Tag: Detox

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Why Is Alcohol Dangerous?

Although alcohol may be legal and normalized, it’s associated with various health risks and negative consequences. Physically, alcohol’s toxins contribute to liver disease, heart disease, and specific types of cancer1. Alcohol’s danger can go beyond disease, harming your relationships, mental health, and well-being2, as well. This stems from its psychoactive properties, which can impair judgment, coordination, and control, leading to risky behaviors and a propensity for addiction.

Alcohol impacts everything from individual health to society as a whole. Safe consumption and preventive measures can help minimize these unhealthy effects. 

How Can Alcohol Affect Your Life?

Unsafe alcohol consumption can cause a ripple effect that touches nearly every facet of your life. 

Alcohol can lead to strained family relationships and even domestic violence3. Children in families where alcohol use is prevalent are at a higher risk of experiencing emotional and behavioral problems4. They may also be at greater risk of developing substance use problems later in life.

Professionally, alcohol use can lead to poor performance5, absenteeism, and, ultimately, job loss. An unstable source of income can cause financial problems and volatile relationships. 

Socially, alcohol can lead to behaviors that strain relationships, such as aggression6, social withdrawal, and engaging in illegal activities. It can also result in legal repercussions ranging from fines for public intoxication to more serious charges like driving under the influence (DUI), which can have long-term consequences on a person’s legal record and employment opportunities.

How Is Alcohol Unhealthy?

Alcohol is a toxin that metabolizes to an acetaldehyde7, which are highly reactive molecules that can damage DNA, proteins, and lipids. Alcohol remains in the bloodstream until it is metabolized by the liver, therefore damaging liver tissue; however, it is highly diffusible through cell membranes and is metabolized by most tissues. Thus, its toxicity affects most organs.

Regular consumption significantly increases the risk of developing chronic diseases1, such as liver cirrhosis, cardiovascular diseases, and certain forms of cancer. 

Alcohol dependence, known as alcoholism, is a particularly dire health consequence that involves a preoccupation with alcohol, compulsive drinking, and high tolerance and withdrawal symptoms. This disease not only deteriorates physical health but also mental well-being, contributing to conditions such as depression and anxiety.

Short Term Effects of Alcohol

Immediately after consumption, alcohol begins to alter mind and body functions8. Physical effects can include slurred speech, impaired motor skills, and a delayed reaction time, which can be particularly dangerous when operating vehicles or machinery. Alcohol is a diuretic, meaning it increases urine production and can lead to dehydration. It can irritate the stomach lining, leading to nausea and vomiting. Additionally, drinking too much can weaken your immune system9, making the body a much easier target for disease after a single occasion of drinking. 

Drinking also produces cognitive side effects, such as reduced inhibitions and poor judgment, increasing the likelihood of making decisions that can have serious repercussions. Alcohol can also affect short-term memory, and in higher amounts, it can lead to blackouts, where the drinker cannot remember what happened while under the influence.

Long Term Effects of Alcohol

Chronic alcohol use wreaks havoc on the body. The long-term effects of alcohol on the body can be severe and wide-ranging, affecting virtually every organ system. Prominently, it damages the liver, heart, brain, stomach, and kidneys.

Liver

The liver is particularly vulnerable, as it’s the primary site for alcohol metabolism.  Unhealthy alcohol consumption levels can cause hepatic lesions in the liver10, leading to alcoholic fatty liver, alcoholic hepatitis, fibrosis, and, ultimately, cirrhosis. A liver with cirrhosis has permanent damage and scar tissue that can cause liver failure.

In advanced stages, liver damage from alcohol can be irreversible and may necessitate a liver transplant. Chronic alcohol consumption also increases the risk of developing liver cancer, particularly hepatocellular carcinoma, the most common type of liver cancer. This risk is especially high in individuals with alcoholic cirrhosis.

The liver is crucial to metabolizing and detoxifying all substances. Maintaining liver health is vital to prevent serious complications and health risks. 

Heart

Long-term effects on the heart can suddenly manifest as severe health events with long-lasting consequences11. Alcohol misuse can lead to: 

  • Hypertension: Alcohol activates the central nervous system and parasympathetic nervous system12 in a way that causes blood vessel muscles to constrict, leading to high blood pressure.
  • Cardiomyopathy: Alcoholic cardiomyopathy, damaging the hearts’ muscles, can be caused by the substance’s inflammatory effects. 
  • Arrhythmias: Chronic heavy drinking and binge drinking can lead to irregular heartbeats, known as arrhythmias. The most common type associated with alcohol is atrial fibrillation, where the upper chambers of the heart experience chaotic electrical signals, leading to an irregular heartbeat. This can increase the risk of stroke, heart failure, and other heart-related complications.
  • Stroke: Excessive alcohol intake is linked to an increased risk of both ischemic and hemorrhagic strokes. Ischemic stroke occurs when a blood clot blocks or narrows an artery leading to the brain, while a hemorrhagic stroke is caused by a blood vessel in the brain bursting.

Brain

Alcohol can lead to neurodegeneration13, or neuron destruction, and permanent brain damage. As heavy drinking alters neurons and their pathways, the brain’s neural networks cannot properly communicate and function with itself and the body. Without healthy networks, brain health can severely decline, resulting in problems with cognition, memory, and coordination. 

Chronic abuse can also increase the risk of developing mental health disorders14, including depression and anxiety. Alcohol can act as self-medication for uncomfortable emotions associated with these mental disorders, leading to dependency. Chemical changes in the brain from alcohol, such as the disruption of neurotransmitters crucial in maintaining good mental health, also contribute to and worsen existing symptoms. 

Stomach

Both acute and chronic alcohol consumption can interfere with stomach functioning15. For example, alcohol—even in relatively small amounts—can alter gastric acid secretion, injure gastric muscles, and interfere with gastric and intestinal motility (how easily food travels through the system). Therefore, alcohol’s toxic and inflammatory effects can not only hinder digestion, but also cause long-term issues such as gastritis (irritated and inflamed stomach lining) and ulcers. 

Kidneys

Drinking can compromise the kidneys’ ability to regulate the volume and composition of fluid and electrolytes in the body16. In addition to their role in regulating the body’s fluid composition, the kidneys produce hormones that influence a host of physiological processes, including blood pressure regulation, red blood cell production, and calcium metabolism. Alcohol’s toxic effects can completely alter how kidney cells function.

Harming these systems can lead to an increased risk of kidney stones and kidney disease. Over time, an imbalance of water, hormone levels, and bodily waste can negatively impact overall health.

Immune System

High amounts of alcohol consumption can leave the body susceptible to infections and slower recovery from illness16. 

Alcohol can damage the protective epithelial cells lining the gut, skin, and lungs, reducing the body’s first line of defense against pathogens. This damage can increase the likelihood of bacterial infections and bacteria entering the bloodstream from the gut. 

Alcohol consumption can also reduce the production and function of lymphocytes, including T-cells and B-cells, weakening the body’s ability to develop long-term immunity and produce antibodies in response to infections. 

Chronic alcohol use can lead to prolonged inflammation, which can itself cause tissue damage and lead to a variety of chronic diseases.

Is There a Safe Amount of Alcohol?

While moderate alcohol consumption might fit into a healthy lifestyle for some, defining ‘safe’ levels of consumption is complex. Guidelines can vary significantly, taking into account factors such as gender, age, medical history, and medications. 

The idea of a universally ‘safe’ amount of alcohol is increasingly scrutinized, and the best recommendation often comes from someone’s healthcare providers. The most effective way to avoid negative health consequences is to not drink at all. 

Find Treatment For Alcohol

If you’re experiencing the damaging effects of alcohol, you can choose to break the cycle. Professional support is available, designed to help people with struggles exactly like yours. Getting help can place you on the path to a fulfilling, sober life.
Explore alcohol addiction treatment centers to learn about their programs, pricing, insurance coverage, and more.

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Managing Cravings: Essential Techniques for Long-Term Sobriety

Cravings are a common challenge for those starting their recovery journey. They play a large role in perpetuating your addiction in the first place, and are a major factor in relapse for many people who are trying to stay sober. 

Luckily, there’s plenty you can do to manage cravings and increase your chances of successful, long-term recovery.

We’ll explore why cravings occur, practical strategies for managing them, the role of professional support, and how you can use your social support network to empower yourself against these overwhelming urges. 

Understanding Cravings

Cravings come into the picture well before recovery. They play a major role in how addiction is formed. According to the National Institute on Drug Abuse (NIDA), addiction is “characterized by intense and, at times, uncontrollable drug craving,1 along with compulsive drug seeking and use that persist even in the face of devastating consequences.” 

Cravings are a conditioned response that results from how addiction rewires your brain. Using a substance for a prolonged period trains your brain to believe that having it is crucial to your survival—as important as eating or breathing. 

The Substance Abuse and Mental Health Services Administration (SAMHSA) defines cravings2 as a primary symptom of addiction:

  • Craving is an overwhelming need or urge to use alcohol or drugs 
  • For people who use stimulants, the craving is as powerful as a primary life drive. 
  • It is as powerful as the need to breathe, eat, sleep, have sex, or drink water. 
  • The brain believes the person needs the drug to survive. 
  • The person can feel anxious and irritable without the substance. 

Cravings are a powerful drive that goes far beyond a simple desire to do something. One man in recovery, Tom Coderre, describes his experience of cravings3 this way:  

I no longer desired it…I needed it. It was an overwhelming obsession that was created in my mind. I could taste it; see it; visualize it. I could almost feel the euphoria. I would experience kind of pre-euphoria feelings about it. It was a very, very powerful feeling.

Cravings are a significant challenge for those trying to stay sober, especially in early recovery. They can lead to relapse if they aren’t managed properly. 

Triggers

Both physiological and psychological factors trigger cravings. 

Physiological triggers include physical withdrawal symptoms like nausea, sweating, and anxiety, which can occur in the early stages of recovery. These symptoms can be intensely uncomfortable, and can make it hard to resist using substances to make them go away. This is why it’s so important to detox from drugs and alcohol in a medically supervised environment. 

Psychological triggers, on the other hand, are often related to the emotional or mental associations you have with certain substances. People, places, or situations can act as cues to use, as can stress, boredom, and loneliness. Psychological triggers are trickier to manage, as they’re often harder to identify and avoid.

Triggers are prompts that lead to a craving.

Stages of a Craving

Cravings consist of a series of stages:4 

  1. Trigger 
  2. Thought 
  3. Craving 
  4. Use

These happen in rapid succession, and the sooner you can interrupt the process, the easier it is to stop. Thankfully, there are techniques for doing just that. 

Mindfulness and Awareness Techniques

While cravings can feel overpowering at times, mindfulness is one effective tool for managing them. Practicing mindfulness grows your awareness of your thoughts, feelings, and bodily sensations in the present moment, without judgment. By becoming more aware of a craving as it arises, you separate yourself from the automatic urge to act on it.

Several mindfulness techniques can help you manage cravings:  

  • Body scan meditation5 involves focusing your attention on different parts of your body, noticing any tension or discomfort arising from the craving.  
  • Breathwork techniques like deep, slow breathing calm the mental and physical irritation cravings often cause.  
  • Urge surfing means observing the craving like a wave—it rises and eventually passes without the need to fight it. 

By practicing these techniques regularly, you develop the ability to acknowledge cravings without getting swept away by them. This space between craving and action empowers you to make conscious choices that support your recovery.

Cognitive Behavioral Strategies

Cravings don’t have to dictate your actions. Cognitive behavioral therapy (CBT) is often used in rehab. It works by teaching you to challenge negative thinking patterns and develop healthy coping mechanisms. Cognitive restructuring6 involves examining the distorted thoughts that fuel cravings. You can learn to identify and replace thoughts like “I can’t handle this without using” with more empowering beliefs like “This craving is temporary, and I have the skills to manage it.”

In addiction treatment, CBT teaches behavioral strategies for managing cravings. Identifying and avoiding triggers is a key part of this. If certain places or situations consistently trigger you, your therapist can help you develop a plan to avoid them or create healthier alternatives. When a craving hits, distraction techniques can also be highly effective. These are simple activities that take your mind off the craving and allow it to pass. That might look like going on a walk, making a cup of tea, or doing a puzzle. 

By combining cognitive restructuring with practical sobriety strategies, you build a toolkit to handle cravings with confidence and stay committed to your recovery goals.

Physical Activity as a Tool

Exercise isn’t just good for your body; it also strengthens your mind against cravings. Physical activity releases endorphins, your brain’s natural feel-good chemicals. These endorphins boost your mood, reduce stress, and diminish the intensity of cravings. Even a short bout of exercise, like a brisk walk or a jog, can have significant short-term effects on mood and craving management. One scientific review of the benefits of physical activity in addiction recovery7 found that multiple studies “documented a significant change in addiction-related outcomes (e.g., more days abstinent, reduced cravings) in response to exercise exposure,” and confirmed that “exercise can be a helpful aspect of addiction treatment.”

If you want to make exercise a regular part of your life in recovery, the type of activity you choose is less important than finding something you enjoy and can stick with. Try to get 30 minutes of exercise at least 4 days a week. Walking, swimming, cycling, dancing—anything that gets your body moving helps. Start slowly and gradually increase the intensity of your workouts as your fitness improves.

A few simple changes can help you make physical activity part of your daily life. Take the stairs instead of the elevator, park further away from the building, or find a workout buddy to help you stick to your plan. By making exercise a regular habit, you’ll empower yourself against cravings and improve your physical health in the process. 

Nutritional Approaches

What you eat also plays a significant role in managing cravings. Food choices impact your blood sugar, energy levels, and mood, all of which can affect cravings.  

Here’s how nutrition supports your recovery:

  • Blood sugar stability: Sugary foods and refined carbs cause blood sugar spikes and crashes, which can trigger cravings. Opt for complex carbs like whole grains, fruits, and vegetables that provide sustained energy to avoid these fluctuations.
  • Nutrient levels: Deficiencies in nutrients like magnesium, B vitamins, and protein can sometimes mimic cravings. Try to eat a balanced diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats to ensure your body gets the nutrients it needs.
  • Hydration: Dehydration can be misinterpreted by the body as hunger, leading to cravings. Drink plenty of water throughout the day to stay hydrated and avoid mistaking thirst for cravings.

There’s no single recovery diet—the key is to find a healthy relationship with food that works for you. Consider consulting a nutritionist who specializes in addiction recovery and can create a personalized plan to address your specific needs. Some rehabs offer nutrition counseling as part of their addiction treatment programming.

Social Support and Communication

Recovery is rarely a solo journey. Building a strong social support network can help you manage cravings and stay on track. Surround yourself with positive, supportive people who understand your struggles and encourage your progress. Here are some ways you can identify and connect with a community that supports your healing journey:

  • Support groups: Connecting with others in recovery is deeply important. Sharing experiences and learning from each other gives you a sense of belonging and helps you through challenges.
  • Friends and family: Communicate honestly with loved ones you trust. Let them know you’re in recovery and what kind of support you need. Having people you can confide in during tough moments can make a world of difference.
  • Communicating your needs: When a craving hits, don’t be afraid to reach out. Be open with your support system about your struggles and what they can do to help.  

Here are some ways to effectively communicate your needs:

  • “I’m having a strong craving right now. Can we go for a walk to take my mind off it?”
  • “I’m feeling overwhelmed. Can we talk about it?”
  • “I used to use alcohol to cope with stress, but I’m trying to find healthier ways. Can I talk some ideas through with you?”

By expressing your needs to your loved ones, you allow them to support you through this important journey.

Relapse Prevention Planning

Cravings are a normal part of recovery, and occasional slip-ups don’t define you. Having a relapse prevention plan in place can significantly reduce the risk of relapse and empower you to manage cravings effectively.

If you attend rehab, your treatment team should help you start planning for relapse prevention from the time you start your program. Here’s what that looks like:

  • Identifying your triggers: Learn to recognize the people, places, situations, and emotions that typically trigger cravings. Once you know your triggers, you can develop strategies to avoid them or cope with them in healthy ways.
  • Developing healthy coping strategies: Build your coping skills so you’re ready to manage cravings when they arise. This might include mindfulness exercises, relaxation or distraction techniques, or calling a sponsor.
  • Assessing high-risk situations: Plan how you’ll handle situations where you might be exposed to triggers or feel tempted to use. This could involve having an exit strategy, practicing assertive refusal skills, or letting a trusted friend know when you’ll be in a challenging environment.
  • Spotting early warning signs: Identify the warning signs that lead to a relapse, such as increased social isolation, neglecting self-care, or feeling difficult emotions. Having a plan to address these warning signs helps you intervene before things escalate.

Professional Help and Resources

While craving management techniques help, cravings sometimes feel downright overwhelming.  If you’re struggling to manage cravings on your own, or if they become intense and persistent, don’t hesitate to get professional help.

Addiction treatment specialists can help you prevent and manage challenges:

  • Creating individualized craving management strategies: A therapist can work with you to identify your triggers and develop tools to manage cravings effectively.
  • Addressing underlying issues: Cravings often stem from deeper emotional or psychological issues. Therapy is a safe way to explore these underlying factors and learn healthier ways to cope.
  • Providing ongoing support: Recovery is a journey, and cravings can arise at any stage. Therapy offers ongoing support and accountability, helping you work through challenges and stay committed to your long-term sobriety.

You can use these resources to find treatment providers:

  • Recovery.com’s independent, 3rd-party treatment finder tool helps you find programs that match your needs based on insurance coverage, location, specialization, and more.
  • SAMHSA’s National Helpline is a free, confidential, 24/7 information service for people seeking help for substance abuse. 
  • Health Info Lines by the National Institutes of Health include information services for alcohol abuse and alcoholism, drug abuse and addiction, mental health, and more.

It’s hard to reach out for help, especially when you really need it. But seeking guidance and support for what you’re going through is a powerful sign of self-awareness and strength. It’s proof of your commitment to your recovery, and to improving your life. 

If you’re struggling to stay sober and need professional support, search addiction treatment programs and reach out to a center directly today. 

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How To Deal With My Husband’s Addiction

Dealing with a loved one’s addiction has no set blueprint, but learning how to cope with your husband’s addiction can help you both heal. Addiction’s deep roots and substantial impacts on life can make dealing with it feel impossible. But with the right treatment and support, you and your husband can find recovery.

What Should I Do About My Husband Being Addicted to Drugs or Alcohol?

If your husband is addicted to drugs or alcohol, know you can’t force them to get better. You can support them in their treatment journey, offer encouragement, and set boundaries, but you can’t cure them. That’s okay; you’re not meant to. 

What you should or shouldn’t do also depends on your unique situation. Spouses in abusive relationships may not feel safe acknowledging their husband’s addiction or suggesting they get treatment. If you’re in an abusive relationship, you have several resources for help. You can contact the National Domestic Violence Hotline, the National Sexual Assault Hotline, and 911 (or your local emergency number) if you’re in imminent danger. 

Some spouses may feel comfortable with a direct, confrontational approach. How you go about it can differ widely from one relationship to the next. Your unique relationship can determine what you do and don’t do about your husband’s addiction. Here are a few examples:

Have a Discussion About Getting Help

You can raise your concerns during a conversation. For example, you could say:

“I’ve noticed you’re drinking more and regularly getting tipsy or drunk. I don’t think this is good for you, and it makes me uncomfortable. I want to help you get help. What do you think about starting treatment?”

In this discussion, you can gauge their willingness to seek treatment. Be sure you tell your husband how their drinking affects you, your relationship, and the children you may have. Let them know you’re there to support and encourage them through treatment.

Set Boundaries and Avoid Enabling

You likely spend a lot of time with your husband. They live with you, see you daily, and may also parent with you. It’s natural to want to help them in any way you can, but that can lead to enabling behaviors and the loss of your personal boundaries.

You can prevent this by setting healthy boundaries as soon as you can. Establish immediately that you won’t cover their absences, give them money, or make excuses for their behavior. That can help keep your time and emotional wellness intact. You can also refuse to take responsibility for the consequences of their actions. 

Giving money, making excuses, or taking on their responsibilities can enable your husband’s addiction. Doing so can make them feel more comfortable not seeking treatment or help.

How to Cope with Husband’s Addiction

Coping strategies can help you stay mentally well. Remember, your coping strategies are to help you cope, not your husband. You’re not responsible for fixing them. What you can do is help yourself; that way, you’ll be in a place to offer support and encouragement.

Spend Time With Them Mindfully

Be watchful of the time you spend with your husband. If they’re actively addicted to drugs or alcohol, spending all your free time with them may negatively impact your mental health. Time away from them can help you set priorities and stay aware of your emotions and feelings. 

Practice Self-Care

Maintaining a self-care regime can help you cope with your husband’s addiction. Self-care could look different for everyone. Examples include:

  • Time set aside for your hobbies and interests
  • Taking care of your body–skincare, exercise, and good sleep
  • Meeting up with friends and loved ones
  • Making yourself nutritious meals and stay hydrated

Get Professional Treatment

Going to therapy can help you cope with your husband’s addiction. Your therapist or counselor can help you process challenges, create a toolset of coping skills, and help you formulate action plans. Loved ones can also join family support groups to connect with other families.

Discover Support for Family Members

Spouses and other family members have options for support. Peer groups meet worldwide to connect, offer encouragement, and share in each other’s challenges. One of these groups is Al-Anon, created for the loved ones of alcoholics. It follows a similar structure of AA/NA meetings.

Family members can also join Nar-Anon, which supports family members of someone struggling with a drug addiction. Learn to Cope offers peer support in person and online. SMART Recovery (non-12-Step) also has groups and resources for families.

In these groups, you’ll meet with other family members and a facilitator will lead the group. You’ll have the chance to share your experiences, offer and receive support, and find encouragement in shared struggles. Your groups may have a theme, like processing grief or trauma from your loved one’s addiction, or be a more broad sharing experience.

You could also find support groups in your local community. Some community centers, churches, or religious organizations have family peer support groups. Check your local resources (webpage for your city, social media groups) to see what’s available. 

You can also attend family therapy with your husband. Many treatment centers offer this service to help you and your spouse heal together. You can also attend family therapy in an outpatient setting.

Treatment Options for Your Husband’s Addiction

When your husband feels ready and committed to treatment, they’ll have many options to choose from. His clinical needs, history of substance use, and preferences determine which level of care will be the best fit. His doctor can assess his current state with addiction and recommend a level of care, or staff at a rehabilitation center may make the assessment before admitting your husband into treatment.

Questions to Ask Your Provider

Your husband can ask several questions at the initial doctor’s appointment to clarify his needs and treatment pathway. Here are a few to keep in mind as he embarks on this journey:

  1. What level of care would suit my situation and symptoms best?
  2. Do I have a co-occurring mental health condition?
  3. Will medications improve my symptoms, and would you recommend them?
  4. What are the potential side effects of those medications?
  5. Will I need to detox?
  6. What other care options and resources would you recommend?

Levels of Care for Addiction

Many people begin their treatment journey in detox to rid their bodies of addictive substances safely. Some people won’t need detox; it’s always best to let your doctor or a treatment facility decide. From there, your husband may progress through each level of care or start and stop at one level.

  • Detox: a safe, monitored phase where your husband will stop taking substances and let them clear from his system. Medications can make this process safer and more comfortable. It’s not recommended to detox at home since detoxing can cause potentially harmful withdrawal symptoms.
  • Residential Treatment: live-in treatment with 24/7 monitoring, structured schedules, and onsite treatment. Your husband will attend various therapies to address the root cause of their addiction. Many residential rehabs allow family visits and provide family therapy.
  • Day Treatment: your husband will live at home or in a sober living residence (living in a house with other peers in sobriety; strict no-substance rules) and attend about 30 hours of weekly treatment. 
  • Intensive Outpatient Program (IOP): similar to day treatment, but your husband will spend less time in treatment. Some IOPs have day or evening programs for greater flexibility. He’ll spend about 20 hours in weekly treatment and have more time for work and family.  
  • General Outpatient: two or three weekly therapy sessions, usually in a group setting. Your husband will live at home or in sober living.

Locate a Detox Center

Detox may be the first step in your husband’s recovery journey. It can also be the first step to a healthier marriage and improved mental health. Detox centers have experience detoxing clients from alcohol and a wide range of illegal and prescribed drugs. 
To find a detox center, use Recovery.com to browse detox centers in your area and view photos, insurance information, and reviews.

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Navigating Pre-Employment Drug Screening: Identifying the Substances Tested

A pre-employment drug test verifies if you are using illegal substances. These drug tests help employers understand if you are using any substances that may interfere with your ability to work. 

Although the legalization status of substances can vary across regions, such as marijuana, the test results can be used at the employer’s discretion. Drug tests can also be conducted at random, post-injury, if medications were used during recovery, with reasonable suspicion, or periodically during employment.

Commonly Screened Substances

Employers may test for various substances depending on the line of work, the location, the job role, and other factors. Commonly screened substances include, but are not limited to:

  1. Marijuana
  2. Cocaine
  3. Opioids (including heroin, morphine, codeine, and oxycodone)
  4. Amphetamines (including methamphetamine and MDMA)
  5. Benzodiazepines
  6. Alcohol
  7. Phencyclidine (PCP)

Detection Methods

Depending on the substances and desired time period of detection, employers have a few testing methods to choose from1: 

  1. Urine testing is the most common method that detects recent use of drugs. You will pee into a small cup and give it to a worker for testing. A urine test can typically detect substances used in the past few days.
  2. Hair testing can detect drug use over longer periods of time. A small hair sample is taken from the crown of the head or the armpit and must be at least 1.5 inches long. This method can detect drug use up to 90 days prior. 
  3. Blood testing is an accurate drug detection approach; however, it is costly and more invasive. A clinician uses an IV to draw a small amount of blood, and the test detects substances used in the past couple of hours or days. 
  4. Saliva testing uses a swab to collect a sample inside your mouth. This method detects drug use in the past 48 hours.

Factors Affecting Detection

Test results can be unique to each person’s circumstances, including factors such as:

  1. Frequency and amount of substance use: A chronic daily user will likely have the substance readily detected. An occasional user may be harder to detect, depending on the test.
  2. Metabolism and body composition: Your metabolic rate can influence how quickly drugs are processed and eliminated from your body2. Age, gender, genetic makeup, and overall health play significant roles in metabolism speed. For example, someone with a slower metabolism will take longer to eradicate substances.
  3. Sensitivity of testing methods: Different testing methods have varying sensitivities and detection windows. The cutoff levels (the minimum amount of drug residue required for a test to be considered positive) also vary by test. They can affect whether a result is positive or negative.
  4. Time elapsed since substance use: Depending on the test, if substance use is more than two weeks prior to the test, most methods will not detect it; however, hair testing can detect drug use for months.

Legal Implications

Employers must comply with federal and state drug test regulations, which can vary by region. 

In most cases, employers must give reasonable notice before the test and obtain the employee’s or job applicant’s consent. Drug testing policies must be fair to all employees or candidates to avoid discrimination. The Americans with Disabilities Act (ADA) protects individuals with disabilities who must take medication for their condition.

In some regions, laws and regulations may limit the actions employers can take in response to a positive drug test, particularly for substances like marijuana, where legality varies by jurisdiction.

Wrongful termination or disciplinary actions based on drug test results can lead to legal disputes, so employers must be clear, consistent, and legally compliant when defending their actions.

Employer Policies and Procedures

Drug test results represent highly sensitive and strictly confidential health information. Unauthorized disclosure of test results can lead to legal action against the employer. Before taking the drug test, you must agree to your privacy and confidentiality rights.

If the test results are positive, the employer has the right to rescind the job offer or terminate employment. Companies can also take disciplinary action, such as suspension or mandatory participation in a drug treatment center.

In some professions, a positive drug test may result in the suspension or termination of professional licenses or certifications, potentially rendering an individual ineligible for promotions and transfers.

Preparation and Mitigation Strategies

If you’re worried that your substance use may interfere with obtaining employment, it might be time to look into professional treatment. 

Your recovery journey can begin with medical detox. With clinical support, this process rids the body of harmful substances and helps you quit drinking alcohol or using drugs. In the case of alcohol and opioids, detox can be life threatening if done improperly. You can search for qualified detox centers near you to see what substances they treat, insurances they accept, and treatment approach they use. 

Often, detox isn’t enough for full recovery. You and your care team can collaboratively decide which level of care is best for your needs:

  • Outpatient (OP): You’ll meet 1-2x per week with your provider and others in treatment.
  • Intensive outpatient (IOP): You’ll meet 3-5x per week for several hours at a time for more intensive care.
  • Partial hospitalization (PHP): You’ll meet 5-7 times a week for a full day.
  • Residential: You’ll live in a rehab for 28+ days and engage in treatment with a comprehensive staff and a community of peers. 
  • Inpatient: You’ll live in a treatment center or hospital-like setting and have 24/7 monitoring. 

Managing addiction can be a complex and individualized process. Licensed professionals can provide you with appropriate tools, techniques, and support tailored to your specific needs. You may engage in talk therapies such as: 

  • Cognitive behavioral therapy (CBT) to learn how to replace unhealthy thought patterns with more affirming ones.
  • Contingency management (CM) that provides positive reinforcement, such as rewards or incentives, for maintaining abstinence from heroin.
  • Relapse prevention counseling to learn techniques to manage addiction cravings and other symptoms.
  • Motivational interviewing to explore the reasons why you want to recover and use that purpose to motivate change. 

Resources and Support

In the case of employment-related drug testing issues, seeking legal assistance can be a crucial step in understanding your rights, navigating potential consequences, and challenging unjust or unlawful practices. 

If you are struggling with a substance use issue, professional addiction treatment can help you identify triggers and unhealthy behaviors, learn positive coping skills, and adapt lifestyle habits to change your life for the better. Treatment may involve a mixture of evidence-based talk therapies (like cognitive behavioral therapy (CBT)), holistic healing modalities (like yoga), and support groups (such as AA and NA).

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How to Use Naloxone: What Is Narcan and Where to Find It

If someone is overdosing, immediately call 911 or local emergency services.

Narcan, or naloxone, is used to reverse opioid overdose. Opioids, such as heroin, opium, morphine, codeine, and fentanyl, can be legal prescription medications or illegal substances. 

Overdose occurs when an opioid’s depressant effects on the central nervous system cause life-threatening reactions. Narcan reverses an overdose by binding to the same brain receptors as opioids, thereby blocking the opioids from attaching to the receptors. This helps restore normal breathing and consciousness.

Narcan is usually administered through a nasal spray, and it can also be injected.

When to Use Narcan

It’s possible for opioid users to accidentally ingest too much at once and overdose. Other substances like MDMA can be cut with opioids, such as fentanyl, to lower production costs. If someone is displaying the signs of overdose, even if they didn’t knowingly take an opioid, you can still administer narcan—narcan won’t harm someone who didn’t ingest opioids1.

Overdoses usually include respiratory failure, where breathing becomes slow, shallow, or even stops completely. Other signs of overdose1 include:

  • Unconsciousness 
  • Very small pupils
  • Vomiting
  • Inability to speak
  • Faint heartbeat
  • Limp arms and legs
  • Pale skin
  • Purple lips and fingernails

Without immediate medical intervention, an opioid overdose can be fatal. In addition to using narcan in the event of an overdose, immediately call 911 or local emergency services.

Until emergency services arrive, you can help someone who’s overdosing2 by assisting them to sit or lay down in an open space. You can administer CPR if you are qualified, and if their skin is blue, perform mouth-to-mouth resuscitation. Additionally, use Narcan.

How to Administer Narcan

The American Medical Association created instructions showing how to administer Narcan3. You can also watch in video format:

If you are using NARCAN nasal spray, follow these steps:

  1. Peel back the package and remove the device. Put your thumb on the bottom of the plunger and two fingers on the nozzle.
  2. Place and hold the tip of the nozzle in either nostril until your fingers touch the bottom of the patient’s nose.
  3. Press the plunger firmly to release the dose into the patient’s nose.

Tip: When administering a nasal spray, help the patient gently tip their chin upward. This helps open their airways so the spray can better reach the bloodstream.

If you are using EVZIO auto-injector, follow these steps:

  1. Pull the auto-injector from the outer case.
  2. Firmly pull off the red safety guard; do not touch the black base (this is where the needle comes out).
  3. Place the black end of the auto-injector against the outer thigh, through clothing if necessary.
  4. Press firmly and hold in place for 5 seconds. (There will be a distinct “hiss” and “click” sound when working properly. The needle will not be visible after use.)

If you are using yellow cap nasal spray, follow these steps:

  1. Pry off the syringe’s yellow caps (both sides).
  2. Pry off the purple cap on the naloxone capsule. 
  3. Grip the clear plastic wings on the spray nozzle.
  4. Thread the spray nozzle on the syringe.
  5. Gently screw the naloxone capsule into the barrel of the syringe.  
  6. Insert white spray nozzle into the patient’s nostril. Give a short, firm push on the end of the naloxone capsule to spray.
  7. Administer half of the capsule into each nostril.

If you are using an intramuscular syringe needle, follow these steps:

  1. Inject 1 cc of naloxone straight into a muscle, such as the thigh, outer side of the glute, and shoulder.

Administer another dose of Narcan if the patient doesn’t respond/wake up after 2-3 minutes.

Where to Find Narcan

Fortunately, Narcan is becoming more widely available. You can purchase Narcan over the counter in many pharmacies. Local health clinics and community health centers may offer naloxone training and distribution. 

You can also order it online from websites like Narcan.com4. Some states will even send it to you for free—search “free Narcan _(your state or city)_” to find an organization.

How to Care for Someone After You Give Narcan

After you administer Narcan to someone, stay with the person. Emergency services should already be dialed and on their way, but don’t leave the person’s side until medical professionals assist them.

If the person is not breathing or has a weak pulse, continue with CPR if you are trained to do so. Otherwise, ensure the person is lying comfortably on their side with their airways clear to avoid choking on vomit. Once medical professionals arrive, discuss all relevant details to the overdose and what you have done to assist the person (including the type of Narcan you administered and how many doses).

How to Become Trained to Administer Narcan

You can become a trained Narcan administrator through online courses or in-person events. Websites such as Overdose Lifeline5, The Center for Disease Control6, End Overdose7, and American Red Cross8 provide virtual training. You can typically become certified in an hour or less.

Sometimes, you can receive training in person at harm reduction events. Some states may have a map showing where you can get trained, such as Colorado’s End Overdose page9.

However, even if you are not Narcan trained, you can and should still use it to save someone’s life.

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What to Ask a Rehab Center

Calling a rehab center for the first time can feel overwhelming, but it’s an important first step toward getting help.

Knowing what to expect when you get on the phone with a rehab can give you the confidence you need to make that first call. Here’s what to expect—and what to ask—when inquiring at a rehab.

Before you pick up the phone, it’s a good idea to have a list of questions you want to ask. It’ll help you feel prepared, and ensure you’ll get all of the information you need to make a decision about your treatment. 

Rehab Questions: The Basics

How much does treatment cost?

This is the first question on most people’s minds when they call a treatment center. Knowing the costs of treatment upfront allows you to financially prepare for rehab.

In the U.S., most insurance policies cover up to a certain level of treatment. Rehab admissions teams can usually help you find out what your plan will cover. Heather Charlet, Director of Admissions at Gallus Detox Center Colorado, explains that coverage “depends on each individual’s policy and what their out-of-network benefits are. We run a verification of benefits for every patient that has insurance to see what we’re able to cover.”

Use these questions as a starting point: 

  • Do you accept my insurance? 
  • If not, what are my payment options?
  • Is full payment required upfront or can I pay a deposit to hold my spot? 

Read more about how much rehab costs.   

Is there a waitlist?

Most people seeking treatment want help as soon as possible. Because of the large number of treatment centers available, waitlists generally aren’t common in the U.S. But in Europe and Australia have far fewer private rehab options, which may be waitlisted.  

Because addiction is an urgent issue, whether a rehab has a waitlist or not may determine if you can, or want to, receive treatment there. Knowing this right away can save you time. 

gallus detox center coloradoGallus Detox Center in Littleton, Colorado

Tell me more about your treatment approach and therapies.

The path to recovery is highly personal: What works for one person may or may not work for another. That’s why rehabs use so many different methods to treat addiction and mental health disorders. 

Faith-based, 12-Step, non-12-Step, and holistic rehabs are examples of rehab treatment approaches that frame entire programs and may appeal to different types of people. Specific therapies include a range of evidence-based and holistic treatments.

What works best for you depends on your personal framework, past treatment experiences, and addiction or mental health history. Learn what each center offers so you can decide whether their approach resonates with you.

How qualified is your staff?

Knowing who will care for you is just as important as knowing what methods they use. These rehab staff-related questions will help you get a clearer picture of the people guiding your treatment: 

  • What kind of professionals will I be interacting with on a day-to-day basis? 
  • Who will be on my treatment team? 
  • What are their qualifications? 

Rehab Questions: Details of Your Stay

What types of clientele does your program serve? Do you offer specialized services?

These questions are important for several reasons:

  • Some rehab programs are tailored to the needs of certain clientele. There are rehabs that cater to executives and wouldn’t be appropriate for teens, for example.
  • If you identify with ethnic or sexual minority groups, you may require resources to address your minority experiences. For example, a trans person may need an LGBTQ+ affirming environment to safely process trauma. 
  • You may need other specializations for a successful treatment experience, such as co-occurring disorder treatment or trauma-informed care.
camino recovery Camino Recovery in Vélez-Málaga, Spain

Do you offer on-site detox?

Some people require detox before they begin inpatient treatment. And some residential rehabs are equipped with the facilities and medical staff necessary to offer detox services on-site. Other centers may offer detox off-site through partnerships with local medical facilities. 

An admissions counselor or addiction specialist can help you determine if you need medical detox. 

Detoxing on your own can be harmful to both your physical and mental health. Consult with your doctor or a qualified medical professional when making decisions about detox. 

How many clinical hours does your program include

A key indicator of a rehab center’s value is how many individual therapy sessions you’ll receive per week. The more time you get to spend with your counselors and therapists, the more help you’ll directly receive. Some treatment programs consist mainly of group therapy sessions, while others include more one-on-one time with practitioners. Finding this out upfront can help you avoid unpleasant surprises when you arrive.  

What’s your policy on contact with loved ones? Can I use my laptop or cell phone?

Relationships with your partner, family, and friends are an essential part of your life and recovery. Don’t let fear of not knowing whether you’ll be able to communicate with them be the roadblock that stops you from getting help. 

Ask the center what their device or communications policies are: 

all points north lodge burnout treatment All Points North Lodge in Vail Valley, Colorado

Questions to Ask a Rehab Facility Before Being Released

Is it possible for me to extend my stay if necessary?

Most inpatient rehab programs have set lengths of stay that range from 30 to 90 days. Still, you never know what’s going to happen and if you’ll feel fully prepared to check out once you’ve reached the benchmark time spent in treatment. While most centers are happy to allow clients to extend their stay, if yours is waitlisted, it’s worth checking in advance. 

What kind of continuing care do you provide?

Most people require ongoing support and care after their stay at a residential rehab. Jan Gerber, CEO of Paracelsus in Zurich, Switzerland, points out: 

“What happens after treatment is probably the most important question about treatment, because that’s what people go back to after they leave from treatment. The whole concept of aftercare is maybe even more important than the treatment itself.” 

Certain components of continuing care, such as ongoing therapy and a strong support network, are essential to relapse prevention. But aftercare options vary greatly between rehab centers. Some centers may not offer continuing care, or may offer these services at an additional cost. So make sure you find out as much information as possible about their aftercare program.

Choosing the Right Rehab Center for You

Wherever you are in the process of seeking help, it’s okay to not have all of the answers. The first phone call to a rehab is a key first step toward getting the help you need. Make the most of your conversation with an admissions advisor so you can make an educated choice about which center is best for your needs.

Browse our list of rehabs to learn more about available treatment options.

Frequently Asked Questions About Calling a Rehab Center

What happens when you call a drug rehab?

An intake specialist will ask a series of questions to learn more about you. This helps them determine the level of care you need and other treatment details. It’s also a chance for you to find out more about the center.

What questions should I ask when choosing a drug rehab?

These questions can help you make the most out of your call:

  • How much does treatment cost? 
  • Is there a waitlist? If so, how long is it? 
  • Tell me about your center’s philosophy and treatment methods.
  • What kind of specialists do you have on staff?
  • Do you offer on-site detox?
  • How many clinical hours does your program include?

Who answers the phone when you call a rehab?

An intake or admissions specialist picks up. Sometimes a receptionist will answer and redirect your call. All rehab staff should follow ethical standards when interacting with potential patients.

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How Long Do Drug Cravings Last?

Cravings are an intense urge to use a substance. They’re a normal part of early addiction recovery. Several factors influence how long drug cravings last. These include the type of substance, length of use, and relapse history. 

A cue-driven craving episode1 lasts anywhere between a few minutes to 30 minutes. They’re usually stronger and more frequent in the early stages of recovery, especially in the first 2 weeks after quitting a substance. Cravings become less intense over time.2 You may experience them sporadically for months or years after quitting a substance. But you can learn to manage cravings with proven coping techniques so they’re less intense.

What Causes Drug Cravings?

Complex interactions between your brain and a range of factors cause drug cravings. These factors include your environment, social setting—even your beliefs and values.

Drugs and alcohol influence the brain’s reward system.3 Specifically, substances alter your levels of dopamine, a neurotransmitter responsible for pleasure, reward, and motivation. During addiction, your brain makes positive connections between substances and feelings of pleasure. Over time, your body needs more of a substance to feel the same effects. This is what builds tolerance and eventually leads to addiction. 

When you stop using a substance, your body and brain experience withdrawal. As this happens, your brain will try to restore balance. Cravings are a result of your brain adjusting its chemical levels.4 

Internal and external cues also come into play. Certain people, places, situations, and sensations that remind you of the substance can elicit a dopamine response. As your brain fires dopamine, it urges you to act. The result is intense cravings.    

Factors Influencing Drug Craving Duration

Type of Drug

Different substances affect the brain and body differently, influencing craving levels. 

Certain drugs, like opioids, cocaine, methamphetamine, and nicotine, have an intense and immediate effect on your brain’s reward system. This leads to stronger, more frequent cravings. They also cause more severe withdrawal symptoms, which can trigger cravings as a way to seek relief. 

For example, nicotine produces intense cravings. People experience a nicotine high within 10 seconds5 of inhaling. But the effect fades just as fast, driving people to smoke more. Withdrawal symptoms appear as early as a few hours after the last cigarette and can motivate cravings. According to the National Institute on Drug Abuse, just 6% of smokers are able to quit6 each year. Smoking cessation treatment programs show promise for managing nicotine cravings and quitting smoking.7

Other drugs, like marijuana, alcohol, and benzodiazepines, affect the brain more gradually and subtly. You can still develop tolerance to them, which amplifies cravings. 

Some drugs may produce longer-term cravings compared to others. For example, cocaine cravings peak several days after quitting8 and can last years. Meanwhile, nicotine cravings peak within 24 hours after you’ve quit smoking. They usually last a few weeks but can persist for months. 

Duration of Use

The duration of substance use impacts the timeline of cravings. In general, the longer you use a substance, the likelier you’ll be to experience cravings after you quit. Chronic substance use changes brain structure and function, especially in the brain’s reward circuit. You can become more sensitive to triggers and less responsive to natural dopamine rewards, like exercise. 

Long-term drug use damages areas of the brain responsible for decision-making, impulse control, and judgment. As a result, you might find it harder to manage negative emotions or cravings. 

Relapse History 

Relapse is commonly a part of recovery.9 Your history of relapse can influence the duration of drug and alcohol cravings. 

Experts are still researching the impact of relapse history on cravings. Some studies suggest that relapse increases cravings by reinforcing positive associations between drug use and reward. Others suggest that relapse can reduce the anticipation of a drug’s effects,10 thus decreasing the severity of cravings. 

While the debate is ongoing, there’s a clear relationship between cravings and relapse. Understanding this is an important part of relapse prevention. 

Do Drug Cravings Disappear Entirely?

Many people who struggle with addiction wonder, “How long do drug cravings last?” The answer isn’t so simple—cravings are unique to each individual. But through addiction treatment and a commitment to your long-term recovery, cravings eventually fade. 

Managing cravings is important to recovery, and it takes awareness, self-care, and support. Group therapy can be a good place to learn what craving management tools work for others. You may pick up some techniques to apply to your recovery too. Over time, as your brain recalibrates, your cravings will decrease.

Find Professional Help for Drug Cravings

Because cravings are a predictor of relapse,11 strategies for dealing with cravings are key to relapse prevention. These might include learning to recognize triggers, distraction techniques, substituting substance use with healthy behaviors, and most importantly, support. Support from family members and others in your sober community helps reduce isolation, provides emotional and informational guidance, and motivates you to stick with your recovery. 

Addiction treatment programs teach you how to manage cravings in a safe environment. They can also teach your loved ones how to better support you. Craving management is an important part of relapse prevention planning that can serve you well into long-term recovery.

Frequently Asked Questions About How Long Drug Cravings Last

How long do cravings last for drugs?

The duration of drug cravings varies depending on factors like the type of drug, length of use, and relapse history. Cravings are most intense in the early stages of recovery, up to 2 weeks after quitting. Some people experience cravings for months or years after quitting a substance. With effective addiction treatment, you can manage cravings so they’re less intense over time.

Why do some drugs produce stronger cravings than others?

The type of drug a person uses can influence the intensity and frequency of cravings. Drugs that have a strong and immediate effect on the brain’s reward system, such as opioids, cocaine, and methamphetamine, are more likely to produce intense cravings. These drugs also cause more severe withdrawal symptoms, which can trigger cravings as a form of relief.

What is the difference between cravings and withdrawal?

Cravings are an intense urge to use a substance. Meanwhile, withdrawal is a set of physical and psychological symptoms that occur when someone stops using a substance. Withdrawal symptoms are uncomfortable and sometimes even dangerous, but they’re often temporary. Cravings, on the other hand, can persist for a longer time, even after withdrawal symptoms have subsided.
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Is Alcohol Bad for Your Brain? Understanding the Impact of Alcohol on Cognitive Health

Although drinking is commonly accepted in most cultures, alcohol can damage your brain more than you think. Alcohol affects brain function by interacting with neurotransmitter systems and altering the communication between nerve cells while  depressing your nervous system, causing a slew of side effects, wanted or unwanted. 

Short-Term Effects of Alcohol on the Brain

Alcohol impacts how your brain and body communicate soon after you take those first few sips. Short-term effects include:

Euphoria

Drinking alcohol causes euphoria, commonly referred to as a “buzz” or “high.” Alcohol activates the brain’s reward system1 and increases dopamine release. People may experience increased confidence and sociability, as well as decreased inhibition. They also feel less stressed and anxious. These feelings can be enjoyable and are why people choose to drink alcohol in the first place. However, it’s important to remember that alcohol can also cause feelings of depression, irritability, and aggression when consumed in excess.

Impaired Frontal Cortex

The frontal cortex is one of the most important areas of the brain, responsible for decision-making, planning, problem-solving, and regulating behavior. It’s no surprise that alcohol has a damaging effect on the communication between neurons in the frontal cortex2. This can lead to difficulty making decisions, planning, and focusing. It can also impair the ability to control emotions and behavior, leading to impulsive and reckless decisions.

Impacts on the Central Nervous System

Alcohol’s impact on the central nervous system leads to slurred speech and a lack of coordination. And alcohol can impair memory storage3, leading to difficulties remembering recent events or conversations. You could even experience a blackout, where you have no memory of the situation because the memories could not be stored in the hippocampus. 

Long-Term Effects of Alcohol on the Brain

Day to day, it may be hard to notice how your drinking is affecting your brain and body. Over time, however, persistent heavy drinking leaves you susceptible to structural changes and damage in certain areas of the brain4. Each drink can wreak havoc, physically and mentally. In a worst-case scenario, some of the destruction might not be reversible. 

Physical Health Complications

One of the most well-known effects of excessive and long-term alcohol use is liver damage. Unfortunately, it can lead to a range of other health complications, such as heart diseases and pancreatitis, which can have serious and potentially life-threatening consequences. It’s essential to be aware of these issues and take steps to reduce your risk of damage to your body.

Weakened Immune System

Chronic alcohol consumption can significantly impair the body’s immune system5, increasing the risk of developing illnesses and infections. When the immune system is weakened, it’s unable to function properly and fight off invading pathogens, leaving the body vulnerable to attack. Long-term alcohol use can also disrupt the body’s natural balance of hormones6, which can further weaken the immune system. Poor nutrition and dehydration resulting from heavy drinking also weakens the immune system.

Premature Aging

Some studies emphasize the premature aging hypothesis, which states that heavy drinking accelerates natural chronological aging7, beginning with the onset of problem drinking. This idea highlights how alcohol’s damaging effects can cause permanent changes and complications, such as cognitive decline and memory problems.

Sleep and Alcohol’s Effects on the Brain

Sleep is the basic building block on which you build a healthy life. As a depressant, alcohol is a sedative that interacts with several neurotransmitter systems involved in sleep regulation8. Alcohol disrupts how your rapid eye movement (REM) cycle progresses throughout the night. Whenever your blood alcohol concentration (BAC) is highest, among other factors, determines how the cycle is disturbed. Without quality sleep, your mood and cognitive function can suffer. Chronic alcohol abuse can even spur sleep issues like insomnia.

Neurodegeneration 

Alcohol’s neurotoxic effect on the brain can cause neuron destruction9, also called neurodegeneration. Once your neurons and their pathways change, it’s difficult for your brain to properly communicate with itself and the body because neuron loss jeopardizes how neural networks function. Without healthy networks, your brain’s health can severely decline.

Alcohol Abuse and Brain Health

Research shows that people with alcoholism have smaller brain sizes compared to those who don’t10. Long-term alcohol consumption can also lead to a decrease in gray matter and white matter11 in the frontal cortex. This might be because alcohol has neurotoxic effects on nerve cells, which can contribute to neuronal damage and increased vulnerability to alcohol-related brain damage (ARBD) like dementia. 

While it is possible to develop a few different alcohol-related brain disorders, two of the most severe include Wernicke syndrome and Korsakoff syndrome. Both are associated with thiamine (vitamin B1) deficiency and alcohol abuse12. Thiamine helps the brain turn sugar into energy. With thiamine deficiency, brain cells cannot generate enough energy to function properly, which causes a myriad of physical and mental difficulties.

Wernicke syndrome 

Alcohol’s destruction to neurons and cell communication in the peripheral and central nervous systems can prompt the onset of ​​Wernicke syndrome. Wernicke’s encephalopathy can have a severe and sudden onset and involves ophthalmoplegia13, which is paralysis or weakness of eye muscles. It also includes ataxia, weakened muscle control in their arms and legs, and confusion. Wernicke’s encephalopathy usually precedes the onset of Korsakoff syndrome14. 

Korsakoff syndrome 

Alcohol abuse can inhibit learning new information, remembering recent events, and long-term memory processing. Over enough time, this can progress into Korsakoff syndrome. Korsakoff’s psychosis causes damage to the brain’s thalamus and hypothalamus14, which can lead to confusion, memory problems, coma, and irreversible brain damage. 

If you or someone you know is experiencing these symptoms, visit your primary care practitioner immediately. If the situation feels life-threatening, call 911 and/or take them to an emergency room and stay with them until they have medical help. If you live outside of the United States, you can find your country’s emergency number in this list15.

Neurotransmitter Disruptions

Alcohol primarily interacts with the reward and stress systems in the brain16, which includes dopaminergic, serotoninergic, glutamatergic and GABAergic neural circuits. A neural circuit has a series of neurons that send chemical signals to one another. 

As you drink, your brain releases more dopamine, endorphins, and serotonin and suppresses Gamma-Aminobutyric Acid (GABA) and glutamate release. These disruptions in normal functioning greatly affect your mood, behavior, and cognition. 

Alcohol’s impact on dopamine levels is a key factor in the formation of alcohol dependence17. Dopamine is not only the “feel good” hormone, but it’s also the motivation and incentive-based hormone. Your brain begins to reinforce unhealthy drinking habits because your dopamine levels rise when consuming alcohol, so, without alcohol, your brain will begin to crave that dopamine boost again. This spurs the dangerous cycle of chasing the high.

IJHG 20 20 g002

Image from the Indian Journal of Human Genetics16

Mental Health and Alcohol

Alcohol and mental health are closely intertwined, and the relationship between the two is complex. Some people are more vulnerable to alcohol abuse because of preexisting conditions. In contrast to those who drink responsibly or abstain, those who abuse alcohol—especially adolescents and those with long-term exposure—are more likely to develop depression or other psychological conditions. 

The prevalence of anxiety, depression, and other mental disorders is significantly higher among those with alcoholism18 compared to the general population. For many, this is due to using alcohol as self-medication for the uncomfortable emotions associated with these mental disorders. Chemical changes in the brain from alcohol, such as the disruption of neurotransmitters crucial in maintaining good mental health, also contribute to and worsen existing symptoms. 

If you have co-occurring disorders, finding specialized care for all conditions is essential because of their complicated relationship. You’re actually more likely to recover from each condition if the alcoholism and the co-occurring mental health disorder(s) are individually addressed and treated18. Explore professional treatment options with your doctor to get to the root cause of your co-occurring disorders. 

Adolescents’ Vulnerability to Alcohol’s Effects

According to the National Institute of Alcohol Abuse and Alcoholism, roughly 35% of adolescents (ages 12-20) have tried alcohol19. And this number likely doesn’t include the many teens who didn’t report their drinking. Alcohol use during these crucial years can disrupt normal brain maturation20 and increase the risk of cognitive impairments because of restricted blood flow in certain brain regions and electrical activity. 

Adolescents are also more prone to risk-taking behaviors21, which drinking only exacerbates. Alcohol greatly affects the prefrontal cortex, which is the decision-making area in the brain that is still developing for adolescents. They could be more likely to make bad decisions and get into trouble if they’re drinking, such as getting into a car crash while driving under the influence. 

If your child is in these pivotal years, have an open conversation with them. Being open-minded and honest with them, and actively listening to their experiences without judgment, will create trust. Your child may be more likely to listen to your advice if you approach these conversations with empathy and the desire to learn from each other.

Can the Brain Recover?

So, is it possible for your brain to recover from alcohol’s damage? In many cases, the answer is yes. It is a resilient organ that can heal. Your brain has something called neuroplasticity, which means your nervous system can change, positively or negatively, to stimuli22. So, while your neuroplasticity can negatively change from alcohol abuse, it can also positively adapt in recovery. 

Recovery from alcohol abuse is complex, and it can vary depending on factors like genetics, age, and overall health. The best way to recover is to stop drinking; however, this should be done over time with a tapering plan. Attempting to stop drinking “cold turkey” is dangerous and could cause serious implications. 

For this reason, recovering with professional guidance is essential. Medical professionals can ensure that the detoxing process goes as smoothly as possible. And tapering off alcohol will decrease the likelihood of withdrawal symptoms.
Alcohol shouldn’t be running your life. Your health matters. Begin your journey towards sobriety today by browsing rehabs that specialize in alcohol treatment.

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How Much Alcohol Is Too Much? Signs You Are Drinking Too Much 

Recognizing the signs of excessive alcohol consumption is crucial because it can significantly impact your health, relationships, and overall well-being. This article will explore ways to identify how your drinking habits affect your life. Then, discover how early intervention and support can help you address alcohol-related issues and lead to a healthier and more fulfilling life.

Understanding Excessive Alcohol Consumption

Exceeding the recommended level of alcohol consumption, commonly referred to as binge drinking, can be dangerous and potentially lead to hazardous health effects. The amount of alcohol that is considered to be excessive drinking can vary from person to person, based on factors such as gender, age, and overall health.

To help you understand where your alcohol consumption falls, drinking can be split into these categories: 

  • Moderate Drinking: This typically refers to up to one drink per day for women and up to two drinks per day for men1. 
  • Binge Drinking: Binge drinking is characterized by consuming a large amount of alcohol in a short period, leading to a blood alcohol concentration (BAC) level of 0.08% or higher. For men, binge drinking usually occurs after consuming five or more drinks within two hours, while for women, it is after four or more drinks in the same timeframe.
  • Heavy Drinking: Heavy drinking is often defined as consuming more than the moderate drinking guidelines.
Alcohol Consumption Chart

Physical Signs of Drinking Too Much

Your body will likely indicate if you’re drinking too much alcohol. You may have:

  • A higher tolerance
    • Due to consistent alcohol consumption over a long period of time, you might need to drink more to feel the same effects you used to.
  • Frequent hangovers
  • Dehydration 
  • Health problems
    • Alcohol can damage your whole body. You might develop liver disease, a weakened immune system, and cardiovascular problems.

Consistently drinking heavy amounts of alcohol can take a toll on your body. There isn’t an amount of alcohol that doctors can deem “safe,” so you could be slowly hurting your mind and body.

Physical Health Consequences

Heavy drinking could cause liver damage, cirrhosis, and other alcohol-related diseases. You also have an increased risk of cardiovascular problems and compromised immune function, making you more likely to have worse illness symptoms.

Alcohol causes poor sleep quality2 by disrupting your rapid eye movement (REM) cycle. This impacts your mood because getting proper rest is necessary for energy and productivity. 

Dehydration from drinking also negatively affects your mood3 because hydration is a crucial component of energy and mood. Without proper hydration, you may have heightened fatigue and anxiety. While alcohol may temporarily relax, its long-term effects on sleep, energy levels, and overall health outweigh the relief.

Drinking’s Impact on Mental Health

Studies found a significant link between excessive alcohol consumption and co-occurring mental health disorders4. The relationship between alcohol and mental health is complex and bidirectional, meaning alcohol abuse can contribute to the development of mental health disorders, and pre-existing mental health issues can lead to the use of alcohol as a form of self-medication.

While alcohol causes an initial feeling of euphoria or relaxation5, it is a depressant, meaning it can ultimately lead to adverse changes in mood. Alcohol is a central nervous system depressant6 that can lead to chemical imbalances in your brain, contributing to anxiety, depression, and mood swings. And cortisol, the stress hormone, releases after drinking7, making you even more anxious. 

Even with all of these negative effects, you may continue your drinking habits because it can act as self-medication. Alcohol temporarily diminishes some depression and anxiety symptoms; however, using alcohol as your coping mechanism for uncomfortable feelings will cause harm in the long run. 

Behavioral Indicators of Heavy Drinking

On a surface level, it might be easier to spot physical signs of heavy drinking; however, alcohol’s impact runs deeper. It can affect your whole personality and daily behaviors. You might be more secretive about how much you drink. You could also neglect your responsibilities, like being too hungover to work. And you may be more irritable with friends and family.

The behavioral and psychological signs have an interdependent connection. The mental changes from alcohol can start the onset of negative habits. And over time, your behavioral changes can spur psychological repercussions. Soon, it’ll be hard to distinguish between cause and effect. 

Social Implications of Excessive Drinking

Relationships

Alcohol affects you and your relationships. Excessive drinking can lead to conflicts, arguments, and breakdowns in relationships with family members, friends, and significant others. You might even start isolating yourself from your loved ones because they want you to cut back on drinking, causing further conflict. 

Professional Life

Spending more time drinking may make you less efficient at work. Your thoughts might be consumed by when you’ll get your next drink, interfering with healthy daily habits. And your hangovers could make it hard to be productive.

Risk-Taking Behaviors

The consumption of alcohol impairs the decision-making abilities of the frontal lobe in the brain8, resulting in risky behaviors such as drunk driving, having unprotected sex, and sustaining injuries. These not only put oneself at risk, but also those around them. For instance, one may face a DUI charge and other potential criminal convictions.

Signs of Alcohol Dependency and Addiction

If this article resonates with you, see if your behaviors align with alcohol dependency. Some signs of addiction include:

  • Alcohol cravings
  • Being unable to stop drinking until you’re drunk
  • Developing a high tolerance
  • Experiencing physical and psychological withdrawal symptoms when attempting to cut down or stop drinking 
  • Withdrawing from friends and family, becoming secretive about drinking habits
  • Using alcohol to cope with stress, anxiety, depression, or other emotional problems
  • Continued drinking despite negative consequences

Assessing Your Alcohol Consumption

Assessing your alcohol consumption is essential in understanding whether your drinking habits are within safe and healthy limits.

You can start a drinking diary to record all the alcoholic beverages you consume for at least 1 month. Write about the type of drink and the volume (in milliliters or ounces) of each beverage. This can serve as a visual representation of your alcohol consumption, so you can easily evaluate if it’s at a healthy limit.

You can compare your drinks to standard drink sizes to better gauge how much you’re drinking. A standard drink size in the United States is 12 ounces for a beer, 5 ounces for wine, and 1.5 ounces for distilled spirits. For example, if you drank on Friday and had 3 beers and 1 glass of wine, you’d write down 4 drinks. 

Drinking Diary

Talking to a Provider About Heavy Drinking

For reliable advice and support regarding alcohol-related matters, it’s best to consult with a healthcare professional. They are able to offer valuable insights, precise evaluations, and the necessary aid to address any difficulties in an effective manner.

To begin addressing your drinking habits, start by speaking to your primary care physician. Be honest and open with them, and tell them about your concerns. Describe the amount of alcohol you consume in a week, what type of drinks you have, and the activities you typically do while drinking. Additionally, explain how your drinking has affected your relationships with family and friends. Furthermore, you could ask them to refer you to a specialist if needed, who can offer further help and advice.

Once your doctor has a good understanding of your situation, they can guide you towards the right treatment. Develop a strategy to cut down or stop your excessive drinking. This could include setting specific goals, finding alternative activities to replace drinking, and identifying triggers that lead to excessive drinking.

Steps Towards Change and Seeking Help

Acknowledging the need for change and setting treatment goals are crucial steps to progress toward a healthy lifestyle. It takes courage and determination to confront your issue and make these positive changes. You and your trusted circle of friends and family can explore treatment options to determine the best fit for your individual needs.

Detox

Many people begin their journey by going through the detox process, so you can safely rid your body of alcohol. You’ll have medical professionals there to ensure you’re as comfortable as possible. This can help you feel more focused and prepared to take on therapy. 

Residential Programs

Residential rehab may benefit you if you need a more intensive, distraction-free environment to focus on therapies and working through your alcohol dependency. You’ll get to the root cause of your drinking habits and develop new strategies to cope with uncomfortable feelings and situations. 

You might participate in evidence-based therapies like cognitive behavioral therapy (CBT). Your loved ones can engage in family therapy, so you can find common ground and work towards healthier relationships. 

PHP/IOP

Your care team may recommend an outpatient program if your drinking habits need less intensive care.  Outpatient treatment has varying levels of care, with partial hospitalization (PHP) providing a more intensive level of care and outpatient (OP) providing the least intensive. You’ll participate in the program for a few hours a day on certain days of the week, allowing you to go to work or attend school simultaneously. You’ll learn new coping mechanisms to manage your triggers. And your support network will grow as you heal with others in therapy.

Support Groups

Joining support groups like Alcoholics Anonymous and SMART Recovery9 provides a sense of community, understanding, and accountability in your recovery. They offer a safe space to share experiences, learn from others, and receive ongoing support.

Freeing Yourself from Alcohol

If you feel like you can’t drink at a healthy pace and use alcohol to cope with uncomfortable feelings, it might be time to seek treatment. You can discover, and sustain, a healthy and balanced lifestyle that prioritizes your well-being. Embrace a life without alcohol. Begin your search by browsing our list of treatment centers for alcohol addiction. 

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What Is a “Dry Drunk”?

A “dry drunk” is someone who’s sober but still experiencing some of the emotions and behaviors caused by alcohol use. The term also describes someone who returns to an immature mindset1 after years or decades of impairment—arguably, back to how old they were when they began drinking. Other effects include irritability and impulsiveness. 

The term came about when Alcoholics Anonymous (AA) first began. AA members coined it2 as a non-negotiable stage of alcohol recovery. Later, psychiatrists and addiction specialists added their own twists to the definition, but generally agreed it’s part of recovery as a whole.

Who’s Most at Risk of Dry Drunk Syndrome?

Everyone in alcohol addiction recovery risks dry drunkenness, but it does become more likely for some specific groups.

Someone Who Never Went to Treatment

Not everyone needs professional alcohol addiction treatment, especially if their addiction isn’t severe. Or so it may feel.

Some forms of treatment, like outpatient therapy, address why/how drinking became a coping tool. Without treatment, you lose the chance to identify trauma, mental health conditions, and instill positive coping skills. Treatment can also help you process having an addiction. 

Without treatment, you risk developing dry drunk syndrome.

Someone Who Didn’t Complete Treatment

Anyone that prematurely left addiction treatment likely won’t enjoy the inner healing it can provide. You may not heal the underlying issues of addiction if you don’t finish treatment, resulting in dry drunk syndrome. 

Someone Who Had Poor Treatment

You may have gone to treatment but felt like you didn’t benefit from it. Maybe the facility wasn’t up to par, or you just couldn’t relate to their methods. Factors like that could keep you from fully engaging in treatment and experiencing healing. 

Other Nuances of Dry Drunk Syndrome 

Some symptoms of dry drunk syndrome mimic physical health issues2, like allergies and hypoglycemia. In early AA days, some members wrongly assumed more serious health conditions were simply a phase of their recovery. When those symptoms were medically addressed, they were no longer dry drunk.

So, it’s important to remember the signs and symptoms of dry drunk syndrome. That way, you can differentiate its symptoms from another health condition and get the treatment you need.

What Are The Signs of Dry Drunk Syndrome?

The signs of dry drunk syndrome2 include:

Changes in Mood 

You may feel more down, hopeless, or irritated than normal. You might also feel out of control since you can’t use your old coping tool anymore. Or, your mood could turn aggressive, and you may snap at your friends and family. 

Difficulty Concentrating

Feeling confused, disoriented, or distracted can make it hard to concentrate. Dry drunk syndrome can cause those feelings, affecting your work, school, and daily interpersonal life. 

Isolating

Feeling low, irritable, and ashamed of your feelings could lead to isolation. Or, you may want to deal with those feelings on your own, which could cause you to spend more and more time in isolation. That could mean staying in your room, overstaying at work, or becoming emotionally isolated around others. 

Engaging in Other Addictive Behaviors

You may turn to other substances1 in lieu of alcohol. These include “innocent” replacements, like caffeine, and even narcotics like cocaine. Other popular replacements include vapes and cigarettes, which contain nicotine. Excessively using nicotine or caffeine may seem better than using alcohol, but the underlying cause of addiction remains unaddressed.

Going Back to Old Bars

Despite not drinking anymore, you may feel drawn to the bars you used to go to and the social circles you were in. You may go to reconnect with old friends or another part of yourself. But doing so could tempt you into a relapse.

Habitual Lying

Hiding alcohol use and addiction usually requires lying, which can be a hard habit to break for those with dry drunk syndrome. You may find yourself lying about small or unimportant truths, creating trust issues with you and your loved ones. 

Anger And Resentment

In an attempt to avoid self-blame, rather than absolving it, you may blame others for personal errors. This could present as frequent anger outbursts, constant anger, and having a short fuse. You may also resent others for causing your addiction or contributing to it. Or, you might resent those who have gotten sober and seem perfectly happy.

Exaggerated Self-Importance

You may expect praise and positive attention for getting sober. This could lead to an exaggerated sense of self-importance, as you believe you’re owed praise. Receiving praise could then fuel that belief. Treatment can help you feel proud of your sobriety without the praise of others, which could prevent this symptom of dry drunk syndrome. 

How Is Dry Drunk Syndrome Treated?

To treat dry drunk syndrome, you and your care providers will likely return to your addiction’s root cause.  A therapist, psychologist, or addictions counselor will use various techniques to help you identify the factors that lead to addiction and find a path forward. These techniques include:

Cognitive Behavioral Therapy (CBT)

CBT helps you identify and address the thoughts and emotions behind your behaviors. For dry drunk syndrome, you’ll go back to what may have caused your addiction and how that unresolved cause still affects your present self. You and your therapist will then begin the healing process to resolve those issues and relieve you from dry drunk syndrome. 

Dialectical Behavioral Therapy (DBT)

DBT helps you accept strong emotions, navigate their effects, and learn tools for interpersonal communication. This therapy targets the emotions of dry drunk syndrome and the strong feelings that may have led to substance use in the first place. DBT usually takes place in a group setting with a classroom-like structure. You’ll learn new skills, accept your emotions, and explore ways to better yourself.

Holistic Therapies

Holistic therapies can help you navigate dry drunk syndrome by fostering your mind-body connection. Connecting deeper to yourself can open your eyes to the emotions that drove your addiction and how dry drunk syndrome continues to have those emotional effects. Holistic therapies for dry drunk syndrome include

The 12 Steps

Many of the original Alcoholics Anonymous (AA) members followed the 12 Steps to alleviate dry drunk syndrome. Those same principles still apply today. As the earlier members found relief through surrender and commitment to abstinence, so can you. Many rehabs and outpatient programs use the 12 Steps in treatment. And, you can keep going to AA meetings as long as you want, even after you leave treatment. You’re always welcome there.

Find A Support Group

12-Step groups exist worldwide. To find one near you, you can use AA’s meeting finder. You can also attend a rehab with a 12-Step focus.
To see 12-Step rehabs, you can browse our list of centers to see reviews, photos, insurance information, and more.