Alcohol:
What To Do If It's a Problem for You
By Licia Ginne, MFT
It is not how much you drink,
its how you drink.
How can I tell if alcohol is a problem
for me?
Alcohol is a problem for you if it causes problems in any
part of your life. This includes your health, work, social
life, causes legal problems and life at home. Often people
think you have a problem with alcohol only if you drink all
the time, start drinking in the morning or are the falling
down drunk you may see in movies or tv. Its not necessarily
how much you drink its how you drink. You may have a problem
with alcohol if you think about drinking all the
time, if you keep trying to quit on your own but can't, or
if you often drink more than you plan to.
Some questions to consider:
•Do you feel the need to cut down on your drinking?
• Are you trying to control your drinking?
• Are you annoyed by criticism of your drinking?
• Do you feel guilty about your drinking?
• Do you fee hung over, have memory blackouts from drinking?
• Do you have legal problems or DUI's?
• Have you lost time from work or lost jobs due to drinking?
• Do your relationships suffer from your drinking?
If you answer yes to 1 or more of the questions, you may
have a problem with alcohol.
Who has an alcohol problem?
Many people only think of a "skid-row bum" when
they think of someone with an alcohol problem. This is the
end stage of alcohol problems, when a person has lost his
or her family, job and health because of alcohol abuse. You
don't reach this stage overnight.
You may see less obvious changes along the way, beginning
with drinking more than you intended or more than is safe
for what you are doing (like driving a car).
Many people find it hard to admit when alcohol is a problem.
Often, people around you may see your problem before you do.
Think about the things mentioned here. Think about what your
friends and family say to you about drinking. Then talk with
your family doctor, therapist or counselor about your concerns.
Signs alcohol is a problem:
• Accidents
• Anxiety
• Being unusually suspicious
• Blackouts/memory loss
• Breakdown of relationships
• Depression
• Getting driving tickets
• Insomnia
• Loss of self-esteem
• Not taking care of yourself
• Poor work performance
• Taking sick days for hangovers
• Trembling hands
• Trouble having erections (men)
How does alcohol affect my health?
Alcohol is best known as a cause of cirrhosis, a disease
of the liver. However, it has many other effects on your health.
It's a major cause of deaths and injuries due to accidents.
It can have severe effects on a baby during pregnancy. It
can also cause stomach pain due to a bleeding ulcer or irritated
stomach lining.
What causes alcoholism?
The causes of alcoholism are not fully known. A history of
alcoholism in your family increases your chances of having
an addiction problem. Men seem to be more at risk than women.
Some drinkers use alcohol to try to relieve anxiety, depression,
tension, loneliness, self-doubt or unhappiness.
Why should I quit?
Quitting is the only way to stop the problems alcohol is
causing in your life. You can't tell if alcohol is causing
problems until you stop for at least 6 months so you can assess
if alcohol has been causing problems. It may not be easy to
quit. But your efforts will be rewarded by better health,
better relationships and a sense of accomplishment. As you
think about quitting, you may want to make a list of your
reasons to quit.
In certain cases it is not physically safe to stop drinking
without the supervision of a medical doctor. Please check
with your doctor to insure your safety.
To update this article:
in the April 20, 2010 of JAMA (The
Journal of the American Medical Association) an article"
A 42-Year-Old Man Considering Whether to Drink Alcohol for
His Health", looks at the idea of drinking as medicinal,
a reason I have heard enough in working with those who might
be abusing alcohol. The article offered the following facts:
- The estimated ethanol (alcohol) content per serving
of various alcoholic beverages is similar, although their
caloric content may vary. Twelve ounces of beer have 14
grams of ethanol and 150 calories, light beer contains 11
grams of ethanol but about 50 calories less; 5 ounces of
wine contain 15 grams of ethanol and 120 -125 calories and
finally 1.5 ounces of “hard alcohol” or spirits
have 14 to 15 grams of ethanol and 100 calories.
Because women have a smaller volume of distribution in which
to dilute the alcohol, overall smaller body size, and a
different first –pass metabolism (alcohol is not as
quickly metabolized by the liver), we experience the toxic
effects of alcohol at approximately half the daily dose
of alcohol as do men. One glass of wine, serving of beer
or “a drink” for a woman is like two for a man….so
two drinks at dinner would be the equivalent of four for
a man. And that’s a number that would cause concern
to most of their female companions.
Alcoholism has been ranked the third most important preventable
cause of death in the United States.
The National Institute on Alcohol Abuse and Alcoholism has
issued the following guidelines for safe drinking:
· Up to 2 drinks for men younger than 65
· Up to one drink per drinking day (I’m not
sure what constitutes a drinking day, but it’s their
wording) for non-pregnant women and older adults
No alcohol for:
· Women who are pregnant or trying to become pregnant
· Persons with medical conditions that could be made
worse by drinking
· Persons who plan to engage in activities that require
alertness and skill (such as driving a car)
· Persons taking certain over-the-counter or prescription
medications (think sleeping medications, ant anxiety med's,
antihistamines or anything that effects brazen chemistry)
· Persons recovering from alcoholism
· Persons younger than 21
I think often the person who has a problem with alcohol will
not stop at the one or two drink maximum per day. Which then
gets in to the territory of is this a problem or not and how
the research states this loses the benefit of the daily drink.
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