Alcoholism is an informal term for alcohol use disorder. It’s a chronic and relapsing condition, and alcohol addiction develops over distinct stages.
This guide to the stages of alcoholism outlines what to expect from each phase of the progressive condition. It also highlights how you can get compassionate and effective care.
What Is Alcoholism?
Alcoholism is a serious condition where a person cannot control their drinking. This means they drink too much, too often, and find it hard to stop even if they want to.
Alcoholism usually develops over time, typically starting with drinking socially or to relax. Over time, the person needs more alcohol to feel the same effects. Eventually, they might start drinking alone or in secret, using alcohol to cope with stress or emotions. This behavior can quickly become a habit that is hard to break.
There are several signs that someone might be struggling with alcoholism:
- Increased tolerance: Needing to drink more to feel the same effects.
- Withdrawal symptoms: Feeling sick, anxious, or shaky when not drinking.
- Neglecting responsibilities: Skipping work or school, or not taking care of daily tasks.
- Relationship problems: Arguing with family and friends about drinking.
- Continued drinking despite problems: Knowing that drinking is causing problems but continuing anyway.
What Are The Stages of Alcoholism?
Alcoholism is a progressive condition that develops over time. It typically unfolds in several stages, each with its own characteristics and challenges. Recognizing these stages can help identify the problem early and seek appropriate help.
1. Pre-alcoholic stage
In the pre-alcoholic stage, drinking usually starts as a social activity or a way to relax after a stressful day. At this point, the person may not show obvious signs of a problem. They drink to feel better or cope with life’s pressures. This stage can last for months or even years before moving to the next phase.
2. Early stage
During the early stage of alcoholism, drinking becomes more frequent and starts to have noticeable effects on the person’s life. Key signs include:
- Increased tolerance: Needing more alcohol to deliver the initial effects.
- Drinking alone: Consuming alcohol in private to hide the extent of their drinking.
- Obsessive thoughts: Thinking about drinking frequently and planning activities around alcohol.
- Neglecting responsibilities: Starting to miss work, school, or other important obligations.
The person might not yet realize they have a problem, but their drinking habits are becoming more concerning.
3. Chronic stage
In the chronic stage, alcoholism takes a firmer hold. Drinking becomes a central part of daily life, and the person may start to experience significant health and social problems. Key characteristics of this stage include:
- Physical dependence: Experiencing withdrawal symptoms like shakiness, sweating, or nausea when not drinking.
- Health issues: Developing problems like liver damage, high blood pressure, or digestive issues.
- Behavioral changes: Becoming irritable, anxious, or depressed due to alcohol use.
- Relationship problems: Straining or losing relationships with family and friends.
- Inability to stop: Wanting to stop drinking but finding it extremely difficult or impossible without help.
This stage often involves cycles of heavy drinking and attempts to quit, followed by relapses.
4. End stage
The end stage of alcoholism is the most severe and dangerous. At this point, the person’s life is dominated by alcohol, and their health is seriously compromised. Key signs include:
- Severe health problems: Conditions like cirrhosis of the liver, heart disease, and brain damage.
- Extreme physical dependence: Needing alcohol to function normally and prevent severe withdrawal symptoms.
- Loss of control: Drinking continuously throughout the day, often starting in the morning.
- Life disruption: Being unable to maintain a job, take care of family, or handle daily tasks.
- Isolation: Withdrawing from social interactions and becoming increasingly isolated.
In this stage, the person’s life revolves entirely around alcohol, and professional help is essential to prevent a fatal outcome.
5. Recovery
Recovery is the final phase and a vital step towards regaining control of life. It involves stopping drinking and seeking help to manage and overcome the addiction. Recovery includes several key components:
- Detoxification: The first step, often involving medical supervision to safely manage withdrawal symptoms.
- Rehab programs: Inpatient or outpatient programs that provide therapy, education, and support to help rebuild a sober life.
- Support groups: Joining groups like AA (Alcoholics Anonymous) to share experiences and gain support from others who have faced similar challenges.
- Ongoing therapy: Continued counseling to address underlying issues and develop coping strategies.
- Healthy lifestyle changes: Adopting a healthier diet, exercise routine, and hobbies to replace drinking.
Recovery is a lifelong journey, requiring continuous effort and support. With the right help, people can get sober and stay sober, leading fulfilling, alcohol-free lives. Recognizing and acting upon the stages of alcoholism early can greatly improve the chances of successful recovery.
How to Tell if Someone Is Struggling With an Alcohol Addiction
Recognizing the signs of alcohol addiction can help you support a loved one in getting the help they need. Here are some key indicators that someone might be struggling with alcohol addiction:
Behavioral changes
- Increased drinking: The person drinks more often and in larger amounts than before.
- Secretive behavior: They might hide alcohol around the house or lie about how much they’re drinking.
- Neglecting responsibilities: Missing work, school, or other important commitments because of drinking.
Physical symptoms
- Withdrawal symptoms: Feeling shaky, sweaty, or anxious when not drinking.
- Health problems: Frequent illnesses, unexplained injuries, or signs of liver damage like jaundice.
- Changes in appearance: Weight loss, poor hygiene, or looking tired and worn out.
Emotional and social signs
- Mood swings: Rapid changes in mood, including irritability, depression, or anxiety.
- Isolation: Withdrawing from family and friends, avoiding social activities they once enjoyed.
- Relationship issues: Frequent arguments or conflicts with loved ones about their drinking habits.
Drinking patterns
- Drinking alone: Consuming alcohol when alone or secretly.
- Early morning drinking: Needing a drink first thing in the morning to steady nerves or avoid withdrawal symptoms.
- Inability to cut down: Trying to reduce or quit drinking but failing to do so.
Impact on daily life
- Neglecting hobbies: Losing interest in activities and hobbies they used to enjoy.
- Financial problems: Spending large amounts of money on alcohol, leading to financial strain.
- Legal issues: Getting into trouble with the law, such as DUI arrests or public intoxication.
If you notice these signs in someone you care about, approach the situation with compassion and understanding. Encourage them to seek help and offer your support. Professional treatment can make a big difference, and early intervention can lead to a successful recovery journey.
Get Compassionate, Science-Backed Alcohol Addiction Treatment at California Detox
If you or a loved one needs help getting back on track from alcohol addiction, California Detox’s world-class recovery program is here to help.
When you choose medical detox at our luxury rehab in Laguna Beach, CA, you make the alcohol withdrawal process safer and easier. You will have access to medications and around-the-clock care as you tackle alcohol dependence and prepare yourself for ongoing treatment at our rehab by the beach.
All alcohol addictions are unique, which means there is no universal treatment that works for everyone. At California Detox, you will benefit from personalized therapies, such as:
- MAT (medication-assisted treatment)
- Counseling
- Talk therapies
- Motivational therapies
- Group therapy
- Holistic treatments
- Family therapy
- Aftercare
Call our recovery experts today at (949) 694-8305.