Making the decision to stop drinking is a monumental step—one that deserves recognition and support. Sometimes, people arrive at a point where they feel a deep, undeniable realization: it’s time to make a change.
This moment can come from a series of small observations or a singular, life-altering event. Wherever it comes from, it’s a critical and courageous recognition that your current relationship with alcohol isn’t serving you anymore.
If you’re contemplating this change but feel uncertain about what lies ahead, first realize that you’re not alone. Many people have successfully walked this path before you, finding hope, health, and happiness on the other side. The journey isn’t always easy, but with knowledge, preparation, and support, it is entirely possible to leave alcohol behind and build a fulfilling life.
What is Alcohol Use Disorder (AUD)?
Alcohol Use Disorder (AUD) is a medical condition that occurs when a person’s drinking causes distress or harm. It can range from mild to severe, characterized by difficulty controlling alcohol use, continued use despite negative consequences, and withdrawal symptoms when not drinking (American Psychiatric Association, 2013). Millions of people around the world struggle with AUD, but the good news is that many also recover and go on to lead meaningful lives.
Why Quit Alcohol? Some Reasons to Make a Change
People choose to stop drinking for various reasons, and those reasons often include both immediate and long-term benefits:
Improved Physical Health: Chronic alcohol use increases the risk of liver disease, heart problems, cancer, and other serious health conditions (Rehm et al., 2017).
Better Mental Health: Alcohol can exacerbate anxiety, depression, and other mental health conditions, leading to a negative cycle (Grant et al., 2015). Life is easier without alcohol.
Stronger Relationships: Alcohol misuse often strains relationships with family, friends, and colleagues. Sobriety can help rebuild trust and connections.
Enhanced Productivity: Many people find that their focus, energy, and creativity improve significantly without alcohol. With this newfound clarity, other challenges in life—such as career goals, financial stability, or personal growth—often become easier to address.
A Sense of Pride and Accomplishment: Overcoming AUD can lead to increased self-respect and confidence. While AUD can be a source of shame, overcoming it transforms that experience into a source of pride and respect. Others who have faced similar struggles often have profound admiration for those who take the courageous steps toward recovery.
People’s reasons for quitting alcohol are deeply personal. Some want to set a better example for their children, while others feel compelled to improve their physical health or pursue long-lost goals. Others may feel that drinking no longer aligns with their values or the person they want to be. No matter the reason, each motivation is valid and meaningful.
The Hard Part: Facing Alcohol’s Consequences
It’s important to acknowledge that alcohol’s effects are often subtle but far-reaching. Over time, alcohol can:
Damage your physical health, from liver damage to heart disease.
Strain or break important relationships.
Limit your professional and personal potential.
Alter your perspective on the world, often increasing negativity or hopelessness.
Understanding Alcohol’s Impact on the Brain
Alcohol affects the brain’s reward system, leading to physical and psychological dependence over time. It can also impair decision-making and memory while increasing the risk of mood disorders. During withdrawal, the brain’s balance is disrupted, potentially causing symptoms like anxiety, irritability, and cravings (Koob & Volkow, 2016).
The good news is that this is something that medications can ease , and medical treatments can help restore balance in the brain’s chemistry, making recovery more manageable.
Preparing for Success by Preparing for Alcohol Withdrawal
Withdrawal can feel intimidating, but understanding the symptoms and seeking professional help can make all the difference. Symptoms range from mild (nausea, sweating) to severe (seizures, delirium tremens), depending on the severity of alcohol dependence. Medical supervision and medications can significantly reduce discomfort and risks during withdrawal (NIAAA, 2021).
Treatment Options for AUD
Treatment for AUD is highly individualized, combining medical, psychological, and social interventions. Here are some common and effective options:
Medications:
Naltrexone: Reduces cravings and the rewarding effects of alcohol.
Acamprosate: Helps stabilize brain chemistry.
Disulfiram: Creates an aversive reaction to drinking.
Topiramate: May reduce heavy drinking episodes.
Psychosocial Interventions:
Cognitive Behavioral Therapy (CBT): Helps individuals identify and change unhelpful thought patterns and behaviors related to alcohol use.
Motivational Interviewing: Focuses on enhancing an individual’s motivation to change by exploring and resolving ambivalence.
Mutual Help Groups: Programs like Alcoholics Anonymous (AA) or SMART Recovery provide a supportive community of peers who understand the challenges of AUD and offer encouragement and shared wisdom.
Behavioral Couples Therapy (BCT): Involves both the individual and their partner to improve relationship dynamics and support recovery.
Contingency Management: Uses tangible rewards to reinforce positive behaviors, such as maintaining sobriety.
These psychosocial interventions are designed to empower individuals, improve coping skills, and foster connections with supportive networks. Many people find that these therapies not only address alcohol-related issues but also enhance overall emotional well-being and life satisfaction.
Combination Therapy: Evidence suggests that combining medication with structured therapy leads to better outcomes (Jonas et al., 2014).
Alternative Therapies: Ketamine-assisted therapy is emerging as a promising option for AUD. Research shows that ketamine may reduce cravings and enhance motivation by inducing transformative psychological experiences (Rothberg et al., 2020; Goldfine et al., 2023). Mindfulness-based approaches, art therapy, and exercise programs also offer additional avenues for healing and recovery.
Setting Goals: Abstinence or Reduction?
Abstinence is often the primary goal for AUD treatment, as it is associated with the best outcomes. However, reducing heavy drinking can also be a valuable step for those not ready to quit entirely. Work with a healthcare provider to establish goals that align with your readiness and needs.
Recovery is a Process, Not a Destination
Recovery takes time and persistence. Expect to work with your healthcare provider for months to years, adjusting treatments as needed. The rewards, however, are immense: better health, stronger relationships, and a renewed sense of self.
A Moment to Celebrate
If you’re reading this and contemplating change, take a moment to celebrate. Recognizing that it’s time to stop drinking is a powerful act of self-awareness and courage. This decision marks the beginning of a journey to rebuild trust in yourself and create a life you’re proud of. One step at a time, you can achieve a healthier, happier future. If you just completed this article, the ball is already rolling! Just take the next little step. About the Author: Dr. David George is founder of Neuregen Integrative Psychiatry and Neurologic Health in Scottsdale, AZ, a integrative medical program offering a range of cutting-edge therapies for mental health.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Goldfine, C., Tom, J., Im, D., Yudkoff, B., Anand, A., Taylor, J., Chai, P., & Suzuki, J. (2023). The therapeutic use and efficacy of ketamine in alcohol use disorder and alcohol withdrawal syndrome: A scoping review. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1141836
Grant, B. F., et al. (2015). Epidemiology of DSM-5 alcohol use disorder. JAMA Psychiatry, 72(8), 757–766. https://doi.org/10.1001/jamapsychiatry.2015.0584
Jonas, D. E., et al. (2014). Pharmacotherapy for adults with alcohol use disorders in outpatient settings: A systematic review and meta-analysis. JAMA, 311(18), 1889–1900. https://doi.org/10.1001/jama.2014.3628
Koob, G. F., & Volkow, N. D. (2016). Neurobiology of addiction: A neurocircuitry analysis. The Lancet Psychiatry, 3(8), 760–773. https://doi.org/10.1016/S2215-0366(16)00104-8
National Institute on Alcohol Abuse and Alcoholism. (2021). Treatment for alcohol problems: Finding and getting help. https://www.niaaa.nih.gov
Rehm, J., et al. (2017). Global burden of alcohol use disorders and alcohol liver disease. Biomedicine & Pharmacotherapy, 91, 317–325. https://doi.org/10.1016/j.biopha.2017.04.101
Rothberg, R., Azhari, N., Haug, N., & Dakwar, E. (2020). Mystical-type experiences occasioned by ketamine mediate its impact on at-risk drinking: Results from a randomized, controlled trial. Journal of Psychopharmacology, 35, 150–158. https://doi.org/10.1177/0269881120970879.
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