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How to Help an Alcoholic

When a person is struggling with alcohol addiction, they may hide how much they drink, lie to themselves or others about their consumption, or deny they have a problem. This can make it difficult for them to get alcohol addiction help or for loved ones to talk with them about seeking treatment.

To better understand this complex disorder and how to get help someone stop drinking, the following discusses the stages of addiction development, the risk factors to be aware of, how to help an alcoholic in denial, how alcoholism is diagnosed, and what effective treatment looks like.

In addition to the resources below, getting alcohol addiction help is just a phone call away. Our admissions navigators are available 24/7 at  to provide guidance and information on various treatment options. Please reach out today.

Signs of an Alcohol Use Disorder (AUD)

Only a doctor or licensed addiction specialist can diagnose someone with alcohol use disorder (AUD). That said, some signs to look for include:2

  • Using alcohol in higher amounts or more often than intended.
  • Continuing to drink alcohol no matter the negative effects it has on your life.
  • Alcohol cravings.

Helping a Loved One with Alcohol Use Disorder

Step 1: Learn About Alcohol Addiction

Without fully understanding alcoholism or AUD, it can be hard to talk about it with your loved one who’s struggling.

According to the National Institute on Alcohol Abuse and Alcoholism, an alcohol use disorder (AUD) is when one can no longer control their use of alcohol, compulsively use it despite its negative ramifications, and/or experience emotional distress when they are not drinking.1

AUD is a chronic, relapsing disease that is diagnosed based on an individual meeting certain criteria outlined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Helping An Alcoholic

Additionally, according to the DSM-5, alcohol use disorder is believed to have a strong heritable component. Between 40–60% of the variance of risk is attributable to genetic factors.2

However, there is no one-size-fits-all when it comes to understanding alcohol use disorder. It is a multifaceted and complex disease, so while someone may inherit a predisposition to it, genes do not fully determine a person’s outcome.

The American Society of Addiction Medicine (ASAM) also explains that because alcohol use disorder is a disease, it is an involuntary disability.3 This means that although people choose to drink initially, it may be out of their control to quit once they become addicted.

As the disease progresses, negative emotional, physical, and social changes are experienced such as marital problems, changes in mood, alcohol withdrawal, health issues and/or job loss.Denial is also an integral part of the disease for many, making it harder for them to acknowledge their need for treatment.3 

Step 2: Research Alcohol Rehab Programs

The type of treatment that will be most suitable for your loved one may be determined by several individual factors such as any previous attempts to quit, current alcohol use and corresponding level of physical alcohol dependence, any co-occurring medical and/or mental health conditions and any additional substance use.

Regardless of their level of alcohol misuse and whether they’re in denial, seeking the guidance of addiction treatment professionals can help you better understand how treatment works and what that may look like for your loved one.

Alcohol.org is a subsidiary of American Addiction Centers (AAC), a leading provider of addiction treatment services across the U.S. The admissions navigators at AAC are here to answer your questions about treatment 24/7 and all calls are confidential.

Step 3: Choose a Time to Talk 

Committing to getting sober and seek help takes courage. Often times, those who need help with a drinking problem may not immediately be receptive to discussing treatment. Because of this, it may take a few conversations before they are willing to discuss treatment.

Before talking with them, it may be helpful to speak with a healthcare provider who specializes in addiction to obtain guidance on how to get help for alcoholism. Once you’ve done that, choose a time to sit down with them when they are sober so they can better process what you are saying.

If they remain in denial and aren’t ready to seek alcohol addiction help, you could try learning the CRAFT approach. This training teaches family and friends good strategies for helping their loved ones get treatment.16

Step 4: Check Your Insurance Coverage for Rehab

If they’re ready to seek alcohol help and treatment, you may want to start thinking about how you will cover the cost of rehab. The cost of a treatment program for alcoholism can vary widely, depending on the type of program and your insurance coverage. Because treatment costs can differ, you want to make sure the program you enroll your loved one in will actually work.

AAC can provide help for people with AUD and improve treatment outcomes for those in recovery for alcohol use disorder. Your information is kept 100% confidential.

Understanding Alcohol Addiction

In 1960, biostatistician and alcohol abuse researcher Elvin Morton Jellinek (E. M. Jellinek) gained widespread attention when he published The Disease Concept of Alcoholism, offering a new way to look at alcohol addiction.4

Jellinek viewed alcohol addiction as a chronic relapsing condition that needed to be treated by health professionals and developed a theory on the progression of the disease through various stages.

His model, now widely accepted, detailed his theoretical stages of alcohol addiction, each characterized by different changes in mental, physical, and social functioning.4

Stages of Addiction

Although not every person struggling with alcohol misuse goes through these stages, they can be a helpful checklist to assess alcohol consumption and prevent forthcoming problems.4 Based on Jellinek’s theory, the four stages of alcohol addiction are:

Pre-Alcoholic

The first involves general experimentation with alcohol and is when alcohol tolerance develops as the person begins drinking more regularly as a coping mechanism for anxiety, stress, or other emotions.5,6

Early Stage

Jellinek considers this the transitional stage where the development of a cyclical pattern of alcohol misuse starts. Drinking becomes more regular and individuals begin using social gatherings as an excuse to drink. They may also start consuming alcohol to cope with the negative consequences caused by drinking such as hangovers.At this stage, blackouts may also occur.5

Middle Stage

This is the most crucial stage in Jellinek’s theory, and when a person begins to drink frequently and consistently, maybe even starting off their morning with a drink.They may struggle with worsening relationships with friends and family or experience changes to their behavior that impacts them negatively.They often feel health impacts such as hangovers or feeling sick more often when not drinking.

Late Stage

This final phase leads to a complete loss of control over alcohol consumption—the individual must drink.6 At this point, the individual’s body begins to require the presence of alcohol to feel normal. When the individual does not consume alcohol regularly, they may experience withdrawal symptoms and intense cravings. 

Getting Help for Alcohol Addiction

Since the mid-1970s, research has pointed to a number of key principles that are necessary to form the basis of any effective alcoholism treatment program.12

Treatment may involve medications to ease withdrawal symptoms, therapy through a rehabilitation program to understand the addiction and change behaviors, and long-term aftercare programming such as peer support groups to help maintain sobriety and avoid relapse.12

It should also be noted that no single treatment is appropriate for everyone and plans must be reviewed and modified according to a patient’s changing needs.

Effective treatment will also focus on more than just a person’s alcohol misuse and will seek to address other possible mental disorders.12 Research indicates that remaining in treatment for at least 90 days allows for better outcomes.13

What Happens in Alcohol Rehab?

If you suspect that you or someone you care about has an AUD, it may be time to seek professional alcohol addiction help. Research has shown that rehabilitation treatment can be very effective in helping individuals maintain a life of sobriety.14

According to NIAAA, about a third of people who successfully complete a rehabilitation program show no further symptoms 1 year later and have fewer alcohol-related problems.14

Depending on the severity of the AUD, individuals can enter into a number of alcohol rehabilitation programs including inpatient and outpatient settings.

Treatment typically involves a mix of private and group counseling sessions, behavioral therapies, medications, and support groups.

Aftercare

After a rehabilitation program has been successfully completed, aftercare is an important part of the recovery process.

Aftercare efforts vary, but things like sober-living arrangements, continued sessions with a therapist, and ongoing participation in peer support groups, such as 12-Step meetings, help many individuals maintain a life of sobriety.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), 84% of treatment facilities offer aftercare services.15 Those that don’t can work with you to devise a plan using other outlets prior to program completion.

Supporting Recovery from Alcohol Use Disorder

Once alcohol treatment has been completed, it can be beneficial to continue to know how to support an alcoholic during their recovery efforts as they manage their sobriety. A few ways to continue supporting them on their recovery journey include:

  • Encourage new social activities and interests: Your loved one will need to find new social activities that don’t involve alcohol consumption and the more you become involved in finding new things to do together, the easier it may make it for them to settle back into normal life again as a sober individual. Consider looking into outdoor activities such as hiking, camping, kayaking or find new hobbies to get into such as cooking, yoga, or wood working. Volunteering is also a great way to give back to the community and a way for your loved one to feel like they are making a difference in others’ lives.
  • Discuss relapse triggers: Triggers may lead to a relapse or cause them to begin thinking about drinking again. If you’re aware of these potential triggers, you may be able to help them avoid those situations or people that cause anxiety, stress, or other emotions that may prompt a relapse. It may help to ask them what has caused them to drink alcohol in the past whether it be loneliness, depression or boredom, and find way to encourage healthier coping mechanisms that don’t rely on alcohol.
  • Be cautious of enabling behaviors: If they begin to drink again or try and make excuses for their drinking, don’t take over their responsibilities or help them avoid the consequences (legal or relational). Instead, set boundaries with them that show you no longer allow unacceptable behaviors in their life. This doesn’t mean to become angry or to try to control them, these boundaries are meant for you. Additionally, you may want to encourage them to speak with an addiction specialist, therapist or other peers in recovery about what’s going on.
  • Have a plan for relapse: As with other chronic conditions, relapses following a period of sobriety may occur and are common. In the case that your loved one does relapse, it may be helpful to have a plan in place. First and foremost, the faster you discuss the relapse with them and/or they return to treatment, the better. Consider having the number of their sponsor (if available) or an addiction hotline in your phone to call if this should happen.

It is also important to remember that while you can do your best to support them, a relapse may occur and is common. If this happens, it is not your fault, regardless of how supportive you’ve been.

Finding Alcohol Rehab Near Me

We understand how scary and overwhelming the process can be to get your loved one alcohol abuse help, but American Addiction Centers is here for you. Call our hotline at today to speak with an admissions navigator about treatment options for your loved one in order to help with their drinking problem. There’s no obligation to make any decisions right away and all calls are 100% confidential.


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