Understanding Problem Drinking and Alcohol Use Disorder

Defining Problem Drinking

"Problem drinker" is a term used to describe individuals who engage in problematic drinking behaviors, but their patterns of alcohol use may not necessarily meet the criteria for an official diagnosis of alcohol use disorder (AUD). This label highlights individuals who misuse alcohol but do not require extensive medical treatment, peer group support, or spiritual interventions to modify or cease their drinking patterns.

Comparison to Alcohol Use Disorder (AUD)

In contrast to problem drinking, AUD is a clinical diagnosis that signifies a more severe and persistent pattern of alcohol misuse. Individuals with AUD often experience significant difficulty controlling their drinking, despite facing negative consequences in various aspects of their lives. They may exhibit physical dependence, develop withdrawal symptoms, and find it difficult to abstain from alcohol, even when aware of its harmful effects.

Recognizing Problem Drinking

Understanding whether you fall under the category of a problem drinker or someone with AUD is crucial for determining the appropriate course of action. Here are some signs and symptoms that may indicate problem drinking:

• Exceeding the recommended low-risk drinking guidelines set by the National Institute on Alcohol Abuse and Alcoholism (NIAAA)
• Experiencing negative consequences due to alcohol use, such as relationship problems, job difficulties, or legal issues
• Feeling a need to drink more to achieve the desired effects (increased tolerance)
• Drinking more than intended or engaging in binge drinking
• Experiencing cravings or urges to drink
• Engaging in risky or dangerous behaviors while under the influence
• Experiencing withdrawal symptoms when alcohol use is reduced or stopped
• Making repeated attempts to cut back or quit drinking without success

Keeping a daily drinking diary can help you track your alcohol consumption and identify problematic patterns.

Tips for Cutting Back on Drinking

If you recognize that you are a problem drinker and want to reduce your alcohol intake, there are several strategies you can try:

1. Set Clear Drinking Goals: Determine specific days of the week when you can and cannot drink. Set limits on the number of drinks you will have on those designated drinking days.
2. Avoid Stockpiling Alcohol: Buy only limited amounts of alcohol based on your personal drinking goals.
3. Pace Yourself: Limit your consumption to no more than one drink per hour. Consider having a full glass of water between drinks to slow down your intake.
4. Practice Saying No: Politely decline drinks when offered in social situations. Having a convincing "no thanks" ready can help you stick to your resolve.
5. Find Healthy Alternatives: Engage in new activities and hobbies to replace the time spent drinking or recovering from drinking.

Seeking Professional Help

If you find it challenging to cut back or quit drinking on your own, seeking professional help is strongly encouraged. Health care providers can provide guidance, support, and, if necessary, prescribe medications to assist in reducing alcohol consumption.

It's crucial to remember that giving up alcohol abruptly without medical supervision can be dangerous for heavy drinkers. Therefore, seeking professional advice is vital before making significant changes to your drinking habits.