learn enough to diagnose the drinking problem yourself. This is something that only trained healthcare professionals can do. Even then, they usually follow the guidelines in the Diagnostic and Statistical Manual of Mental Illness (DSM).

However, the idea here is to be able to put yourself in the person’s shoes. This step will also help brace you for what’s to come—withdrawal symptoms, detox, and behavioral therapy.

2. Don’t Become an Enabler

Sometimes, family members and friends will try to help but will go at it the wrong way. Despite their best intentions, they might actually turn into enablers.

Enabling in this context means allowing the destructive drinking behavior to continue and grow.

Take, for instance, making excuses for a loved one when they’re too hungover to go to work (again). Don’t lie on their behalf or cover up for them. This only shields them from the negative consequences of their actions.

Similarly, you can say that all these behaviors are forms of enabling an addiction:

• Tolerating alcohol abuse and all the symptoms that come with it (including the lies).
• Providing financial support when you know the person will use it to buy more alcohol.
• Taking over the person’s responsibilities (chores, childcare duties, assignments, etc.).
• Cleaning up the mess they left behind after yet another night of heavy drinking so they don’t feel embarrassed when they see it in the morning.
• Putting their needs above your well-being.

We realize this part can get incredibly painful. But, sometimes, you need to hold people you love accountable to help them get better.

3. Help Them Get Help

The lies will persist as long as the addiction does. So, the next step is to get the person the professional help they desperately need to work through their issues.

Look into alcohol rehab programs near you. If you believe your loved one has another mental health problem besides the drinking issue, you’ll want to check out the dual diagnosis approach as well.

You don’t have to figure out all the details about the available financial assistance and treatment options, though.

It’s enough to show the person you’re willing to help them access these resources. For one, you can tell them you’re ready to drive them to the treatment center, participate in therapy sessions, and support the aftercare plan.

4. Modulate Your Expectations

Getting a friend to admit they need help is a massive win, and it might just get them on the right path. That being said, getting admitted into a rehab center doesn’t mean they’re out of the woods.

You have to expect stumbles and relapses during the recovery process. The lies might pop back here and there, too.

Be patient with their progress and be involved in the treatment plan.

5. Take Care of Yourself

Maybe you’ll be able to convince your loved one to get help right away. Maybe it’ll take time. Either way, there’s no denying that you, too, might need a bit of help.

Consider joining an AL-Anon Family Group. Simply meeting people going through similar situations can lift the burden off your shoulders. You can discuss the constant lying and how it all is making you feel.

Support groups aside, it’s crucial to know where you fit in the treatment plan and set healthy boundaries. Otherwise, you’ll be draining your energy and straining your own mental health.

Confronting an Alcoholic With the Reality Through an Intervention

The initial face-to-face confrontation can be extremely emotional. Odds are, the person suffering from AUD will lie, lash out, and blame others. It might be hard to get them to hear you out and participate in the conversation.

If the thought of handling all that on your own sounds daunting, consider bringing a trained intervention specialist into the picture.

At Long Island Interventions, we understand how strong the denial and resistance to treatment can be. We stage our interventions with this in mind.

While every case is different, the intervention plan should focus on educating the family and considering the surrounding circumstances. As a result, the interventionalist can help you create a safe environment and find the right approach.

Take One Step Closer to Recovery Today

Between shame, denial, and the desire to keep drinking at the cost of any and everything, there’s a wide range of reasons why someone suffering from Alcohol Use Disorder might lie.

At the surface level, the lies are comfortable and easy. Still, the inner peace and self-esteem that come with honesty and sobriety are well worth the effort.

For more information about the treatment programs, get in touch with the Long Island Interventions team. Feel free to dial our confidential hotline and ask for an intervention consultation. We’ll help you figure out if this is the right move for your family.

Helpful Resources

• CDC’s “Check Your Drinking” Self-Assessment Tool
• SAMHSA’s “Small Conversations Make a Big Impression” Campaign (for parents)

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Published on: 2025-04-26
Updated on: 2025-04-28

The number of people who have a substance use disorder (SUD) in America is astounding. In a previous 2024 report by the United States National Survey on Drug Use and Health (NSDUH), over 48 million Americans aged 12 and above had SUD.

The same NSDUH report found that over 10% of the US population (28.9 million people) battled with alcohol use disorder (AUD). It revealed that more than 16 million of the American male population had a drinking problem, while the number of affected women reached 12 million.

Like any other form of addiction, AUD is a dangerous condition, killing 178,000 Americans every year from excessive alcohol consumption. It’s the fourth leading preventable cause of death in America and deadlier than all other addictive substances combined.

AUD symptoms can range between mild, moderate, and severe. And unfortunately, the effects of alcohol may continue to haunt you even after you decide to go sober.

If you drink heavy amounts of alcohol over long periods and suddenly decide to reduce your alcohol intake or stop altogether, you may experience alcohol withdrawal syndrome. This can involve a range of physical and mental symptoms, including depression.

Below, we’ll share everything you should know about alcohol withdrawal depression, and other symptoms of alcohol withdrawal. We’ll walk you through the relationship between mental health and alcoholism, and share the best treatment options for substance-induced depression.

Understanding Alcohol Addiction

Although considered the deadliest, alcohol is a legal substance in both the US and Britain. It’s three times as harmful as heroin or cocaine yet, because of its availability, treated as the most socially acceptable drug in most parts of the world.

Alcohol addiction can be defined as the chronic unhealthy pattern of alcohol use. People suffering from AUD can’t stop drinking and are preoccupied with consuming alcohol, despite knowing its consequences to themselves and the people around them.

The American Medical Association recommends a daily alcohol intake of two drinks for men and one drink for women. Those who consume four or more drinks regularly are considered heavy drinkers and are at risk of developing alcohol dependence.

Why is Alcohol Addictive?

Like any other drug, alcohol primarily affects the central nervous system. It creates pleasurable feelings and numbs uncomfortable emotions for the intoxicated individual. This euphoric aspect can motivate someone to consume alcohol repeatedly despite the involved health risks.

Alcohol is ultimately a depressant. That means it affects the balance of your brain’s neurotransmitters, directly impacting your thoughts, emotions, and behavior. It primarily targets the brain region that controls inhibition, inducing a relaxed and less anxious sensation.

These effects are usually short-lived though. After a while, the imbalances in the brain will cause more negative feelings, including depressive disorders. The number of neurotransmitters also decreases, slowing your brain’s decision-making capacity.

Causes and Risk Factors of Alcohol Use Disorders

Like many forms of addiction, chronic alcohol consumption is a complicated problem with complex causes. But while there’s no singular cause of alcohol use disorder, there are a few risk factors that can increase the likelihood of its development.

• Genetic Factor: Children with alcoholic parents are found to be substantially more likely to develop AUD as adults. This occurs regardless of whether they grew up with their alcoholic parents or not.
• Familial Factor: Apart from genetics, families where heavy drinking is regularly practiced or encouraged contribute to some people developing alcohol dependence. Such families often normalize (even glorify) heavy drinking.
• Personality Factor: Some personality traits could help reinforce alcohol use disorders. Social people who desire acceptance may drink heavily if they believe they’re more “likable” when drunk, while shy people may do so to alleviate social discomfort.
• Career Factor: Certain professions are found to have more people with SUDs than others. This often involves careers dominated by young adults and stressful or high-risk professions, such as in the military.

Relationship Between Alcohol Use and Depression

Drinking alcohol and mental health conditions are closely correlated. Someone who suffers from mental disorders, including depression, bipolar disorder, and anxiety disorder, is highly likely to turn to alcohol use to cope with their illness.

Conversely, regular drinking of alcohol can lead to depression and other psychological issues. Over time, alcoholism results in a wide range of problems in the person’s relationships, career, school, and family, exacerbating the mental health issue.

Depression is the most prevalent illness that co-occurs with AUD. According to the National Institute on Alcohol Abuse and Alcoholism, people with chronic drinking problems are twice as vulnerable to developing depressive disorders.

Addiction Center also discovered similar findings, reporting over 60% of people with AUD to be suffering from a co-occurring major depressive condition.

Depression and Other Symptoms of Alcohol Withdrawal

Heavy drinkers who suddenly decrease or stop consuming alcohol can experience alcohol withdrawal symptoms. It’s the body’s reaction after getting used to functioning with the substance in its system.

Withdrawal can start as quickly as eight to 24 hours after your last drink. Besides depression, symptoms can range from mild to severe both physical and psychological, which can include the following:

• Abnormally high heart rate
• High blood pressure (hypertension)
• Body tremors
• Difficulty breathing
• Excessive sweating
• Upset stomach
• Cravings
• Muscle fatigue
• Difficulty walking
• Loss of appetite
• Nausea and vomiting
• Confusion and mood swings
• Trouble sleeping or staying asleep

Some severe alcohol withdrawal cases can also include potentially life-threatening symptoms like alcohol withdrawal seizures, hallucinations, or delirium tremens.

Delirium tremens or DTs (also called alcohol withdrawal delirium) are rare but especially dangerous. It changes your brain activity and exhibits a range of psychological and physical signs like:

• Trouble thinking
• Inability to focus
• Disorientation (lost sense of time and direction)
• Difficulty speaking and hearing
• Unusually sluggish movements
• Abnormal apathy toward others
• Unnaturally high body temperature (hyperthermia)
• Deep sleep lasting one day or more

DTs can linger for several days to several months, depending on the severity of AUD. It’s treatable, but your chances of recovering considerably improve the faster you receive medical attention.

Alcohol Withdrawal Depression: Signs and Timeline

While everyone reacts differently to withdrawal, many recovering AUD patients exhibit several depressive symptoms such as irritability, anxiety, and restlessness. They can start appearing several hours to a couple of days after abstinence and can last for weeks or months.

Many people overcome depression immediately after quitting alcohol and going through substance abuse treatment programs. Such interventions typically involve detoxification, which eliminates the substance from the victim’s system, often assisted by medication (naltrexone, benzodiazepine, etc.)

However, depression may remain or re-appear during post-acute withdrawal syndrome (PAWS). Others also experience the peak of their depressive symptoms three to six months after quitting, as their system readjusts to working without alcohol.

Alcohol Withdrawal Depression vs. Clinical Depression

Withdrawal depression and clinical depression are similar in many ways. Both are severe symptoms of an underlying medical condition and are substantial enough to interfere with a person’s daily function.

People suffering from alcohol withdrawal can go through mild, temporary bouts of sadness, to chronically persistent depression. To diagnose the illness, psychiatrists typically follow the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Treatment Options For Co-Occurring Alcohol Withdrawal and Depression

Any kind of addiction is a complex issue that requires an individualized approach. To address a co-occurring substance withdrawal and mental illness like depression, healthcare providers typically integrate two or more of the following treatment options:

• Detoxification: Typically the first intervention treatment centers provide for SUD and AUD patients. It helps those who struggle with substance misuse safely and comfortably transition from withdrawal to sobriety.
• Antidepressant Medications: In cases of chronic depressive episodes, physicians may offer antidepressant medications to curb its symptoms. Naltrexone and acamprosate, medications to reduce cravings, are also often provided.
• Behavioral Therapies: Talk therapies like cognitive behavioral therapy and dialectical behavioral therapy are hugely helpful in managing withdrawal. They help patients identify and eliminate unhelpful habits and develop strategies to cope with symptoms.
• Mutual Support Groups: Support groups offer numerous benefits for recuperating AUD patients going through withdrawal depression. They help reduce loneliness and isolation, creating meaningful connections among struggling peers.

Final Thoughts: Resolving the Root Problem

Many who struggle with alcohol withdrawal and a co-occurring mental illness often feel alone, profoundly lonely, and isolated. Fortunately, these conditions are treatable.

If you or any of your loved ones suffer from AUD and are trying to get your life back, Long Island Interventions provides a full range of resources and expert care for those struggling with alcohol withdrawal and depression.

Speak with us and start your recovery journey today!

References

• https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-disorder-aud-united-states-age-groups-and-demographic-characteristics
• https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics-z/alcohol-facts-and-statistics/alcohol-related-emergencies-and-deaths-united-states
• https://www.psychiatry.org/patients-families/alcohol-use-disorder
• https://www.ncbi.nlm.nih.gov/books/NBK441882/
• https://www.bbc.com/news/uk-11660210
• https://www.cdc.gov/alcohol/about-alcohol-use/index.html
• https://pmc.ncbi.nlm.nih.gov/articles/PMC7733413/
• https://www.webmd.com/mental-health/addiction/opioids-post-acute-withdrawal-syndrome
• https://www.healthcentral.com/condition/depression/dsm-5-depression-criteria
• https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help#pub-toc1

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Published on: 2025-04-01
Updated on: 2025-04-08

When many people define addiction, the first thought that comes to their minds is about dependence on prescription or street medications and pills. Yet, another substance is just as addictive as drugs.

Whether a person refers to it by type (i.e., beer, vodka, wine or whiskey) or generic terms like booze, liquor or spirits, the chemical and liquid commonly consumed in popular beverages known as alcohol depresses a person’s central nervous system and impacts their brain in ways that cause a wide range of behavioral and physical changes. People with this chronic disease crave alcohol and can’t control this behavior or stop drinking.

Abuse of alcohol, known as alcohol use disorder (AUD), alcoholic abuse and alcoholism, does more than ruin the life and well-being of a person addicted to it. Common symptoms like anxiety, euphoria, sedation and rage often put the lives of those around them, especially their loved ones, at risk as well.

Experts often refer to AUD as a “family disease.” Living with an alcoholic husband presents significant emotional, practical and physical challenges for wives, frequently requiring specific coping mechanisms and support systems. Wives of alcoholics also experience communication problems and social frailty in addition to dissatisfaction with their marriage. Since a lot of alcoholics can’t manage their responsibilities, their wives must usually take over the management of their combined finances and education of their children, when applicable. Sometimes, they must even become caregivers for their husbands.

In this guide, we explore these challenges in more detail and treatment and other resources that can help you or a loved one free themselves from the adverse effects of alcoholism.

Emotional and Psychological Impact

Any type of substance abuse can harm a wife. A cycle of alcohol abuse by their spouse can cause them to feel anxiety, depression and low self-esteem. It can make them feel emotionally and financially co-dependent. They often feel isolated and lonely as well.

As time passes, a wife’s emotions can turn from the hope that their spouse will improve to disappointment, anger and resentment, followed by guilt and shame.

How does this cycle often progress through a marriage?

• Wives often ignore that a problem exists or go to great lengths to help their partners stop drinking. They believe they can fix the problem if they pour out alcohol whenever they find it in the home, beg their partner to stop, or constantly monitor and control their husband’s activities. They might even make excuses for their spouse in social settings while trying to fix everything behind the scenes.
• In some cases, wives turn to alcohol or other addictive substances, one or more alternative intimate relationships, excess spending, or become reactively abusive to ease their pain, especially if they’ve been physically or verbally assaulted or lack sleep and personal care. If they have children or other dependents, they might turn against them instead of protecting them.
• If their efforts at ignoring or managing the situation fail or they become abusive, wives typically blame themselves. They then experience more intense guilt and shame. They lose their ability to function in healthy ways or maintain schedules. They often experience racing thoughts, negative self-talk and even suicidal ideation.

Serious Practical Challenges

A spouse’s compulsive drinking poses significant challenges for wives in terms of financial strain and instability, household management, childcare and social stigma. Wives of alcoholics often go through life feeling subservient and trapped in a marriage that requires that they take care of both their children and their spouse. They might experience the trauma of a serious automobile accident caused by their spouse or some form of domestic violence.

Wives of alcoholics can experience so much anxiety and fear that they’re unable to talk to others or reach out for help. This is especially true if their husband has any sort of mental health problem or toxic traits on top of their alcoholism or provides the primary source of income for the family. Safety concerns that extend to their children can lead to intervention from local or state protective services, which might result in their losing their rights as a parent.

The Impact on Children

Children who grow up in a home with alcoholism can experience intergenerational patterns of addiction, codependency and abuse. They’re more likely than other children to become adult alcoholics. In some homes, fathers introduce their children to alcohol by offering them a “taste” of it at a young age.

Wives typically can’t fully protect and support their children from an alcoholic spouse. As a result, their children usually experience similar behavioral, cognitive, emotional, physical and psychosocial challenges as them. In addition to anxiety and depression, they might experience an eating disorder or obsessive-compulsive behaviors. They might also exhibit antisocial behavior and have problems making, building and keeping relationships with their peers.

Common negative influences in the home include:

• Arguments and physical fights
• Chaotic, disorganized home and schedule
• Emotional and/or physical neglect
• Fears about marital problems or divorce
• Fetal Alcohol Syndrome
• Genetic and other physical substance abuse risk factors
• Lack of family structure
• Poverty and related stress

Children who come from homes with one or both parents abusing alcohol often experience academic problems. They might have a learning impairment, poor early speech and language development, or difficulty with focus that leads to low math, reading or spelling scores and overall grades. If a child or teen becomes an addict as well, needs to lash out, or serves as a caregiver for one or both parents, they might feel suicidal, get into fights, or skip school. Additionally, children of alcoholics are less likely to pursue some form of secondary education at a two-year or four-year college.

Coping Mechanisms and Support

Some wives avoid the problem or deny one exists as a coping mechanism. Although it can help them protect against feeling like they’re responsible for their spouse’s actions, it’s not the healthiest way to cope. Confrontation can also end badly if the husband is prone to anger, rage and verbal or physical violence when intoxicated. If they confront the problem with what experts call a “high-functioning alcoholic” who can still perform well in a job, maintain relationships outside of the home, and seem successful and stable to others, they might have difficulty finding support from people in their immediate and community social circles.

It’s important for a wife to become detached from their husband’s actions and set boundaries. They need to recognize they aren’t the source of the addiction and that they alone can’t fix it. They need support from other people who have experienced similar trauma, which is why Al-Anon and other support groups play a critical role in helping wives cope in healthy ways. Professional counseling and therapy in combination with self-care strategies like exercise, hobbies and meditation can help.

Paths to Change and Healing

An alcoholic’s journey to recovery requires a lot of hard work on their part. They must on their own or via an intervention seek addiction treatment with family therapy. Their wife must decide whether to stay as a source of continued love and support or leave the relationship to begin their own journey toward healing.

When is the right time to leave? There are no set rules, but experts agree that a wife should reconsider staying in a marriage that is adversely affecting their emotional, physical and financial well-being, especially if their interventions to help their husband haven’t worked, they’re unable to take care of their own life and family, they’re remaining in the marriage because of fear or guilt, their husband shows no sign of wanting to stop or stopping, or the home has become a dangerous place where abuse can happen at any time.

Regardless of an alcoholic husband’s choices, a wife must always focus on their well-being. When applicable, they must also prioritize the health, safety and well-being of their children.

Helpful Resources to Read

National Library of Medicine MedlinePlus: Alcohol Use Disorder (AUD)
https://medlineplus.gov/alcoholusedisorderaud.html

NIH National Institute on Alcohol Abuse and Alcoholism: NIAAA Alcohol Treatment Navigator
https://alcoholtreatment.niaaa.nih.gov/

Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline
https://www.samhsa.gov/find-help/helplines/national-helpline

You Don’t Have to Deal With an Alcoholic Spouse Alone

Although wives of alcoholics in Long Island and the surrounding New York area face many challenges (i.e., emotional, physical, financial and even legal), they and other family members don’t have to remain stuck in the never-ending cycle of life with an alcohol addict. A path of empowerment and healing exists that offers hope, strategies for self-care, and professional support.

Whether you’re a wife or another person worried about the mental health and overall well-being of a loved one, a team of caring medical and other professionals is available at Long Island Interventions to assist you on this journey with counseling, therapy and other holistic supportive services. They also have a wide range of treatment programs for people suffering from one or more addictions that include tailored treatment plans, medically supervised detox, evidence-based rehab, aftercare and alumni programs. These programs include both inpatient and outpatient options, ensuring a level of care that suits individual needs.

For more information, contact Long Island Interventions today by calling us or using our convenient, confidential Contact Us form.

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Published on: 2025-03-06
Updated on: 2025-04-08

Whether you struggle to control your drinking, drink more often than you should or consider yourself a social drinker, alcohol can take a toll on your physical and mental wellbeing. An unhealthy relationship with alcohol can impact nearly all aspects of your life, affecting your personal relationships as well as your professional livelihood. If you are dealing with an alcohol use disorder, seeking professional support in early sobriety can help increase your chances of success.

The Short-Term Effects of Drinking Alcohol Before Quitting

Just one or two drinks can have an effect on your physical and mental wellbeing within a few minutes of consumption. The more alcohol you drink, the higher your blood alcohol concentration rises, leading to increased impairment. Some of the short-term effects of drinking include:

• Reduced inhibitions
• Difficulty concentrating
• Motor impairment
• Slurred speech
• Confusion
• Impaired breathing

Excessive alcohol consumption over a short period may also lead to alcohol poisoning, a dangerous condition that can cause coma or death. Although the severity of these effects associated with alcohol consumption depends on the amount consumed, drinking alcohol increases your chances of engaging in risky and even violent behavior. Every year, thousands of people die from injuries sustained from alcohol-related car crashes. Suicide and homicide risks also increase when you drink excessively.

Long-Term Risks Associated With Alcohol Use

Alcohol consumption affects your mind and body in many ways. While some of these effects are short-term, others can accumulate over time and dramatically impact your physical and mental health. Some long-term risk factors associated with alcohol use include:

• Bone damage
• Cancer
• Weakened immune system
• High blood pressure and heart rate
• Increased risk of liver disease (cirrhosis)
• Cardiovascular problems (heart disease)
• Mental health issues like anxiety or depression
• Negative impacts on your social and professional life

In 2018, the World Health Organization deemed alcohol a significant contributing factor to over 200 diseases and health conditions. The amount of harm alcohol causes depends on how much and how frequently you drink. Your age, genetics, metabolism and general health may also play a role in the harmful impact alcohol has on your wellbeing.

What Happens When You Stop Drinking Alcohol?

When you quit drinking alcohol, your body undergoes numerous positive changes. Committing to long-term sobriety allows your body to reverse much of the damage caused by alcohol, leading to significant health benefits and a positive impact on your overall health. Some of the changes you may experience include:

• More restful sleep – Alcohol disrupts the sleep cycle, making it challenging to achieve restorative sleep. When you quit alcohol, your sleep quality improves giving you better sleeps.
• Better hydration – Alcohol is a diuretic. When you stop drinking, your body is better able to hydrate naturally.
• Increased energy – Because you’re now getting a better night’s sleep without alcohol, you’ll have more energy throughout the day.
• Better mood – Alcohol is a depressant, and chronic drinking can cause significant changes within the brain. When you stop drinking, you allow your brain chemistry to return to normal, resulting in decreased anxiety and depression.
• Enhanced cognitive function – Quitting alcohol allows your brain the time it needs to fully heal, leading to improved memory, focus and overall clarity.
• Healthier skin – Because alcohol is inflammatory, it can aggravate skin conditions like rosacea. Quitting alcohol can decrease skin redness, leading to a healthier complexion.
• Liver repair – When you stop drinking, your liver begins regenerating and repairing damaged cells. This process restores its functionality and potentially reverses fatty liver disease and improving overall liver function.

Many people who decide to quit drinking notice a significant improvement in both their physical and mental health within just a few weeks. While these changes are all positive, it’s important to note that heavy drinkers may experience severe withdrawal symptoms during the first few days of sobriety. These symptoms can be challenging and even dangerous. If you are drinking heavily, you should seek professional medical detox to help you navigate this step of recovery in a safe and medically supervised manner.

Alcohol Withdrawal Symptoms and Their Management

Committing to sobriety and a life without alcohol is a big decision, especially if you’ve been drinking for a while or are a heavy drinker. Over time, your body has adjusted to functioning with alcohol in its system, and it will also take time for it to adapt to its absence. This period is called withdrawal, and you may experience uncomfortable and even dangerous symptoms. These symptoms include:

• Anxiety
• Shakes
• Irritability
• Fatigue
• Increased blood pressure
• Heart palpitations
• Mood fluctuations
• Hallucinations
• Headaches
• Hyperthermia
• Insomnia
• Seizures

In some cases, severe alcohol withdrawal may lead to delirium tremens, which is characterized by tremors, confusion and hallucinations. This condition can be fatal without proper medical intervention.

Alcohol withdrawal is difficult to manage on your own. If you are a heavy drinker, you should consider entering a medically supervised detox to safely manage these symptoms. Long Island Interventions can provide you with the right treatment and support needed to detox from alcohol in a comfortable, safe environment. During medically assisted alcohol detox, our team of medical professionals can provide you with FDA-approved medications to help you get through this difficult process so you can begin the next stage of recovery on the right foot.

The Role of Professional Treatment in Recovery

Many who attempt to overcome alcohol use disorder or substance abuse on their own often relapse. Attending a professional treatment program offers the best chance for long-term recovery. Enrolling in a rehabilitation center allows you to benefit from evidence-based treatment and therapeutic modalities designed to address your physical, emotional, and spiritual needs, helping you understand the underlying causes of addiction. It is important to understand the effects of alcohol on both physical and mental health.

Professional Treatment Offers Customizable Plans

Every recovery journey is unique, requiring a tailored approach. Treatment centers have medical professionals trained to create plans addressing each client’s physical and psychological needs. This is far more effective than solo attempts, which often miss essential skill-building and comprehensive care. This includes addressing any co-occurring mental health conditions.

You Can Benefit From Medication-Assisted Treatment

Detox from alcohol and drugs can be challenging and even dangerous. Medication-assisted treatment is essential for many entering recovery. Medical professionals at treatment centers administer and adjust medications as needed. This helps you through the initial difficult stages, providing a strong foundation. For those with heavy drinking habits, alcohol withdrawal syndrome, including the DTs, is a serious concern. Medical supervision is crucial during this phase. This is also important for those with co-occurring substance use, such as opioid addiction, as withdrawal from multiple substances can be complex.

Rehabilitation Centers Provide Ongoing Support and Accountability

Support doesn’t end with program completion. After leaving, you’ll continue receiving counseling, guidance, and an aftercare plan to stay on track. A supportive team boosts morale and provides assistance and advice. This can help manage alcohol cravings and encourage abstaining from alcohol. They can also provide guidance on healthy lifestyle changes, such as weight loss through proper nutrition and exercise, which can be impacted by alcohol intake and contribute to conditions like obesity. It’s important to discuss with your healthcare provider the impact of alcohol on your gastrointestinal health, too. Remember, seeking help for substance use is a sign of strength, and professional treatment centers are equipped to provide the necessary support for a successful, alcohol-free life. Don’t hesitate to reach out to a loved one for support as well. Knowing when you had your last drink can be a helpful piece of information for your healthcare team.

The Challenges of Staying Sober

Achieving lasting recovery takes significant effort. However, it takes more than willpower to stay the course. The social pressure to drink during gatherings and celebrations can be difficult to handle, especially once cravings begin. However, there are some things you can do to remain sober no matter what life throws at you:

• Learn how to identify your triggers and create a plan to avoid them.
• Understand the potential signs of relapse and take action to prevent it from occurring.
• Avoid old habits or routines that are associated with drinking.
• Develop healthy relationships with people who support your sobriety.
• Join a support group to help you develop valuable coping skills.

Sobriety is a lifelong process, and it’s common to experience setbacks along the way. While learning how to live a life of sobriety can be challenging, it is possible. By creating a structured schedule, practicing healthy living and engaging in mindfulness and self-care practices, you can strengthen your resolve on your sobriety journey.

The long road to recovery from alcohol use disorder is complex, but you are not alone. By seeking professional help and connecting with a compassionate, supportive community, you can increase your chances of experiencing long-term recovery. Here at Long Island Interventions, we believe that the best addiction treatments are tailored to the needs of each individual client. If you’re ready to discover a life free from alcohol, we are here to help you get started. Contact us today to learn more about our comprehensive detox and recovery programs.

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Published on: 2025-02-01
Updated on: 2025-03-13

Stepping into a liquor store reveals rows of colorful bottles that are often categorized by the type of beverage they contain inside. While most people know that whiskey has a distinctive flavor compared to wine, it’s common to be unsure of why certain alcoholic beverages have higher alcohol contents compared to others.

Liquor differs from beer and wine by being produced through a process that includes both fermentation and distillation. Exploring how this process works gives you insight into how certain liquor types may generate stronger responses in your body.

Being aware of which liquors have higher alcohol contents can help you practice responsible consumption and recognize the signs of addiction in you or your loved one.

Learning About the Most Popular Types of Alcohol

The different types of alcohol are categorized according to the ingredients used to make them. Many distilled alcoholic beverages are further categorized by their country of origin and aging process. This article explores some popular types of alcohol, from distilled spirits to fermented beverages.

Tequila

The production of tequila dates back thousands of years to when the indigenous people of Mexico used the blue agave plant to make pulque, a fermented drink used in religious ceremonies. Today, tequila is still made using water and the heart of the agave plant. Yeast helps turn the agave sugars into alcohol. Many tequilas, like blanco, reposado, and añejo, are aged in special oak barrels that enhance the flavor profile. Tequila is a key ingredient in popular cocktails like the margarita.

Vodka

Potatoes, though bland on their own, are the classic ingredient for making vodka. Other grains, such as wheat and rye, are also used. Vodka is known for its neutral flavor, making it a versatile base for mixed drinks and allowing it to be infused with botanicals, fruits, and spices.

Whiskey

There are several types of whiskey, including scotch whisky, irish whiskey, canadian whisky, bourbon, and rye. Each type is defined by its ingredients and origin. Scotch whisky, for example, is made in Scotland under strict regulations. The maturation process for whisky is lengthy, often spanning several years. Scotch whisky must be aged in oak casks for a minimum of three years. Rye whiskey, made in America, is aged for two or more years. The type of barrel used for aging, such as charred American white oak barrels, influences the final flavor profile.

Rum

Rum’s history began in the Caribbean in the 17th century. Made from sugarcane, rum is now produced worldwide. Producers ferment and distill either sugarcane juice or molasses. The resulting clear liquid is often aged in oak barrels, resulting in both dark rum and light varieties.

Gin

Gin production starts by mashing grains like wheat, barley, rye, or corn with water and adding yeast for fermentation. Distillation follows, heating the fermented mixture to create a neutral spirit. This spirit is then infused with botanicals, most notably juniper berries, to create its distinctive flavor. London dry gin is a well-known style.

Cognac

Cognac is a type of brandy with a unique distillation process. It must meet specific legal requirements to be called cognac, including using certain grape varieties and undergoing double distillation in copper pot stills. The resulting liquid ages for at least two years in oak barrels, though longer aging is common to enhance the flavor and value.

Liqueurs

Liqueurs are sweetened spirits with added flavors and a lower alcohol content. Their sweet, concentrated flavor makes them ideal for adding flavor to mixed drinks rather than being consumed neat. Examples include amaretto and triple sec.

Other Alcoholic Beverages

Beyond distilled spirits, there are many other types of alcoholic drinks. These include fermented beverages like wine (red, white, rosé, and sparkling wine), beer (lagers, porters, and stouts), hard cider, and mead. Fortified wines like madeira and vermouth also exist. Other distilled beverages include armagnac, calvados, schnapps, grappa, mezcal, and pisco. These diverse types of alcohol offer a wide range of flavor profiles and drinking experiences.

Exploring the Fermentation and Distillation Process

Liquor producers start with raw ingredients that typically come from natural sources. Grains such as rye, wheat and barley are common ingredients. You’ll also see fruit and sugarcane used to initiate the fermentation process.

The raw ingredients are mashed to create a pulp that is then mixed with yeast. As the yeast consumes the sugars in the mash to fuel its growth, alcohol is created as a byproduct. To strengthen the alcohol content in the liquor, the resulting liquid is then heated in a distillation process that concentrates the liquid.

The higher alcohol content is the biggest difference that you’ll notice between distilled spirits and brewed beverages such as beer, cider and saki. Although many craft beers are increasing in alcohol by volume or ABV levels, you’ll find that they typically range from three to 13%. Compared to liquors that can reach 40% or higher, it’s clearer how distillation can dramatically increase the alcohol content in distilled spirits.

Understanding Alcohol Content

When you talk about liquors, you’ll often hear them being referred to as being a certain proof or containing a specific ABV percentage. Alcohol proof is a basic measurement of the amount of ethanol that the beverage contains.

The ABV is a percentage amount of the same measurement. In U.S. terms, the proof of an alcoholic beverage is equivalent to twice the amount of the ABV. For instance, a type of liquor that is 80 proof would have an ABV of 40%

Taking a look at the different types of liquor and their most common ABV amounts can help you understand how one type of drink could affect your body differently than another.

• Tequila-50%
• Rum-40%
• Whiskey-36 to 50%
• Vodka-40 to 95%
• Brandy-35 to 60%

As a general rule, your body can only process around one standard drink an hour. Keep in mind, however, that everyone’s body is different. Your overall body size, current state of health and metabolism can all impact how quickly your body processes alcoholic beverages.

According to the Substance Abuse and Mental Health Services Administration, a standard drink falls within the following categories:

• 12 fl. oz. of beer with around 5% ABV
• 5 fl. oz. of wine with around 7% ABV
• 1.5 fl. oz. shot of liquor such as whiskey with around 40% ABV

For safer drinking practices, it’s generally recommended that women should avoid having more than four standard drinks on one occasion and five for men. Keep in mind that it’s also best to limit how many days a week you drink, and remember that mixed drinks may contain more than one shot of liquor.

Considering the Effects of Alcohol On Mental and Physical Health

The intoxicating effects of alcohol can temporarily make you feel relaxed or even giddy. While this is a common reason why people drink alcohol, the effects can also include feeling clumsy or drowsy.

If you drink alcohol in excessive amounts, then you could experience a loss of consciousness, memory lapses and difficulty with making important decisions. Alcohol poisoning can also occur in people who consume more alcohol than their body can safely metabolize.

The long-term effects of alcohol are also important to consider. Continuing to drink alcoholic beverages regularly can lead to health effects that include liver and heart disease. Alcohol also impacts your mental health, and chronic drinking can increase the symptoms of depression and anxiety.

Over time, you can become physically and mentally dependent upon alcohol. Watching for these signs can help you recognize when you might be dealing with alcohol dependency or misuse:

• drinking more than the recommended amount
• having to drink more to achieve the same effects
• continuing to drink alcohol despite hangovers and other negative effects
• experiencing withdrawal symptoms such as shaking, sweating and headaches
• having loved ones express their concerns

Knowing When Social Drinking Becomes a Problem

Casual drinking is often viewed as part of socializing, and you may be offered liquor at events that range from corporate conferences to weddings. While having an occasional drink at these events is normalized, it is possible for casual drinking to cross the fine line into alcohol abuse.

Paying attention to these signs that you or someone you love has an unhealthy relationship with alcohol can help you know when it’s time to seek professional care.

• Pre-drinking before social events
• Continuing to drink after the socialization is over
• Drinking alone at home
• Overindulging or hiding how much alcohol you consume
• Facing noticeable consequences such as receiving DUIs
• Struggling to stay sober for work or family responsibilities

Seeking Help for Alcohol Addiction

Once you notice the signs of alcohol misuse, it’s typically already time to seek professional help. Long Island Interventions offers mental health assessments that can help you identify if you or your loved one are dealing with an alcohol addiction along with other co-existing conditions.

If you need help talking to a loved one about their alcohol use, then an interventionist can assist your family with making a connection that inspires them to seek sobriety. Our treatment programs also include several types of detox plans that can help ease withdrawal symptoms and give you strength for the initial stages of your recovery. Here, you can also find inpatient and outpatient treatment programs to fit your needs.

Finding Out How Long Island Interventions Can Help

Connecting with a full-service treatment program surrounds you and your loved ones with the support you need for a healthy recovery. Each individual struggling with alcohol abuse receives a personalized treatment plan that includes research-based approaches to addressing underlying issues.

Individual, group and family therapy are available to help you begin establishing new healthy habits and building strong relationships with people who support your sobriety. You can also use holistic and wilderness therapy to round out your care and gain more confidence as you work towards independent living without the use of alcohol.

Choose to Seek Help for Alcohol Addiction Today

Alcohol addiction tends to build slowly until the consequences for your life are no longer easy to ignore. Noticing the signs of alcohol misuse in you or your loved one might be upsetting, but you are not alone. Long Island Interventions provides comprehensive addiction treatment and support that helps you start the recovery journey.

The compassionate staff at Long Island Interventions is ready to help you make the first steps toward recovery. Reach out to our team today. Together, we’ll help you begin building a personalized care plan that restores your hope for a healthy and happy future.

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Published on: 2025-02-01
Updated on: 2025-03-13

As outlined by the US Centers for Disease Control, excessive alcohol use can shorten your life span by as much as 24 years and causes adverse health effects. Many Long Island residents struggle with alcohol use disorder; unfortunately, not everyone can afford the high cost of rehabilitation services.

Long Island residents face many challenges when attempting to quit because they either don’t have insurance or don’t have policies that cover the full cost of rehab. These financial constraints often discourage those suffering from this condition from seeking professional help. Increasing cases of alcohol use disorder indicate a desperate need for affordable rehab services. Read on to discover more about low cost alcohol rehab Long Island.

What to Expect from Low-Cost Alcohol Rehab:

The Detoxification Process

Low-cost alcohol rehab starts with detox, where all remaining alcohol is flushed from the body. This process requires medical supervision as the person will experience withdrawal symptoms that, in some cases, could prove fatal.

The typical alcohol withdrawal symptoms that patients experience include insomnia, decreased appetite, irritability, and alcohol cravings. More intense symptoms include fever, hand and arm tremors, disorientation, nausea, sweating, increased heart rate, and hypertension. Rehabilitation specialists often see patients with the most severe withdrawal symptoms within the first 48 to 72 hours after the person stops drinking.

Among the most important reasons for medical detox is the onset of delirium tremens, which causes hallucinations, withdrawal seizures, extreme tremors, irregular heart rate or blood pressure, organ failure, and impaired brain function. Patients with this condition may require medication-assisted treatment to relieve their symptoms.

Patients with DTs will receive IV fluids and vitamins to improve hydration and balance the body’s electrolytes. A doctor may prescribe anticonvulsants, antipsychotic medications, blood pressure medicine, and pain medication. The serious concern related to patients who attempt to detox alone isn’t just delirium tremens but the further complications they could develop.

Many patients who develop delirium tremens may have a serious complication such as Wernicke-Korsakoff Syndrome. This syndrome causes long-term memory loss, tremors, vision problems, hypothermia, and possibly coma. If you are ready to quit drinking, reach out to an alcohol rehabilitation center like Long Island Interventions to undergo the detoxification process safely.

Evidence-Based Treatments

Evidence-based treatments for alcohol use disorder include Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Supportive-Expressive Therapy, and many others. During rehabilitation at our treatment center, all patients receive evidence-based therapies according to their addiction level and other factors contributing to excessive alcohol use. We offer various levels of care, including inpatient treatment, and intensive outpatient programs (IOP), to cater to individual needs.

Patients undergo assessments when entering rehab to determine which combination of evidence-based treatment and treatment options is best for them. Cognitive Behavioral Therapy addresses negative behaviors and uncontrolled emotions leading to destructive and dangerous patterns. Dialectical Behavior Therapy identifies the patient’s triggers and teaches them coping mechanisms to manage cravings. These therapies are often complemented by group therapy sessions and relapse prevention planning.

Motivational Interviewing encourages motivational consistency to avoid alcohol use and create a healthy and sober lifestyle. Biofeedback therapy involves electronic sensors that find involuntary responses to stimuli. It addresses changes in blood pressure, breathing, and muscle-related reactions. For those seeking a more immersive experience, we also offer residential treatment options.

The combination of these therapies helps patients discover the underlying causes of their addiction. For example, if they experienced trauma or have undiagnosed mental illnesses, assessments and therapies uncover them. Once the addiction specialist identifies why the addiction began, they can streamline the patient’s treatment and present the building blocks for a more successful recovery from alcohol use disorder, which may include sober living arrangements after completing their inpatient program.

Aftercare Services

Once the patient completes the rehabilitation program, they receive aftercare services. These services include continued individual, family, and group counseling sessions. Aftercare plans also include physical and mental symptom tracking, medication-assisted therapy, alcohol testing, and follow-up health assessments.

Patients can enter into an alcohol outpatient treatment program to help in their recovery. All rehab patients are encouraged to connect with a sponsor and attend meetings through Alcoholics Anonymous and support groups.

Options for Affordable Alcohol Rehab on Long Island

Long Island residents facing challenges with alcohol use disorder have many low-cost alcohol rehabilitation options. Knowing that help is available despite financial constraints is encouraging and motivates more people to seek professional help. These are some options available to local citizens who want help:

• Community-Based Programs: Community-based rehabilitation services provide care for locals struggling with alcoholism. These programs receive donations from individuals in the city or county to cover operational costs. These donations are used to provide alcohol addiction treatment for individuals who don’t have insurance and cannot afford the full cost of an alcohol rehabilitation program. The community-based programs are limited to patients living in Long Island or in Suffolk or Nassau Counties.
• Government-Funded Options: Government-funded rehabilitation centers receive funds from the state government according to the state’s budget for these services and federal grants provided specifically for alcohol and drug rehabilitation services. To qualify, patients must provide proof of state residency, proof of income, proof of US citizenship, and details of their alcohol addiction. Availability of patient rooms may affect when you can enter the program.
• Sliding Scale Payment Plans: Sliding scale payment plans require proof of income. The facility manager assesses your income to determine how much you’ll pay for alcohol rehabilitation services. These facilities have a low minimum rate and serve individuals with low incomes.
• Non-Profit Organizations: Non-profit rehabilitation organizations receive donations, federal grants, and money acquired through fundraising events to provide comprehensive alcohol rehabilitation services. Individuals who qualify for the programs pay little to no money for alcohol addiction treatment.
• Free Support Groups: Alcoholics Anonymous is a free support group that is easiest to find. The support group allows participants to share stories about their addiction and recovery. You can make connections with individuals who have had similar experiences to your own. The support group helps you find a sponsor to help you with your recovery and to provide advice, guidance, and counseling during difficult times. Check social media pages for Alcoholics Anonymous in Long Island to find regular meetings.

Benefits of Low-Cost Alcohol Rehab

Low-cost alcohol rehab presents benefits for individuals fighting alcohol use disorder who want to recover and start over. These programs do not limit prospective patients based on their income level or financial constraints. Here are some of the benefits of low-cost alcohol rehab:

• Accessibility for insured individuals: Inadequate or no health insurance coverage prevents many Long Island citizens from seeking professional help for alcohol use disorder. Some healthcare plans offer little to no coverage for addiction treatment and present the policyholder with excessive costs they cannot afford. Low-cost alcohol treatment programs don’t require insurance coverage and offer affordable plans.
• Opportunities to get professional help for low-income individuals: Low-income individuals may struggle with basic necessities and don’t have the financial ability to pay for a complete alcohol addiction program. However, some rehabilitation centers are based on the person’s income. They can get the professional help they need without taking money away from existing financial obligations, such as household expenses or parental responsibilities.

How to Find the Right Low-Cost Rehab Program

The simplest way to research local programs is to go online and search for the organizations that offer alcohol rehabilitation services. All rehabilitation centers must undergo New York state licensure proceedings to operate legally. The facility should have proper accreditation. These facilities are accredited by the Commission on Accreditation of Rehabilitation Facilities or the Joint Commission Accreditation for Addiction Treatment.

The rehab staff must have state-approved credentials, including medical licensing, completion of medical and addiction treatment educational programs, and experience in alcohol treatment. You can find information about the staff’s credentials on the facility’s website and through the state medical licensing board. You can verify the facility’s accreditation through either of the above-mentioned accreditation commissions.

If you aren’t sure where to start, it’s important that you reach out to alcohol rehabilitation centers like Long Island Interventions. They can provide information about the treatment program and what to look for in a treatment facility to avoid programs operating illegally or that are known for defrauding patients.

How Long Island Interventions Can Help

Long Island Interventions offers resources for individuals struggling with alcohol use disorder and other forms of substance abuse, including drug addiction. Our addiction treatment center can connect prospective patients with affordable and effective rehabilitation programs, including drug rehab, that don’t discourage participation based on income. We can also help you navigate all available financial options to pay for substance abuse treatment without further financial hardships. After meeting with our staff, you can discuss addiction treatment programs and determine which is best for you. We offer a variety of programs, including those at drug rehab centers, designed to meet the unique needs of each individual, including adolescents and adults struggling with dependency.

Alcohol or substance use disorder can cause chaos in your life. It can destroy relationships and create lasting impacts on your family members and friends, and you could face the loss of these important connections. It can also affect your mental health, leading to mental health disorders and other behavioral health challenges.

This disorder can also present serious health risks. Excessive alcohol use could lead to many types of cancer, liver disease, cardiovascular disease, and more. People suffering from alcohol use disorder could engage in risky behaviors that could lead to auto accidents, domestic violence, or suicide.

The choice to enter a rehab center for addiction recovery could be the next step to a healthier and happier life. However, the high cost of many rehabilitation programs can be discouraging and prevent access to professional help for those who need it most. Contact Long Island Interventions for assistance finding low-cost alcohol rehab or drug rehab in Long Island. We can also help you explore options for dual diagnosis treatment and short-term rehabilitation programs. Our goal is to support your overall wellness and help you achieve lasting recovery.

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Published on: 2024-12-29
Updated on: 2025-04-28

Ethyl alcohol (EtOH) is the chemical used to make adult beverages alcoholic. Like other drugs, EtOH can be incredibly addictive. Once someone has developed a substance use disorder, the best drug and alcohol treatment program can help them get started on the recovery process.

What Is EtOH Rehab?

While ethanol can be found in paint and gas, it is primarily for being the ingredient in beer, wine, and liquor that causes intoxication. If you enroll in a detox or rehab program, you may notice that EtOH is one of the words on your hospital bill. For example, your bill may mention EtOH withdrawal, EtOH cirrhosis, or EtOH use.

In the United States, 28.9 million people over the age of 12 suffered from an alcohol use disorder during the last year. Once someone has developed an alcohol use disorder, they can enroll in a professional treatment program to become sober. A good treatment program will typically include detox, therapy, counseling, and aftercare planning.

Detox

Once someone has a substance use disorder, they may find it incredibly difficult to quit using alcohol on their own. Through the help of a professional detox center, you can quit drinking in a safe, supportive environment. Because you are supervised at all times, it is impossible to relapse before your treatment program is complete.

Detoxification support is especially important for people who are addicted to alcohol. This chemical is a depressant, so it slows down brain activity and the functioning of the central nervous system. If you stop drinking suddenly, you may develop headaches, tremors, sweating, disorientation, and hypertension. Your pain sensitivity and heart rate may also increase.

Alcohol is unique because of its ability to cause delirium tremens (DTs). This complication can be potentially fatal. It is typically more common in people who drink heavily or who have suffered from alcohol abuse for many years. If you develop this condition, you may suffer from cardiovascular problems, dehydration, seizures, and electrolyte imbalances. Because of this, it is important to get professional help as soon as you make the decision to become sober.

Therapy and Counseling

Through the best therapy options, you can take the next step in your recovery. The right therapy program will use evidence-based approaches to treat substance use disorders. Often, therapy will help you understand the root cause, triggers, and co-occurring diseases that are fueling your substance use disorder.

While each treatment center is unique, the top rehabs will generally offer the following types of therapy.

• Individual therapy
• Family therapy
• Cognitive behavioral therapy (CBT)
• Dialectical behavior therapy (DBT)
• Motivational interviewing
• Holistic therapy
• Teletherapy
• Couples therapy

Aftercare Planning

Depending on the individual’s unique needs, they may remain in rehab for several weeks or months. Afterward, the next step is to transition back to normal life. To prevent a relapse during this transitional stage, it is important to plan ahead. Aftercare programs may involve group support meetings, therapy, or transitional living. By getting added support, individuals can avoid relapsing after their treatment is complete.

Types of EtOH Rehab Programs

When you reach out to an addiction specialist at Long Island Interventions, we can walk you through the types of EtOH rehab programs that are available for your situation. While most people choose an inpatient or outpatient program, there are many other options you can choose from.

Inpatient Rehab

With inpatient rehab, you are required to live at the treatment center. You are supervised by medical professionals at all times, so you can’t leave the treatment center and relapse. This type of intensive treatment is particularly useful if you have had a problem with relapses in the past.

Because you are a full-time resident, you can also access more therapy sessions and group support meetings. If you have a severe or long-standing addiction, this type of environment is ideal for your recovery.

Outpatient Rehab

Unlike inpatient treatment, outpatient rehab allows people to return home each night. Often, clients are required to go to the treatment center for several days a week. Each session may only last a few hours at a time.

Outpatient rehab is an ideal option if you have outside family or work responsibilities that you need to take care of. Because it is less intensive than inpatient rehab, it is better for people who have moderate or short-term substance use histories.

Intensive Outpatient

Intensive outpatient programs (IOP) are like a blend of inpatient and outpatient treatment options. They offer well-rounded care for substance use disorders. Typically, an intensive outpatient program will require more hours of treatment time at the rehab center than a standard outpatient program. This allows you to get more in-depth services while simultaneously being able to return at night. Often, intensive outpatient programs will also let you choose if you would rather have your treatment sessions in the morning or at night.

Detox Programs

Before inpatient and outpatient rehabs begin, many people will start by attending detox to physically remove the last remnants of drugs and alcohol from their bodies. During a professional detox, you can get medical support when you decide to become sober. This type of support helps to prevent serious withdrawal symptoms and relapses.

Support Groups

Support groups are an incredibly useful part of EtOH rehab. In a support group, you can get feedback and advice from people who have been in the exact same situation in the past. Plus, support groups are a good way to begin rebuilding your social network with sober friends and peers.

Benefits of EtOH Rehab

If you are dealing with a substance use disorder, an EtOH rehab can help. No one has to go through the process of becoming sober on their own. With the help of a rehab center, you can enjoy some of the following benefits.

Emotional Support

Medical staff and fellow clients understand what you are going through. When you go to group therapy in an EtOH rehab, you’ll be surrounded by people who have faced and overcome the exact same struggles. This type of environment helps you gain invaluable advice and is visible proof that you are not alone in your recovery journey.

Medical Assistance

Quitting alcohol can be incredibly difficult for the body. During EtOH rehab, you can get professional medical supervision. Plus, a medical-assisted detox may use medications to mitigate harmful withdrawal symptoms.

Dual Diagnosis

Many people who go to EtOH treatment centers have more than one medical condition. For instance, some people use alcohol to self-medicate for untreated social anxiety and depression. If you don’t treat these underlying conditions, they may make staying sober challenging.

By going to an EtOH rehab, you can get diagnosed and treated for co-occurring mental health disorders. In turn, this can help you avoid a relapse by removing some of the root causes of your addiction.

Coping Mechanisms

An EtOH rehab does more than support your detox process. You can also access important drug and alcohol addiction education and therapy programs. With these treatment options, you can learn how to identify triggers and develop powerful coping mechanisms.

How Long Island Interventions Can Help

At Long Island Interventions, you can get professional support with detox, rehab, and your long-term recovery. Our accredited treatment facility can guide you through the intake process, so you can figure out the right treatment services and type of treatment for your individual needs. We offer a comprehensive range of services, including inpatient programs, outpatient care, detox, and therapy, for a variety of different substance use disorders. We can also help you develop a personalized treatment plan that addresses your specific needs and goals, including relapse prevention strategies and sober living options.

Begin Your Sobriety Today

Getting addiction treatment can feel overwhelming, especially if you are seeking help for a loved one. By partnering with a top-rated treatment provider like Long Island Interventions, you can take the first step toward a healthier lifestyle. We offer various levels of care, including residential treatment and partial hospitalization, to meet your individual needs. To learn more about how Long Island Interventions can help, reach out to one of our team of addiction professionals today.

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Published on: 2024-12-29
Updated on: 2025-03-13

Technology is rapidly changing the way humans manage daily life. That includes the way we recover from substance abuse, alcohol use disorder, and drug addiction. New ideas like brain stimulation that interrupt the process of feeling high are on the horizon, but you don’t have to go that far to find an alternative to traditional addiction treatment. Alcohol addiction retreats are increasing in popularity and becoming more widely available.

A retreat is an opportunity to step away from the environment of your daily life and immerse yourself in a more stimulating and rewarding landscape. Many retreats are held in luxurious locations or expansive outdoor terrains that allow you to forget about the stress of life back home.

Combine that concept of a retreat with alcohol rehab, and you have an enticing alternative to modern rehab. Imagine taking a team of addiction experts into the wilderness and focusing on nothing but yourself with fresh air and beautiful landscapes all around you. Modern alcohol addiction retreats, sometimes referred to as alcohol rehab centers, make that possible. These retreats often offer a variety of substance abuse treatment programs, including individual therapy, group therapy, and medication-assisted treatment. Some retreats may even incorporate support groups like Alcoholics Anonymous (AA) into their programs.

Whether you’re struggling with alcohol abuse, a substance use disorder, or a dual diagnosis, an alcohol treatment center retreat can provide a unique and effective approach to recovery. These retreats offer a supportive and immersive environment where you can focus on healing and developing the skills necessary for long-term sobriety.

What is an Alcohol Addiction Retreat?

Alcohol addiction retreats do away with the typical clinical setting of traditional rehabs. They combine evidence-based treatment strategies with holistic therapies. The result is a balanced approach that does a few key things for your journey to sobriety:

• Opens the door to an intensive experience that puts you on the fast track to a healthier, more fulfilling life.
• Maximizes privacy while ensuring you have the support you need to get through the most intense inner work of addiction treatment.
• Introduces holistic therapies that make alcohol addiction treatment more comfortable.
• Teaches natural coping strategies that you can use to get through stressful situations when back at home.

Every alcohol addiction retreat is different but there are four elements covered by most. Let’s look briefly at each one to see why these retreats are becoming so popular.

Counseling

Counseling has served as the baseline for alcohol addiction recovery for many years. Even with new methods surfacing, there’s still a place for discussing issues with a trained professional. This is especially important for individuals with co-occurring mental health conditions, as counseling can provide a safe and supportive environment to address both addiction and mental health concerns. Alcohol addiction retreats allow you to bring the counselor into a new terrain where you both may see the world and your place in it a little differently. Some retreats may even offer evidence-based therapies like cognitive-behavioral therapy (CBT) to help you develop coping skills and manage cravings.

Group Therapy

In addition to one-on-one counseling, you may enjoy group therapy sessions while on a retreat for alcohol recovery. Group therapy can function as a valuable support group, providing a sense of community and shared understanding. While it’s important to spend time on self-reflection, it’s also valuable to receive support from others working through similar issues. Oftentimes, the support you provide others becomes some of the most powerful medicine for your own mind and soul.

Wellness Activities

The best alcohol addiction retreats teach alternative strategies to heal your body and mind and to cope with difficult situations to come. Some common wellness activities for retreats include meditation and yoga. There are many others you may encounter as well.

Serene Locations

Research has shown that spending time in natural environments leads to reduced anxiety and depression with an increased sense of well-being for those with mental illness. The impact is similar when you spend time in nature as you recover from alcohol addiction. The goal is to immerse yourself in natural beauty and awaken your senses while treating yourself to the ultimate experience of self-care.

Alcohol Addiction Retreat Benefits

Addiction retreats allow you to escape to a luxurious location that you may never otherwise encounter. As you let your guard down and ease into your new surroundings, you have the opportunity to focus entirely on your journey back to health.

The experience comes with some benefits that you can’t get from most traditional alcohol addiction treatment programs, including:

• Private, tranquil settings that encourage intense, distraction-free focus on recovery.
• Personalized care plans tailored to the needs of the individual.
• Evidence based treatments from experienced and compassionate professionals.
• Holistic wellness therapies plus yoga, meditation, and other strategies to restore the mind to a peaceful, grounded state.

Every participant enjoys a unique experience when attending an alcohol addiction retreat. The treatment plans are focused on getting each person to the next level in their journey. That requires a transformative focus on traditional strategies like counseling alongside holistic wellness therapies.

Traditional Rehab vs. Retreats for Alcohol Addiction

Traditional alcohol addiction treatment programs have developed over generations to provide structured environments and easy access to experienced counselors. Every program is different, and some are now incorporating more innovative strategies like art therapy and physical activity sessions.

While many people thrive in the clinical setting of a traditional program, others find the environment too sterile. Many facilities do everything possible to create a home-like setting, but some participants still struggle to let their guard down and relax. That makes the recovery process longer and more difficult.

That’s why more innovative programs like alcohol addiction retreats are emerging. The biggest difference is the environment. Retreats are held in extraordinary settings that are amazingly comfortable or rooted in the great outdoors. These settings put most participants at ease, allowing them to sink deeper into the introspective work that is often required along the path back to mental and emotional health.

When you change the environment, you also open the door to new activities. Retreats are often rooted in evidence-based treatments as well as alternative therapies like meditation, yoga, and a wide variety of wellness techniques. Physical activities like hiking are also common, especially for retreats centered in a spectacularly beautiful natural terrain.

The following chart will give you a quick reference to the key differences between traditional treatment programs and addiction retreats.

	Traditional Alcohol Addiction Treatment Programs	Alcohol Addiction Retreats
Environment	Clinical settings, mostly conducted indoors. Some are more home-like than others.	Luxurious, secluded locations that stimulate all five senses. Can be conducted indoors, outdoors, or a little of both.
Therapeutic Activities	Most are rooted in one-on-one and group counseling with some offering art therapy and other modern therapies.	Evidence-based treatments like counseling combined with holistic and wellness therapies like yoga and meditation. Physical activity is often incorporated naturally.
Group Sizes	Many rehab facilities are at full capacity. Some offer private rooms while others are more focused on group living. Space within a facility may not offer much privacy.	Spacious living quarters and outdoor settings provide an abundance of privacy.
Treatment Plans	Most programs are structured and strictly scheduled while still offering some individualization in treatment plans.	Many offer custom treatment plans for each participant. Often have greater flexibility to accommodate individual needs.

Who Can Benefit from an Alcohol Addiction Retreat?

Alcohol addiction retreats aren’t just an alternative to traditional treatment programs. They often work well as complementary therapies. That’s especially true for participants who enjoy clinical treatments but want to learn alternative therapies that can help them cope with life outside of the treatment center.

You or someone you love may also consider attending an alcohol addiction retreat if one or more of the following statements apply:

• You would feel more comfortable in a more private recovery setting.
• You’re interested in learning holistic approaches while receiving excellent clinical care.
• Immersing yourself in a serene environment and disconnecting from daily stressors is just what you need to focus more deeply on recovery.
• You’re concerned about the perceived stigma attached to traditional treatment programs and feel retreats offer a more discreet option.

Retreats are also becoming popular with some people who have resisted alcohol treatment for many years. The more comfortable locations and access to outdoor settings can even make treatment more effective for some who have previously failed to thrive in a clinical setting. Some participants are willing to give a new approach a try even after years of believing that treatment programs are ineffective for them.

Let Long Island Interventions Help

Whether you’ve already tried traditional addiction treatment programs or you’re ready to seek help for the first time, Long Island Interventions is ready to help. We have the resources to assess your individual needs and guide you in finding the right type of treatment and treatment facility, including drug rehab programs that meet your personal recovery goals. This may include exploring various levels of care, such as inpatient treatment, outpatient treatment, intensive outpatient, or partial hospitalization programs.

We can also assist you in exploring a wide variety of holistic and traditional alcohol addiction treatment options, including detoxification services like alcohol detox. We understand that there is no program that perfectly fits every person struggling to overcome alcohol addiction. We provide personalized care from day one, ensuring you enter the program most likely to lead to success. This personalized approach may include medical detox to safely manage withdrawal symptoms, followed by inpatient rehab or an outpatient program to address the underlying causes of addiction and develop coping strategies for long-term sobriety.

It’s Never Too Late to Try Something New

If you or someone you love is intrigued by the idea of an alcohol addiction retreat, which often involves residential treatment, our trained professionals are ready to provide more information. Now is the perfect time to reach out and ask for the help that you deserve.

To explore the alcohol addiction recovery programs available to you and start your recovery journey toward long-term recovery, contact Long Island Interventions today. We’re ready to answer your questions and help you take the next step toward a healthy, fulfilling life.

I aimed for a natural integration of the keywords while providing a comprehensive overview of the services offered. I also prioritized the keywords based on their relevance to the context and the target audience.

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Published on: 2024-12-29
Updated on: 2025-03-13

Young adulthood tends to be one of the most challenging periods in a person’s life. This is when moving away from home for the first time often happens. Going to college then is also common; either that or adjusting to a move to full-time work is part of the day-to-day life for most at this age. It is also an especially important time as far as the brain’s development goes.

Some young adults have recently started experimenting with drugs or alcohol or perhaps have continued using drugs or alcohol after having started in childhood, and that use has developed into an addiction that is making it difficult for them to deal with life’s challenges. Other young adults are struggling with mental health issues; some of the most common ones are anxiety and depression.

There are also many who are battling both – i.e. they have co-occurring mental health and substance use disorders. Those in this type of situation should ensure that these disorders are treated simultaneously as focusing on one and then the other is not nearly as effective and can even be harmful in the big picture.

Regardless of what a young adult is experiencing, it is important to attack these issues now, before they become worse, and, more importantly, lessen the chances that they will develop into challenges that will take a lifetime of battling. There are so many years of potential remaining for young adults, and getting treatment now will allow that future to be as full as possible.

2023 Statistics of Alcohol and Drug Use

According to Monitoring the Future, 65% of young adults (defined here as those who are 19-30 years old) consumed alcohol at some point in the previous 30 days while the corresponding figures for cannabis was 29%, cigarettes was 9% and other drugs was 7%.

A couple of especially relevant statistics to note are that 27% of this survey’s respondents had engaged in binge drinking (having had at least five drinks at least once over the past two weeks) while 10% had consumed cannabis on at least a near-daily basis (on at least 20 occasions in the past 30 days). Those young adults who are included in these latter percentages are more apt to need assistance with overcoming their substance use.

Struggles That Young Adults Experience

Why do young adults oftentimes experience significant struggles with these types of issues?

Peer pressure is one reason. Although people of all ages suffer from peer pressure negatively influencing their lives, “younger adults (are) more likely to succumb to social conformity” as compared to older adults. That means that it is more common that they will allow peer pressure to cause them to drink alcohol or consume drugs as compared to what they might have done had the peer pressure not been there.

Academic stress can also be significant for young adults who are in college. In some cases, it results in students consuming drugs, such as ADHD medications that were not prescribed to them, with the hope that those substances will help them perform better academically. Even if drugs or alcohol are not involved, academic stress can still cause anxiety, depression and other mental health issues on its own.

Family dynamics are especially important during this time. On the one hand, young adults are often still close with their parents and siblings, even if they no longer live under the same roof. And there might be family dynamics in the other direction, such as for young adults who are married and perhaps have children of their own to take care of. Having the support of a close family can, of course, really help people get through life’s tribulations, but family does also have the potential to cause a tremendous amount of stress, particularly if it is not so supportive.

Also essential to note is that a significant amount of emotional and psychological development occurs during this period of a person’s life, not quite as much as takes place during childhood but more than occurs compared to the rest of adulthood.

Types of Treatment Programs for Young Adults on Long Island

It is important to take advantage of age-appropriate counseling and support with professionals who understand the unique challenges that young adults who are suffering from these types of issues have and how to address and treat those in an effective manner that helps them better handle things, including long after that focused treatment has ended.

We at Long Island Interventions offer the benefits of specialized care in connection with several types of programs, including the following.

Inpatient Rehab

When we are introduced to young adults who are suffering from severe mental illness, overwhelming substance abuse issues or both, we often recommend inpatient rehab, which includes intensive, structured care in our supportive, safe and distraction-free environment. This residential treatment consists of medical clinicians, 24/7 professional care and emotional support to help you through this challenging time.

Outpatient Programs

In some cases, young adults instead receive effective treatment in one of our outpatient programs, which do not include overnight stays and which allow them to also continue focusing on school or work while overcoming substance use or mental health issues. Our main outpatient programs are partial hospitalization programs, intensive outpatient programs and standard outpatient programs. PHPs are the most intense of these, IOPs are less so, and OPs are the least intensive.

Dual Diagnosis Treatment

Unfortunately, many young adults suffer from co-occurring mental health disorders and substance use disorders, which can be an especially overwhelming situation. That said, many patients do experience a sense of relief when told that they have this type of co-occurring disorder, as their struggles start to make a lot more sense to them. Regardless, it is important to deal with both of these issues simultaneously since they are usually so interlocked that addressing them separately is ineffective, both in the short and long term.

Effective treatment requires a comprehensive approach that addresses both mental health challenges and substance abuse. This integrated approach, known as dual diagnosis treatment, focuses on improving overall well-being by recognizing the interconnectedness of behavioral health and substance use.

Sadly, many young adults who are suffering from both types of disorders do not receive that dual diagnosis or, more to the point, dual diagnosis treatment. So if you believe that this phrase may describe you, make sure that you bring up this possibility to your healthcare providers. Seeking mental health treatment that addresses both issues can significantly improve your chances of achieving lasting wellness and recovery.

Family Therapy

In many cases, family members are a part of a young adult’s recovery process. Of course, it does depend on the specific family dynamics as family therapy may not be desired or, in some circumstances, even possible. But for those situations in which it does make sense, it can be so helpful in a number of ways.

Family therapy, a form of group therapy, can help improve family dynamics, which may have suffered some stress as a result of your mental health or substance abuse struggles. It can also be a valuable addition to individual therapy by providing a supportive environment to practice new skills and coping strategies.

Often, family therapy incorporates evidence-based approaches like Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT) to help family members understand and manage their emotions, improve communication, and develop healthier relationship patterns. These therapeutic approaches can be particularly helpful in addressing issues such as emotion regulation, conflict resolution, and setting boundaries.

By participating in family therapy, you and your loved ones can learn to navigate challenges together and build stronger, more supportive relationships that promote lasting recovery.

Holistic Therapies

Young people, same as older adults and children, can benefit greatly from holistic therapies, which treat the entire person – i.e. they are not directed solely towards a narrowly focused treating of a diagnosed substance abuse or mental health issue. In particular, they take into account a young adult’s life experiences prior to this point: their mental, emotional, spiritual and physical journey throughout childhood and the start of adulthood that brought them here. Activities such as mindfulness, exercise and art therapy will help propel them towards profound long-lasting results that they will experience throughout adulthood.

Benefits of Young Adult-Focused Treatment Programs

There are several benefits to be experienced by young adults who are taking advantage of treatment programs that are specially designed for them. Included are the ability to build connections with peers who are experiencing similar struggles, receiving specialized professional support for this transition into their post-treatment adult life and developing the life skills, coping mechanisms and relapse prevention strategies to help that transition be a positive one.

Long Island Interventions Can Help

Long Island Interventions can help you with the essential early intervention and tailored care necessary to ensure that you experience effective young adult-focused treatment services. We offer inpatient and outpatient care here on Long Island, and we welcome patients from New York, New Jersey, Connecticut and elsewhere who are looking for effective age-appropriate treatment plans.

Our treatment center specializes in addiction treatment and disorder treatment for young adults. We provide comprehensive and personalized care, including therapy, counseling services, medication management, and aftercare planning. Our goal is to help young adults achieve lasting recovery and build a strong foundation for their future.

If you would like to learn more about the personalized guidance and support that we offer, reach out to us. We will be glad to discuss with you our age-specific treatment programs and how they could help you get past these overwhelming challenges that you are experiencing and towards achieving much greater control of your life.

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Published on: 2024-12-29
Updated on: 2025-03-13

When researchers asked 619 college students to keep a diary of drinking episodes for their first seven semesters of college, the results revealed an interesting correlation. The tendency to have a day drink was more common for students characterized as heavy drinkers. Even more interesting, approximately half of the students recorded at least one daytime drinking episode.

Daytime drinking is an umbrella term that covers any occasion that involves drinking alcoholic beverages during daytime hours. In the 1700s, it was common for adults to incorporate drinking into daily life, often starting with breakfast. Today, it’s more associated with social events like happy hour and tailgating parties or special occasions like weddings and holidays.

College students aren’t the only ones enjoying a drink or two before dinnertime. Adults of all ages are imbibing as well, but is it a bad thing? Let’s take a look at what’s on the line when you decide to have a day drink.

When is Day Drinking Considered Problematic?

Determining if daytime drinking is a problem often comes down to identifying patterns in behavior. If you enjoy the occasional day drink with friends, it’s not likely to cause problems in your life. It may even increase your enjoyment of life and lead to cherished memories with friends and loved ones.

As you decide to have a day drink more often, you push into the gray area and eventually into the red zone where there are real and severe consequences. This is when occasional day drinking turns into habitual day drinking. The more alcohol you consume during the day, the more likely you are to notice a negative impact on your career, personal relationships, and overall health.

How do you know if your tendency to have a day drink has crossed into that red zone? Start by determining how many of the following signs of alcohol misuse apply to you.

• Using alcohol as a coping mechanism
• Drinking alone
• Continuous use despite negative consequences
• Choosing alcohol over responsibilities
• Unsuccessful attempts to cut back or quit drinking
• Elevating tolerance – needing more and more to achieve desirable effects

If one or more of those signs apply to you or a loved one, chances are high that drinking is becoming problematic. In many cases, increased daytime drinking alone is a sign of a problem that can negatively impact daily life and health. Someone who normally only drinks after hours or on weekends may start drinking more during the day as they become dependent on alcohol.

Checking in with Yourself

Oftentimes, acknowledging problematic drinking comes down to a moment of self-reflection. You may realize that you don’t like who you become when you drink during the day—or drink too much at any time of day. Maybe you have made some bad choices while day drinking that you later regretted. Perhaps drinking during the day is negatively impacting your relationships or threatening your job.

Spend a few moments reflecting on your day-drinking experiences. Do you get a happy, joyful feeling when you think about these encounters? Or do you notice tension in your body and regrets in your mind?

Potential Risks of Day Drinking

As daytime drinking becomes more habitual than occasional, you assume some short- and long-term risks. These risks are associated with heavy drinking in general, but remember that day drinking has a strong connection to heavy drinking. We discussed that connection in relation to college students, but studies have shown that it’s true for other populations as well.

Short-Term Risks

• Impaired judgement
• Reduced inhibitions
• Reduced productivity
• Increased risk for accidents
• Potential memory lapses
• Reduced concentration or focus
• Poor body coordination and balance

Long-Term Risks

• Increased tolerance
• Dependency
• Increased risk for serious health concerns
• High blood pressure (heart disease)
• Family and relationship disruptions
• Financial insecurity
• Difficulty maintaining stable employment

Alcohol impacts every part of the body from the brain and heart to the liver, pancreas, and immune system. It doesn’t take as much alcohol as you may think to do significant damage to these critical body parts.

One study found that increasing from one drink a day to two is enough to reduce the size of your brain and age your body by two years. The more you choose to have a day drink, the more likely you are to reach that two-a-day limit or even surpass it on a regular basis.

Cultural Norms vs. Health Impacts

By this point, you’ve considered the short- and long-term risks of day drinking and have perhaps taken a moment to reflect on your personal experiences. You may know that drinking during the day is taking a toll on your quality of life and maybe even your physical or mental health. That may bring you to the dilemma of balancing your need for healthier drinking practices with the cultural norms all around you.

Daytime drinking is culturally accepted under certain circumstances. You may meet up with colleagues after work only to find everyone downing cheap happy-hour cocktails. The same goes for brunches, holiday parties, and a wide variety of social gatherings.

College students encounter daytime drinking at tailgate parties while adults may feel they’re expected to participate in celebratory toasts. Advertisements for alcoholic beverages feed into societal norms, making it seem like having a good time goes hand in hand with drinking.

Even the neighborhood in which you live can influence your drinking behaviors. Research has found that people living in neighborhoods with inferior building, housing, water, and sanitation conditions are 150% more likely to drink heavily than those living in better developed neighborhoods.

If your neighborhood gives you more opportunities to access alcohol, then you’re also more prone to heavy drinking. That extends to day drinking as well. If your profession, family expectations, or cultural practices expose you to more opportunities to have a day drink, you’re more likely to drink during the day. That opens you to a higher risk of heavy drinking and all of the associated consequences for your life and health.

It’s Okay to Go Against the Crowd

How do you avoid drinking to excess or having a day drink when everyone around you is doing it? It’s difficult, especially if you feel that declining a drink will have a negative impact on your social or professional life.

For instance, you may assume that refusing a toast with your boss after reaching a big milestone will translate as disrespect or disinterest. Maybe your social circle is so ingrained in alcoholic experiences that you fear you’ll no longer fit into the group if sobering up becomes your norm.

While these social and cultural pressures may feel suffocating, it’s important to set personal boundaries with alcohol. Your friends, colleagues, and family members won’t suffer the consequences of excessive drinking in your life. Only you will!

You have the power to determine if having a day drink is right for you under certain circumstances. The fact that “everyone is doing it” doesn’t erase the serious impact on your health, personal relationships, and career. Spend some time determining what is okay and not okay for you, and then stick to your own boundaries regardless of choices made by others.

If you’re thinking that’s much simpler to say than to practice, you may need some help establishing and living by personal alcohol boundaries. You don’t have to face it alone. Professionals are here to guide and support you each step of the way.

How to Recognize Problematic Drinking

Do you think day drinking is an occasional enjoyment or a habit in your life? If it’s more habitual or you struggle to pass up a drink regardless of the hour, chances are you’re misusing alcohol. It’s important to reach out for help because escaping a dependent relationship with alcohol on your own is incredibly difficult.

As you find yourself more and more unable to say no to alcohol, the task of controlling your intake may feel overwhelming. You may find yourself neglecting responsibilities in favor of daytime drinking all too often. Perhaps you aren’t feeling as energetic, focused, and motivated as you were before drinking became a daytime activity.

These are all signs that alcohol consumption has become a problem rather than an innocent enjoyment. Dependency is often associated with intense feelings of guilt, shame, and regret, but hiding the problem isn’t the solution.

How Long Island Interventions Can Help

Once you acknowledge that your urge to have a day drink is becoming all too frequent, it’s time to connect with experts who understand what you’re going through. Long Island Interventions offers valuable resources to help you evaluate your alcohol use and highlight unhealthy patterns. We provide support for anyone ready to cut back on alcoholic drinks or give it up entirely. Perhaps replacing that afternoon glass of wine with a refreshing seltzer or a glass of water.

Having the occasional day drink shouldn’t raise eyebrows. The problems begin when you start drinking more heavily and habitually, which often includes more frequent daytime drinks. As drinking becomes less manageable, you’re likely to start experiencing the consequences in your daily life. One of the many health benefits of reducing alcohol consumption can be improved cardiovascular health. This is often aided by drinking extra water throughout the day.

The faster you reach out to the compassionate team at Long Island Interventions, the faster you can regain control of your life. With our guidance and continued support, you can set personal alcohol boundaries and enforce them in your daily life.

If you’re ready to start managing your alcohol use successfully, contact Long Island Interventions. We’re ready to help you take the next step towards a healthy life.

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Published on: 2024-12-29
Updated on: 2025-03-13

Gripping a car’s steering wheel until your knuckles turn white is an image many people associate with powering through difficult situations. In addiction recovery, this mental model anchors the idea that someone can overcome addiction by willpower alone. The go-hard approach, often known as “white knuckling sobriety,” represents an unfortunately common strategy where individuals attempt to manage their addiction by relying solely on personal grit, forgoing professional support.

White knuckling earns its name from the physical tension people experience when trying to resist powerful urges. Picture someone desperately clutching onto sobriety. While this display of determination might seem admirable, it reveals a misunderstanding of how addiction affects the brain and body. The idea persists because society celebrates those who “pull themselves up” or “tough it out.”

However, treating addiction as a test of willpower ignores complex biological, psychological and social factors. When someone attempts to white knuckle their way through recovery, they forgo essential support systems and professional interventions that can help them succeed. White knuckling not only increases the risk of relapse but can also intensify feelings of shame, isolation and anxiety when willpower inevitably fails.

Professional support and supervised care offer a sustainable path to recovery. Unlike white knuckling, which places the entire burden of recovery on the individual, proper treatment addresses the root causes of addiction. It also provides the tools, strategies and support network necessary for long-term success.

Why White Knuckling Frequently Fails

White knuckling creates a cycle of stress that often drives relapse. Relying solely on willpower to resist cravings depletes mental resources, intensifies tension and can reproduce addiction patterns. This struggle impacts not only the individual but also their relationships.

Attempting white knuckling ignores addiction’s root causes. Believing independence equals strength, many people overlook associated mental health concerns like:

• Anxiety
• Depression
• Post-traumatic stress
• Unmanaged pain
• Personality disorders

Without professional support, individuals rarely identify triggers or underlying issues, making lasting recovery elusive.

The same pattern appears in managing anxiety and depression. Efforts to “push through” panic attacks or chronic worry by staying busy often result in emotional and physical burnout. This approach worsens anxiety symptoms, creating a cycle where attempts to control anxiety generate more of it. Without learning coping strategies, people remain stuck in constant vigilance, expending energy to appear in control while deeper issues remain unresolved.

Health Risks

Deeply ingrained messages about strength and self-reliance create barriers to help. People suffering from addiction or anxiety often face pressure to “toughen up” and handle their problems. Many social groups treat the need for assistance as a sign of weakness.

Our own thought patterns can trap us in the cycle of white knuckling, too. When someone successfully resists a drug craving or manages an anxiety attack through willpower, they often remember this victory vividly. The tendency to overvalue the wins convinces people that willpower alone is a viable strategy. Confirmation bias reinforces this belief. Frequently, people focus on examples of folks who supposedly “toughed it out” while the stories of folks who suffered and failed are memory-holed.

The constant suppression of emotions and needs takes a toll on mental health. Rather than processing difficult feelings or addressing underlying trauma, people who white knuckle push these issues deeper. A pressure cooker of unexpressed emotions develops. This suppression often manifests as increased anxiety, depression and other mental health challenges. Throw in addiction, and the cycle can compound the original cravings for drugs or alcohol.

The physical consequences of white knuckling can be severe and even fatal. People attempting to quit substances without professional supervision risk dangerous withdrawal symptoms or overdose if they relapse. Some drugs that have particularly notorious risks of death during withdrawal include:

• Alcohol
• Benzodiazepines
• Barbiturates

Even drugs that don’t commonly have direct death risks often carry heightened risks of secondary deadly medical events. For example, individuals who quit cocaine have a greater risk of cardiac episodes. Likewise, there may be heightened death risks associated with poorly treated co-morbidities, particularly depression and anxiety.

Also, the fact that some drugs aren’t clinically likely to have a death risk doesn’t mean there aren’t concerns. Individuals trying to kick opioid habits, for example, will tell you that riding out the experience without supervised help is awful. It isn’t inherently deadly, though. The main death risk associated with opioid addiction comes from relapse and the risk of overdose. That is still a serious risk hanging over someone’s head, especially if they suffer from anxiety and don’t have support during recovery.

Benefits of Professional Support

If all of this sounds like a lot to confront, that is because it is. However, you don’t have to go it alone. The right kind of support can make a huge difference as you begin the process of recovery. More importantly, the best kind of support will be there for you during the process and well beyond. Lasting recovery is possible, and the odds are more in your favor with professional support.

Professional addiction treatment offers a comprehensive and evidence-based path to recovery. Unlike white knuckling, which relies on mental and emotional resistance, professional programs address both addiction and its root causes through individualized plans that evolve with each person’s needs.

Support groups are vital in recovery, breaking the isolation often tied to addiction. Communities offer shared understanding, hope from others’ successes, practical advice and emotional encouragement.

Addiction and anxiety disorders frequently overlap. Therapists trained in both areas help individuals understand how these issues mix and develop strategies to manage both.

Therapeutic tools go far beyond resisting cravings. Evidence-based approaches teach individuals to identify triggers, build healthy coping mechanisms and repair relationships. These skills are crucial for upping the odds of long-term recovery. They empower people not just to overcome addiction but to create fulfilling lives that support lasting stability.

Long Island Interventions Can Help

Long Island Interventions is a recovery program that offers professional help to individuals who are struggling to overcome drug addiction and alcohol use. We place significant resources at the disposal of every client who comes to us for advice and support. Our goal is to treat the full range of issues that may have driven you toward addiction in the first place.

We provide assistance that goes beyond simply getting you out of addictive cycles. Our team guides clients from the initial intake process to well beyond the main treatment period. We want to see you achieve lasting recovery. Likewise, we offer assistance with treating potential co-morbidities like anxiety. Our approach fully integrates the person and their situation into a recovery process built on evidence of what works in breaking cycles of addiction and mental health issues.

Conclusion

Breaking free from addiction requires more than willpower. Recovery demands comprehensive support and evidence-based treatment at a treatment center. The impulse to tough it out might feel natural. However, white-knuckling through addiction, particularly with a co-morbid condition like anxiety or depression, is likely to create more problems than it solves. The physical health risks, from potentially fatal withdrawal symptoms to severe psychological distress, make professional support essential.

Professional treatment offers what white-knuckling cannot: a sustainable path to recovery and improved well-being. Support is available in the form of:

• Professional intake and assessment
• Therapy
• Group sessions
• Ongoing supervision
• Personal development
• Coping tools

The recovery journey doesn’t have to be a solitary struggle. It can feel like a roller coaster at times, but you don’t have to ride it alone. Long Island Interventions provides the professional support and guidance needed to build a strong foundation for lasting recovery. Our evidence-based treatment programs address not only the immediate challenges of substance abuse but also the underlying factors that contribute to substance use, anxiety, and other issues. Whether you’re struggling with addiction yourself or concerned about a loved one, our experienced team can develop a personalized treatment plan that offers more than telling clients to toughen up. This plan may include detox and other health care services to support your overall well-being.

Never let the myth of white-knuckling keep you from getting the support you need. Contact Long Island Interventions today to learn more about our comprehensive treatment options so you can take the first step toward lasting recovery and improved self-care.

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Published on: 2024-12-29
Updated on: 2025-03-13

Over time, alcohol can increase an individual’s risk of dying from a range of different medical problems. Fortunately, overcoming your addiction can help you avoid and mitigate the long-term effects of alcohol abuse.

If you have consumed alcohol for an extended period of time, you may end up developing macrocytic anemia. This condition is diagnosed with blood tests, so you should schedule an appointment with your doctor if you notice any symptoms. Then, your doctor can recommend the best methods of treating your anemia. While supplements can alleviate your symptoms, this condition will continue to be a problem if you don’t stop drinking.

What Is Macrocytic Anemia?

When someone’s body doesn’t have enough, healthy red blood cells, it can cause them to become anemic. Standard anemia can be caused by many different health issues. For instance, vegetarians often become anemic because of vitamin B12 deficiencies. Anemia can also occur as a result of bone marrow disorders and autoimmune diseases.

You can develop anemia if your body can’t make hemoglobin and red blood cells fast enough. Likewise, excessive blood loss can cause your levels of hemoglobin and red blood cells to drop. Finally, anemia can occur if your body is destroying red blood cells faster than they can be made.

With macrocytic anemia, an individual has abnormally large red blood cells. These red blood cells are also lacking in nutrients, which is why they tend to break down quickly. Typically, macrocytic anemia happens when someone doesn’t have enough folate and B vitamins in their body to produce healthy red blood cells.

The Symptoms of Macrocytic Anemia

When someone has anemia, they often experience weakness, fatigue, shortness of breath, and dizziness. Anemia can often cause headaches, cold hands or feet, chest pain, and irregular heartbeats. Sometimes, anemia will make the individual’s skin appear yellow or pale.

Macrocytic anemia can cause the same symptoms as standard anemia. Because macrocytic anemia is caused by a lack of B vitamins and folate, it can cause a few other symptoms as well. While each person is unique, the following symptoms are fairly common with macrocytic anemia.

• Balance issues
• Paresthesia
• Upset stomach
• Peripheral neuropathy
• Mood changes
• Loss of appetite or weight
• Diarrhea
• Poor concentration
• Brittle nails
• Memory loss

How Macrocytic Anemia Is Diagnosed

To diagnose macrocytic anemia, a doctor will typically start by asking about your lifestyle, eating habits, and medical history. If the doctor thinks that anemia may be the cause of your symptoms, they will order a blood test. The first blood test is normally a complete blood count. If this indicates the possibility of anemia, the doctor will give you a peripheral blood smear. With this test, you can spot early changes to your red blood cells and get a diagnosis of macrocytic anemia.

While the previous blood tests are the most common, there are other tests that may be used. For example, a doctor may test nutrient levels to see if a nutrient deficiency is the underlying cause. They may also request blood tests to rule out hypothyroidism or liver disease. In some cases, you may even be referred to a hematologist so that you can find out the type of anemia you are dealing with.

How Does Alcohol Cause Macrocytic Anemia?

The majority of macrocytic anemia cases are related to alcohol consumption. However, there are multiple factors that can cause this medical ailment. Typically, there are two main forms of macrocytic anemia.

Megaloblastic macrocytic anemia is related to errors in how your red blood cell DNA is produced. Often, this happens because of folate or vitamin B12 deficiency. Additionally, chemotherapy medications, antiretroviral drugs, and antiseizure medications can cause this type of problem to occur.

Meanwhile, nonmegaloblastic types of macrocytic anemia are often caused by chronic alcohol use disorder. Additionally, this form of anemia can be due to hypothyroidism or liver disease.

How To Treat Macrocytic Anemia

If your macrocytic anemia is caused by alcoholism, one of the most important things you can do is stop drinking. However, quitting cold turkey can be dangerous. Because of this, you should turn to a rehab center for support as you work on becoming sober.

Typically, macrocytic anemia is treated by remedying the cause of the condition. After running blood tests, your doctor may recommend supplements to treat a nutrient deficiency. Normally, the doctor will prescribe vitamin B12 and folate to alleviate a patient’s anemia.

With a vitamin B12 deficiency, the doctor may recommend eating more foods that contain vitamin B12. For instance, you may consume more fortified grains, spinach, chicken, red meat, and eggs to boost your levels of vitamin B12. If you are severely deficient, you may be given injections or oral vitamins to boost your vitamin B12 levels.

Similarly, you may be prescribed an oral vitamin to remedy low levels of folate. You can also get folate through kale, oranges, spinach, lentils, and enriched grains.

Can You Reverse Macrocytic Anemia?

It is possible to treat and reverse macrocytic anemia. Normally, doctors will start by diagnosing and treating the underlying cause. You may also have to take supplements or eat specific foods to remedy a vitamin deficiency.

If you develop complications from macrocytic anemia, these problems may need to be treated as well. For example, macrocytic anemia can cause dementia and peripheral neuropathy. Untreated macrocytic anemia can cause long-term damage to your nervous system, so it is important to treat this condition as soon as possible.

One of the most effective ways to treat alcohol-induced macrocytic anemia is to quit drinking. If you become sober and eat a healthy diet, your anemia will gradually start to improve.

How To Get Help for Substance Use Disorders

As long as someone continues to drink, alcohol affects their health, and they may need ongoing treatment for alcohol-related anemia, such as macrocytic anemia. This condition can result from hematological complications of alcoholism, including folic acid deficiency and iron deficiency anemia. Seeking help at a detox center is a crucial step in addressing these health concerns and beginning recovery.

During the initial intake, the treatment center will evaluate all medical problems associated with substance use disorders, including any abnormalities in red blood cell count, iron levels, and potential vitamin B deficiencies. This assessment is crucial because alcohol use disorder often leads to hematological complications, such as macrocytosis, megaloblastic anemia, and other causes of anemia tied to malnutrition, liver damage, or alcoholic liver disease. Platelets and enzyme levels may also be checked to identify any toxic effects or dysfunction resulting from alcohol consumption.

The detox stage is the initial step in treatment, allowing your body to cleanse from the toxic effects of alcohol. Since quitting alcohol can result in serious withdrawal symptoms, such as hematological and gastrointestinal side effects, it’s crucial to undergo detox under professional medical supervision. Healthcare providers will monitor iron stores, folate deficiency, and any other symptoms of anemia or related health risks.

Once the detox process is complete, you can begin rehab. therapy options in rehab, including individual and group therapy, can help address both the psychological and physical effects of alcohol and substance use. Through tailored therapy sessions, you’ll learn to manage triggers and build strategies for recovery, ultimately reducing the increased risk of relapse and working toward improved well-being.

Through a comprehensive treatment program, including healthcare provider support and regular monitoring of cirrhosis, alcoholic liver disease, and liver damage risks, you can take the next step toward recovery and healthier hematological function.

Find Addiction Help in New York

Unfortunately, alcohol use disorder and excessive alcohol consumption affect around 28.9 million Americans over the age of 12 in the last year. For many of these people, heavy drinking and high alcohol intake will have a debilitating impact on their physical, mental, and financial health. If alcohol addiction isn’t treated promptly, it can lead to macrocytic anemia and other health problems associated with excessive drinking.

In order to reverse macrocytic anemia, it’s essential to address the underlying cause. Continuing to drink alcohol, especially in heavy amounts, will only worsen macrocytic anemia over time. Eventually, heavy alcohol consumption can cause long-term damage to your nervous system and lead to conditions such as dementia.

The good news is that you can reverse many of the effects of macrocytic anemia by simply quitting drinking alcohol. Additionally, your doctor can recommend the right supplements and foods to help you recover from macrocytic anemia. To learn more about taking the next step in conquering your alcohol use disorder and reducing your alcohol intake, reach out to one of our intake specialists today.

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Published on: 2024-10-31
Updated on: 2025-04-08

While no one knows when humans first started fermenting and drinking alcohol, we do have early records of alcohol consumption from China. This early usage occurred around 9,000 years ago. At the time, alcohol was made from fermented millet, honey, grapes, and rice.

Although too much alcohol can be dangerous, the risk level generally reduces as someone starts to consume less. For example, the incidence of cancer declines if you drink less. This risk level increases when you consume more. To learn more about alcohol’s role in the body and weird historical facts, read on.

The Surprising Effects of Alcohol on the Body

In the short run, alcohol can cause alcohol poisoning or a hangover if you overindulge. However, it can also increase the likelihood of accidents, risky behavior, and violent arguments. Alcohol lowers inhibitions, so people are more likely to do things they would never normally do. From sleep disruption to impaired memories, there are a range of unusual effects that alcohol can have on the body.

Sleep Disruption

Sometimes, you hear people say that they need a glass of wine to fall asleep. In reality, alcohol may cause your sleep quality to decline. It can worsen insomnia, decrease REM sleep, and trigger sleep apnea.

Memory Impairment

Over time, alcohol can cause gaps in memory. These are commonly known as blackouts. A blackout occurs when the brain isn’t able to transfer your short-term memory into long-term memory storage. Blackouts are more common when someone drinks an excessive amount of alcohol quickly.

Unfortunately, alcohol can also lead to long-term memory impairment. A condition called alcohol-related brain damage (ARBD) can develop after several years of drinking excessively. However, the good news is that a great deal of the memory and thinking issues can be reversed if the individual quits drinking.

Gender Effects

When a young man and woman drink the same amount of alcohol, the alcohol will have a different effect. This isn’t because of size or weight differences. The female body produces less dehydrogenase, which is an enzyme that is known for its ability to break down alcohol within the stomach.

Weird Historical Uses of Alcohol

Since alcohol was first invented, it has been used for a variety of different purposes. It has played a role in pain medication, cleaning, and rituals. From snake wine to roles in the after-life, explore some of the weird historical uses of alcohol.

Medicinal Usage

We have evidence that alcohol was used as an antiseptic as far back as the 1300s. Before painkillers and anesthesia existed, alcohol was routinely used to numb pain during medical procedures.

Cholera Prevention

Today, municipalities use modern filtration techniques to supply water to homeowners. Before clean water was available, water was often filled with bacteria. By drinking alcohol instead of water, people could avoid getting ill from cholera.

Snake Wine

In several parts of Asia, you can get a specialty known as snake wine. This drink is made by infusing an entire snake in rice wine. The proteins in the snake venom are unfolded by ethanol in the alcohol, which renders it mostly safe to drink. The first recorded incidence of snake wine occurred during the Western Zhou dynasty. While snake wine is said to boost energy and vitality, there are many risks involved in drinking it.

Alcohol’s Use in Rituals

Besides being used as a social lubricant, alcohol has a storied past in human rituals and purification ceremonies. In Japan, Shinto purification ceremonies involve consuming alcohol and offering alcohol to the gods. Meanwhile, many branches of Christianity use sacramental wine.

Odd Alcohol Laws From Around the World

Over the years, many cultures have created unusual laws about alcohol. In the United States, alcohol was banned during Prohibition. Despite the ban on alcohol, alcoholism actually increased during Prohibition. Many people who suffered from an addiction turned to bootlegged alcohol, which could lead to blindness or death.

Alcohol Bans

In 2024, Saudi Arabia opened up its first liquor store in more than 70 years. The original ban was implemented after King Abdulaziz’s son drunkenly shot and killed a British consular officer. Despite the new liquor store, the majority of Muslims in the country still abstain from drinking alcohol.

Saudi Arabia isn’t the only place with alcohol bans. Since 1965, Kuwait has banned the sale and purchase of liquor. In Oman, Pakistan, and Qatar, Muslims are banned from drinking alcohol. However, non-Muslims can get a permit to sell alcohol in their hotels and restaurants.

Bangladesh, Iran, and Libya all have bans on alcohol. However, many people in these countries still drink because of blackmarket sales, homemade alcohol production, and international smuggling.

Weird Laws

Over the years, a number of unusual laws have developed around the drinking of alcohol. For instance, the United States is known for having dry counties. In these counties, alcohol sales are prohibited, so residents typically drive to the next county to buy their alcohol.

When California’s craft distilleries first started to grow, they couldn’t sell products directly to their customers. By 2018, this changed slightly. As long as customers went through a tasting in the tasting room first, they could buy a bottle.

In Colorado, convenience stores and grocery chains couldn’t sell full-strength beer until 2019. Similarly, Delaware doesn’t allow customers to buy beer or wine in grocery stores.

Meanwhile, people in Hawaii are only allowed one drink at a time. If you decide to buy a drink for a friend, you have to point out your friend to the bartender.

In 2012, Washington made a remarkable change to its weird laws about alcohol sales. Until the law finally changed, liquor could only be sold in state-run liquor stores. Now, liquor can be purchased in any grocery store or shop that has the right permits.

Alcohol Myths Debunked

Over time, many different myths have developed about alcohol. Unfortunately, these myths are untrue and potentially harmful.

Breaking the Seal

There is an urban myth that you’ll have to keep going to the bathroom if you allow yourself to urinate after drinking. In reality, urinating doesn’t change your bladder’s size or capacity. If you try to hold it in for too long, you can increase the likelihood of a urinary tract infection or kidney infection.

This myth likely stems from the way that alcohol affects the bladder. It inhibits vasopressin, which controls the amount of fluid that leaves your body. Additionally, alcohol has a diuretic effect and can irritate your bladder after just 20 minutes of drinking. Because of these effects, drinking alcohol can make you feel like you have to go to the bathroom more frequently.

Alcohol Warms You Up

There is a common myth that alcohol can warm you up. In reality, this sense of warmth is because blood is rushing to your skin’s surface. When you drink, alcohol causes your blood vessels to dilate. This process can actually make you colder. People are more likely to experience hypothermia when they drink because they don’t realize how cold they actually are.

Beer Before Liquor

According to an urban myth, drinking beer before liquor will cause you to feel sick. Unfortunately, drinking beer after liquor won’t make you feel better. In fact, studies show hangovers won’t be better or worse if you consume alcoholic drinks in a specific order. Additionally, mixing drinks won’t impact your hangovers. However, drinking an excessive amount of alcohol will make you feel sick. If you drink too much or too fast, your liver doesn’t have enough time to remove alcohol from the blood.

The Dark Side: Alcohol Abuse Facts

While alcohol has been consumed in a variety of cultures for thousands of years, it can still have a negative effect. The following facts are just a few examples of the dark side of alcohol.

• In the United States, 28.9 million people over the age of 12 have dealt with an alcohol use disorder in the last year.
• Men are more likely to abuse alcohol than women, but alcohol misuse has grown among women over the last few years.
• Alcohol withdrawal can be fatal, which is why it is so important to seek out professional medical help.
• Your genes can increase your likelihood of suffering from alcohol abuse. If a family member has suffered from a substance use disorder, you are more likely to suffer from alcohol abuse as well.

Find Assistance With Alcohol Abuse

If you suffer from alcohol use disorder or struggle with binge drinking or hard liquor, you aren’t alone. At Long Island Interventions, we provide detox and rehab support for people who suffer from alcohol use disorder, including those looking to stop drinking and address issues related to alcoholic beverages. With the right help, you can safely navigate detox and take the first step in your recovery journey. Additionally, our programs offer guidance on understanding the risks associated with underage drinking and support for all ages in achieving long-term sobriety.

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Published on: 2024-10-31
Updated on: 2025-04-08

Waking up the next morning after drinking too much and embarrassing yourself in front of friends, family, or coworkers is one of the most cringe-worthy moments many of us have experienced. Whether it was your first time or a repeat offense, the embarrassment is the same. Whether at a bar with friends, a cousin’s birthday party, or a professional event, the feeling of regret lingers. Perhaps you said something you regret, picked a fight, or made questionable choices as the night wore on. Now, it’s the next day, and not only are you hungover, but you’re also trying to piece together the details of last night’s events. Take a deep breath—you’re not alone in making mistakes after a night of drinking. Here, we’ll explore the causes of drunk embarrassment, the consequences of drinking too much, and how to prevent these situations from happening again.

Understanding the Causes Behind Drunk Embarrassment

Alcohol is a central nervous system depressant, which means it not only slows you down physically but also lowers your inhibitions and increases your confidence. Drinking alcohol makes you more susceptible to saying or doing things you normally wouldn’t. In moderate amounts, alcohol can enhance social interactions and bring people out of their shells. However, excessive drinking, especially binge drinking, can impair the regions of your brain that affect memory, balance, speech, and judgment.

These effects of alcohol become more pronounced with every drink. When you lose control of your impulses, you’re more likely to wake up with regrets about what you did, a common experience for those with a drinking problem or alcohol addiction. This sense of embarrassment stems from doing something completely out of character while drunk.

To make matters worse, those who witnessed your behavior—whether coworkers, family members, or friends—may remember your actions vividly. While some incidents may be harmless and quickly forgotten, repeated instances of alcohol abuse can lead to more serious consequences, especially for individuals struggling with alcohol use disorder. Recognizing these patterns can be a step toward addressing unhealthy drinking habits and deciding to stop drinking.

The Most Common Scenarios for Embarrassing Drunk Behavior

While drinking too much and saying or doing something embarrassing can happen at any event where there’s alcohol present, these scenarios most often occur at:

• Family gatherings
• Office parties and professional events
• Social outings with friends

Drinking too much at family gatherings and saying or doing something inappropriate can disrupt a good time and cause tension with your relatives. If you have one too many with friends out on the town and your antics are caught on camera, it may be immortalized forever on social media. In addition, if you regularly become “blackout drunk,” your friends will likely grow tired of having to babysit you, which could damage your relationships with them.

Although it’s embarrassing enough to make drunken mistakes in front of your family and friends, these situations can damage you professionally if they occur in front of work colleagues. Some employers have a zero-tolerance policy, which means your job may be on the line if your actions were seriously offensive. Fallouts with coworkers, altercations and even sexual advances can significantly affect your workplace and team dynamics. Depending on the situation, the repercussions may be significant.

The Psychological and Social Impact of Drinking Too Much

Dealing with the shame and embarrassment after a night of drinking is enough to dissuade many people from going overboard in the future. However, some don’t change their behavior and continue to drink excessively at social gatherings. For them, both immediate and long-term consequences may occur, often worsening over time. If your behavior is a “one-off” situation, friends and family may be willing to move on. However, if you routinely get drunk and belligerent, it can significantly impact your mental health and social standing.

Those around you may set boundaries, limiting their interactions when you’re drinking. This can lead to losing friends, straining family relationships, and experiencing professional repercussions. Over time, the repeated incidents can contribute to feelings of shame, anxiety, and potential health conditions related to excessive alcohol use. If this sounds familiar, it may be time to reevaluate your relationship with alcohol and seek support from healthcare professionals to improve your overall wellness.

Handling the Aftermath of Drunk Embarrassment

Suppose it’s the morning after, and you’re piecing together the details of what happened at your office’s “Happy Hour” event last night. While calling in sick and staying in bed all day is tempting, it’s better to face the music head-on, even if you’ve got a pounding headache. Now that you’ve made it to the office, here are several things you can do to handle the aftermath:

• Get all the details – If you are hearing bits and pieces of embarrassing things you said or did, you’ll need to get the full story. Ask a trusted coworker who was there about what you did. Even if your memories are fuzzy and you don’t remember your actions, you must take ownership of what you did.
• Apologize if necessary – While sometimes we may simply fall down or embarrass ourselves when drinking, other times we can say or do hurtful things or even put our friends in an uncomfortable position. If your behavior was out of line, make sure to apologize without making excuses or minimizing the situation.
• Commit to change – Let this incident be a teachable moment in your life. Acknowledge if there is a problem with your drinking and commit to change. Get a handle on your drinking, and remember this moment when you are tempted to overindulge again in the future.
• Follow through with your promise – If you decide to cut back on alcohol, follow through with positive change. Consider addiction counseling, check out a few local recovery group meetings or look into rehabilitation programs if necessary. Find someone who is willing to be your accountability partner and bring them to future events where you may be tempted to drink.

Whatever you do, don’t try to minimize your antics or pretend they didn’t happen. While your recollection of events may be fuzzy, other people may remember very clearly what you did. You may want to sweep it under the rug, hoping others will forget about your behavior. However, saying nothing about what happened can make it seem like you don’t care that you were being offensive, rude or destructive. By apologizing to those you offended, vowing to make a change and staying committed to your efforts, you can start moving past it as quickly as possible.

How To Prevent Future Incidents

Now that you’ve dealt with the aftermath of your behavior, it’s time to implement strategies to prevent this situation from happening again and to reevaluate your drinking habits.

• Set your limit: Before drinking at an event, decide how many drinks you’ll have and stick to that number. This can help prevent binge drinking and the negative effects of alcohol.
• Pace yourself: Avoid drinking too quickly, as it can lead to substance use beyond what you intended, increasing the risk of alcohol abuse.
• Skip rounds and shots: Stick to drinks you can sip slowly, which helps you manage your intake. Shots often lead to losing control, worsening a drinking problem.
• Eat a meal: Having food in your stomach slows the absorption of alcohol, helping you avoid the intense effects associated with alcohol addiction and substance abuse.

Remember, you can have a great time without getting drunk. Drinking responsibly reduces the chances of waking up with a hangover or regret. If you find it hard to stop drinking, or if you’re struggling with alcohol use disorder, it may be time to reconsider your relationship with alcohol and seek help to avoid the long-term consequences of alcohol abuse.

Coping With Feelings of Embarrassment

Everyone makes mistakes, and you should try not to be so hard on yourself. Continuing to wallow in your shame may prevent you from moving on and living life to the fullest. Learning from your mistakes can keep you from embarrassing yourself in the future. If you’re having a hard time forgiving yourself for your behavior, it may be time to take a good, long look at your relationship with alcohol.

Although it’s impossible to turn back the clock and erase what happened when you got drunk, this incident can still serve as a learning experience. Sometimes, events like this are necessary to help you realize it’s time to seek help. If you often find yourself in compromising positions or engaging in risky behavior while drunk, consider getting professional help. By reflecting on your drinking patterns and making positive changes, you won’t ever have to wake up again mortified by what you may have said or done the night before.

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Published on: 2024-08-15
Updated on: 2025-05-08

Are you concerned that you might be a heavy drinker? The CDC reports that about 7 percent of adults in the United States self-report that they are heavy drinkers, and 17 percent report that they binge drink. Overall, about 50 percent of the adult population has consumed alcohol within the last 30 days. However, knowing which category you fall under is dependent on the definitions. Let’s take a look at the definitions for binge drinking and heavy drinking, along with the recommended number of drinks per day.

How Many Alcoholic Drinks Should People Consume?

According to the CDC, moderate drinking is defined as having one drink per day if you’re female and two drinks per day if you’re male.

Understanding a Standard Drink

Most people don’t understand a standard drink. They just fill a glass of wine, drink a pint of beer or pour themselves a mixed drink and don’t give it much more thought. After all, if it’s in one glass or in a bottle, it must be one drink. Unfortunately, that’s not always the case. According to the NIH,:

• A standard beer has 5 percent alcohol and is 12 ounces.
• A typical glass of wine is 5 ounces with 12 percent alcohol.
• A standard glass of distilled spirits has 1.5 ounces of 80-proof liquor.

What’s a Binge Drinker?

A binge drinker is a female who consumes four or more drinks on one occasion or a male who consumes five or more drinks on one occasion. This means that drinking a bottle of wine in an evening is binge drinking if you’re female. If you’re male, drinking a six-pack of beer in an evening is binge drinking.

What’s a Heavy Drinker?

Men who consume 15 drinks in a week are considered heavy drinkers. Women who consume eight drinks a week are considered heavy drinkers. Minors and pregnant women who consume any number of drinks in a given week are considered heavy drinkers. Additionally, individuals who participate in binge drinking at least five days a week are also considered heavy drinkers.

Factors Influencing Heavy Drinking

Biological, psychological and social factors contribute to an individual’s propensity to consume too much alcohol.

Biological Factors

Men and women are biologically different, and the effects of alcohol on the male and female bodies are different. For instance, men have more of an enzyme in their stomachs that helps to break down alcohol. This means that less of the alcohol reaches the small intestines of men. Therefore, if a man and a woman were to drink the same amount, the female would become more intoxicated.

Additionally, men and women don’t have the same body composition. Men tend to be physically larger with more muscle. Because muscle needs a lot of blood flow as compared to fat, any alcohol that a male drinks is more diluted in their body.

Men also benefit from having more water in their bodies. Men are comprised of about 55 to 65 percent water, while female bodies contain roughly 45 to 50 percent water. Because of this, any alcohol consumed by a woman is more concentrated in their bloodstream.

Psychological Factors

There are several factors that contribute to an individual’s likelihood of becoming a heavy drinker and falling into alcoholism, including genetics, mental health and social pressure.

Genetics, Heavy Drinking and Alcoholism

In addition to physiological factors, psychological factors can also play a part in whether or not someone becomes a heavy drinker. The biggest psychological factor is usually having family members who drink. When an individual has parents or grandparents who drink and they grow up around drinking, the person is more likely to start drinking. However, the increase in risk isn’t simply due to watching someone drink. There is a genetic component. Scientists have discovered 51 genes that may play a role in whether or not someone develops alcoholism.

Mental Health, Stress and Heavy Drinking

Individuals who are under excessive amounts of stress in their personal and/or professional lives may use alcohol as a way to relax. Alcohol does work to help people unwind because it depresses the central nervous system and helps people forget about their fear, anxiety and stress. While this may be helpful in the short term, people who use this method to cope with mental issues can quickly build a tolerance, which can lead to heavy drinking and alcohol use disorder.

Having a preexisting mental health condition, like depression or anxiety, can also make someone more prone to heavy drinking. This is because alcohol imitates the effects of prescription anti-anxiety and antidepressant medications.

Social and Cultural Factors

Social and cultural factors can also influence how much and how often an individual drinks. Teenagers and young adults often pressure each other into consuming alcohol. Young adults may attend parties and get-togethers that involve alcohol. For example, if an individual attends a cookout with family and friends, there may be beer and wine coolers present. If the individual attends a dinner at someone’s house, the hosts may serve before dinner cocktails, wine with dinner and dessert cocktails after dinner. If individuals attend these events often enough, they could start to build a tolerance and consume more alcohol than they intended.

Additionally, beer, liquor and wine commercials are everywhere. People see them on TV. They see them as advertisements during videos. They’re in radio ads and on billboards. Since these commercials often depict people either relaxing or having a good time, an individual who repeatedly sees those ads may be more likely to drink in order to have an experience that is similar to the advertisements.

Signs and Symptoms of Heavy Drinking

There are many physical, behavioral and psychological symptoms when an individual drinks heavily. As the individual continues to drink heavily, these symptoms may become obvious to the drinker as well as those around them.

Physical Indicators

A heavy drinker may stumble when they walk or appear unsteady. They may slur their words. They may complain of blacking out or not remembering what they did while they were drinking. After the heavy drinking episode, the individual may have a hangover or nausea with diarrhea and a severe headache. Over time, the individual may notice that they have to drink more in order to feel the same effects. If the individual maintains their heavy drinking for several years, he or she may also develop severe health problems, like liver and heart disease. Excessive drinking can also lead to several different types of cancers, including head, neck and liver cancer. In severe instances, prolonged, heavy drinking can lead to brain damage.

Behavioral Indicators

Individuals who frequently drink heavily may exhibit changes in behavior. They may miss important family events. They may start to show up late for work or miss more days of work. They may hide bottles of alcohol and lie to family members about the extent of their alcohol consumption. The individual may also have trouble paying their bills due to spending too much money on alcoholic beverages.

Psychological Indicators

Individuals who drink heavily may experience dramatic mood swings. In the span of a few minutes, the individual may be happy, sad and angry. This can put a strain on the family relationship because they’re not sure which version of their loved one they’re going to get that day.

Additionally, heavy drinking over a long period of time can exasperate existing mental health issues and contribute to the development of new mental health disorders.

Signs of Dependence and Withdrawal Symptoms

Once the individual is dependent on alcohol, they may notice that attempts to cut back or stop consumption causes withdrawal symptoms, and those symptoms can start as soon as six hours after the person’s last drink. The individual may notice that their hands shake. They may experience severe headaches and nausea to the point of vomiting. They may notice an increase in anxiety and have trouble sleeping.

12 to 48 Hours After Consuming Alcohol

Symptoms tend to get progressively worse the longer the individual goes without a drink. Within a day or two of abstaining, the individual may start to hallucinate. Family members should also be on the lookout for signs of a seizure.

Two to Three Days After Stopping the Consumption of Alcohol

Individuals who are severely addicted to alcohol may experience delirium tremens two to three days after their last drink. This is a severe condition that can include extreme hallucinations. During this time, the individual may appear confused. They may have an elevated blood pressure, a fever and a racing pulse.

Health Risks Associated with Heavy Drinking

Heavy drinking has associated short and long-term health consequences, and some of them can be very serious.

Short-Term Risks

Heavy drinkers may experience more frequent accidents and injuries, mostly from running into things and falling down. Alcohol also impairs judgment. This means that the individual may do or say things that they wouldn’t normally do or say.

If the individual happens to drink an excessive amount, they may experience alcohol poisoning, which is serious and sometimes lethal. Alcohol poisoning can cause slow or irregular breathing, confusion, vomiting and even seizures. The individual may also appear pale or turn blue.

Long-Term Risks

Individuals who consume alcohol are more at risk for getting into car accidents, if they choose to drink and drive. Heavy drinkers also tend to suffer from pancreatitis, liver disease and heart disease. Additionally, they are at an increased risk for strokes. Alcohol consumption can lead to being overweight, which increases the risk of developing diabetes. Alcoholics, who eat very little food in order to control their calories, are at risk for malnutrition. Alcoholism can also contribute to mouth, liver, colon and esophagus cancer.

Mental Health Risks

Excessive drinkers are more at risk for developing depression, anxiety and psychosis. For individuals with preexisting mental health issues, drinking alcohol can make the symptoms worse. The individual may also fail to recall events and have difficulty learning and making decisions. They may also show a loss of judgment and critical thinking skills.

Social and Economic Impact

Alcohol use disorder has a cost that goes far beyond the individual with the drinking problem.

Impact on Families and Relationships

Alcohol use disorder puts a significant strain on families and personal relationships. Wives or significant others may enable the drinker, leading to a codependent relationship. Children often don’t understand addiction and may think that something they did made their mom or dad drink. The entire family may feel embarrassed by the individual’s alcohol consumption, leading to fewer social events at home. In the worst situations, the individual with AUD may become violent or neglectful. If a child is in the house, he or she may be neglected as the alcoholic parent doesn’t purchase groceries or cook and clean. Alcohol-fueled domestic violence may lead to increased emergency calls and feelings of helplessness and terror within the family unit.

Workplace Implications

Individuals with AUD often have difficulty holding jobs because they’re late to work and have poor performance. They may also miss a lot of days. This can lead to financial instability, frequent job losses and homelessness. In fact, according to the National Coalition for the Homeless, it’s estimated that 38 percent of homeless people have AUD.

Economic Costs

Alcohol use has a cost, and it’s $249 billion, according to an article by Anthem. Of those 249 billion dollars, nearly $27 billion was caused by healthcare costs. However, the negative impact isn’t just felt in dollars. It’s also felt in years lost. It’s estimated that individuals with alcohol use disorder lose a combined 2.7 million years of life.

It also costs the individual. Imagine drinking a 6-pack of beer every night. A six pack costs about $8. If an individual were to drink 365 6-packs every year, it would cost them $2,920.

If that same person were to be stopped for drunk driving, their insurance would also go up. On average, individuals who have a DUI pay more than double the standard rate.

There are also legal costs associated with a DUI. For example, if an individual in New York is stopped for a DUI, they can expect to pay between $4,000 and $15,000, according to Stop DWI New York.

Identifying and Addressing Heavy Drinking

If you’re concerned that you drink too much or have been unable to control your drinking, you may have AUD. Thankfully, there are self-assessments available online.

Self-Assessment and Awareness

There are tools and assessments that you can take online in order to determine if you might have a problem. The CDC has an online tool with questions that can help determine if you drink too much. There are also other tests, including AUDIT, AUDIT-C and CAGE. The AUDIT test is the longest. AUDIT-C is a shortened version, and CAGE has the least number of questions.

Common questions that are asked on these tests include:

• Do you feel like you drink too much?
• Has anyone ever told you that you need to cut back?
• Do you drink first thing in the morning?
• How much do you drink per day and per month?

Taking an online assessment and answering the questions honestly can help you determine if you should seek professional alcohol rehabilitation.

Seeking Help and Treatment

Seeking treatment is not as difficult as you might think. There are plenty of programs that offer a range of services, from detox to counseling. Counseling services typically include individual counseling, behavioral counseling and group counseling. If you have family members that live with you, you can often request family therapy.

You can also choose to attend meetings at various support groups. The most well-known is probably Alcoholics Anonymous, but there are others, including Dual Recovery Anonymous, who helps people with alcoholism as well as mental health issues, LifeRing, who helps people abstain from alcohol and/or drugs, SMART Recovery, which is research-based, and Women for Sobriety, which is a self-help program for women.

Preventive Measures

Even if you’re not yet a chronic heavy drinker, you can still work on controlling your alcohol consumption. The CDC recommends limiting the number of drinks you consume per week. If you drink more than one or two drinks per day, maybe you want to cut back by one drink per day.

Make sure you’re only drinking one drink per glass. If you pour your own drinks, make sure you only put one serving of liquor in each glass, or only pour yourself five ounces of wine per glass, or only drink 12 ounces of beer, instead of a pint. You can also use an app to count the number of drinks that you consume each day.

If there are events or situations where you drink too much, you may want to limit the amount of time you spend at those events or skip them altogether. If you still find it difficult to control your drinking, you may need professional help, like the help that’s provided at Long Island Interventions.

Conclusion

If you’re a male who drinks more than 15 alcoholic beverages a week or a female who drinks more than eight adult beverages a week, you can slow or even stop your consumption by understanding how much you drink and taking steps to cut back. You can also get help from a support group, and limit your time in places where you know you drink a lot.

At Long Island Interventions, we offer programs that include detox and therapy for people who have AUD. To start the process of getting treatment, give us a call today.

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Published on: 2024-08-14
Updated on: 2025-04-08

Alcoholism is a problem for many Americans. That’s not hyperbole but rather a reality documented in multiple studies. One of those studies is from the National Survey on Drug Use and Health (NSDUH), which revealed that nearly 30 million people struggled with an alcohol use disorder (AUD) in 2021. An AUD is an inability to control one’s drinking because of a physical and emotional dependence on alcohol. Individuals who have an AUD often find themselves confronted with intense alcohol cravings, an inability to stop drinking after consuming their first alcoholic beverage, and a negative emotional state that causes them to feel anxious and irritable when they are not drinking. While consuming alcohol and not allowing it to consume their life comes easy for some people, it’s an entirely different matter for those with an AUD.

What Causes an Alcohol Use Disorder?

Multiple things can contribute to someone developing and eventually struggling with an alcohol use disorder. For some people, impulsiveness, low self-esteem, the need for approval, and other psychological traits are the main drivers when it comes to their compulsion to drink excessively. Others develop an AUD after turning to alcohol to cope with emotional problems that might stem from traumatic events in their lives, such as physical or sexual abuse. Some people start drinking due to peer pressure and the easy availability of alcohol, both of which eventually open the door to an AUD.

Consequences of Untreated Alcoholism

Whether it’s occasional binge drinking or full-on alcohol abuse, heavy drinking can compromise one’s physical and mental health. Common symptoms of untreated alcoholism include the following:

• Becoming malnourished
• Decline in cognitive functioning
• Depression, anxiety, and suicidal ideations
• Developing a pale or jaundiced complexion
• Engaging in self-harm
• Experiencing liver and kidney problems
• Feeling chronically tired and lethargic
• Feeling overly stressed
• Gastrointestinal issues
• Memory problems
• Sore or aching muscles and joints

Along with these various unpleasant symptoms, individuals who abuse alcohol are more likely to be diagnosed with liver disease, cancer, immune system disorders, and cardiovascular problems than those who do not. As far as the impact on others, excessive alcoholism is a common denominator in many physical and sexual assaults, slip and fall injuries, and traffic accidents. And all of these adverse consequences are supported by numerous credible studies.

In 2019, binge drinking and AUDs cost the U.S. almost $30 billion in healthcare, $25 billion in court and other legal costs, over $13 billion in traffic accidents, and nearly $180 billion in lost workplace productivity, according to the Centers for Disease Control and Prevention (CDC). Studies from multiple organizations and universities show that marriages are twice as likely to end in divorce when one or both parties drink excessively. Domestic violence and concern for children in the household are the most common reasons people cite when filing for divorce.

More People With an Alcohol Use Disorder Are Choosing To Get Sober

Many people who have a problem with alcohol are starting to recognize that they have a problem. And that recognition is motivating them to get the help they need to put alcohol abuse behind them once and for all. In 2020, there were 50.4 rehab treatment admissions for every 10,000 people in the U.S. Many of those admissions included people seeking help overcoming their struggles with alcohol. The following explains why rehab admissions have been and continue to be on the rise:

• Expanded insurance coverage and the growth of treatment facilities
• Increased awareness when it comes to substance abuse
• Reduced stigma
• Rising rates of substance abuse

While more people are getting help to quit alcohol is deserving of applause, the journey toward sobriety is not an easy one. That’s partly due to the withdrawal symptoms associated with going through an alcohol detox.

What Happens During an Alcohol Detox?

When someone consciously decides to quit drinking, they are well on their way toward getting sober. But they will encounter some pushback from their own body. That pushback is in the form of detox withdrawal symptoms, which can occur within hours of them consuming their final alcoholic beverage. For those not familiar with it, detox is the body’s natural way of purging itself of not only alcohol but also other harmful contaminants when someone abruptly gives up drinking. Detox-related withdrawal symptoms typically last three days and can include the following:

• Anxiety
• Delirium tremens and seizures
• Hallucinations
• Headaches
• Increased blood pressure
• Insomnia
• Irritability
• Nausea and vomiting
• Rapid heart rate
• Sweating
• Tremors

Alcohol detox withdrawal symptoms don’t all come on at once. They come in three stages, the first of which starts 6 to 12 hours after someone consumes their last drink and generally consists of headaches, mild anxiety, insomnia, tremors, sweating, and an upset stomach. Irritability is also common. The second stage occurs 24 hours after they consume their final alcoholic beverage and includes visual or auditory hallucinations, increased blood pressure, tremors, and heart palpitations. The third and final stage occurs 24 to 72 hours after they consume their last drink and includes delirium tremens, a severe, life-threatening form of alcohol withdrawal consisting of violent seizures, confusion, and hallucinations. Delirium tremens can be fatal if not promptly treated.

Medication-Assisted Treatment: The Role of Medicine in Alcohol Addiction Recovery

Detox withdrawal symptoms can make some people give up on rehab and return to drinking. Available data shows that 40% to 60% of people relapse while in recovery. Because of this, most rehab facilities offer medication-assisted treatment (MAT). Such treatment includes round-the-clock medical monitoring and prescription-based medication to help ease difficult withdrawal symptoms. These medications include acamprosate, disulfiram, naltrexone, and benzodiazepines.

What To Expect After Being Sober for One Week

Getting through detox and the associated withdrawal symptoms is hard, but it is all well worth it in light of the physical and psychological benefits. It is no secret that excessive drinking can take a toll on the liver, one of the largest and most important organs in the human body.

After someone consumes alcohol, the liver produces two enzymes: alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH). ADH and ALDH collectively break down alcohol, allowing it to leave the body as carbon dioxide when individuals inhale and exhale and as water when they urinate. Once alcohol is out of the body, the liver no longer has to work as hard. The resumption of normal liver function benefits individuals in the following ways:

• The ability to maintain a stable weight
• Improved digestive health and regular bowel movements
• Healthy cholesterol and blood sugar levels

Most people experience these telltale signs of healthier liver function within the first week of their sobriety. After two weeks, the body makes even more progress in its efforts to rebound from drowning in excessive alcohol.

What To Expect After Being Sober for Two Weeks

After two weeks or a full 14 days of abstaining from drinking, most people find that they are sleeping better. For those unaware, excessive alcohol consumption interferes with REM sleep, the deep sleep stage where the body repairs itself. In addition to being more productive during the day, getting plenty of sleep at night provides individuals with the energy necessary to exercise, which makes it easier for them to achieve and maintain a healthy weight and be healthier overall. Along with getting more sleep and having more energy, most people notice the following after being sober for two weeks:

• Relief from dehydration symptoms – Because alcohol is a diuretic, heavy drinking interferes with vasopressin hormones, the natural antidiuretic hormones in the body. This interference causes the bladder to fill up faster than it usually does, which leads to frequent urination and, eventually, dehydration. After two weeks of not drinking, bladder function returns to normal, and most people experience significant relief from alcohol-related dehydration symptoms, such as chronic thirst, fatigue, headaches, dizziness, and lightheadedness.
• Better mental health and cognitive function – Excessive alcohol consumption contributes to and worsens existing mental health problems, such as depression and anxiety. It also negatively affects cognitive function, which explains why heavy drinkers struggle with poor memory, concentration, and decision-making. These ill effects are due to how alcohol impacts the brain. After two weeks or 14 days of abstaining from alcohol, most people notice significant improvements in their overall mood, cognitive function, and even self-esteem.
• Healthier skin – Giving up drinking can do wonders for your skin. That’s because excessive alcohol consumption causes skin irritation. After not drinking for two weeks, most people notice their skin is not as dry, red, or inflamed.
• Fewer hormonal imbalances – Heavy drinking can wreak havoc on the endocrine system, the network of glands that house several organs that produce hormones that the body needs. When someone stops drinking for two weeks or stops entirely, they experience fewer hormonal imbalances responsible for sexual and reproductive dysfunction, thyroid issues, poor immune function, and psychological and behavioral disorders.

Get the Help You Need To Overcome Alcohol Addiction

All in all, excessive drinking can severely impact one’s physical and psychological health. While alcohol cessation can remediate most issues, many people find it hard to quit drinking on their own. If this resonates with you, consider scheduling a consultation with one of our Long Island Interventions addiction specialists today.

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Published on: 2024-08-14
Updated on: 2025-04-08