Tag: Alcohol

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How Poetry Saved Alexander Schotten’s Life

It was snowing the first time Alexander read a poem he had written aloud…

He was in treatment then, a center made up of two old Victorian-style homes, planted in the middle of downtown. Outside, drug dealers moved through the alleyways like ghosts—lost souls, as he described them—meandering through a world that felt so close yet so far away. Sirens pierced the night, echoing the chaos in his mind, while inside, the creaking of stairs filled the air. Alexander often felt profoundly alone, even surrounded by the murmur of others. He spent nights stepping into the cold, lighting cigarette after cigarette, inhaling poison to survive the suffocating darkness.

To get to the group therapy center, he had to cross the street. It was winter in northern Wisconsin, and the small building where they met was barely heated. The old furnace would take half the session just to make the room livable, but that day, Alexander never stopped shivering. Partly, it was the cold—but mostly, it was fear. 

Not the reckless fear of using dangerous drugs or committing crimes to survive. This was a different kind of fear. It was raw, vulnerable, heart-gripping fear.

But he walked through it. For the first time in his recovery, Alexander chose to face it. He doesn’t remember much about the poem now—just that it had something to do with a mirror and the reflection he couldn’t bear to see. At the time, he thought it was Shakespearean-level genius, though he laughs about it now. What mattered wasn’t the words but the act of writing them and sharing them. It was the first time he allowed himself to be intentionally vulnerable and connected with others through art.

In the short term, that moment didn’t change his life. Alexander left treatment, relapsed, overdosed multiple times, and nearly didn’t survive. He threw away every opportunity to recover, until finally, prison became his reality.

Prison is where Alexander rediscovered poetry. It was also where he learned to count cards and gamble, an odd juxtaposition that still amuses him. In the early hours of the morning, while the institution slept and his cellmates dreamed of freedom, Alexander filled notebooks with his trauma. 

It became his secret, a small rebellion of self-expression in an environment so stuffed with pain that he says, “A single storm could have broken the dam.” Others in the prison who used art to cope taught him how to sharpen his craft. Through this, he began to gather the artistic tools that, one day, would help him paint a new path for himself on a canvas he never expected to find.

But again, this change didn’t happen overnight. After his release, Alexander didn’t touch a pen for four years. This time, he didn’t relapse—but recovery brought its own set of challenges. He traded drugs for alcohol and convinced himself he was doing fine because he wasn’t hitting rock bottom anymore. But deep down, he was stuck.

Where Things Began to Shift

After four years, Alexander finally picked up a pen again.

It wasn’t for poetry, not at first. The words were jagged, scattered—his mind was in pieces. But each sentence brought a new sense of clarity, and with that, a spark of something he hadn’t felt in a long time: hope.

He started carrying a notebook everywhere. Work, the bar, his car—it didn’t matter.

“I had to face myself on paper,” he would later say. “It was the only way I could hear my own voice over the noise of my past.”

Writing wasn’t just cathartic—it was his rebellion. Against the numbness. Against the mistakes. Against the years of silence. It was his way of reassembling the broken parts of himself.

When he finally started performing his poems, it wasn’t about getting applause. It was about being real. And the audience felt it. The vulnerability in his words spoke to them, and they responded. Alexander wasn’t the only one healing.

At a poetry slam one night, someone asked, “How did you make it out?”

He smiled softly. “I didn’t find peace. I found a pen. And with it, I found my voice.”

At that moment, it clicked.

Healing wasn’t about forgetting the past—it was about learning to live with it. Through poetry, Alexander had found a way to make his past a part of his story, not a weight holding him back.

For the first time in his life, he wasn’t just surviving. He was living—fully, authentically, at peace with his past and the person he had grown to be.

Would you like to share your recovery story with Recovery.com? Contact Recovery.com Contributor, Caroline Beidler, today to learn more!

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What Happens When You Quit Drinking Alcohol “Cold Turkey”

While the idea of immediately cutting off alcohol may seem like a fast path to recovery, it can actually be very dangerous, especially for those with long-term dependence. The body and brain become accustomed to alcohol’s presence, and suddenly removing it can trigger severe physical and psychological withdrawal symptoms. 

Safe recovery begins with knowing when to seek medical supervision and creating a plan that prioritizes your health and well-being.

Understanding Alcohol Dependence

Alcohol dependence, or alcohol use disorder (AUD), is defined by a loss of control over drinking habits1, leading to a need for alcohol and compulsive drinking. What may begin as social or stress-related drinking can cause a cycle where alcohol becomes the central part of life, regardless of its negative impact on health, relationships, and responsibilities. 

Key signs of alcohol addiction include

  • Increased tolerance
  • The inability to cut back or stop drinking
  • Withdrawal symptoms like tremors, nausea, or seizures

At large, alcohol dependence is a widespread issue, affecting around 283 million people worldwide2. It’s not confined to a specific demographic or region, but actually a global issue that affects young and old, rich and poor alike.

Alcohol dependence affects both the mind and body, creating a dual grip of addiction that makes it challenging to break free. Psychologically, alcohol becomes a coping tool. Many struggling with dependence may drink to manage underlying mental health issues3 like anxiety, depression, and trauma. 

Regular drinking interferes with the brain’s neurotransmitters4, especially those related to pleasure and reward, such as dopamine. Eventually, the brain begins to expect and depend on alcohol to maintain this pleasant state, and without it, the person experiences discomfort and distress. As the body adapts to the constant presence of alcohol, tolerance builds, requiring more to achieve the same effects. As the body becomes used to the presence of alcohol, suddenly removing it can be dangerous. 

What Does Quitting “Cold Turkey” Mean?

Quitting alcohol “cold turkey” refers to abruptly stopping alcohol consumption without safely tapering off or using any form of medical assistance—which can cause serious health consequences or be fatal. 

Brain chemistry changes when the body adapts to chronic alcohol use5. Alcohol depresses the nervous system6, so in response, the brain creates more receptors to stimulate the system. When alcohol is quickly removed, these receptors become hyperactive, leading to severe withdrawal symptoms.

Sudden alcohol cessation can trigger tremors, seizures, or even delirium tremens, a life-threatening condition. For this reason, it is vital to taper off alcohol under medical guidance. Medical professionals can monitor your vital signs, assess the severity of your withdrawal, and provide prescribed medications such as naltrexone if appropriate7 (this helps safely manage withdrawal symptoms). While quitting cold turkey may seem like a quick fix, the dangers outweigh the supposed benefits.

Immediate Risks of Quitting Alcohol Cold Turkey

When alcohol is abruptly removed from the body, common withdrawal symptoms often emerge within hours to a couple days8, including tremors, sweating, nausea, vomiting, and headaches. Many people also experience rapid heart rate, elevated blood pressure, and restlessness.

The brain, accustomed to the depressant effects of alcohol, can become hyperactive and dysregulated, making it difficult to manage emotional responses. Quitting drinking cold turkey can cause heightened anxiety, depression, irritability, and mood swings. For some, these distressing feelings can be overwhelming and lead to agitation or panic. 

Severe Complications of Alcohol Withdrawal

In the worst case scenario, seizures and delirium tremens (DTs) are the most severe and potentially life-threatening risks of suddenly quitting alcohol. Without immediate medical treatment, both seizures and delirium tremens can be fatal, which necessitates detoxing under medical supervision. 

Delirium tremens is a severe withdrawal condition that can lead to confusion, hallucinations, agitation9, and in extreme cases, heart failure. This medical emergency is characterized by sudden and extreme confusion, agitation, hallucinations, and severe changes in nervous system function. DTs usually appear 48 to 72 hours after the last drink.

The rebound effect of hyperactivity that the brain experiences after alcohol cessation leads to the intense symptoms associated with DTs.

Not everyone who experiences alcohol withdrawal will develop DTs, but some factors increase the likelihood including:

  • Chronic heavy alcohol use: Long-term, high-volume drinkers are at higher risk.
  • Previous episodes of withdrawal or DTs: Those who have gone through alcohol withdrawal before, especially if they’ve experienced DTs previously, are at greater risk.
  • Other medical conditions: Underlying health issues, particularly related to the heart, liver, or nervous system, can increase the risk of developing DTs during withdrawal.
  • Older age: Older individuals are more susceptible due to the cumulative effects of alcohol on the body and the slower withdrawal recovery rate.
  • Co-occurring substance use: Using other drugs in conjunction with alcohol, such as benzodiazepines or opioids, increases the risk of severe withdrawal symptoms like DTs.

DTs are fatal in 5-15% of untreated cases, due to complications like heart failure, severe dehydration, or head injuries from seizures. For those who survive, uncontrolled seizures can lead to permanent brain damage, cognitive impairments, or other neurological complications.

Medical Supervision and Detoxification

Detoxing under medical supervision is essential for your safety and well-being. Medically supervised detox programs provide proper care and attention to help individuals safely withdraw from alcohol, offering professional support every step of the way. 

These programs are usually held in hospitals or recovery facilities where compassionate medical staff closely monitor your condition to ensure the process is as safe as possible. The first step is a thorough assessment to understand your medical history, alcohol use patterns, and any co-existing mental or physical health issues. From this, a personalized detox plan is crafted, tailored specifically to meet your needs.

During detox, medical professionals may provide medications to help ease withdrawal symptoms and prevent serious complications. Throughout the process, they regularly check your vital signs to catch any potential concerns. In this supportive environment, any complications can be immediately managed, ensuring your safety in a way that isn’t possible when trying to detox alone.

The most effective way to manage withdrawal is a gradual tapering approach to alcohol detox, meaning slowly reducing alcohol intake or using medications to ease symptoms. This method allows time for your body to adjust, reducing both physical discomfort and emotional distress. With gradual tapering, the detox process becomes more manageable and less overwhelming. 

Psychological and Emotional Support

Therapy offers a safe space to explore the underlying reasons behind alcohol use and helps address the emotional struggles that often accompany recovery. Whether through 1-on-1 therapy sessions or group counseling, these services provide tools for managing cravings, coping with stress, and developing healthier thought patterns. A trained therapist can guide you through the ups and downs of recovery, offering encouragement and strategies to help you maintain your progress, even when challenges arise.

Support groups, such as Alcoholics Anonymous (AA), also play a vital role in long-term recovery. These groups offer a sense of community and belonging, providing a space to share experiences, struggles, and successes with others who understand what it’s like to overcome alcohol addiction. Regular meetings help keep you grounded in your commitment to sobriety and remind you that you’re not alone in this process.

Building a support network of family and friends is equally important. The people closest to you can offer emotional support, encouragement, and accountability, helping you stay focused on your goals. Surrounding yourself with loved ones who understand your commitment to recovery makes a significant impact, as they can provide a shoulder to lean on during tough times and celebrate your milestones with you. 

Long-Term Recovery and Relapse Prevention

Long-term recovery from alcohol dependence extends well beyond detox—it’s a journey that requires ongoing effort, self-awareness, and commitment. After detox, you can develop a plan with practical steps to stay on track, such as attending regular therapy sessions, continuing with support groups, and setting clear goals. These tools help provide structure and accountability, giving you the resources needed to navigate life without alcohol.

A critical part of relapse prevention is learning to recognize and manage your triggers (situations, emotions, people, or environments that may prompt the urge to drink). Understanding what triggers you and developing coping strategies—such as breathing exercises, reaching out to a trusted friend, or practicing distraction techniques—can help you manage these moments of vulnerability. 

Long-term recovery isn’t just about avoiding alcohol; it’s about creating a life you don’t want to escape from. With the right strategies, support, and self-care, you can maintain sobriety and build a future full of promise and possibility.

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7 Steps to Creating a Holistic Recovery Plan: Janelle Salo

Why a Holistic Recovery Plan Matters

A holistic recovery plan1 takes a big-picture approach, focusing on all parts of your well-being rather than just one specific issue. It looks at strengthening your mind, body, and spirit together, helping you feel balanced and strong in all areas of your life. Think of it like a toolbox filled with different tools to help you heal and grow into the best version of yourself.

The benefits of this approach are impressive! Creating balance in your life increases your chances of finding lasting success and avoiding setbacks. Plus, it helps you develop by teaching you valuable skills and habits that boost your pride and confidence.

Recovery isn’t just about dealing with obstacles; it’s about building a life you truly love. With a holistic plan, you’re not just solving problems, you’re working step by step to create something amazing for yourself. Each part of the plan supports you in creating a brighter and more rewarding future.

Set Clear and Realistic Goals

Recovery is a deeply personal journey, and it varies greatly from one individual to another. Take a moment to reflect on what recovery means for you. Is it about regaining your physical health, discovering a genuine sense of happiness, or perhaps returning to a version of yourself that you cherish? 

Success on this path can often manifest in small, everyday victories. These might include maintaining a positive outlook, adhering to a daily routine, or simply finding joy in the little things. 

While the prospect of achieving large goals can be daunting, breaking them down into smaller, more manageable steps2 can significantly lessen the pressure. Concentrate on one step at a time, and take time to celebrate each of those small triumphs. Each accomplishment, no matter how minor it may seem, contributes to your overall progress on the road to recovery. Remember, all these little achievements accumulate, paving the way to your ultimate goals!

Tip: Write down your goals. It helps you stay motivated, keeps you on track, and gives you a clear picture of how far you’ve come.

Identify Triggers and Create a Plan to Manage Them

Triggers can come from many different places in our lives. Stress from school, work responsibilities, family issues, or even certain locations can bring back difficult memories or create feelings of sadness and frustration. The first step to staying in control is to recognize what those triggers are.

Managing triggers is all about having a solid plan. You might try mindfulness techniques3, like taking deep breaths to calm yourself down or journaling4 to unpack your thoughts and feelings. If you know there are certain situations or places that make you feel anxious or vulnerable, it’s smart to avoid them when possible or, better yet, to take a supportive friend with you.

Think of this strategy as a way to protect your progress. By staying aware of what affects you and being prepared, you give yourself a better chance at success and keep your recovery moving in a positive direction. Remember, you have the power to take charge of your feelings and experiences!

Build a Support Network

Having a group of supportive people around you can really make a big difference when you’re trying to recover from something tough. Friends and family can offer encouragement, listen when you need to vent, and remind you that you’re not alone in what you’re going through. Their support can help you stay strong, especially when things get challenging.

Another great way to expand your support system is by joining a support group5 or finding an accountability partner. These are people who really get what you’re experiencing and can help keep you motivated and focused on your goals.

Remember, asking for help isn’t a sign of weakness; it’s actually a sign of strength. It shows that you care about yourself and are willing to take the steps needed to succeed. Don’t hesitate to reach out, it’s an important part of the journey!

Focus on Nutrition and Physical Health

Eating healthy foods and staying active6 can really boost your energy and improve your mood. When you choose nutritious meals and get moving, you’ll feel stronger, happier, and ready to tackle whatever the day throws at you. It’s like giving your mind and body a high-five!

Starting out doesn’t have to be overwhelming; taking small steps is the way to go. You might consider going for a walk with friends or doing a quick yoga session; there are many beginner classes available on YouTube. Try adding an extra serving of fruits and veggies to your lunch or dinner. These small changes can make a big difference over time.

It’s also important to remember that taking care of your body goes hand in hand with feeling good emotionally. When you’re active and eating well, your mind feels clearer and calmer. This balance helps you manage stress better and stay focused on your goals, making it a win-win for your overall well-being!

Practice Mindfulness and Self-Care

Practicing mindfulness7, like meditation and journaling, is a great way to connect with your feelings and understand what’s going on inside your head. When you take the time to sit quietly and focus on your breath while meditating, or when you write down your thoughts and emotions in a journal, you start to notice what you’re really feeling. This awareness can help you stay calm and respond thoughtfully instead of just reacting in the heat of the moment. It’s like strengthening your relationship with yourself.

Additionally, making time for self-care activities that you enjoy is important for your overall happiness. Engaging in activities such as creating art, listening to music, or enjoying a good book can help you relax and recharge. Taking these breaks can help you feel more balanced and ready to tackle the challenges that come with work, school, family and life. Embracing these fun and relaxing experiences can boost your mood and improve your well-being.

Tip: Make mindfulness a daily habit, even if it’s just for five minutes. A little bit every day can add up to big improvements in how you feel and handle life!

Track Progress and Celebrate Wins

Take a moment to think about how far you’ve come on your journey. Reflecting on your progress8 is a great way to acknowledge the hard work you’ve put in. Think about what’s going well and what might need some tweaking along the way. It’s perfectly normal to adjust your plan as you learn and grow; being flexible helps you keep moving forward.

Don’t forget to celebrate your small victories9. Whether you’ve handled a difficult situation or reached a short-term goal, every little win matters and deserves to be recognized. Treat yourself to something nice; you’ve earned it!

Remember, recovery is all about progress, not perfection. Each step you take, no matter how small, shows your strength and determination. Celebrate these moments because they’re all part of your journey!

Stay Flexible and Adapt Your Plan

Life is always changing, and so should your recovery plan. Being willing to make adjustments keeps your plan up to date and helps you tackle new challenges as they arise. Think of flexibility as your secret strength!

As you grow and change, it’s important to take a step back and look at your goals10 and how you’re getting there. What worked for you before might need a refresh to fit where you are now. Remember, updating your approach is a normal part of the process, and it can lead to exciting new opportunities. Don’t be afraid to rethink your goals. This adaptability will help you navigate the ups and downs of life with confidence!

Tip: Think of your plan as a guide, not a strict rulebook. It’s there to support you, not box you in, so feel free to adapt it as needed!

Your Journey, Your Plan

A personalized and holistic approach to recovery means taking care of yourself as a whole; mind, body, and spirit. It’s important to remember that recovery isn’t the same for everyone; what works for one person might not work for another. This uniqueness is what makes this approach really effective. When you focus on all parts of who you are, you create a solid foundation for lasting change and success.

As you go through this journey, take it one step at a time. Celebrate every little win, whether it’s making a healthier choice, feeling more in control of your emotions, or understanding something new about yourself. Recovery isn’t a race; it’s a personal journey, and every step you take forward is something to be proud of.

This is your journey, so own it! Embrace the growth that comes along the way, and believe in yourself at every stage! You’ve got this!

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Overcoming Relapse: Holistic Strategies for Staying on Track: Janelle Salo

Understanding Relapse

Relapse1 is when you slip back into old habits after working hard to change, and it can feel like taking two steps back after one step forward. But here’s the thing: it’s a normal part of growth, and every stumble teaches you something new about how to keep moving forward.

Relapse can feel like a setback, but it doesn’t erase all the progress you’ve made. Instead, it’s an opportunity to reflect, adjust, and grow even stronger in your recovery journey.

Importance of Holistic Approaches in Managing Setbacks

Holistic approaches2 mean focusing on all parts of you. Your mind, body, and emotions so you can tackle setbacks in a balanced way. It’s not just about fixing one problem; it’s about building a healthy, sustainable lifestyle that makes you feel good inside and out.

By combining things like mindfulness, exercise, healthy eating, and support from others, you can create a plan that helps you bounce back and stay on track. These strategies don’t just help with recovery, they make you stronger and more prepared for the future.

Recognizing the Signs of an Impending Relapse

Relapse often starts with small warning signs, like feeling more stressed, avoiding responsibilities, or losing interest in the things you love. Paying attention to these changes early can help you take action before things get out of control.

It’s like catching a storm before it hits. You can prepare and protect yourself if you know what to look for. Being aware of your emotions and habits is the first step in staying on track.

Differentiating Between a Lapse and a Full Relapse

A lapse is a one-time slip, like making a mistake or giving in to a moment of weakness, while a full relapse is falling back into old habits completely. A lapse doesn’t mean you’ve failed, it’s more like a bump in the road that you can overcome.

Think of it as the difference between tripping over a step and falling down an entire flight of stairs. A lapse is a chance to pause, reflect, and refocus before things escalate.

Emotional, Social, and Environmental Factors that can Trigger Relapse

  • Emotional triggers like stress3, sadness, or boredom can make it harder to stick to your goals. 
  • Social triggers, like being around certain people who encourage bad habits, a family member or an old friend may also cause a relapse.
  • Environmental triggers, like being in places linked to old behaviors, can also pull you off track.

Understanding what triggers you helps you prepare for those moments and create a plan to handle them. The more you know about what challenges you, the stronger you’ll be in overcoming them.

The Role of Mindfulness in Preventing Relapse

How Mindfulness Helps Build Self-Awareness and Emotional Resilience

Mindfulness is like a superpower that helps you notice what you’re thinking and feeling without getting stuck on it. By staying in the moment, you can understand your emotions better and handle tough situations without letting them overwhelm you.

It also makes you stronger emotionally, so when life gets hard, you can bounce back faster and stay in control. Practicing mindfulness4 is like training your brain to be your best teammate!

Meditation, Journaling, and Breathing Exercises

  • Meditation can be as simple as sitting quietly for a few minutes, focusing on your breath, and letting your thoughts come and go. It’s a quick way to reset your mind when you’re feeling overwhelmed.
  • Journaling is like having a conversation with yourself.  You can write down your thoughts and feelings to make sense of them and go back and review them later if you’re feeling a relapse coming on.
  • Breathing exercises, like slow, deep breaths, are an easy trick to calm down when stress hits, even in the middle of work, class or at home.

Nutrition and Relapse Prevention

The Connection Between Diet and Emotional Stability

What you eat can have a huge impact on how you feel5. Junk food and sugary snacks might give you a quick boost, but they often leave you feeling tired later.

On the other hand, eating a balanced diet with healthy foods keeps your energy steady and helps you handle stress better. Think of food as fuel for both your body and your brain.

Foods That Boost Mood and Reduce Cravings

Foods like bananas, nuts, and dark chocolate (in moderation) can improve your mood6 because they’re packed with nutrients like magnesium and serotonin7 boosters. Whole grains, fruits, and veggies also help keep your blood sugar stable, which means fewer cravings and mood swings.

Drinking water is super important too. It keeps you hydrated and focused. When you feed your body the right stuff, it’s easier to stay happy and in control.

The Role of Hydration in Maintaining Mental and Physical Balance

Staying hydrated is like giving your brain and body the fuel they need to work properly. When you’re dehydrated, you might feel cranky, or have trouble focusing, which can throw off your whole day.

Drinking enough water helps keep your energy up, your mood steady, and your mind sharp8. It’s a simple habit that makes a big difference in feeling your best. The average adult should drink between 2-3 liters of water9 per day. Once you develop the “good habit” of getting your water intake in, you will start to notice a change in how you feel and look!

Building a Supportive Environment

The Importance of Social Connections in Recovery

Having people who support you makes a huge difference when you’re trying to stay on track. Friends, family, or even just one trusted person can encourage you, listen when you’re struggling, and remind you that you’re not alone.

Recovery is easier when you have a team cheering you on10. Positive connections help you feel stronger, motivated, and understood.

Finding Support Groups or Accountability Partners

  • Support groups help connect you with people who’ve been through similar struggles and really get what you’re going through. 
  • An accountability partner, like a friend, family member or mentor, can check in with you, celebrate your wins, and help you stay focused on your goals.

Having someone to talk to makes the journey feel less overwhelming. It’s always easier to stick to your goals when you’re not doing it alone!

Removing Triggers From Your Living Space or Daily Routine

Your environment can make or break your recovery, so it’s important to get rid of things that tempt you to fall back into old habits. Whether it’s clearing out unhealthy snacks, avoiding certain apps, or rearranging your space, little changes can have a huge impact.

Creating a positive, supportive space helps you feel more in control and focused. When your surroundings match your goals, it’s easier to stay on track!

Physical Activity and Recovery

Exercise as a Tool for Stress Management 

When you exercise, your body releases endorphins11, natural mood lifters that help reduce stress and make you feel happier12. Whether you’re playing sports, running, or just dancing around your room, moving your body can be a great way to shake off bad vibes and stay positive.

Types of Physical Activities that Support Holistic Recovery

There are so many ways to stay active that can help your overall recovery, like yoga, swimming, or even hiking in nature. These activities not only keep your body healthy but also calm your mind and boost your emotional well-being.

How Consistency in Movement Can Reinforce Staying on Track

Sticking to a regular exercise routine helps build good habits that keep you focused and disciplined. When you make movement a part of your daily life, it becomes easier to stay on track with your goals and handle whatever challenges come your way.

The Importance of Self-Compassion

Reframing Relapse as a Learning Opportunity

Instead of seeing relapse as a failure, try to view it as a chance to learn more about yourself and what triggered the setback13. Each time you slip up, you get a better understanding of your strengths and weaknesses, helping you come back even stronger.

Forgiving Yourself and Maintaining Motivation

It’s important to remember that everyone makes mistakes.  Don’t be too hard on yourself when things don’t go as planned. Forgiving yourself helps you move forward without guilt, and staying motivated means focusing on your progress rather than perfection.

Setting Realistic Goals and Celebrating Small Victories

Setting small, achievable goals helps you stay focused and gives you a sense of accomplishment along the way. Celebrating those little wins, whether it’s a week of good habits or handling a tough situation, keeps you motivated and reminds you how far you’ve come.

Final Thought

Emphasizing the Journey of Progress Over Perfection

Recovery isn’t about being perfect; it’s about making steady progress and learning from each experience. Even if it’s not perfect, every small step forward gets you closer to your goal.

Encouragement to Seek Help and Use Holistic Strategies

Don’t be afraid to ask for help along the way whether it’s from friends, family, or professionals. 

Holistic strategies like mindfulness, exercise, and healthy eating can support you in ways that go beyond just the physical, helping you thrive mentally and emotionally, too.

Every Step Forward, No Matter How Small, Is Progress

It’s easy to get caught up in big goals, but remember that every tiny step counts. Even the smallest victories, like sticking to a routine or staying calm in a stressful moment, are proof that you’re moving in the right direction!

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Nurturing Resilience: Guiding Your Child Through the Storm of Parental Addiction

Dear Parent,

Navigating the tumultuous waters of addiction in your family is challenging, not just for you but profoundly so for your child. As someone standing on the frontline of your child’s world, you hold a lantern of hope that can light their way through this storm. Here’s a heartfelt strategy to help you secure your child’s emotional and psychological well-being during these trying times.

Create a Harbor of Safety

Imagine your home as a safe harbor against the world’s stormy seas. This is where your child can drop anchor and feel protected from outside turbulence. Offer a consistent, calm, and non-judgmental environment where they can freely share their thoughts and emotions. Establish a sense of normalcy and safety through clear boundaries and predictable consequences, ensuring they understand that home is a place of love and security.

Anchor in Routine

The sea might be unpredictable, but your ship must not be. A disciplined schedule brings stability—routine is like the compass that guides sailors through the fog. Regular meals, consistent bedtimes, and a structured daily schedule help impose a rhythm and order that can be incredibly reassuring to a child living in a chaotic environment. This predictability in their day-to-day life helps to foster a sense of control and normalcy.

Encourage the Voyage of Expression

Your child’s journey through their parent’s addiction is fraught with complex emotions. Encourage them to express their thoughts and feelings openly. Provide them with tools for expression like journals, art supplies, or music, which can be therapeutic outlets. Teach them that seeking help and expressing vulnerability are signs of strength, not weakness. Let them know their feelings are valid and they have a safe space to discuss anything without fear of judgment.

Chart the Waters of Understanding

Education is your child’s beacon in the night. Explain addiction in terms they can understand, emphasizing that it is a disease—a medical condition that needs treatment, just like diabetes or asthma. This understanding can demystify their parent’s behavior and relieve some of their fears and misconceptions. They must learn that their parent’s struggles do not define them and that they are not responsible for fixing the problem.

Build a Crew of Support

No ship braves the sea alone. Introduce your child to support groups like Alateen, where they can meet others navigating similar challenges. These peers can become part of their crew, sharing experiences and coping strategies to help them feel less isolated. This community can provide a critical support network, offering friendship and understanding to help them weather their storms.

Promote the Wellness of the Sea and Sky

Encourage your child to engage in physical and creative activities. Physical exercise, like sports or dancing, can significantly reduce stress and improve mood1, while creative outlets like drawing or writing provide a means for emotional release. Activities like these not only occupy their mind and body positively but also help develop confidence and a sense of accomplishment, which are vital during times of personal family crisis.

Seek the Guidance of Seasoned Captains

Sometimes, navigating through a storm requires the expertise of a seasoned captain. A professional therapist or counselor who specializes in addiction and family dynamics can provide your child with a safe space to discuss their feelings and learn healthy coping mechanisms. These professionals can offer guidance tailored to your child’s needs, helping them understand their emotions and develop resilience.

Guard Their Rights and Well-being

A guardian must sometimes stand up and fight the waves in tumultuous times. If your family’s situation puts your child’s well-being at risk, involving child protective services or seeking legal advocacy may be necessary. Ensuring that your child has a stable, safe living environment is paramount, and sometimes additional interventions are necessary to protect their mental and physical health.

In Closing

You are the captain of this ship, and your steadfast love and support are the guiding stars in your child’s sky. Remember, your efforts to provide stability, understanding, and compassion during this storm will shape their ability to navigate life’s challenges. With your guidance and the right support, your child can emerge stronger, more resilient from this storm and with a bright horizon ahead.

With warmth and support,

Dr. Mala

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The 12 Most Dangerous Drugs in the World

If someone is overdosing, call 911, or your local emergency services number, immediately. If you are qualified, administer CPR. Use Naloxone (Narcan) if available.

Dangerous substances like heroin, cocaine, and methamphetamine are known not just for their immediate effects but for how quickly they can lead to addiction, wreaking havoc on one’s body; however, mental health effects can be as equally severe. In most cases, addiction co-occurs with mental health issues like depression1 or can cause the onset of others, like psychosis. 

The unpredictability of dangerous drugs adds another layer of risk. Often, these substances are mixed with other harmful or deadly chemicals, especially in unregulated street sales.

Recognizing these dangers is vital for not just those directly at risk but for society as a whole. And awareness isn’t just about scare tactics—it’s about equipping people with the knowledge they need to make informed choices, and to understand that one experiment can turn into a life-altering struggle.

1. Heroin

Heroin is considered one of the most dangerous and addictive drugs2 in the world due to its powerful effects on both the brain and body. Heroin acts as a depressant on the central nervous system3, slowing down critical bodily functions such as breathing and heart rate. The drug can be injected, smoked, or snorted, and each method of use comes with its own set of health risks, such as infections like HIV and organ damage. Heroin also damages the brain through deterioration of white matter4, negatively impacting decision-making skills, emotional and behavioral regulation, and stress tolerance. 

Heroin is notorious for being highly addictive. When a person uses heroin, the drug rapidly crosses the blood-brain barrier, creating a euphoric rush by binding to opioid receptors in the brain. This intense pleasure, as well as harmful withdrawal symptoms, reinforces the desire to use the drug again, leading to repeated use. 

Heroin users also have a high overdose risk since it’s often mixed with potent substances like fentanyl. Fentanyl-laced heroin has led to a significant spike in overdose deaths5, as users often don’t know they are ingesting such a potent drug. Even a small amount of fentanyl can cause immediate death. 

2. Alcohol

Alcohol, while legal and widely consumed across the world, is one of the most dangerous and commonly misused substances6. It has a perilous long-term impact on physical and mental health, has the potential for addiction, and causes societal harm. Because alcohol is so deeply embedded in many cultures and social practices, its risks are often underestimated, but it remains a major public health issue worldwide.

Alcohol is a central nervous system depressant7, impairing brain function, motor skills, and judgment in the short term and ultimately leading to adverse changes in mental health. Excessive drinking can also lead to dangerous behaviors like impaired driving, risky sexual activity, and violence. 

Alcohol affects vital organs8, including the brain, liver, gastrointestinal system, cardiovascular system, and kidneys. Additionally, alcohol is a cancer-causing agent9 directly associated with multiple forms of cancer, including liver, breast, colon, mouth, throat, and more. 

3. Fentanyl

Fentanyl is one of the most potent and dangerous opioids in the world, and it has played a significant role in the ongoing opioid crisis. Initially developed for medical use, fentanyl is a synthetic opioid that is 50 to 100 times more potent than morphine and about 50 times stronger than heroin10. Doctors can prescribe it in specific cases to manage severe pain, particularly for cancer patients or those recovering from major surgeries. When used under medical supervision, fentanyl can be effective, but its extraordinary potency and widespread illegal use have made it incredibly lethal outside controlled settings.

Due to its strength, even a very small dose can suppress breathing to the point of being fatal. This risk is amplified in street fentanyl, which is often mixed with other drugs like heroin or cocaine without the user’s knowledge, dramatically increasing the risk of accidental overdose. The amount of fentanyl required to cause an overdose is so small that just a few milligrams—equivalent to a few grains of salt—can be deadly.

The widespread availability of illicit fentanyl has had devastating effects on communities, contributing significantly to the opioid overdose epidemic. According to the Centers for Disease Control and Prevention (CDC), synthetic opioids like fentanyl are now the leading cause of overdose deaths11, surpassing those caused by prescription opioids and heroin.

4. Cocaine

Cocaine is a powerful stimulant drug derived from the leaves of the coca plant in South America. Cocaine is highly addictive, as the intense craving and quickly developed tolerance make it difficult to quit. This tolerance often leads to higher doses and more frequent use, which significantly increases the risk of overdose. 

Cocaine overdoses are often fatal, especially when the drug is combined with other substances, such as alcohol or opioids. The combination of cocaine and heroin, known as a “speedball,” is hazardous, as the opposing effects of the two drugs can cause respiratory failure and death. 

Cocaine use also significantly increases the risk of heart attacks12, strokes, and arrhythmias, as it raises heart rate and blood pressure while constricting blood vessels. Even young, healthy individuals risk sudden death from heart complications after using cocaine. 

In addition to cardiovascular issues, cocaine can cause long-term damage to the brain, leading to cognitive impairments, memory loss, and an increased risk of strokes and seizures. Chronic users often develop mental health issues, including paranoia, hallucinations, and psychosis.

5. Methamphetamine

Methamphetamine, commonly known as meth, is a synthetic drug related to amphetamines13 but with more intense and longer-lasting effects on the central nervous system. Meth can be smoked, injected, snorted, or swallowed. These consumption methods make meth particularly dangerous, as they deliver enormous amounts of the drug into the bloodstream, amplifying the risk of addiction and overdose.

Meth’s impact on the body is both immediate and catastrophic14, leaving visible consequences over time. Users experience heart attacks, strokes, and arrhythmias, as well as “meth mouth”—or severe dental decay. Methamphetamine often causes users to compulsively pick and scratch at their skin, leaving sores and scars.

Mentally, methamphetamine use has devastating implications. The drug creates intense psychological dependence due to its powerful effects on the brain’s reward system, leading to addiction after just a few uses. Chronic users often experience severe paranoia, hallucinations, and psychosis. Eventually, meth can cause permanent cognitive damage, including memory loss, difficulty concentrating, and poor decision-making.

6. Benzodiazepines

Benzodiazepines, also known as “benzos,” are a class of drugs primarily prescribed for anxiety, insomnia, seizures, and other conditions. While Xanax, Valium, Ativan, and Klonopin are highly effective in treating short-term anxiety or helping with sleep disorders, they carry significant risks, especially when misused or taken over a long period of time. The soothing effects that make benzodiazepines helpful also make them dangerous, as they can lead to physical dependence, psychological addiction, and potentially life-threatening withdrawal symptoms.

When used regularly over a period of weeks or months, the brain begins to rely on the drug to maintain its calm state15, and natural GABA production (a neurotransmitter) is reduced. This dependence can happen even when the medication is taken exactly as prescribed. If the person tries to reduce their dose or stop taking the drug abruptly, they can experience intense withdrawal symptoms.

Benzodiazepine withdrawal is severe and can be life-threatening. Unlike some other drug withdrawals, which can be intensely uncomfortable but not fatal, stopping benzodiazepines suddenly after prolonged use can lead to serious complications such as seizures, delirium, hallucinations, and psychosis16. Common withdrawal symptoms also include extreme anxiety, panic attacks, muscle pain, insomnia, and agitation. It is vital to detox from benzos under medical care.

7. Crack Cocaine

Crack cocaine is a highly addictive and potent form of cocaine that appears as solid “rocks.” The user smokes the crack rocks, delivering an immediate and intense high that is more potent than snorting powdered cocaine but far shorter in duration. 

The stimulant properties of crack cause a dramatic increase in heart rate and blood pressure, putting immense strain on the heart and blood vessels. This can lead to serious conditions such as heart attacks, strokes, and permanent heart damage17. Smoking crack also causes lung damage18, leading to chronic bronchitis, persistent coughing, and respiratory infections. In more severe cases, long-term crack use can result in acute respiratory distress, which can be life-threatening.

Chronic crack cocaine use can lead to seizures and permanent cognitive disabilities18, such as memory loss, difficulty concentrating, and impaired decision-making. Over time, many users experience lasting brain function alterations, which can leave them struggling with basic cognitive tasks. Crack cocaine also leads to anxiety, paranoia, and psychosis.

8. Synthetic Cannabinoids

Synthetic cannabinoids, often marketed under names like “Spice,” “K2,” “Black Mamba,” or “Cloud 9,” are man-made chemicals designed to mimic the effects of THC found in marijuana19. These substances are typically sprayed onto plant material and smoked, or they can be sold as a liquid for vaporizing. 

While synthetic cannabinoids are sometimes advertised as a “legal” or “safe” alternative to marijuana, they are anything but. In fact, synthetic cannabinoids are among the most unpredictable and dangerous drugs20 in circulation today. They can cause extreme reactions that are vastly different from natural cannabis, posing serious risks to both mental and physical health.

Synthetic cannabinoids are extremely potent—which significantly increases the risk of overdose and severe reactions. Unregulated production causes some batches to contain highly concentrated chemicals while others may be weaker. 

The chemical formulations of synthetic cannabinoids are ever-changing—meaning that one batch of “Spice” or “K2” may contain entirely different chemicals than another, making it impossible to predict how the drug will affect the user. In many cases, the effects of synthetic cannabinoids are much more intense and dangerous than natural cannabis, often leading to severe health problems that can result in hospitalization or even death.

9. Prescription Opioids

Prescription opioids are a class of powerful pain-relieving medications prescribed for pain following surgery, injury, or in the treatment of chronic conditions like cancer. These medications, including oxycodone (OxyContin), hydrocodone (Vicodin), morphine, and fentanyl, come with significant risks, like the potential for addiction, overdose, and health complications. Their widespread availability and misuse play a central role in the opioid crisis, as well.

Sometimes, people misuse prescription drugs by taking higher doses than prescribed, using them without a prescription, or continuing to use them after their medical need has passed. This can quickly lead to dependence, causing withdrawal symptoms—such as anxiety, nausea, muscle aches, and intense cravings21—when they stop taking the drug.

10. PCP (Phencyclidine)

Phencyclidine, or PCP, is a powerful dissociative drug initially developed as an anesthetic for medical use, though it is no longer in practice due to its severe and unpredictable psychological effects. Today, PCP is a street drug used for dissociation, hallucinations, and altering perception, leading to violent behavior, self-harm, and life-threatening health consequences. PCP is typically sold as a white crystalline powder, though it is often found in liquid or tablet form. It can be smoked, snorted, ingested, or injected. It is sometimes sprayed on marijuana or tobacco and smoked.

PCP can cause severe psychological disturbances22, even at low doses. Users experience paranoia, delusions, aggression, and psychosis, contributing to long-term memory loss and cognitive decline. Some people slip into permanent psychosis, which may require long-term psychiatric treatment.

11. MDMA (Ecstasy)

MDMA, commonly known as ecstasy or molly, is a synthetic drug that alters mood and perception. Despite its reputation as a party drug, MDMA carries significant risks. In the long-term, MDMA causes serious damage to the brain’s serotonin system23 and has potential neurotoxic effects. Because MDMA releases large amounts of serotonin, frequent use can deplete the brain’s natural reserves of this neurotransmitter, leading to issues with mood regulation, memory, and cognition over time. 

MDMA is typically used in recreational settings and in conjunction with other substances, so it can be cut with other chemicals, such as fentanyl, methamphetamine, and caffeine. These substances can significantly alter the effects of MDMA, leading to more dangerous outcomes like overdose, extreme agitation, or psychosis. 

12. Ketamine

Ketamine is a dissociative anesthetic that has been used in both medical and recreational settings for decades. While ketamine has legitimate medical uses, when misused it can cause physical harm, psychological effects, and addiction. 

Ketamine is widely used as a recreational drug, and in these settings, ketamine is typically snorted or taken in pill form. Frequent ketamine use can lead to bladder and kidney damage, including ketamine-induced cystitis24, a condition characterized by inflammation and damage to the bladder. It can also cause memory problems, difficulty concentrating, and impaired cognitive function.

Similarly to MDMA, ketamine can be mixed with other dangerous substances, and as an unregulated party drug, it’s possible to have severe psychological reactions or overdose.

Treatment Options For Dangerous Drugs

A multifaceted treatment approach can support healing from drug addiction. No single treatment works for everyone, and the most effective programs are often tailored to meet each person’s unique needs.

Detox is a crucial first step in recovery, clearing the body of harmful substances while managing the often painful or dangerous withdrawal symptoms. In cases where withdrawal can be life-threatening—such as from alcohol, opioids, or benzodiazepines—medical detox is a necessity.

For those battling opioid or alcohol addiction, medication-assisted treatment (MAT) has proven to be an effective tool. By combining medications with counseling and behavioral therapy, MAT helps reduce cravings and withdrawal symptoms, making the road to recovery less overwhelming. Depending on your needs, your care team may recommend methadone, naltrexone, or others. 

Residential programs offer a structured, immersive environment, free from distractions, where you can focus entirely on healing. For patients who have been in inpatient rehab for 30+ days, it includes intensive therapy, medical care, and life skills training. You may participate in various evidence-based therapies such as cognitive behavioral therapy (CBT), motivational interviewing, and holistic approaches like yoga.

Outpatient care is another pathway, offering flexibility for those who need to balance treatment with work, school, or family commitments. With therapy sessions scheduled throughout the week, outpatient rehab allows you to remain at home while still receiving support. Like residential rehab, you may engage in individual, group, and family therapy.

Once formal treatment is complete, transitioning back to daily life can be daunting. Sober living homes provide a safe, drug-free environment where you can ease back into everyday life while continuing to receive support. These residences often require residents to attend therapy, maintain sobriety, and participate in household responsibilities, reinforcing the skills needed for long-term recovery. 

Find the Best Drug Rehabs

If you or someone you know is struggling with addiction, help is available. Taking that first step toward seeking support can feel overwhelming, but it’s also a step toward reclaiming your life. There are resources designed to guide you through the challenges of recovery and help you build a healthier, more fulfilling future. You don’t have to face this journey alone—reach out, lean on others, and know that with the right support, you can break free from addiction and rediscover your strength.
Use Recovery.com to find drug rehabs and see photos, reviews, insurance information, and more.

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Stepping into What’s Next: Starting the New Year with Intention

The start of every new year can bring a variety of emotions—hope, curiosity, and sometimes a little bit (or a lot) of pressure to make changes.

For anyone in recovery, whether that’s recovery from addiction, trauma, or simply unhealthy habits, the new year can feel like a fresh start. But it can also be a reminder of the work ahead, which can be intimidating. 

Can we really start the new year in a hopeful and healthy place?

Can we really make lasting changes?

I firmly believe that we can. I think that instead of viewing the new year as a moment for drastic resolutions or impossible goals that seem out of reach, why not see it as an opportunity to take a step forward? One step at a time.

In Beyond Addiction: How Science and Kindness Help People Change the authors share that change is not linear. Change happens “over time. With stops and starts, along a crooked line. With practice. With ambivalence […]. When the tradeoffs seems worth it. With a little help–sometimes a lot of help–from friends and family. With anguish. With effort. With joy.”

Progress in recovery isn’t about perfection—it’s about small, meaningful actions that add up over time. We can start the new year with intentional change.

How Far Have We Come?

Before going head first into change, it might be helpful to take a look back. Not focusing on the negative or the struggles, but on the moments we show up for ourselves. The days when we made even the smallest choices that have moved us toward a better place.

Did we set boundaries that protected our peace? Maybe we made healthier choices, even when it felt difficult. Or perhaps we simply stayed in the game, even when we felt like giving up would be easier. These moments matter, and they are the foundation for what comes next. We need to celebrate the small wins along the way as we prepare to make changes for the future.

Why Do Resolutions Often Fail?

The “New Year, New Me” mentality is everywhere. But it can be a trap. Recovery is already a deeply personal and intentional process and adding extra pressure to overhaul your entire life by February isn’t always helpful.

“Change is a process, not an event.”

Instead of resolutions, can we consider setting intentions for change? Intentions are more flexible and focused on the journey rather than the outcome or strict timeline. They are, in a sense, systems for living. As James Clear notes in his book Atomic Habits: “You do not rise to the level of your goals. You fall to the level of your systems.”

For example:

Instead of “I’ll exercise every day,” try “I’ll move my body in ways that feel good.”

Instead of “I’ll quit all my bad habits immediately,” try “I’ll work on one area at a time.”

Instead of “I’ll fix everything,” try “I’ll approach challenges with patience and self-compassion.” 

Focusing on more fluid systems of change can be a more compassionate way to approach change in the new year.

Celebrating the Journey

If there’s one thing recovery shows us, it’s that we are not meant to do this, including change, alone. People need connection and a healthy community for accountability and support. 

One powerful way to create connection is by reaching out to people who share your journey. A benefit of the internet is that there is an abundant of ways to do that. This could mean joining a recovery group, finding a mentor, or even just spending time with friends who make you feel revitalized and who are also committed to making positive changes in the new year. If in-person options are not accessible, online communities can be just as meaningful. Recovery thrives on shared experiences and mutual understanding.

Re-imagining What’s Meaningful in the New Year

The start of a new year is a perfect time to reimagine what’s meaningful and decide what changes you want to make and why. Maybe past traditions or routines don’t feel like they fit anymore. Maybe you are ready to take your recovery to the next level. Maybe you don’t identify as being “in recovery,” but you want to choose a substance-free life for other reasons, including health reasons. 

Think about what makes you feel alive. Is it spending time in nature? Learning a new skill? Reflecting on your goals? These new changes don’t have to be grand or complicated—they just have to feel right for you.

For example, you could start a weekly ritual of journaling about what you’re grateful for or reflecting on your progress. Or maybe you dedicate time each month to trying something new, like a hobby you’ve always been curious about. Playing guitar. Taking up knitting. Rock climbing. Writing. Cooking. The options are endless. Introducing new changes can anchor you and give you something to look forward to.

Stepping Into What’s Next

As we all move into this new year, carry this with you: recovery isn’t just about leaving things behind. It’s about building something new. It’s about finding purpose, creating connection, and continuing to make changes, even when it’s hard.

You don’t have to have it all figured out. You don’t have to be perfect. What matters is that you are here, willing to take the next step.

Let this year be one of progress, intention, and self-compassion.

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Types of Alcohol: A Comprehensive Guide

Alcohol is more than just a social beverage—it’s a chemical compound that plays various roles in our daily lives. While most people think of alcohol in terms of beverages like beer, wine, and liquor, understanding the different types of alcohol and how they affect us can help you make more informed choices about what you put in your body.

What Are the Types of Alcohol?

Understanding different alcohol types and effects is important. While ethanol is found in consumable beverages like beer, wine, and spirits, other forms like isopropyl alcohol and methanol are toxic and not meant for drinking.

Ethanol: The Drinkable Kind 

Ethanol is the type of alcohol found in beverages. It’s produced through fermentation, where yeast converts sugars into alcohol.1 This is the only type of alcohol safe for human consumption, and it’s what you’ll find in commonly consumed alcoholic drinks:

  • Beer brewed from grains
  • Wine made from grapes or other fruits
  • Spirits created through distillation

Other Types of Alcohol 

While ethanol is the only drinkable alcohol, other common types include:

  • Isopropyl alcohol, used in rubbing alcohol and cleaning products
  • Methanol, found in industrial solvents and antifreeze
  • Denatured alcohol,2 which is ethanol made undrinkable for industrial use

You should never consume these types of alcohol, as they can cause severe illness or death.

Alcoholic Beverages and Their Categories

Now that you know the types of alcohol, let’s explore the different categories of alcoholic beverages.

Beer

Beer is made by fermenting grains like barley, wheat, or rice. It typically contains between 4-6% alcohol by volume (ABV). Different varieties include:

  • Lagers: Light, crisp beers fermented at cooler temperatures that usually range from 4-5% ABV (most common commercial beers fall into this category)
  • Ales: Fuller-bodied beers fermented at warmer temperatures that are typically 4-7% ABV and often have fruity or spicy notes
  • IPAs (India pale ales): Known for their hoppy, bitter flavor, usually higher in alcohol content, and can range from 6-8% ABV or higher
  • Stouts and porters: Dark beers made with roasted malts and often have coffee or chocolate notes, usually 4-8% ABV

Wine

Wine is made by fermenting grape juice or other fruit juices. 

  • Red wine is made from dark-colored grapes with skins left on during fermentation, usually 11-14% ABV. Common varieties include Cabernet Sauvignon, Merlot, and Pinot Noir. 
  • White wine is made from either white or red grapes with the skins removed, typically 11-14% ABV. Popular white wines include Chardonnay, Sauvignon Blanc, and Pinot Grigio.
  • Rosé is made from red grapes with limited skin contact, usually 11-13% ABV. Rosés can be still or sparkling.
  • Sparkling wine contains carbonation from secondary fermentation. It includes Champagne, Prosecco, and Cava and is usually 11-14% ABV.

Spirits (Liquor)

Spirits are distilled beverages with higher alcohol content, typically 35-40% ABV or higher.

  • Vodka is distilled from grains or potatoes, usually 40% ABV, and known for its neutral flavor.
  • Whiskey starts as a mash of fermented grains, which distillers then transform through distillation and aging processes. Different styles of whiskey include American bourbon, single malt scotch from Scotland, and traditional Irish whiskey. It’s usually 40-46% ABV. 
  • Rum is distilled from sugarcane or molasses. Light and dark varieties are available. Its ABV is typically 40%.
  • Tequila is made from the blue agave plant and is produced in specific regions of Mexico. Its ABV is usually 35-55%.
  • Gin is distilled from grains and flavored with juniper berries and other botanicals. It has an ABV of around 37.5-50% and is common in cocktails.

Effects of Alcohol on the Body

Knowing how alcohol impacts your body—both in the short and long term—can help you understand its potential effects on your health and well-being.

Short-Term Effects

When you drink alcohol, it affects your body in several ways:

  • Slows reaction time and coordination
  • Reduces inhibitions
  • Changes your mood and judgment
  • Makes you feel relaxed

If you drink heavily, you can experience “blackouts,” or memory gaps.3 How intensely alcohol affects you depends on factors like how much you drink, how quickly you drink, whether you’ve eaten, your body weight and composition, and your tolerance level.

Long-Term Effects

Regular heavy drinking eventually leads to more serious health concerns:

  • Changes in liver function
  • Increased risk of certain cancers
  • Heart problems4
  • Memory and cognitive issues
  • Weakened immune system

Risks of Alcohol Abuse

Understanding how alcohol use can progress from casual drinking to dependence—as well as the associated alcohol abuse risks—helps you identify when professional support might be beneficial. Here’s what to watch for:

Recognizing Alcohol Dependence

Understanding your relationship with alcohol can help you determine if it’s becoming problematic. One common sign is needing more alcohol to feel the same effects—what felt like enough before doesn’t create the same sensation anymore. You might notice yourself drinking at times you wouldn’t have before, like during work hours or first thing in the morning. Some people find they can’t stick to the limits they set for themselves, even when they genuinely want to cut back. 

Physical signs of alcohol withdrawal5 might include feeling shaky, anxious, or irritable when you go too long without drinking. If you continue drinking despite problems with your health, relationships, or responsibilities, it might be time to evaluate your relationship with alcohol.

If you’re doing the following, it might be a sign that your drinking is becoming a problem:

  • Needing more alcohol to feel the same effects
  • Drinking at inappropriate times
  • Having trouble limiting how much you drink
  • Experiencing withdrawal symptoms when not drinking
  • Continuing to drink despite its negative consequences

Health and Social Consequences

When drinking becomes problematic, its effects ripple through various aspects of life. You might notice your performance at work or school starting to slip, whether from hangover effects or drinking during the day. Relationships often feel the impact of alcohol—friends and family might express concern about changes in your behavior, or you might find yourself pulling away from people who don’t drink. Your finances can suffer from both the direct costs of alcohol and indirect expenses like missed work or impulsive decisions you make while drinking. Legal issues, especially around driving under the influence, can create consequences for your opportunities that last long into the future.

Safe Alcohol Consumption Guidelines

Health authorities set out official guidelines for moderate alcohol use and what constitutes a standard serving. 

Moderate Drinking

The Centers for Disease Control and Prevention (CDC) defines moderate drinking6 as:

  • Up to 1 drink per day for women
  • Up to 2 drinks per day for men

One standard drink is:

  • 12 ounces of regular beer (5% ABV)
  • 5 ounces of wine (12% ABV)
  • 1.5 ounces of spirits (40% ABV)

Many people don’t realize they’re exceeding moderate drinking guidelines because of how normalized regular alcohol consumption is in the larger culture. While the CDC defines moderate drinking as just one drink daily for women and 2 for men, common social practices regularly surpass these limits without raising concern. “A few glasses of wine” with dinner, bottomless mimosas at brunch, or after-work happy hours can easily amount to double or triple the recommended amounts of alcohol. This is further complicated by inconsistent serving sizes—a home-poured wine glass often contains 7-8 ounces instead of the standard 5, and craft beers frequently have higher alcohol content than commercially produced lagers. 

People often rationalize their drinking by comparing themselves to heavier drinkers, downplaying it as “just wine” or “only on weekends,” or simply not counting top-offs and “extras.” Social media and marketing reinforce these patterns, with “wine mom” culture7 celebrating daily drinking as stress relief and boozy brunches promoting excessive drinking as sophisticated socializing. Because people in the gray area can typically maintain their daily responsibilities, many don’t recognize they need help until they experience serious health consequences or relationship problems. This makes it hard for people to accurately assess their relationship with alcohol or identify when they’re slipping into concerning patterns of consumption.

Learn more about this in our article on gray-area drinking.

When to Avoid Alcohol

Even for people who don’t struggle with addiction, alcohol always affects the body—there is no completely safe level of alcohol consumption.8 

If you do choose to drink alcohol, some situations call for staying completely sober regardless of your usual drinking habits. Pregnancy is a clear example—no amount of alcohol has been proven safe during pregnancy or while trying to conceive. Many medications interact badly with alcohol,9 either reducing their effectiveness or creating dangerous side effects. Operating any kind of vehicle or machinery requires full coordination and judgment, making alcohol use particularly risky. Certain medical conditions9—like liver disease, diabetes, and pancreatitis—can also make drinking especially dangerous.

Any situation requiring sharp judgment—from making important decisions to caring for children—is best approached with a clear head.

Seeking Help for Alcohol Addiction

Treatment Options

If you’re thinking about changing your relationship with alcohol, plenty of support options are available to help you achieve your goals. 

  • Medically supervised detox provides comprehensive, 24/7 medical support in a hospital or dedicated facility, where an addiction-specialized medical team helps you detox safely. This initial phase of treatment includes medication to ease withdrawal symptoms, hydration and nutritional support, monitoring, and constant access to caring medical staff. Care teams regularly check in with patients to assess their comfort and needs, preparing them for a smooth transition to their next phase of treatment.
  • Residential rehab involves living in a treatment facility for 30-90 days with a structured daily schedule of therapy, groups, and activities. Patients live in a substance-free environment and have 24/7 access to staff while they focus on developing coping skills and addressing the root causes of their addiction. 
  • Intensive outpatient programs allow patients to attend treatment several times per week while living at home. They typically involve 10-12 hours of weekly programming, including group therapy, education, and skill-building sessions. This option works well for those who need to maintain work or school commitments and have a stable home environment. It often serves as a step-down from residential treatment over 3-6 months.
  • One-on-one counseling consists of regular sessions with an addiction specialist, focusing on individual triggers, trauma, and coping strategies. This flexible option can provide long-term support for maintaining sobriety while addressing co-occurring mental health issues.
  • Complementary therapies include holistic approaches like meditation, yoga, and art therapy, as well as experiential treatments like adventure therapy or equine therapy. These methods focus on mind-body connection and stress management, helping patients develop healthy alternatives to drinking while supporting traditional treatment methods.
  • Support groups involve regular meetings with others in recovery through community-based programs like AA or SMART Recovery, offering no- or low-cost peer support and accountability. These groups are available in most cities and online with flexible attendance at multiple meetings per week, and can be attended indefinitely for ongoing support.

Learn more about different treatment options in our article on levels of care.

Support Resources

The journey to recovery looks different for everyone. While some people choose to stop drinking entirely, others work toward more moderate drinking goals. Whichever path you choose, you can benefit from both professional and personal support. 

Online communities provide support and connection, especially when in-person meetings aren’t convenient or comfortable. Professional counselors can help you address underlying concerns that might be driving problematic drinking patterns. And crisis hotlines offer immediate support during difficult moments, providing a listening ear and connection to local resources when you need them most.

Whether you want to quit drinking entirely or just cut back, these resources can help you make changes that align with your goals. Everyone’s relationship with alcohol is different, and what works for one person might not be the best fit for you. The key is finding an approach that resonates with you and feels sustainable in the long run.

If you’re looking to start your journey to well-being in a comprehensive, recovery-focused setting, search for alcohol addiction treatment programs that meet your needs and connect directly with a center today.

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A Team Effort: The Role of Recovery Coaches in Substance Use Disorder Treatment

Recovery from substance use disorder can be a complicated process that often requires help from a team of professionals. Recovery coaches play an important role on this team, working alongside other experts to offer support and guidance.

The Recovery Team

A recovery team may include:

  • Primary Care Physician: Monitors overall health, prescribes medication, and addresses medical concerns.
  • Psychiatrist or Psychologist: Diagnoses mental health conditions and prescribes medication if needed.
  • Therapist: Provides therapy to address underlying issues and build coping strategies.
  • Addiction Counselor: Offers counseling and guidance on addiction and recovery.
  • Recovery Coach: Provides ongoing support, accountability, and practical help.

How Recovery Coaches Fit In

Recovery coaches work with other team members to:

  • Bridge the Gap: They help connect treatment programs to ongoing recovery support.
  • Enhance Accountability: They support individuals in staying on track with their recovery goals through regular check-ins.
  • Promote Self-Sufficiency: Recovery coaches encourage individuals to develop skills and confidence to live independently.
  • Foster Positive Relationships: They assist in building healthy relationships and connecting with the recovery community.
  • Provide Practical Support: Recovery coaches help with housing, employment, transportation, and other practical needs.

The Benefits of a Team Approach

Working as a team provides several benefits:

  • Comprehensive Care: A team can address physical, mental, and social aspects of addiction.
  • Increased Support: Having multiple sources of help can keep individuals motivated and accountable.
  • Reduced Risk of Relapse: A team can help identify and manage triggers to prevent relapse.
  • Improved Quality of Life: By addressing challenges and providing support, the team helps individuals build a better life.

By working together, recovery coaches and other professionals can give the all-around care and guidance needed for long-term recovery success.

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Adderall and Alcohol: Effects, Risks, and Safety Considerations

Mixing Adderall and alcohol is more common than you might think, but this combination can be extremely dangerous. While Adderall might make you feel less drunk, the false sense of sobriety it provides only masks the effects of alcohol. This can lead to serious health risks, including alcohol poisoning and heart problems. Whether you take Adderall with a prescription or use it recreationally, understanding how these two drugs interact can help you make safer decisions about your health.

How Adderall and Alcohol Affect the Body

Effects of Adderall on the Central Nervous System 

Adderall works by increasing certain brain chemicals,1 particularly dopamine and norepinephrine. These chemicals help regulate attention, movement, and pleasure. As a stimulant medication, Adderall increases alertness, focus, and energy levels. Primary care physicians and psychiatrists often prescribe Adderall to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy2 because it can improve concentration and reduce impulsive behavior in people with these conditions.

Effects of Alcohol on the Central Nervous System 

Alcohol affects your brain very differently than Adderall. As a depressant, it slows down your central nervous system. This can have a range of immediate effects:

  • Lowered inhibitions
  • Impaired judgment
  • Slowed reaction time
  • Problems with coordination
  • Drowsiness 

The more alcohol you drink, the more pronounced these become.

What Happens When You Combine Adderall and Alcohol? 

When you mix Adderall and alcohol,2 you’re putting 2 opposing forces to work in your body. Adderall stimulates your system while alcohol depresses it. This is dangerous for a number of reasons:

  • The stimulant effects of Adderall mask alcohol’s sedating effects
  • You might feel less drunk than you actually are
  • You may drink more than usual because you feel more alert

Your body goes through significant stress from these conflicting effects—it can even result in overdose or death. 

The Risks and Dangers of Mixing Adderall and Alcohol

Increased Risk of Alcohol Poisoning 

One of the biggest dangers of mixing Adderall and alcohol is the increased risk of alcohol poisoning. Because Adderall makes you less aware of the effects of alcohol, you’re less likely to realize how drunk you actually are. For many people, this causes them to drink much more than they intend to—which means you can reach dangerous blood alcohol levels before you notice the warning signs.

The Alcohol, Tobacco and Other Drug Intervention Services at UC Davis recommends the CUPS method to spot signs of alcohol poisoning:2

  • “Cold, clammy, pale or bluish skin
  • Unconscious or unable to be roused
  • Puking repeatedly or uncontrollably
  • Slow or irregular breathing”

Strain on the Cardiovascular System 

When Adderall and alcohol mix in your body,2 they create dangerous effects on your heart and cardiovascular system. Here’s what happens:

  • The combination can raise your heart rate significantly (about 24 extra beats per minute).
  • Your heart has to work harder and needs more oxygen.
  • This extra strain can lead to serious heart problems.

Here’s a real-world example that shows how dangerous this can be: A 20-year-old with ADHD hadn’t taken his Adderall for weeks. One night, after drinking whiskey for several days, he took a double dose of Adderall3 to stay alert. Even though he had no history of heart problems, he ended up having a heart attack because the combination caused his arteries to constrict.

The bottom line is, mixing Adderall and alcohol puts a dangerous strain on your heart, even if you’re young and healthy. This risk is even higher if you have any history of heart problems.

Impaired Judgment and Decision-Making 

While alcohol is known to impair judgment, mixing it with Adderall can make this effect even more dangerous. The combination can lead to:

  • Impulsive or risky behaviors
  • Poor decision-making
  • False confidence in their capacity to drive or perform other dangerous activities
  • Increased likelihood of unsafe sexual practices

Driving Dangers

Studies show that while Adderall can make you feel more capable of driving after drinking alcohol,4 it doesn’t actually make you less drunk. In other words, even though you might feel more alert and think you can drive safely, your coordination and judgment are still seriously impaired by the alcohol. 

When researchers studied people in driving simulators, they found that alcohol significantly affected driving ability:5

  • People had trouble keeping their car centered in the lane.
  • They made riskier decisions about when to turn or merge.
  • They ran more red lights and had more crashes.
  • They had a harder time paying attention and reacting quickly.

While taking Adderall with alcohol did help people stay more alert, it wasn’t enough to cancel out alcohol’s dangerous effects on their driving skills. Even with Adderall, people still:

  • Made more risky decisions
  • Had more accidents
  • Showed impaired judgment
  • Had slower reaction times

In short, taking Adderall when drinking doesn’t make it safe to drive. In fact, it creates a dangerous situation where you might feel “sober enough to drive” when you’re actually not.

Impact on Mental Health 

Mixing Adderall and alcohol can seriously affect your mental health, causing a number of symptoms:

  • Heightened anxiety and panic attacks
  • Severe mood swings
  • Increased risk of depression
  • Potential for psychotic episodes 

These mental health effects can persist even after the substances wear off.

Academic Performance 

Despite its reputation as a “smart drug,” research shows that Adderall negatively affects academic performance when it’s not used as prescribed.

One study found that among college students, about 1 in 10 reported misusing prescription stimulant drugs in the past year, and nearly half mixed them with alcohol. Students who combined stimulants and alcohol were more likely to have lower grades,6 use other substances, and face serious problems related to alcohol use. They also experienced more adverse effects than students who only drank alcohol or used the 2 substances separately. 

Risk of Substance Dependence 

Regular use of both Adderall and alcohol together increases your risk of developing a dependence on either or both substances. This combination can be especially addictive for a few reasons:

  • Adderall makes you feel like you can drink more.
  • You might start using alcohol to manage Adderall’s after-effects.
  • The cycle of stimulation and depression can lead to continued use.

Understanding why people mix these substances in the first place can help explain how casual use can develop into dependency.

Why Do People Mix Adderall and Alcohol?

Social Use and Peer Pressure 

Many people, especially college students and young adults, mix these substances in social settings. This might be because they want to feel less socially anxious while still feeling focused, party longer without feeling tired, or feel peer pressure to keep drinking. Combining these substances is socially normalized in some circles, which encourages use and downplays its risks.

Coping Mechanism for Stress or Fatigue 

Some people use this combination as a way to manage stress or fatigue, especially in high-pressure environments. They might take Adderall to stay productive during the day, then use alcohol to wind down at night—or take one to balance out the effects of the other. While work and academic pressures can feel overwhelming, these drugs ultimately aren’t a sustainable way to manage stress.

Misconceptions About Effects 

Many people believe the myths that circulate about mixing Adderall and alcohol, which leads to dangerous situations and health risks:

  • Adderall can help you “sober up.”
  • The combination gives you more control while drinking.
  • This practice is safe if you have a prescription for Adderall.
  • If you take Adderall, you can drink more without getting drunk. 

One study looked at how college students who misuse ADHD medication and alcohol7 were doing in terms of their academic performance and mental health. It found that using alcohol was linked to a belief that ADHD medication was more effective.

Signs and Symptoms of Misuse and Addiction

It’s not always easy to tell when casual Adderall and alcohol use crosses into dangerous territory. Sometimes the signs develop so gradually that they’re easy to miss. Knowing what to look for can help you identify problems early and get support before the situation becomes more serious.

Behavioral Changes 

Watch for behavioral changes that might indicate problematic use:

  • Secretive behavior around substance use
  • Neglecting responsibilities at work or school
  • Withdrawing from relationships
  • Changes in social groups or activities
  • Risk-taking behavior

Physical Symptoms 

Physical signs of Adderall and alcohol abuse can include:

  • Significant changes in weight or appetite
  • Irregular sleep patterns or other sleep problems
  • Rapid heart rate or palpitations
  • Frequent headaches or hangovers
  • Tremors or shakiness

Psychological Indicators 

Mental and emotional signs of dependency might include:

  • Increased anxiety or panic attacks
  • Mood swings
  • Irritability or agitation
  • Difficulty concentrating
  • Depression or emotional numbness

Health Consequences of Combining Adderall and Alcohol

Short-Term Effects 

Immediate risks of mixing these substances include:

  • Severe dehydration
  • Dangerously high blood pressure
  • Impaired judgment leading to accidents
  • Risk of seizures
  • Potential for overdose

Long-Term Consequences 

Regularly combining Adderall and alcohol can lead to the following:

  • Liver damage
  • Chronic cardiovascular problems
  • Persistent mental health issues
  • Memory and cognitive problems
  • Increased tolerance to both substances

It’s important to take Adderall as prescribed, under the supervision of a qualified medical professional. Your prescribing doctor should carefully consider the risks of combining Adderall with alcohol8 or other substances. People who have a higher risk of misuse and those with a history of substance use might benefit from considering alternative treatment options.

Treatment Options for Adderall and Alcohol Addiction

If you’re struggling with Adderall and alcohol use, various treatment approaches are available to support your recovery. Most successful recovery plans combine different types of support to address both the physical and emotional aspects of substance use.

Behavioral Therapies 

Professional therapy can help you understand and change patterns that may be contributing to substance use. Cognitive behavioral therapy (CBT), for example, helps you identify triggers and develop healthier ways to cope with stress or difficult emotions. Through dialectical behavior therapy (DBT), you can learn skills to manage emotions better and improve relationships. Many people also find motivational interviewing (MI) helpful, as it strengthens your motivation for change while helping you envision a different future for yourself.

Support Groups 

Recovery doesn’t happen in isolation—connecting with others who understand your experience can make a world of difference. A lot of people find strength in 12-Step programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), where you can share your story and learn from others who have been where you are. SMART Recovery offers a science-based alternative to traditional 12-Step programs, focusing on self-empowerment and practical skills. Whether you prefer in-person meetings or online communities, these support networks can provide encouragement, accountability, and hope throughout your healing process.

Medical Support 

Sometimes you need professional medical help to stop using substances safely. Medical support might start with supervised detoxification, where healthcare providers help you manage withdrawal symptoms and ensure your safety as your body rids itself of substances. They can prescribe medications to ease withdrawal and help with cravings, as well as treat co-occurring mental health conditions like anxiety or depression. Medical oversight should continue throughout early recovery, with regular check-ins to monitor your progress and adjust your treatment plan as needed.

Finding Help and Moving Forward 

If you’re concerned about the effects of Adderall and alcohol use in your life, know that recovery is entirely possible—and professional help is available to help you stay on track toward your goals. Many people struggle with similar challenges. Professional substance use disorder treatment can help you understand your patterns of use, address underlying issues, learn healthier coping strategies, and ultimately, create a more balanced life.

The first step is reaching out for help. Explore prescription drug addiction treatment options to learn more about recovery resources and contact an addiction specialist directly today.