Alcohol use: Weighing risks and benefits

AUD makes it harder to process thoughts and regulate emotions and behaviors, leading to mental, physical, and emotional symptoms. As a result, AUD creates many obstacles and frustrations in day-to-day life. Mental health conditions cause distress or setbacks socially, at work, and in other meaningful activities. The APA no longer clinically use the terms “alcohol abuse” and “alcoholism” because they’re less accurate and contribute to stigma around the condition. Outpatient treatment allows people to come and go to keep their jobs, spend time with family, and live a more normal life. People may return to drinking alcohol to avoid the negative effects of this phase of the cycle.

why is alcoholism considered a chronic disease

Behavioral therapy, including cognitive-behavioral therapy (CBT) and motivational interviewing, is crucial in treating alcohol dependency. These therapies target changing drinking behaviors, addressing underlying psychological factors, and developing coping strategies to prevent relapse. While the initial decision to drink may be a choice, alcoholism is recognized as a medical condition because it involves genetic, environmental, and neurological factors that contribute to its development. Once addiction takes hold, it becomes a disease that requires treatment, similar to other chronic illnesses. Drinking alcohol is considered a bad habit, but more than that, it is a chronic disease that affects millions of people around the world. The World Health Organization (WHO) estimates that around 3 million deaths every year are caused by alcohol abuse and addiction.

why is alcoholism considered a chronic disease

Genetic Predisposition: Hereditary factors increase vulnerability to alcoholism, making it a chronic condition

Research from 2019 found ACT may help people who haven’t benefited from existing AUD treatments, but larger studies are needed to support its effectiveness. CBT works by helping you explore how your thought patterns affect your reactions and behaviors so you can learn new ways of responding to emotions. As far back as 1933, the Standard Classified Nomenclature of Diseases listed alcoholism as a disease.

Can People with AUD Recover?

Alcohol-related deaths number more than 3 million per year globally, around 5% of all deaths worldwide. Among those aged 20–39 years, around 13.5% of total deaths are related to alcohol. In 2019, an estimated 14.5 million people in the United States had an AUD. What’s more, according to the Centers for Disease Control and Prevention (CDC), excessive alcohol use leads to over 95,000 deaths in the U.S. every year. Because denial is common, you may feel like you don’t have a problem with drinking.

Risk factors

Alcoholism, or alcohol use disorder (AUD), is considered a chronic disease because it involves long-term changes in brain function, leading to compulsive alcohol use despite negative consequences. Like other chronic diseases, it can relapse and requires ongoing management. Finally, the social and environmental factors surrounding alcoholism pose significant treatment challenges.

As alcoholism meets the above conditions, it is therefore considered a chronic disease. Alcoholism is considered to be a chronic disease characterised by frequent relapses, ongoing progression if left untreated and a potential genetic predisposition. Alcohol use disorder isn’t simply a choice—it’s a complex, chronic condition impacting millions of people worldwide. Understanding its medical, social, and psychological aspects is vital for effective treatment. Individuals with alcohol dependency may face discrimination in various aspects of life, including employment and healthcare.

Relapse does not signify a lack of willpower but rather highlights the complex, long-term changes in brain chemistry and behavior that alcohol induces. These changes make it challenging for individuals to abstain from what is alcoholism drinking, even when they are aware of the negative consequences. This pattern of recurrence is a hallmark of chronic diseases, emphasizing the need for ongoing treatment and management. Alcoholism, or alcohol use disorder (AUD), is classified as a chronic disease due to its persistent nature and the profound changes it induces in the brain, which significantly elevate the risk of relapse.

These changes can compromise brain function and drive the transition from controlled, occasional use to chronic misuse, which can be difficult to control. The changes can endure long after a person stops consuming alcohol, and can contribute to relapse in drinking. Another important factor in the disease model is the concept of tolerance and withdrawal.

  • Twelve-step groups, like Alcoholics Anonymous (AA) and other support approaches, can provide solidarity and emotional support through AUD recovery.
  • Children and teens who have their first drink of alcohol between years of age are more at risk for developing drinking alcohol problems than those who do so when either younger or older.
  • For people who have alcohol use disorder, stopping their drinking is an important first step.
  • By viewing these symptoms through a medical lens, individuals and healthcare providers can better navigate the challenges of AUD, moving toward healing and restoration.

The chronic nature of the condition means that treatment is not a one-time solution but a continuous process of managing symptoms and preventing relapse. This parallels the management of chronic illnesses, where the goal is to control the disease rather than cure it entirely. The progression of alcoholism also involves tolerance and physical dependence, which develop as the body adapts to chronic alcohol exposure. Tolerance means that individuals require increasing amounts of alcohol to achieve why is alcoholism considered a chronic disease the same effects, a phenomenon observed in chronic conditions like opioid addiction or insulin resistance in diabetes. Physical dependence manifests as withdrawal symptoms when alcohol use is reduced or stopped, further complicating recovery. These physiological changes underscore the chronic nature of alcoholism, as they reflect long-term alterations in the body’s functioning that require medical intervention.

  • Physical dependence manifests as withdrawal symptoms when alcohol use is reduced or stopped, further complicating recovery.
  • Even if you have been drinking heavily for years, this doesn’t mean that it’s too late to get help.
  • It lasts for a long time, often lifelong, and is characterized by an irresistible urge to consume alcohol despite its adverse effects on one’s health, relationships, and responsibilities.
  • This perspective helps individuals stay committed to their recovery journey, even in the face of challenges and setbacks.
  • Studies show that approximately 40-60% of individuals with AUD experience at least one relapse within a year of treatment, highlighting the disease’s recalcitrant nature.
  • These words were used in the past to help describe categories for how high a person’s urine albumin-creatinine ratio (uACR) level is.

The integration of pharmacological interventions reflects the understanding that alcoholism involves biological changes in the brain that may require medical treatment to restore balance. This aligns with the disease model’s emphasis on addressing addiction as a physical condition with measurable, treatable symptoms. As is true with virtually any mental health diagnosis, there is no one test that definitively indicates that someone has an alcohol-use disorder. Screening tools, including online or other tests may help identify individuals who are at risk for having a drinking problem. Therefore, health care professionals diagnose https://www.coms.it/?p=3849 alcohol abuse or dependence by gathering comprehensive medical, family, and mental health information.

Public Health

Read on to learn why AUD is considered a mental health condition, which mental health conditions commonly occur alongside it, and treatment options. Although treatable, alcohol addiction is a challenging medical condition to overcome. However, with help from advancements in therapies and medications, people are more likely to recover and maintain abstinence. Like other diseases like heart disease or asthma, alcoholism can be treated.

why is alcoholism considered a chronic disease

For many people with alcoholism, abstinence from alcohol is the only way to manage their condition. However, some people may be able to drink in moderation after a period of abstinence and successful treatment. It’s important for each individual to work closely with their healthcare provider to determine what is best for them.

Understanding Drug Use and Addiction DrugFacts National Institute on Drug Abuse NIDA

Around 0.9% of New Jersey residents (~70,000 individuals) met criteria for opioid use disorder, reported by the Substance Abuse and Mental Health Administration (SAMHSA). Prolonged drug use makes the cells in the reward circuit less sensitive to the effects of the drug. The individual develops drug tolerance and needs more of the substance to experience the earlier levels of high. Tolerance contributes to excessive drug use, which, in turn, makes the brain and the body reliant on the drug to function normally. These counter-regulatory mechanisms trigger unpleasant side effects, or withdrawal symptoms, which are opposite of what the drug produces.

Video Gaming Disorder: Recognizing the Video Game Addiction Symptoms and Signs

  • Additionally, economically disadvantaged individuals face more barriers to treatment access—lack of insurance, inability to take time off work, limited treatment availability in their communities, and transportation challenges.
  • A better understanding of what occurs in brain cells during addiction is beginning to reshape how clinicians treat addictions.
  • The causes of drug addiction are a combination of genetic, environmental, mental health disorders, trauma, stressful life events, and psychological factors.
  • Participation in support groups, such as 12-step programs like Narcotics Anonymous (NA) or SMART Recovery, can provide peer support, encouragement, and a sense of community.

If you or someone close to you develop these signs, it is wise to consult a physician or addiction treatment professional to obtain a https://car-canada.ca/what-is-post-acute-withdrawal-syndrome-paws-2/ diagnosis and seek appropriate treatment. But when you’re becoming addicted to a substance, that normal hardwiring of helpful brain processes can begin to work against you. Drugs or alcohol can hijack the pleasure/reward circuits in your brain and hook you into wanting more and more. Addiction can also send your emotional danger-sensing circuits into overdrive, making you feel anxious and stressed when you’re not using the drugs or alcohol.

Find treatment that accepts your insurance

Alcohol and drug addiction can overload the liver, kidneys, and lungs, leading to diseases like cirrhosis, kidney failure, and breathing problems. Repeated exposure to harmful substances makes it harder for these organs to function properly, often causing permanent harm. Persistent use impairs memory, motivation, and social functioning, even when aware of risks. Cannabis use disorder may cause withdrawal symptoms such as irritability and insomnia.

Unlike substance abuse, where exposure to the drug itself is a crucial factor, behavioral addictions can develop without an external substance. They can arise from a need for emotional satisfaction or avoiding negative emotions, leading to compulsive engagement in certain activities. The interaction between destructive borderline disorders and addiction is complex. The disorders contribute to emotional dysregulation, leading to a higher risk of social and interpersonal isolation. This can prompt individuals to seek substances as a form of comfort, creating a vicious cycle that deepens the addiction.

Video game addiction

Adopting healthy routines, stress management techniques, and engaging in constructive activities strengthens recovery and reduces relapse triggers. These financial struggles worsen as substance abuse continues and income declines. Addiction can both stem from and worsen these conditions, creating a cycle of negative emotions, hopelessness, and emotional instability. Many people who struggle with addiction report persistent sadness, irritability, and difficulty experiencing pleasure.

What are the Reasons for Drug Dependence

How Do Drugs Interact With The Brain To Cause Addiction?

For any disease, if the environment has no influence, monozygotic twins would always be concordant (similar) with respect to the disease. However, because both genetic and environmental factors play a role, it is generally not possible to discriminate among the many possible influences. The brain contributes to addiction by altering neural pathways that regulate reward, motivation, and decision-making. These changes are caused by an increase in dopamine and opioid peptides in the basal ganglia, leading to an increased sensation of pleasure when using addictive substances such as drugs and alcohol.

Medication-Assisted Treatment (MAT)

  • Compassionate, effective treatment is available at Archstone Behavioral Health.
  • Addiction has a genetic component, like other hereditary diseases, and children inherit a predisposition to addiction from their parents.
  • Kratom addiction is a dependency on the tropical plant kratom, which contains alkaloids with both stimulant and sedative effects depending on dosage.
  • The more ACEs someone experiences, the higher their addiction risk in a dose-response relationship.
  • In contrast, drug dependence is primarily a physiological response that occurs as a result of repeated drug use.

Long-term care, including participation in support groups and consistent follow-ups with healthcare providers, is necessary for sustaining recovery and reducing relapse risk. While addiction is a chronic condition, many individuals achieve and maintain recovery with the right resources and commitment to treatment. Addiction can be prevented by implementing early education, promoting healthy coping strategies, and providing access to support systems. Community programs, school-based prevention efforts, and family support significantly reduce the risk of individuals turning to substances as a means of coping with stress or emotional challenges. Medical detox is the process of safely removing addictive substances from the body under medical supervision and the first step in addiction treatment. This process is crucial for withdrawal management, as it helps manage the severe physical symptoms that occur when the body is no longer receiving the substance.

Neurotransmitters and Drug Addiction

What are the Reasons for Drug Dependence

There is a strong correlation between drug addiction and mental health conditions. Many individuals with mental health disorders, such as depression, anxiety, or post-traumatic stress disorder, turn to drugs as a means of self-medication. Substance use can temporarily alleviate symptoms, leading to a cycle of addiction and exacerbation of mental health issues. Prescription drug addiction develops with various prescription drugs, including opioid painkillers like oxycodone, stimulants like Adderall, and sedatives like Xanax. Abruptly quitting triggers unpleasant or dangerous withdrawal symptoms, depending on the drug and the level of dependence.

What Are the Effects of Addiction?

These are not formal treatment programs but offer peer support and accountability in a sober living environment. The CRAFFT Screening Test is a brief, behavioral health screening tool for adolescents to assess high-risk alcohol and other drug use disorders. Physical symptoms include drowsiness, confusion, and impaired coordination, while psychological effects manifest as cravings and tolerance development. According to CDC data, 16% of opioid overdose deaths involve benzodiazepines, highlighting their danger.

What are the Reasons for Drug Dependence

IV. Spiritual causes of addiction

Normally, detox takes a few days to several weeks, depending on the substance and individual factors. Detox programs usually take place in a supervised setting, such as a hospital or rehabilitation center, where medical professionals monitor the individual and provide medications to ease withdrawal symptoms. Risk factors for developing drug dependence include genetics and family history, environment, substance type, and dosage, as well as age and vulnerability. Physical drug dependence is a physiological state that arises from the chronic use of certain substances, leading to the body’s adaptation to the Alcohol Use Disorder presence of the drug.

The duration of withdrawal usually varies; acute withdrawal lasts from days to weeks, while protracted withdrawal syndrome (PAWS) continues for months or even years in some individuals. Ultimately, many people fall into addiction because they simply wanted to have fun. Recreational drug use remains responsible for much of the addiction in this most addictive drugs country and around the world.