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Is alcoholism a disease? Most people don't believe so, because it simply doesn't have that kind of aspect one assumes a disease would have. Diseases have to do with germs, not substances, right? Wrong. Alcoholism certainly is a disease, and has been recognized so by medical professionals and the National Council on Alcoholism and Drug Dependence.
Is alcoholism a disease? Most people don’t believe so, because it simply doesn’t have that kind of aspect one assumes a disease would have. Diseases have to do with germs, not substances, right? Wrong. Alcoholism certainly is a disease, and has been recognized so by medical professionals and the National Council on Alcoholism and Drug Dependence.
Early signs of alcoholism include frequent intoxication, an established pattern of heavy drinking and drinking in dangerous situations, such as when driving. Other early signs of alcoholism include black-out drinking or a drastic change in demeanor while drinking, such as consistently becoming angry or violent. The main symptom of alcohol abuse occurs when someone continues to drink after their drinking reaches a level that causes recurrent problems. Continuing to drink after it causes someone to miss work, drive drunk, shirk responsibilities or get in trouble with the law is considered alcohol abuse.
The Diagnostic and Statistical Manual of Mental Disorders, IV, defines alcohol abuse as drinking despite alcohol-related physical, social, psychological, or occupational problems, or drinking in dangerous situations, such as while driving. The World Health Organization’s International Classification of Diseases refers to “harmful use” of alcohol, or drinking that causes either physical or mental damage in the absence of alcohol dependence. In other words, alcohol abuse is any harmful use of alcohol.
For someone who is alcoholic or alcohol dependent, the symptoms include all of those associated with alcohol abuse (above). But alcoholics also continue to drink in spite of all the problems it has caused in their lives.When alcohol abuse reaches the alcohol dependence stage, the person also experiences at least three of seven other symptoms, including neglect of other activities, excessive use of alcohol, impaired control of alcohol consumption, persistence of alcohol use, large amounts of time spent in alcohol-related activities, withdrawal symptoms and tolerance of alcohol.
The scenario has been played over and over many times. After a particularly damaging or embarrassing binge, the hungover person will make an oath to himself and others to drink “never again” and quite often is sincere about quitting. But with the onset of withdrawal symptoms, also comes the “craving” for more alcohol. The body is telling the drinker that it “needs” alcohol. As the physical symptoms of withdrawal begin to increase, taking another drink simply becomes less painful than not taking one—or so it seems at the time.
Sometimes admitting to yourself and others that you need help can be one of the most difficult steps to take on your road to recovery. In our society, the myth prevails that an alcohol problem is somehow a sign of moral weakness. “As a result, you may feel that to seek help is to admit some type of shameful defect in yourself. In fact, however, alcoholism is a disease that is no more a sign of weakness than is asthma or diabetes.”
Based on your doctor’s assessment of the severity of your problem, your treatment could involve several phases. If you have become “chemically dependent” upon alcohol, treatment may include detoxification; taking doctor-prescribed medications, to help prevent a return to drinking once drinking has stopped; and individual and/or group counseling. Counseling can help you identify situations and feelings that “trigger” the urge to drink and to find new ways to respond that do not include alcohol. These treatments are usually available in a hospital or residential treatment facility or on an outpatient basis. Because the involvement of family members can be important, many programs also offer marital counseling and family therapy as part of the treatment process.