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Alcoholism Signs, Symptoms, and Treatment


Alcoholism signs & symptoms are well documented these days. However, most people still do not know what they are. There's a good reason for that - It's the "It will never happen to me" syndrome.

Alcoholism Signs - Hitting Bottom

Here are the most common "bottoms" that I see on almost a daily basis.
  • Getting a third DWI charge - a felony in most states

  • Being served divorce papers

  • Lost or Losing a career

  • Alcohol involved motor vehicle accidents

  • Illnesses secondary to alcoholism - Hepatitis, Cirrhosis, or pancreatitis, gastritis, heart disease, etc.

  • Emotional Disorders secondary to the alcoholism - Anxiety, Depression, suicide attempts

Do you see a common thread in the list above? That's right - these are late stage alcoholism signs. There are very clear alcoholism signs in the early and middle stages.

But not until I, or someone I care about is touched personally by this illness do I sit down and do my homework. Even then I will have to go through an acceptance process - also known as the grief process - before I can fully accept that this is really happening to me!

To anyone with good judgment the question has to be "Why couldn't they see it earlier and stop drinking?" It's a very good question - In fact, the answer is in the question...

By the time they reach the late stages of their addiction they can't stop drinking for long, so they can't emotionally afford to see it earlier.

It seems to be a feature of addiction that the person is unable to grasp the full extent of their problem until he/she absolutely must. Most people who have recovered from any addiction will tell you they had to "hit bottom" or "get a wake-up call" before they could give any serious consideration to their alcoholism signs and symptoms.

They have impaired judgment and - by definition - impaired judgment doesn't know it's impaired! The real shame is that most people don't usually see the problem until it is in the late stages. It's much easier to treat in the early stages.

Now, remember... most people who come to counseling are in pain and they all usually want the same thing - comfort and relief. But they do not necessarily want to know what's bothering them. This is especially true of people with addictions.

Alcoholism Signs - Denial & Delusion

Any addicts subconscious mind knows how important the addiction neural network has become so it protects their ability to drink, self-sabotage, eat, etc. with generalizations, deletions, and distortions...aka DENIAL - a hallmark addiction & alcoholism sign in itself.

The alcoholic or other addict really believes these thoughts that create a reality where it is okay to drink in the presence of overwhelming evidence that it's NOT okay!

Even after hitting bottom and reaching out for help this delusional system is still intact... Read this article on Zebra's & Giraffes to learn how/why alcoholics and addicts seem to sabotage themselves.

Alcoholism Signs - The Disease Concept

In the mid 1950's the World Health Organization and American Medical Association defined alcoholism as a disease. Approximately 20 years earlier the organization of Alcoholics Anonymous (AA) began offering hope to millions of people worldwide when no one else could.

There are several elements that are required before health organizations refer to any condition as a disease...

  • Signs & Symptoms
  • A Clinical Course
  • A Predictable Outcome
  • Treatability

Is it treatable? Yes, alcoholism is highly treatable if treatment is given by specialists in the field of addictions treatment. Good treatment programs report a 60 to 70% recovery rate on follow up a year after treatment.

However, it is important to know that treatment is only the beginning... recovery means making long-term lifestyle changes that include working a daily recovery program. This "programming" helps one develop the new neural network for recovery...a new steady-state.

Does it have a predictable outcome? Yes, alcoholism is a terminal illness - left untreated it will kill you in one of three ways:

  • Accident - household accidents and motor vehicle accidents
  • Illnesses secondary to the alcoholism such as those mentioned above
  • Suicide - Due to the depression and hopelessness secondary to the alcoholism

What's the course of the illness? Alcoholism is chronic, progressive, and fatal - if left untreated. The sad fact is that even though there is an extremely high recovery rate only 3 to 4% of alcoholics actually receive the treatment they need.

The course of alcoholism is to progressively take over control of your thinking and your life causing more and more dysfunction until finally it kills you...but not before taking everything important to you away and hurting everyone you care about first.

Alcoholism Signs - Early, Middle & Late Stages

Early Stage

Middle or "Crucial" Stage

Late or "Chronic" Stage

Alcoholism Signs - Three Processes

A process has a beginning, middle, and a late stage. Alcoholism is a biological, psychological, emotional, social, and spiritual Disease Process that progresses through the stages outlined above.

Recovery and healing from alcoholism signs must also be on the biological, psychological, emotional, social and spiritual levels. The Recovery Process also has an early, middle and late stage as outlined in the chart below.

Between the disease process and recovery process are the stages of transition and stabilization identified by Terrence Gorski. These are the tenuous stages where the alcoholic has hit bottom and is involved in creating the neural networks needed for recovery to take root.

Many times inpatient treatment is necessary simply for the need to establish a whole set of new behaviors - i.e. new networks - as quickly as possible. This is to give the alcoholic every chance in the world of making the transition into recovery.

There is a common misconception that treatment will end with a complete remission from alcoholism...

Transitioning out of alcoholism into recovery is usually a period of crisis that takes about 6 to 8 weeks... Stabilization can take another three months. Treatment is for transition and stabilization ONLY - What the person does...or does NOT do... after treatment will make all the difference in the world.

Do not be mislead about this - The Recovery Process begins after treatment when the newly recovering person becomes responsible for doing the things necessary to support their own recovery.

They must grow new networks that are both internal neural networks AND external networks of other recovered people... Recovery from alcoholism and other addictions does not take place in a vacuum.

Read Zebra's & Giraffes for an example of what to expect after treatment. This is when the "rubber meets the road" for someone who is just getting out of treatment.

The Relapse Process is a transitional process that ends with a drink. Relapse is also a hallmark alcoholism sign because it happens frequently. Relapse has warning signs and can be prevented if one has created and follows a relapse prevention plan.

When an alcoholic takes his/her first drink after a period of recovery their relapse process is over - the Disease Process is back in full swing... In other words, the circuit board is powered back on and the alcoholism network is fully operational.

Since relapse is also a process, it can be managed before the person completes the relapse cycle - if the relapse warning signs are noticed AND the appropriate steps are taken. We need to establish and grow a good relapse prevention network as part of our recovery process.

Below is a chart that outlines the processes of alcoholism, recovery, and relapse...

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