Three Stages of Alcoholism
By Michael Russell
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Alcoholism is a progressive disease that can take years to develop. Alcoholism can be defined as a disease in which the sufferer is compelled
to drink, even though it is negatively affecting his relationships, his work and his family.
Men and women who aren't pregnant can usually consume a drink a day without adverse health affects. This amount is also socially acceptable in
today's society. However, when some people find they can't stop at that one drink per day, the earliest of the three stages of alcoholism may be
developing.
| Even one beer can slow your reactions and confuse your thinking. This means anything that requires
concentration and coordination, such as driving, is dangerous when you have consumed even one alcoholic drink. |
Early Stage
In the earliest stage of alcoholism, the drinker starts to need the alcohol. They think about it more and more. They feel without it they
cannot maintain a good mood. They are gradually increasing their tolerance to the drug, and start needing more and more in order to get desired
mood change. Sometimes a burgeoning alcoholic will drink quite large amounts without seeming to be impaired.
| According to the alcoholism research literature, alcohol withdrawal syndrome is a group of symptoms exhibited
by people who suddenly stop drinking alcohol after a pattern of repeated and excessive ingestion. These symptoms can
range from mild to moderate to severe and include both physical and emotional components.. |
In this earliest stage many people will discover their faculties actually improve with the drinking of alcohol. The body is adapting to the
regular higher levels of alcohol in the blood, however, it can't keep up. As the user drinks more and more, the body starts to lose its ability
to deal with these high levels of blood alcohol.
Now, as the sufferer stops drinking and the blood alcohol level starts to decrease, they find those impairments previously associated with
alcohol to be present without it. They are hindered when walking, talking and thinking. They are moving into the next stage of alcoholism.
| Alcoholism is a heritable disease and is frequently accompanied by other substance abuse disorders
(particularly nicotine), anxiety and mood disorders, and antisocial personality disorder. |
Middle Stage
At this point the drinker is losing control over his drinking. His body is losing control over its ability to process the alcohol. Tolerance
decreases, and the drinker needs less alcohol to achieve the same level of intoxication. But they rarely start drinking less, because when they
do, they withdrawal symptoms becoming more severe. So instead, they drink more, and start drinking earlier.
| Even individuals who are determined to stay sober may suffer one or several “slips,” or relapses, before
achieving long-term sobriety. Relapses are very common and do not mean that a person has failed or cannot recover from
alcoholism. |
As the alcoholism takes over, the person may have already realized the problem, but has become helpless to do anything about it. Others are
noticing it, too, but he can no longer judge when he's had enough alcohol. Even when aware, he denies a problem. Associated problems are being
seen more regularly now, like blackouts and stomach problems.
| Without adequate attention to the mental health needs of a person with alcohol dependence, little progress
will be made. Often alcoholism remains unsuspected even by the doctor, and it may come to light only when medical tests are
done for other reasons. |
Late Stage
As alcoholism progresses, the drinker has become obsessed with drink to the exclusion of almost all else. Heath is seriously compromised.
Relationships at home have been perhaps permanently damaged, and financial and legal problems are mounting as the alcoholic can think only of
where to get his next drink.
All alcoholism sufferers are malnourished, and their livers have been damaged, further reducing their bodies' ability to use nutrients.
Nutrition loss just makes all other alcohol-related damage worse.
| Like many other diseases, alcoholism is chronic, meaning that it lasts a person's lifetime; it usually follows
a predictable course; and it has symptoms. The risk for developing alcoholism is influenced both by a person's genes and by
his or her lifestyle. |
At this point if the alcoholic continues to drink, death will surely be the result. Suicide, accident-related injuries, and direct
alcohol-related organ damage are all undeniable results of failing to reverse the last stage of alcoholism.
Understanding the warning signs and recognizing the early stage of alcoholism while you're still in it could save your life.
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Michael Russell Your Independent guide to Alcoholism
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| All depressed patients should be asked periodically about alcohol and drug use patterns throughout a
course of treatment, and advised to abstain from alcohol and substance use. It is important to maximize the chance of
long-term sobriety in patients with depression. Relapse prevention is one of the most important tasks in the management
of depressed patients with a past history of alcoholism. |
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