Stages of Alcoholism: Early Stage, Middle Stage, Late Stage, Diagnosis, Treatment

The late stages of alcoholism signify the most severe and life-threatening phase of alcohol use disorder. During this period, individuals face profound challenges as their addiction to alcohol deepens and their physical and mental health deteriorates. The middle stages of alcoholism are also marked by an impaired ability to function in daily life.

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  • Individuals find themselves drinking more than intended, attempting unsuccessfully to cut down, or spending significant time recovering from the effects of alcohol.
  • “Problem drinker” is a term commonly used in today’s society to describe a person whose drinking has caused them emotional, physical, social, or financial issues.
  • They find that it takes more and more alcohol to achieve the same effects.
  • Alcohol use begins to interfere with daily life in noticeable ways.
  • Specific, alcohol-related medical conditions like cirrhosis of the liver and pancreatitis are often diagnosed at this stage.
  • They may also engage in binge drinking, even if they don’t drink regularly.

These programs organize your treatment session based on your schedule. The goal of outpatient treatment is to provide therapy, education, and support in a flexible environment. If willing, a person with an AUD can get stabilized with recovery.

Consuming so much alcohol over a long period can lead to alcoholic hepatitis, cirrhosis, chronic pneumonia and bronchitis, cancer, and heart failure. If you take a good look at your body, you may recognize the changes externally and internally. A beer belly is not only a sign of how calorie-filled alcohol is but also that your liver is struggling to do its job. While you may still see yourself succeeding in all areas of your life, you are in denial.

The current Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) views alcohol problems as existing on a spectrum9 rather than in distinct stages. Check out our complete guide to finding an addiction treatment program for an easy-to-use breakdown of programs, costs, and how to choose the right fit for your needs. People often try ineffective methods to control their drinking, like switching from liquor to beer or limiting drinking to weekends. If you think you need help for an alcohol problem, reach out for help immediately.

What Is an Alcoholic?

5 stages of alcoholism

This is also the time when family members start considering alcohol treatment in Easton PA. We’ve looked at the different stages of alcoholism, and now we need to look at treatments. The different types of treatments for alcoholism can involve interventions at various levels. Therapeutic intervention is directed at both alcohol dependence and abstinence. It includes psychotherapy, both at an individual and group level, with psychopharmacological intervention (disulfiram or naltrexone, among others).

  • Based on collected data, he introduced the Jellinek Curve, which is a graphic representation of a person’s journey through addiction.
  • When someone uses more than 1 drug—called poly drug use—they are greatly increasing their risk of a fatal overdose.
  • What may start as drinking alcohol most weekends to have some fun and lighten the mood, can end in having a few drinks throughout the day just to get by.

Predictors Of Alcohol Use Disorders

Alcoholism was first identified as a disease nearly 70 years ago in 1956 by the American Medical Association or the AMA. It refers to a chronic condition characterized by uncontrolled drinking. While each person is unique, there are some typical stages that many struggling with drinking go through. Morton Jellinek in the 1950s, the Jellinek Curve describes and details these, illustrating how alcoholism progresses for most of those with the disease.

Physical And Mental Effects Of Chronic Alcoholism

5 stages of alcoholism

They’ll be able to assess your symptoms, discuss your drinking habits with you and outline next steps for support. You could also consider private treatment for alcohol addiction with Priory. We provide world class treatment for addiction throughout our network of UK rehab centres. In this initial phase, people might engage in social or binge drinking. It might appear harmless at first, but it’s at this stage where the foundation of an unhealthy relationship with alcohol might start.

The Stages of AUD

  • Other symptoms, such as missing work and increased irritability or forgetfulness, may be observed.
  • Recognizing these stages can open the door to intervention and support.
  • The second stage on the curve is marked by symptoms such as blackouts.

Binge drinking, or drinking a substantial amount of alcohol in a short amount of time, is generally believed to be the first stage of the stages of alcoholism. Binge drinking often occurs when people start experimenting with drinking. They may not know how much they can tolerate and drink so much that they become extremely drunk and may even pass out (lose consciousness). The beginning of alcohol misuse could start with occasional excessive drinking, but even these episodes can cause brain changes. Chronic alcohol use can compromise brain function, making it difficult for a person to control their misuse and lead to chronic misuse. Treatment options for end-stage alcoholism may include hospice care, palliative care, or hospitalization to manage complications.

5 stages of alcoholism

While many of them end their binge drinking behaviors as they grow older, some of them will progress to later stages of alcoholism. A person with severe alcohol use disorder is likely experiencing difficulty functioning in multiple areas of life. So, to ease the stress of attempting, they may use alcohol to cope and forget. Your loved one may blackout from drinking, drink during all waking hours, or make decisions that value alcohol over the people they love most. Alcohol use disorder, commonly referred to as alcoholism or alcohol addiction, does not develop suddenly.

Stage 4: Dependence

5 stages of alcoholism

People make the choice to pick up and drink the first alcoholic substance of their lives. Some repeat the action right away, while others need months or even years of regular drinking to progress to the next step. The National Institute on Alcohol Abuse and Alcoholism defines alcohol addiction as a chronic, relapsing disorder. 1 An alcoholic loses control over drinking and has emotional issues when alcohol isn’t available.

Negative Affect/Withdrawal Stage: reward deficits and stress surfeit

The person is becoming increasingly dependent on alcohol just to function. Health experts increasingly recognize “gray area drinking“—a space between moderate consumption and severe alcohol use disorder. The late stage (or “chronic” stage) is when alcohol abuse completely takes over and a person feels a total loss of control over drug addiction their drinking. It’s no longer a choice but a powerful compulsion that directs most of their decisions and behaviors.

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