Category: Sober living

Addiction can affect nearly every aspect of an individual’s life, and yet sometimes, they may not realize or acknowledge that they have a problem. In this case, friends and family members may want to consider organizing a professional intervention. This involves contacting an addiction intervention professional—or an interventionist—to help lead a group discussion with the struggling individual and the people who care about them.

Finding Help for Long-Term Drug or Alcohol Addiction

However, long-term use does appear to be linked to a range of health effects. It’s possible to experience opioid intoxication or accidental opioid poisoning regardless of how long you’ve been taking opioids. Long-term opioid use may also lead to a rare condition called opioid-induced hyperalgesia (OIH). People with OIH become more sensitive to pain over time https://theseattledigest.com/top-5-advantages-of-staying-in-a-sober-living-house/ while taking opioids. Substances like cocaine and other stimulants can cause drastic or extreme changes in blood pressure and alter oxygen absorption rates in the blood, which can damage arteries and veins, as well as the heart. Despite being aware of these harmful outcomes, many people who use drugs continue to take them, which is the nature of addiction.

• Tolerance to benzodiazepines occurs even for regular users who are prescribed the drug.
• All NSAIDs, both prescription and over-the-counter, now sport warning labels thanks to a ruling by the Food and Drug Administration.
• Substances like cocaine and other stimulants can cause drastic or extreme changes in blood pressure and alter oxygen absorption rates in the blood, which can damage arteries and veins, as well as the heart.

Short-Term and Long-Term drug use

Due to its short half-life, and rapid absorption, alprazolam is distinguished as one of the most rapid-acting BZD with fastest relief of symptomology, increasing its abuse liability [54]. Alprazolam is widely used as monotherapy for panic disorder and anxiety and was found superior to other forms of monotherapy for these conditions including other BZD, non-SSRI antidepressants, and buspirone. This superior effect is thought to be due to its unique alpha-2 adrenergic activity, enhancing its potency for relieving panic and anxiety disorders.

What Is Substance Misuse?

For adolescents 12 and older, caffeine intake should be limited to no more than 100 mg daily. Caffeine is naturally found in the fruit, leaves, and beans of coffee, cacao, and guarana plants. There is a risk of drinking excess amounts of caffeinated beverages like soda and energy drinks because they are taken chilled and are easy to digest quickly in large quantities. People who are addicted to Klonopin may experience full-blown hallucinations and even have conversations with people who aren’t really there. Sometimes harm is due to irrational thoughts users believe to be true, like everyone is against them and judging their behavior. Commercial tobacco use is the leading cause of preventable disease, disability, and death in the United States.

This call to action proves especially relevant, as those seeking treatment for BZD dependence and withdrawal are on the rise in the United States [3]. Other studies have assessed different methods of counseling on BZD dangers and alternatives to patients alongside a gradual taper off the drugs. One study compared the mainstay of treatment with a standardized Sober House interview/counselling approach to treatment [72]. The experimental group in this study had a weekly 1/10-dose reduction after a 2 week stabilization period [72]. The experimental treatment also included a BZD diary, a drinking diary, BZD withdrawal education, and assessments for ways of coping and “progressive relaxation exercise” [72].

Adverse effects associated with long-term opioid use

Other studies have shown that there is no correlation between BZD use and cognitive decline. One study showed that administration of BZD in patients with Alzheimer’s disease do not lead to further cognitive decline after 18 months of taking the drug [74]. The subjects in this study had mild to moderate Alzheimer’s dementia and showed no change in AD-Cog scores after treatment with BZD [74]. Interestingly, in this same study, SSRIs and atypical antipsychotics showed the same results; however, trazodone actually improved the NPI [75].

Some drugs are neurotoxins that may damage or destroy nerve cells either in the brain or the peripheral nervous system. With the right support and a strong medical detox program on your side that includes therapy, family support structures like systemic family interventions, and group therapy, you can come back from Klonopin dependency. Results showed that, compared to wild-type mice, mice on diazepam experienced longer uninterrupted sleep [42]. It also reduces the expression of mRNA transcripts such as CaMKIIa, BDNF, GIF, c-fos, NGFIa which are necessary for regulating synapses and plasticity [42]. The suppression of CaMKIIa by diazepam has a long-lasting effect leading to a limited neuronal response to changes in intracellular calcium and decreased response by GABA-A receptors [42].

• And the risk of side effects is also greater because the dose might not be right for you, or you might not tolerate some other drugs.
• Once you’ve been addicted to a drug, you’re at high risk of falling back into a pattern of addiction.
• People diagnosed with generalized anxiety disorder, panic disorder, primary insomnia, and gastroesophageal reflux are usually advised to reduce or eliminate regular caffeine use.
• The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, text revision (DSM-5-TR) doesn’t consider withdrawal or tolerance as symptoms of OUD if you’re taking opioids as prescribed by a healthcare professional.
• There is no way to predict who will become addicted to drugs, but a combination of influences can increase a person’s risk of developing an addiction.

Physical Long-Term Effects of Substance Abuse

As with other diseases and disorders, the likelihood of developing an addiction differs from person to person, and no single factor determines whether a person will become addicted to drugs. In general, the more risk factors a person has, the greater the chance that taking drugs will lead to drug use and addiction. Drug addiction, also called substance use disorder, is a disease that affects a person’s brain and behavior and leads to an inability to control the use of a legal or illegal drug or medicine. Substances such as alcohol, marijuana and nicotine also are considered drugs. When you’re addicted, you may continue using the drug despite the harm it causes. Results from NIDA-funded research have shown that prevention programs involving families, schools, communities, and the media are effective for preventing or reducing drug use and addiction.

For many individuals who have or are actively overcoming addiction, this recovery process can be extremely difficult. Sobriety tattoos can help ease this struggle, through serving as a permanent badge of a person’s determination to become sober and achieve a more stable life. In terms of sobriety, the Yang symbol may represent the balance sought between the tough times of addiction (the darker side) and the journey toward a sober life (the lighter side).

Symbolic Representations

• Many find this process therapeutic, as it allows for an expressive outlet and acknowledgment of their personal growth and resilience.
• This is representative of the Alcoholics Anonymous symbol, and may be accompanied by an enclosing circle representing AA itself.
• That’s what date sobriety tattoos represent – the day when you decided to take control and start your journey to recovery.
• The decision to get a sobriety tattoo often comes after careful consideration, reflecting a moment of victory and personal growth.

This sobriety tattoo showcases the Serenity Prayer, a popular choice for those celebrating recovery, surrounded by gentle birds in flight, symbolizing freedom and the journey toward peace. It’s a powerful reminder for the wearer of their strength and commitment to sobriety. Perfect for those looking for meaningful recovery tattoos that resonate with their personal story. This sobriety tattoo captures the journey of recovery, symbolized by a ship sailing steadfastly in a bottle, enclosed yet moving forward—a powerful emblem for those on the path of sobriety. It’s a visual anchor, showing strength in the calm and storm of life’s seas. Perfect for anyone seeking recovery tattoo ideas to celebrate their sobriety story.

• This is for the spiritual warriors among us, those who’ve harnessed the power of spirituality in their journey to sobriety.
• It’s a powerful reminder for strength and recovery, perfect for anyone on a sobriety journey.
• Ideal for someone celebrating sobriety, it’s a daily reminder of strength and the path taken.
• A person, in a stance of support and self-love, embraces their own body atop a base of sturdy, weathered wood representing a foundation of strength.
• This design, often sought out for sobriety tattoos or recovery tattoo ideas, stands for overcoming addiction’s storm, steering towards a serene life.

Male Sobriety Tattoo

Sobriety symbols transcend mere body art—they encapsulate a narrative of strength, resilience, and personal growth. Each symbol becomes a silent yet powerful ally in the ongoing battle against addiction. They are an ever-present reminder of the unwavering commitment to a life of sobriety. An integral part of the sobriety journey involves gathering wisdom, courage, and serenity.

The Power and Positivity of Sobriety Ink

They also serve as a declaration of ongoing vigilance in preserving sobriety, celebrating every day as a victory in the lifelong journey of recovery. Perfect for those looking for recovery tattoos, it stands as a quiet reminder of the wearer’s journey and commitment to sobriety. It’s a popular choice among recovery tattoo ideas, symbolizing a commitment to sobriety and personal growth.

No matter the design, these tattoos serve as a constant reminder of the journey you’ve embarked on and the strength you’ve shown. And for many, what better way to commemorate this journey than with a tattoo? These aren’t just any tattoos; they’re symbols of your battles, your victories, your resilience. So, let’s jump into some heartfelt recovery tattoo ideas that celebrate the very essence of sobriety, resilience, and conquering challenges. Over sobriety date tattoo ideas time, the meaning behind a sobriety tattoo can deepen, mirroring the individual’s personal development and continued journey in recovery.

Often inked on wrists or behind ears, the symbol signifies the strength to persevere and create a new narrative. It empowers the idea that you don’t have to erase your story but rather take the pen in your own hands and write an ending YOU want to read. Sobriety tattoos serve not only as a celebration of transforming past troubles into personal strength, but also as a reminder to remain committed to healthier choices and habits. Although an increasing number of workplaces now accept tattoos, and the stigma towards sobriety tattoos has lessened, it’s crucial to carefully consider any potential implications. The traditional tattooing style Sober living house involves the use of bold, sharp outlines and softly blended, vibrant shades.

• Choosing a recovery-related tattoo as body art can serve as a powerful symbol of your personal story and a celebration of recovery.
• They might commemorate personal triumphs, memorialize a loved one, or mark important milestones.
• This works well with the kind of imagery that you should choose for such a sobriety tattoo.

A drink is 12 ounces (355 milliliters) of beer, 5 ounces (148 milliliters) of wine or 1.5 ounces (44 milliliters) of 80-proof distilled spirits. During pregnancy, drinking may cause the unborn baby to have brain damage and other problems. Heavy drinking also may result in alcohol withdrawal symptoms. Coma and death can occur if alcohol is consumed rapidly and in large amounts. If you don’t have insurance, you may still be able to get free or low-cost help for alcohol misuse. Find a health center near you and ask about alcohol misuse screening and counseling.

“The fundamental issue is who is in the comparison group,” says psychiatrist Sarah Hartz of Washington University in St. Louis. In 2018, when Hartz and her colleagues compared thousands of moderate and very light drinkers (one or two drinks per week), the advantages of moderate consumption basically disappeared. By 2022 the World Heart Federation stated that alcohol did not protect people. What is the difference between moderate and heavy drinking? The difference between moderate and heavy drinking is in the number of drinks consumed per week. For men, heavy drinking is defined as 15 or more drinks per week.

I have seen the terrible toll of alcohol use disorder and know the risks. I judged my drinking “moderate” and relatively benign. The bottom line is that alcohol is potentially addictive, can cause intoxication, and contributes to health problems and preventable deaths.

If you’re looking to adopt healthier drinking patterns and better monitor your consumption of alcohol, there are ways to limit your alcohol intake in easy, more manageable ways. There’s no need for guesswork when defining moderate drinking. The Centers for Disease Control and Prevention (CDC) has created public health guidelines for U.S. adults. That’s why there are guidelines in place for moderate drinking. If you’re looking to cut back on the alcohol, are sober curious, or just want to see your options out there in the world of moderate drinking, we have answers. Too much alcohol consumption can lead to a variety of health problems, and the risks to your health and safety increase along with the amount you drink.

How do I know if it’s okay to drink?

Drinking is a problem if it causes trouble in your relationships, in school, in social activities, or in how you think and feel. If you are concerned that either you or someone in your family might have a drinking problem, consult your personal health care provider. The legal limit for drinking is the alcohol level above which a person is subject to legal penalties (e.g., arrest or loss of a driver’s license). Gallstones and type 2 diabetes are also less likely to occur in moderate drinkers than in individuals who drink no alcohol at all. A drink before a meal may improve digestion, and occasional drinks can be a social tonic that contributes to overall well-being.

If you already drink at low levels and continue to drink, risks for these issues appear to be low. For men, heavy drinking is typically defined as consuming 15 drinks or more per week. For women, heavy drinking is typically defined as consuming 8 drinks or more per week. Decide how many days a week you’ll drink and how much you’ll drink on those days. For men,  try not to have more than 2 drinks a day.

Take our short alcohol quiz to learn where you fall on the drinking spectrum and if you might benefit from quitting or cutting back on alcohol. NIAAA research indicates that only about 2 percent of people who drink within these limits have alcohol use disorder. When it comes to alcohol, if you don’t drink, don’t start for health reasons. However, drivers younger than 21 are not allowed to operate a motor vehicle with any level of alcohol in their system.

For women, try not to have more than 1 drink a day. It’s also a good idea to have some days when you don’t drink at all. Different drinks have different amounts of calories, too. These calories add up — and getting more calories than you need can make it harder to stay at a healthy weight. For example, a 12-ounce bottle of beer has about 150 calories. This is all keeping in mind that moderate alcohol consumption and moderation management programs aren’t appropriate for those groups we already listed above.

Do all excessive drinkers have an alcohol use disorder?

The legal BAC limit is 0.08% in most states, but it’s wise to be aware of state-by-state regulations. Understanding state-by-state regulations around BAC is essential, both for legal reasons and to know when you’ve had too much to drink. To break it down for you further, here’s how both the CDC and the National Institute on Alcohol Abuse and Alcoholism (NIAAA) define a standard drink. I was willing, but I wanted to understand what, exactly, I was risking with each sip of sauvignon blanc.

1. That means even moderate amounts of alcohol could be harmful to your overall physical and mental health.
2. Gallstones and type 2 diabetes are also less likely to occur in moderate drinkers than in individuals who drink no alcohol at all.
3. Alcohol is produced by the fermentation of yeast, sugars, and starches.

This information on drinking in moderation was adapted from materials from the National Institute on Alcohol Abuse and Alcoholism. Planning ahead can help you manage situations when you might be tempted to drink too much. Think ahead about how to say “no” if someone offers you a drink. Keeping track of each drink may help you drink less overall.

Drinking less is better for health than drinking more. The Guidelines also note that not drinking alcohol also is the safest option for women who are lactating. Women considering consuming alcohol during lactation should talk to their healthcare provider.4 Learn more about breastfeeding trauma symptoms of adult children of alcoholics and alcohol use. If you have high blood pressure, avoid alcohol or drink alcohol only in moderation. For healthy adults, that means up to one drink a day for women and up to two drinks a day for men. Drinking too much alcohol can raise blood pressure to unhealthy levels.

Alcohol: Does it affect blood pressure?

Having more than three drinks in one sitting temporarily raises blood pressure. Repeated binge drinking can lead to long-term increases in blood pressure. These risks seem to cancel out evidence of alcohol’s cardiovascular benefits, which was weakened anyway when researchers did more nuanced studies. The adderall heart-protective theory was based on the finding that moderate drinkers had better cardiovascular health than both nondrinkers (by a little bit) and heavy drinkers (by a lot). But those studies lumped all nondrinkers together, including those who had quit because of substance use issues or illness.

The CDC also defines binge drinking, which can lead to an array of health issues. A man who has 5 or more drinks over the course of 2 hours or less has been binge drinking. For women, the threshold is 4 or more drinks in that same period. In the United States, people younger than age 21 are not legally able to drink alcohol.

It can be difficult adopting habits to moderate your drinking. No matter your reason for looking at your drinking habits, you may find meth addiction: symptoms getting help detox treatment and more that in the end, you don’t need alcohol at all. If you’re looking for an alcohol-free wine alternative, Surely has got you covered.

Drinking moderately if you’re otherwise healthy may be a risk you’re willing to take. But heavy drinking carries a much higher risk even for those without other health concerns. Be sure to ask your healthcare professional about what’s right for your health and safety. The definition of heavy drinking is based on a person’s sex. For women, more than three drinks on any day or more than seven drinks a week is heavy drinking.

Longer-acting benzodiazepines like Klonopin (clonazepam) can stay in the system longer, which means it can be one to two days or even longer before withdrawal symptoms start. If you have been using benzodiazepines for longer than six months, suddenly stopping your dose can cause grand mal seizures and delirium—this is why it’s best to involve your doctor or healthcare professional in your withdrawal process. The primary difference between these drugs phencyclidine wikipedia is the length of time they stay active in the body. However, benzodiazepines can cause physical dependence and withdrawal even when they are taken as directed. The general guideline is to not exceed a 5% to 10% reduction of the current dose every four weeks. One study found that a “tapering” method used by many physicians—to reduce a benzodiazepine dose by 25% a week—was ineffective for at least 32% to 42% (that is, they failed to get off the drug).

Micro-tapering requires small, daily microgram reductions that add up to not more than a 5% to 10% overall reduction from the current dose each month. Daily micro-reductions may help prevent some physical and mental turmoil that larger weekly reductions can create for those very sensitive. Keeping track of dose reductions during a micro-taper usually requires a daily log or spreadsheet. Clearly, we need to know more about how to make the stopping process, also called “deprescribing,” easier.

1. Symptoms will be milder than acute withdrawal and they can disappear for weeks at a time.
2. Luckily, Dr. Heather Ashton created a guide of estimated conversions that worked well for the patients in her clinic.
3. Symptoms occurred in the majority of patients, with certain symptomspersisting for a year or more (see Table 2).
4. GABA acts as a sort of speed bump that helps all the other chemical messengers travel through your brain at a reasonable pace.

Some respondents had completely discontinuedbenzodiazepines but still had symptoms, including one whose symptoms weremisdiagnosed as fibromyalgia. Many respondents had taken more than one type of benzodiazepine, whether concurrentlyor sequentially. The most frequently taken benzodiazepines were clonazepam (52.9%),alprazolam (41.7%), lorazepam (36.1%), and diazepam (32.1%). Patients wereprescribed benzodiazepines for a wide range of conditions (see Table 1).

Medications to Alleviate Withdrawal Symptoms

Surprisingly, medication-based support—with melatonin, paroxetine, and/or switching to a different benzodiazepine—was helpful in the short-term for getting people off, but did not have a significant effect at long-term follow-up compared to standard care. A variety of withdrawal schedules from several benzodiazepines are illustrated below. Schedules such as these have worked on real people, but you may need to adapt them for your own needs. Although there are no FDA-approved medications for the treatment of frontotemporal dementia, available data indicate that SSRIs, trazodone, and amphetamines may reduce behavioral symptoms in these individuals [21]. However, none of these medications has been shown to have an impact on cognition.

sections of the survey

In addition to the immediate health risk, benzodiazepine withdrawal can seriously affect your quality of life. Read on to learn more about benzodiazepine withdrawal, including the signs, how long it lasts, and how to get support with tapering off safely. If you take benzodiazepines infrequently, such as once a week or once every few weeks to treat panic attacks, you can take them for a longer period of time. This is because inconsistent use doesn’t pose the same risk of dependence or withdrawal. Respondents were allowed to make free-form comments at the conclusion of the surveyand hundreds of comments were entered.

What Psychological Support Looks Like

Medical professionals do not want to hear a long story as they are very pressed for timeb. Approach the prescriber loaded with all the knowledge you can, but keep your presentation simple and precise. Some supplements, such as valerian and melatonin, might also help you get some relief from your symptoms, but research has found mixed results. Your care team can offer more guidance on safely trying these supplements.

Liquid tapering enables patients to decrease their doses gradually and at a lower reduction rate and frequency than other methods. Eight of the 10 studies included in this review showed an increased risk of dementia in benzodiazepine users by a factor of 1.24 to 2.30. The investigators found that the risk appears unlikely for short duration of use (less than three months). A dose-effect relationship was found by several studies, with one study concluding that there was a stronger effect for medications or metabolites with a long half-life. In another study, the excess risk disappeared after one-year discontinuation in light users (less than 90 defined daily doses) but remained unchanged after a three-year discontinuation in heavy users (360 or more defined daily doses).

One way to decrease the use of benzodiazepines in older adults is to educate them about possible adverse effects of taking the medications [14]. One study found that short conversations between a patient and clinician regarding the discontinuation of benzodiazepines can lead to a reduction in the use of these drugs by almost 50 percent at the end of one year [15]. A recent study found that benzodiazepine prescriptions and overdose mortality involving benzodiazepines increased considerably in the United States over the last two decades [1]. Between 1996 and 2013, the percentage of adults filling a benzodiazepine prescription increased from 4.1 percent to 5.6 percent.

They are an essential part of the body’s central nervous system and stress response. As a culture, we need to be careful to minimize our use and prescription of benzodiazepines and Z-drugs, using them only when absolutely necessary. Doing so will save lives, reduce morbidity, and lessen alcohol-induced blackouts blackout drunk alcohol blackouts costs to healthcare systems. In severe cases, benzodiazepine and Z-drug withdrawal can be life-threatening, causing seizures and hallucinations. It’s no wonder that many people who make an attempt to stop quickly give up the fight, resigning themselves to being on them long-term.

Both are mental health conditions that can damage relationships, how to store urine for drug test cause personal distress, and undermine a person’s quality of life and sense of well-being. While the relationship between narcissism and alcoholism is complex, studies have suggested a potential link between the two. Understanding how narcissistic personality traits may contribute to the development of alcoholism is crucial in comprehending this connection. Childhood trauma, such as neglect or abuse, can contribute to the development of both narcissistic traits and alcoholism. Individuals who experience adverse childhood experiences may develop maladaptive coping mechanisms, including a tendency towards narcissistic behavior patterns and a higher risk of alcohol misuse. The intersection of narcissism and alcoholism presents unique and complex challenges.

Narcissistic personality disorder (NPD) and alcohol use disorder (AUD) share several similarities. Both conditions can lead to self-absorbed behavior, difficulty maintaining healthy relationships, and a tendency to avoid or mask feelings of shame. People with NPD may use alcohol as a coping mechanism to numb their underlying insecurities or boost their sense of grandiosity. Narcissistic personality disorder (NPD) and alcohol use disorder (AUD) are closely linked.

1. In addition to expert medical support, Ria Health’s program includes virtual coaching sessions to help people unlearn self-destructive patterns connected to alcohol.
2. Finding a way out of the complex web of bipolar narcissistic alcoholism requires a comprehensive and personalized approach.
3. Prayer can provide comfort and strength, offering divine assistance in navigating these challenges.
4. Schema Therapy, specifically designed for personality disorders, can be beneficial.
5. Pathways Recovery Center’s residential dual-diagnosis treatment provides clients the support they need to grow, heal, and thrive.
6. According to Frontiers in Psychology, “Vulnerable narcissism is related to withdrawal, low self-esteem, negative affect, sensitivity to negative feedback, and defensiveness.

Overlapping treatment options

Research supports the link between some narcissistic traits and alcohol use. Risk factors for NPD include having difficult relationships with parents or caregivers during a person’s developmental years that may include excessive praise or criticism. Alcoholism, or alcohol use disorder (AUD), is an addictive disorder where people cannot control or stop their use of alcohol. People with AUD may be unable to reduce or stop drinking despite experiencing the negative effects of alcohol or a desire to quit. Environmental factors like childhood trauma or neglect can interact with genetic vulnerability.

Narcissism as a Risk Factor for Alcoholism

Alcoholism can also contribute to the development or intensification of narcissistic behaviors. Prolonged alcohol abuse can lead to changes in personality and behavior, including heightened aggression, impulsivity, and a disregard for the needs and feelings of others. Research has shown that individuals with narcissistic personality disorder (NPD), a more severe form of narcissism, are at an increased risk of developing alcoholism. The co-occurrence of NPD and alcoholism can complicate treatment approaches and require a specialized approach. The co-occurrence of narcissism and alcoholism can exacerbate the negative effects of each condition.

Overcoming Trauma Bond Addiction: Effective Strategies for Healing

Understanding the nature of narcissism and alcoholism sets the stage for exploring the connection between these two conditions. To comprehend the relationship between narcissism and alcoholism, it is crucial to have a comprehensive understanding of narcissism itself. Narcissism is not a binary characteristic but rather a spectrum, with varying degrees of narcissistic traits observed in individuals. Some individuals may exhibit mild narcissistic traits without meeting the criteria for NPD, while others may have more severe narcissistic tendencies. Grandiose narcissism was also a significant predictor of a positive alcohol problem evaluation, over and above alcohol use, social desirability and vulnerable narcissism. In other words, grandiose narcissists are more likely to regard the alcohol problems that they may encounter as good.

Pray for Alignment with Heavenly Principles

This process involves replacing harmful beliefs with positive truths, ultimately leading to a healthier self-perception and behavior. A 2014 study looking at infidelity also found that people with narcissism were more likely to be unfaithful during a relationship. A 2015 study of college sexual assaults revealed that perpetrators scored highly on a narcissistic personality scale after completing a questionnaire. Both grandiose and vulnerable narcissism are strong predictors of alcohol-related problems, according to a 2018 study of 345 college students. Narcissism may leave people more prone to problematic substance use, including alcohol use disorder, as well as other forms of addiction, such as sex addiction and social media addiction.

This toxic blend of alcoholism and narcissistic personality traits creates a volatile cocktail that erodes one’s sense of self, perpetuating a destructive loop. This approach entails addressing both alcoholism and any co-occurring conditions, such as bipolar disorder or borderline personality disorder. Integrated treatment plans provide comprehensive care, targeting each disorder simultaneously for optimal recovery outcomes.

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.

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.

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.

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.

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.

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.

The sober life brings many rewards, but it isn’t realistic to believe that one can go through life never being around alcohol or other temptations. However, a young person in early sobriety is particularly vulnerable because they haven’t yet developed confidence in their sober lifestyle. If you or someone you know is struggling with addiction, don’t hesitate to seek help and support. Your journey to recovery is a path toward a brighter and more fulfilling future, and the holiday season can be a season of healing and transformation. Many worry about family dinners, and purchasing presents as the holidays quickly approach.

How to Surround Yourself With New Family in Recovery

Various types of therapies will be used throughout the recovery process, depending on your needs and the rehab program you are attending. When you first arrive at a rehab program, staff members will often start by having you complete an intake interview to find out more about you. This is an important step in the rehab process, because this information will be used to start customizing your treatment plan.

The Detox Process

Responses to the holidays are as varied as the number of individuals who experience them. Some face grief and loneliness more acutely this time of year, while others experience more joy and peace. Most individuals will encounter an amalgamation of emotions, including stress, happiness, melancholy, excitement, loneliness, and hope.

Understanding Additional Triggers During the Holidays

These varied and pronounced emotional experiences, coupled with the change in daily routines and plethora of holiday parties, may pose challenges to those in recovery from addiction. However, we can make intentional decisions to support our community members in recovery as we navigate the holiday season. Your plan will likely include social and medical support services. Toward the end of your time in a rehab center, you and your counselor will come up with a continuing care plan (also known as aftercare) based on your progress up to that point. Aftercare can significantly reduce drug and alcohol relapse rates.

• This makes it an incredibly important component of your treatment.
• Many recovery coaches meet with clients virtually, so it’s easy to fit coaching into a daily schedule.
• Below are six areas of support that could constitute a strong aftercare plan.
• The cost is nominal, and many YouTube videos and some apps can be accessed for free.

Kali Lux is a consumer marketing leader with a focus on healthcare and wellness. She has over a decade of experience in building and operating metrics-driven brand, demand generation, and customer experience teams. For those of us in early recovery, the holidays can remind us of past rifts and wrongs, but they also present new opportunities for mending broken relationships.

• After dinner, there may be an opportunity for another short group session.
• Many celebrities and politicians have been known to spend their time providing hope and motivation to those seeking recovery.

How and Why Workit Health Uses Drug Testing

It may include a therapist, the appropriate local 12-step hotline, and more. Many, if not most, people leaving treatment find the idea of calling those numbers overwhelming. These stages were developed by the National Institute on Drug Abuse as a resource on individual drug counseling for healthcare providers, but it is also a useful model for recovery from alcohol addiction. One of the primary objectives in recovery is to get to the point of being able to navigate challenging social situations.

You will learn the warning signs and the steps that can lead up to a relapse. Whether you seek help voluntarily or are forced by circumstances to enter rehab, your recovery process will begin with a professional treatment program. • We encourage you to be supportive and proactive about your family member’s recovery. You can reach to them in a way that lets them know Reframing Holidays in Early Recovery you trust them with their own recovery but that you are there for them if needed. Make them feel included in plans and if you know they are struggling, suggest they attend a meeting or call a sponsor. Every late-November through December we are encouraged—sometimes even pressured, directly and indirectly—to celebrate the holidays that mark each year’s conclusion.

Cognitive Behavioral Therapy (CBT) is one of the most effective methods used in addiction treatment centers. CBT is a therapy aimed at recognizing how your emotions impact your thoughts (or vice versa), and their overall impact on the behaviors you take. CBT, as well as other therapy approaches, focuses on how to safely manage your emotions in recovery. Part of the treatment and recovery process centers on developing new, healthy habits that are intended to become routine once you return to your life outside of a treatment center. Coaches provide support and structure to help individuals reach goals the client sets. Coaches are a great resource to help an individual replace the structure they had in a residential treatment facility.

How To Navigate The Holidays Without Family During Early Recovery

Making your friends a part of your holiday plans will help you avoid being alone or lonely at this time of the year. Your friends may not replace your family, but in many ways, they may exceed your family in quality time together. You will want to find a healthy balance between things you do for self-care and things you do for others. There is no need to have money to give to be able to do things for other people during the holidays.

Incorporating addiction quotes is a powerful motivator. So here are some of my favorite motivational quotes to encourage you on your recovery journey. One of my favorite ways to keep myself inspired is by writing motivational recovery quotes in my sober journal. Celebrating your sobriety milestones with beautiful quotes throughout the pages makes me want to pick it up and write and spend time in it.

As a friend or loved one of someone in recovery, your congratulations will likely be well-accepted, especially if you consider how you express it carefully. Recovered is not a medical, healthcare or therapeutic services provider and no medical, psychiatric, psychological or physical treatment or advice is being provided by Recovered. If you are facing a medical emergency or considering suicide or self harm, please call 911 immediately. To overcome addiction, you need to decide it internally, casting aside your previous denials and excuses and abandoning your old patterns of thinking and ways of life.

When Times Get Tough

In addition to the obvious benefits like improved health and a richer bank account, sobriety provides some subtle, but equally important, benefits. One of the best things about getting sober is how quickly you start to see positive changes in your health and life,” Dr. Heinzerling says. If you haven’t read about my rock-bottom story, you https://ecosoberhouse.com/ can find it here. You don’t have to hit rock bottom to quit alcohol, but unfortunately, that’s a big part of my journey. I definitely feel like my life is unfolding in new ways and that I’m building a new foundation to stand, and thrive, on. Alcohol is everywhere, and it’s become so normalized that you’re weird if you’re not downing it.

Get up to speed on research-based tools that can help you motivate your child to change. If you are struggling, know there is hope for you and your family. Our sons and daughters have worked hard to turn their lives sobriety sayings around. Addiction is a progressive, chronic, relapsing disease. It doesn’t mean that everyone in recovery is destined to relapse, but it does mean that if you do relapse, you shouldn’t see it as a failure.

Sobriety Quotes – Quotes About Alcohol Abuse

Managing addiction requires you to make a thousand different changes in yourself, in your outlook, and in your environment. You have tens of thousands of thoughts running through your head all day—use this list of addiction recovery quotes to make those thoughts as healing as possible. It takes toughness to make it through the pain of drug and alcohol detox. One of the safest ways to rid toxins from one’s body is to enter a treatment center that is experienced with detoxification. However, as a recovering addict, you must be ready to summon an inner reservoir of strength to successfully make it through the day. The daily battle for sobriety is an all-too-familiar struggle for many recovering addicts.

Sobriety generally directs a person’s conclusion to refrain from substance use. This decision often arrives because of an addiction negatively affecting their lives. It can be easy to feel helpless in the face of addiction; the disease has a way of taking over your life and crowding out everything that doesn’t support drug or alcohol use. It is also a disease that requires professional help to overcome. This is not because you are weak; on the contrary, getting help requires great strength.

Regain Your Hope Online Course

Oftentimes, addicts find that throwing themselves into a productive form of addiction, such as exercise, yoga, reading, or community service, can help to keep the mind preoccupied. Put in the work to achieve successful sobriety, and you won’t be disappointed. The final step in 12-step programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) is to spread the message to other people living with addiction.

• In Erik Erikson’s Stages of Psychosocial Development, the eighth stage, which is the final one, is known as Integrity versus Despair.
• Sobriety and a healthier life could be your gift to God.
• So here are some of my favorite motivational quotes to encourage you on your recovery journey.
• You will start and continue to do amazing things, and you, as well as others, will notice your amazing progress in recovery.

Every day can be a fight against inner tumult and outside forces affecting you. Sometimes, it helps to read sobriety motivational quotes to overcome any challenge, no matter how great. These quotes can inspire, but professional help may be the key to unlocking a new beginning. If you or a loved one struggles with addiction, Landmark Recovery is here to help. We offer comprehensive addiction treatment programs at rehab centers nationwide.

When things seem to be going down hill, you must remember that bad things happen to people all the time. That includes not becoming a victim to life’s circumstances. Quitting drinking- the exact same process that you are going through, people all over the world are currently going through, or have been before.

• We spoke about the purpose of journalism, turning 40, and what it feels like to be on the verge of another Trump presidency.
• It’s important to remember that you never have to give yourself up to make other people comfortable—ever.
• I didn’t like going to the pharmacy once a month and having to take something every day.

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Then, the first few weeks of sobriety are when relapse risk is highest. Detox can occur in a hospital setting or as the first part of inpatient or outpatient rehabilitation. Depending on the severity of the addiction or substance being used, a medically supervised https://ecosoberhouse.com/ detox may be necessary to safely help you. Yes, my drunk friend here hates [insert person here]. I know because there’s always some drunk friend that says it any time she’s had a couple of margaritas. However, I am the only person that ever remembers she said it.

• ” I think now they’re like, “Oh yeah, you can’t buy a home.
• The difference between then and now is that I have tools to get back to true freedom–where all the nonsense I am putting myself through mentally has no validity.
• If these emotions become excessive, they can hold you back from recovery.

Ugh, drunks love to get all Dr. Phil on their relationship issues.

Personally, I always thought drunk people were fun, and I didn’t want my own poop relationship with alcohol to stand out. I wanted to blend in nicely with a crowd who understood that sometimes you just want to drink your face off, or one that didn’t think anything was weird about a glass of noon wine. Get coffee with a friend to take your mind off relationship problems. Ask for extra hours at work if you’re having a hard time with roommates. Head out of town with some sober friends for a few hours to get a change of scenery.

• According to Jeanette Tetrault, MD, an addiction medicine specialist at Yale Medicine, the terms “sobering up” or “getting sober” are stigmatizing.
• But then, all of a sudden, life got pretty pleasurable and I came to really love my independence.
• Unfortunately, for someone in recovery, feelings of discontent are dangerous.
• It helps that the bubbly ginger ale and little cherries taste delicious.

Finding Treatment for Alcoholism

Addiction can be a chronic disease, so treating it often isn’t as simple as not consuming that substance for a few days. From being outside sweaty, running around and playing with bugs in being sober sucks the mud, to laughing at farts (I still do that) and wrestling with your friends. There is such a calm presence with children because they haven’t yet been mentally affected by themselves.

I Actually Like Myself…A Lot

To avoid relapse and remain sober, it’s important to develop healthy relationships. If any area of your life is out of control, it will not help you maintain lasting sobriety. Once you do return to work, it’s important to create a budget and take steps to safeguard yourself as work stress can be a relapse trigger.

Stay Cool and Calm

One of my college friends used to get drunk and aggressively challenge someone to start naming states so that he could name their respective capitals. He would scream the answers and taunt everyone in the room. No one seriously challenged him, because no one seriously cared. “The most important thing to focus on with an individual who is working to decrease their substance use or achieve abstinence is to promote safety and reduce harm. This is the approach healthcare providers employ when treating any other chronic health condition and substance use should be no different,” says Tetrault. By Buddy TBuddy T is a writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism.

Choose A New Healthy Habit