Key takeaways:
Many people have problems with alcohol, and these problems can range from mild to severe.
There are specific questions you can ask yourself about your relationship with alcohol to shed light on whether you may have a drinking problem.
If you answer “yes” to any of these questions, you should talk with your healthcare provider and think about finding alcohol use disorder treatment.
A 2020 national survey found that over 135 million Americans had consumed alcohol in the past month. A large number of those alcohol drinkers had engaged in unhealthy drinking patterns, like binge drinking.
A 2019 survey found that nearly 15 million Americans met criteria for an alcohol use disorder. Alcohol use disorder is a health condition where a person has trouble controlling their alcohol use even though it causes problems in their life.
There are different degrees of severity of an alcohol use disorder. In some cases, it may be very obvious that you have a problem with drinking. But other times an alcohol problem can be harder to spot.
The questions that follow can help you measure your own relationship with alcohol. If you answer “yes” to any of these questions, then your drinking may be a problem.
Do you ever tell yourself that you are only going to have one or two drinks and then end up drinking more? Or do you intend to only drink on the weekends but then find yourself drinking throughout the week?
If you have ever been in a situation where you drank more than you wanted to, you might be experiencing an alcohol problem. Even just a few drinks more may mean that you are having trouble controlling your drinking.
Often, people will compare their drinking to others and conclude that they don’t have a problem because someone else they know is drinking more than them. The truth is that your drinking is all that matters. Just because you are drinking less than other people does not mean that you can’t have an alcohol problem.
Many people with alcohol problems have tried to cut back or quit in the past. If you fall into this group, then there’s a good chance you have a problem with alcohol.
When you try to stop drinking and go back again it is called a relapse. Relapse is very common when people with alcohol use disorders are trying to quit.
Think about how much of your day or week is spent buying alcohol, drinking, or recovering from its effects. Now, think about how much of your waking life alcohol consumes.
If you are spending every evening from 5PM to 9PM drinking, that is nearly 25% of your day just on alcohol. Not to mention, you may spend even more time feeling sick or hungover the next day.
Then, there is also the economic cost of how much money you are spending on alcohol. Once you have an idea of how much time and money are devoted to alcohol, ask yourself how you feel about that amount.
When you have a problematic relationship with alcohol, alcohol may become the center of your life. You may schedule your life around activities that involve alcohol and pass on those that don’t. You may even be too intoxicated or hungover to attend certain events. Alcohol may make all the other important people and activities in your life seem less appealing and engaging.
If you experience cravings for alcohol when you’re not drinking, this could be a sign of an alcohol problem.
Cravings are strong urges to drink that may be triggered by a feeling or something in your environment. People, places, and things that involve alcohol can often trigger cravings.
Environmental cues, like walking past a bar or seeing a bottle of liquor, can trigger cravings and the desire to repeat the pleasurable behavior. It can take a long time for the brain to “unlearn” this. That is why a person may keep having cravings even after they have been sober for a while.
When you have an alcohol problem, your drinking may negatively affect your relationships with family, friends, colleagues, and others. It can lead to:
Arguments about your drinking
Saying things you don’t mean while under the influence
Not keeping promises to loved ones
Losing trust from others due to lying or stealing
Family and friends may worry about your health and well-being, which can cause them great stress. If anyone in your life has expressed concern about your drinking, you may have a negative relationship with alcohol.
Many people tell themselves that they will stop drinking once they experience a negative outcome because of their drinking. But for some, these “wake-up calls” are not enough to overcome an addiction to alcohol.
Think about the different areas of your life and how alcohol has affected them. For example, maybe you have experienced legal issues like a DWI or lost your job because of your drinking. Perhaps, you may have been diagnosed with a health condition because of your drinking. But, you keep using alcohol even though you’ve been told that it’s a problem.
If you have had negative effects from alcohol but continue to drink, you may have an alcohol use disorder.
If alcohol is getting in the way of keeping up with different areas of your life, then it is a problem.
Look at how your drinking may be affecting the following areas of your life:
Work
School
Recreation
Finances, such as paying your bills on time
Household chores
Childcare, including being present with your children
Personal hygiene
Physical and mental health
Basic needs, like eating, sleeping, and getting enough water
Needing more alcohol to feel the same effects, or feeling less of an effect from the same amount of alcohol, is called tolerance. Tolerance is part of the brain and body’s adaptation to a substance.
If you used to feel tipsy after 2 glasses of wine but now need a bottle to feel tipsy, you are building a higher tolerance to alcohol. When you keep drinking this way, your tolerance will keep rising.
At the same time, it will be harder to experience pleasure from other rewarding experiences, like having sex, connecting with loved ones, or eating a good meal.
Alcohol withdrawal leads to physical and emotional symptoms that show up a few hours after your last drink. They are a sign of dependence, which happens when the body becomes reliant on a substance like alcohol and struggles to work without it. These symptoms can be uncomfortable and even dangerous depending on the level of dependence.
Signs and symptoms of alcohol withdrawal include:
Anxiety
Insomnia
Headache
Upset stomach
High blood pressure
Extreme confusion
Hallucinations
Seizures
Alcohol withdrawal can be dangerous because of a risk of seizures and death. Stopping alcohol cold turkey is not recommended. If you have been drinking often, you should talk to your healthcare provider about how to safely detox from alcohol.
The questions above are the same questions that professionals use to find out if you have an alcohol use disorder. Answering “yes” to at least two of the questions above may signal that you have a problem with alcohol and possibly an alcohol use disorder.
If you’re concerned about your answers, the first step is to talk with a healthcare provider about your drinking. You can talk to a physician, psychiatrist, or mental health provider. They can ask you further questions and help you figure out if you have an alcohol use disorder.
From there, they may recommend that you get professional treatment — such as detox, residential treatment, or outpatient treatment — to manage your drinking.
For help finding a treatment provider or program, you can search SAMHSA’s online treatment locator or call the National Helpline at 1-800-662-HELP (4357).
Support groups are also available and can be helpful along with treatment. You can consider a group like Alcoholics Anonymous or SMART Recovery. These groups are free and available in person and online. They can help you reflect on your addiction, learn tools for recovery, and connect with other people struggling with similar problems.
Only a professional can diagnose you with an alcohol use disorder. But the questions above can help you reflect on your relationship with alcohol and may give you insight into whether you have a problem. If you answered “yes” to any of the questions above, speak with a healthcare provider to better understand your drinking.
If you or someone you know struggles with substance use, help is available. Call SAMHSA’s National Helpline at 1-800-662-HELP (4357) to learn about resources in your area.
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