But alcohol is still a highly addictive substance, and addiction to alcohol is more common than addiction to drugs. Changes to dopamine, GABA, and glutamate can cause the brain and body to become dependent on alcohol. But there are also social and psychological factors that make alcohol addictive. Substances or behaviors that trigger the brain’s reward circuits can lead to an inability to abstain from the addictive substance or behavior.

Effects of long-term alcohol use
Typically, a diagnosis of alcohol use disorder doesn’t require a diagnostic test. However, a doctor may order blood work to check Alcohol Use Disorder your liver function if you have symptoms of liver disease. If you would like to reduce your alcohol use but aren’t sure where to get started, it’s best to talk with a healthcare professional.
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Alcohol use in and of itself is not problematic but exists along a spectrum from low-risk use to alcohol use disorder (AUD). The diagnosis, based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria, ranges from mild to severe, with withdrawal symptoms and tolerance as key indicators. Screening by primary care clinicians, supported by the United States Preventive Services Task Force, facilitates early detection. Treatment involves shared decision-making, combining pharmacotherapy and behavioral therapy with interdisciplinary collaboration essential for comprehensive care and improved outcomes. According to the National Institute of Health, approximately 33% of Americans develop an addiction to alcohol at some point in their lifetime.
Psychological
As a loved one of someone with an alcohol addiction, try to be encouraging and provide emotional support. Because denial is common, you may feel like you don’t have a problem with drinking. You might not recognize how much you drink or how many problems in your life are related to alcohol use. Listen to relatives, friends or co-workers when they ask you to examine your drinking habits or to seek help.
What was once an occasional indulgence now becomes a necessary part of feeling normal. Psychological dependence is another critical aspect of alcohol addiction. The brain starts relying on alcohol to manage stress, anxiety, and emotional pain, creating a cycle that is difficult to break. This psychological grip can be even more challenging to overcome than the physical dependency. As the Harvard Science Review notes, the brain’s reliance on alcohol to cope with everyday life is a key driver in the persistence of addiction.
- This is known as a psychological addiction because the act of drinking alcohol becomes habitual and they need it in order to feel good or like their normal selves.
- That’s where professional treatment comes in, offering the structure and support needed for recovery.
- A person with an addiction has a compulsion to perform a behavior that they know is harmful.
- The brain’s reward system consists of dopamine, which is released when we feel pleasure.
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- There isn’t data available on determining BAC in people outside of the gender binary.
Alcohol causes the release of dopamine in the ventral tegmental area, which is a part of the reward pathway. The fact that not every person who drinks alcohol will necessarily experience a loss of control and progression to addiction indicates that AUD is not solely driven by exposure to alcohol. As mentioned, genetic and environmental susceptibilities are not fully understood. As tolerance builds, your body may also become dependent on alcohol. This means that when you stop drinking, your body struggles to adjust, causing withdrawal symptoms like anxiety, shaking, and sweating. This makes it harder to quit and increases the likelihood of returning to alcohol to avoid these unpleasant feelings.
Addiction to alcohol can begin as alcohol abuse and quickly progress to alcohol dependency. According to the National Institute on Drug Abuse (NIDA), while both alcohol and marijuana can be addictive, alcohol is considered to have a higher potential for addiction. The NIDA states that about 14% of those who use alcohol will develop addiction, compared to about 9% of those who use marijuana.
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For example, one person may have a very low tolerance for cannabis but be https://orin.website/2024/06/17/unveiling-your-journey-crafting-and-sharing-your/ able to tolerate alcohol well. Another person might not have any issues with misusing alcohol but still find it hard to function without cannabis. At Georgia Addiction Treatment Center, we understand that every person struggling with addiction is unique. That means that every person’s path to recovery must be unique as well. With more than 40 million Americans suffering at the hand of addiction, it is more important than ever that we address this crisis head-on. Alcohol can be a powerful part of social gatherings and celebrations, but for some, it becomes an addiction that’s hard to break.
Stages of Alcohol Detoxification

Over time, a person may develop a dependence, so they need alcohol just to function because they experience withdrawal when not under the influence. Cultural and environmental factors also contribute to the development of alcohol addiction. In some communities, drinking is deeply embedded in social rituals and gatherings, making alcohol a regular feature of everyday life. Environmental factors, such as easy access to alcohol and a lack of social support, can further push individuals towards excessive drinking. These influences create a setting where alcohol misuse can thrive, increasing the risk of addiction. However, it’s important to note that the potential for addiction is not the only factor to consider why is alcohol addicting when evaluating the harm caused by substance use.

You may wonder why some people become addicted to alcohol, while others do not. There are many factors that affect a person’s vulnerability to alcohol, including genetics. Biological children of alcoholics are significantly more likely to become alcoholics, even if they are raised by non-alcoholics. Recovery from alcohol addiction is tough, but you don’t need to go through it alone.