What Is a “Functioning Alcoholic”? Signs, Dangers, Help

High-Functioning Alcoholic

Getting help early on can reduce the risk of developing alcohol addiction. Even though they may want to stop, many functioning alcoholics often won’t know where or how to begin the process. This is where family, friends and medical professionals can work together to create a plan to help end this cycle before they do more harm to themselves.

High-Functioning Alcoholic

Recovered.org provides an anonymous online evaluation tool to check if drinking has become problematic and provides further resources for help and support. Individual therapy, combined with marriage or family counseling, can strengthen your self-esteem and help you build a healthy, sober relationship. By Buddy TBuddy T is a writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Because he is a member of a support group that stresses the importance of anonymity at the public level, he does not use his photograph or his real name on this website. Drinking rarely causes them to miss work and other obligations (although it does happen occasionally). They are usually able to manage areas of life including jobs, homes, and families.

It is also possible to detox as part of an outpatient program, which features varying levels of support and treatment. The NIAAA offers a range of assessment tools and strategies to help people understand their drinking patterns, reduce their drinking, or quit completely. A person who appears to be managing their alcohol intake but is experiencing issues with their relationship to alcohol has what is now known as an alcohol use disorder (AUD). However, certain food groups also have benefits when it comes to helping with the discomfort of withdrawal symptoms and detoxification.

How to help friends and family

If you’re the loved one of someone in either group, it’s important to know how to deal with an alcoholic effectively if you want to help them get well. One of the main reasons that people who misuse alcohol seek help is the eventual negative consequences of their alcohol consumption. When the pain or embarrassment gets bad enough, they can no longer deny that their drinking needs to be addressed. This is why psychological counseling, such as talk therapy, is important if you’re recovering from AUD. This can help you learn new coping skills so you can turn to other behaviors instead of drinking in order to live a healthier life.

An intervention is a planned meeting in which the concerned parties confront the alcoholic about their behavior. Nearly 20% of alcoholics are highly functional and well-educated with good incomes. The longer you live with AUD, the higher your risk of developing complications that can lead to death. According to 2020 data by the CDC, nearly 30,000 people died that year from alcoholic liver disease (cirrhosis). “Functioning alcoholic” is an outdated term that in the past was used to describe people with alcohol use disorder who appear to meet their everyday responsibilities.

People who are close to a person with AUD may need support to understand how to help their loved ones. However, a doctor should recommend the best type of treatment for each person since the severity and presentation can vary from person to person. For some people, AUD may also mean more than physical dependence, but a stress reliever or source of psychological escape. Since you only need to fulfill 2 or drug withdrawal symptoms treatment and management more of the DSM-5 criteria within the last year to be diagnosed with AUD, you might still be fully contributing to your home life, job, and other areas of your life. However, there are individuals that meet the criteria for AUD but do not experience these impacts. You could have AUD even if you are able to keep a relatively normal life if you fulfill at least two of the DSM-5 criteria for the condition.

High-Functioning Alcoholic

If someone you are close to is living with alcohol use disorder, you may be looking for ways to help them cope with the impacts of their disease on your own life. Peer pressure meth addiction: symptoms getting help detox treatment and more and easy availability of alcohol can increase the risk of developing an AUD. Negative life experiences, such as grief, abuse, or living in poverty, can also increase the odds.

Drinking Heavily and Excessively

However, alcohol use disorder is diagnosed based on a set of criteria that aren’t always seen by others. To cope with your stress, you may want to attend a support group for family and friends of people with alcohol use disorder (such as Al-Anon) or consider therapy. Issues with work, school, and relationships are common among people living with AUD. These issues can be insidious and increase as a person becomes more dependent on alcohol. Over time, these minor signs can snowball into more significant issues. The way people with alcohol use disorder present in their day-to-day lives varies significantly.

The incredibly important first step is to recognize your need for help and move past denial. It can be hard to stop enabling someone you care about once you’ve 10 ways to control high blood pressure without medication recognized it. Try to talk openly to the person about your concerns, and encourage them to seek help from resources like Alcoholics Anonymous (AA).

Alcoholism can take a devastating toll on a person’s physical health, emotional well-being, personal relationships and professional life. However, many alcoholics manage to function effectively, holding down jobs and maintaining households. A high-functioning alcoholic may hide their alcohol abuse for years without suffering any major losses. Under the surface, this form of alcoholism can cause severe psychological and emotional damage to the alcoholic and also their loved ones..

  1. This is due to the potentially stigmatizing language around the word “alcoholic”, which may also prevent someone from seeking help and support.
  2. By the time they admit the problem, their withdrawal symptoms—which can begin within a few hours after their last drink—can become more and more severe.
  3. This can help you learn new coping skills so you can turn to other behaviors instead of drinking in order to live a healthier life.
  4. More recently, a 2020 study found that people who used alcohol to cope with the COVID-19 pandemic were more likely to drink alone and drink to excessive amounts.

For instance, the alcoholic may be denied visitation rights or may be faced with a marital separation if he decides not to seek help. An alcoholic in denial may become extremely manipulative, tearful, angry or hostile when faced with the need for alcohol treatment. An experienced intervention specialist can help the participants prepare for these reactions so they can respond effectively. Functional alcoholics differ from those who struggle with alcoholism, primarily in how alcohol affects their lives.

What Is a High-Functioning Alcoholic?

Media portrayal of people with alcohol use disorder is often stereotypical and does not accurately reflect the complexity of alcoholism as a disease. When you’re living with a high-functioning alcoholic, your own health is at stake as well as the welfare of your loved one. By getting help for your loved one, you may be able to avoid further consequences of alcoholism and build a healthier future for your family. The participants in an intervention could include the alcoholic’s spouse or partner, children, parents, friends, coworkers, employer, friends and other individuals who have been affected. A substance abuse counselor, family therapist or spiritual advisor may also attend to provide an objective presence and keep the agenda on track. But they may put themselves or others in danger by drinking and driving, having risky sexual encounters, or blacking out, Benton says.

She specializes in a variety of health topics including mental health, dementia, celiac disease, and endometriosis. The most well-known support group is Alcoholics Anonymous, but there are many other 12-step programs. These therapies are available one-on-one or in small groups in an inpatient or outpatient setting.

Many people with AUDs decide to have further treatment and support, such as attending group therapy, individual counseling, or support groups. While cirrhosis scars from excessive drinking are irreversible, quitting alcohol and leading a healthier lifestyle can help your liver heal from alcohol-related liver disease. That is why alcohol detox and alcohol withdrawal treatment is administered by medical professionals. It can lead to liver disease, pancreatitis, some forms of cancer, brain damage, serious memory loss, and high blood pressure.

Whether you have an alcoholic spouse, partner or other loved one, you may be wondering how to help. High-functioning alcoholics can benefit from having an at-home support system before, during and after any form of treatment for their addiction. There are hundreds of resources all over the country designed to address the issue of alcohol abuse and addiction. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.