So You’re Trying to Stay Sober Without AA?

Recovery isn’t a one-size-fits-all situation and even though there are a lot of people around the world who swear by Alcoholics Anonymous, that doesn’t mean it’s for everyone. Whether you’re skeptical of peer-based support groups or simply prefer the structure of formal recovery in a drug rehabilitation facility, there are several reasons why you might be looking for ways of staying sober without AA. The key to lasting and long-term recovery from alcoholism on your own will come from taking away the best aspects of Alcoholics Anonymous and drug rehab and incorporating those practices into your daily life.  

5 Ways To Stay Sober Without AA

1. Find a recovery community

The most impactful and beneficial aspect of Alcoholics Anonymous or a drug program is the community. Addiction can be painfully lonely. Lying to loved ones about what you’re doing and with whom, or feelings of shame about your problem can lead to feelings of isolation. The further you stray from who you used to be, the more you feel that you can’t relate to others (or that they can’t relate to you). Having peers who are going through or have dealt with the struggles of alcoholism provides much-needed emotional support. They can also be an invaluable source of practical advice for things like withdrawal and or even repairing relationships with estranged loved ones. 

You don’t need to go through an organization or any other formal channels to find this type of community. It can be as simple as your existing friend group who checks in on each other through text, or commiserating with online strangers on a sobriety memes account on social media. All that matters is that it’s a group of individuals you feel comfortable enough sharing your struggles with and can relate to. 

2. Hold yourself accountable

The social aspect of groups like Alcoholics Anonymous can add a pleasant camaraderie that highlights that you are far from the only person struggling with alcoholism. Having people you see regularly and are all working towards the same goal also provides a level of accountability. Humans are inherently social creatures. Having to face your group of peers and admit that you broke your sobriety can be a powerful deterrent in the face of weakening resolve.  

How to apply accountability to your life if you’re not a part of a peer-based recovery group? Confide in those closest to you and allow them to be your sounding board for your triumphs and failures. Even if they’re not recovering alcoholics themselves, those you talk to are likely invested in your wellbeing and will work with you to resist temptation and lessen the likelihood of relapsing.

3. Establish a routine

Stability is something that both support groups and formal drug treatment strongly encourage their members to establish by creating a routine. Why? The addicted brain has been significantly overworked and overstimulated. There’s reassurance and comfort to be found in repetition and a sense of stability that their life has likely been missing for some time. 

Create a routine of good habits by starting small and then eventually building up to practices that will create the foundation to a more physically and mentally healthy life. Some examples to build upon or include in your existing routine are:

  • Drink a large glass of water first thing in the morning
  • Going on a 30-minute walk at lunchtime
  • Calling friends on Sundays
  • Writing down 5 things they’re grateful for every night before bed

Many of the activities that make for a healthy routine are also effective for relapse prevention. Actions that focus on mindfulness will make it easier to work through cravings and moments of temptation. Routines also impart discipline and self-restraint which is a particularly valuable skill recovering addicts will need to relearn. 

4. Constantly self-evaluate

One of the aspects that make Alcoholics Anonymous so effective is the ongoing and sometimes ruthless self-evaluation that the 12 steps encourage. Understanding why we used alcohol and confronting the extent of the problem are necessary steps for lasting change to occur. Seeing a mental health professional can be a great asset, especially if you are diagnosed with a mental illness (or suspect that you might be). They can help to identify how mental illness played into excessive consumption of alcohol and provide specific methods for overcoming those challenges. 

5. Be honest with yourself

Above all else, being completely honest with yourself is vital to staying sober, with or without AA. If you’re in denial that you have a drinking problem and don’t fully believe that it’s something that needs to be fixed, nothing in the world is going to change your alcohol addiction. 

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How Many People Die From Alcohol & Related Causes?

Alcohol is one of the most consumed beverages on the planet and is one of the leading contributors to global diseases. It’s unsurprising then that alcohol is also one of the most common types of addiction (second only to nicotine). The sheer number of how many people suffer from an alcohol-related illness or alcohol addiction is staggering. The average number of how many people die from alcohol each year is even more upsetting. Even those who survive alcohol abuse face a litany of serious health consequences, which can be both debilitating as well as fatal so alcohol can also indirectly contribute to a lowered lifespan. Keep reading for the shocking extent of alcohol-related deaths.

How Many People Drink Alcohol?

According to the most recent World Health Organization Global status report in 2018, the W.H.O. stated that there were approximately 2.3 billion people drinking alcohol worldwide. The number today is likely much higher as a study found the rates of drinking have increased considerably in recent years. 

COVID-19

One of the reasons attributed to the increase in alcohol consumption was the pandemic caused by the novel COVID-19 virus. The consequential lockdown saw average household alcohol consumption spike drastically in 2020. In America alone, within the first three weeks of March 2020 (when quarantines began) online liquor sales increased 262% compared to the same time last year. In-store liquor purchases also increased 54% during the same time frame. In April 2020, alcohol sales as a whole were up 234% compared to the previous year. In terms of actual drinking habits, 60% of one study’s participants admitted to drinking more as of March 1, 2020, with the two main reasons being increased alcohol availability and boredom. 

Economic Growth

Another reason for a global increase in alcohol consumption is a shift in the drinking habits of residents of China, Vietnam, and India due to economic growth. The study that discovered this trend amongst middle-income countries found that it wasn’t an increase in the number of drinkers, but that existing drinkers were consuming more alcohol.  

Historically, high-income countries have always held the gauntlet for consuming the most alcohol. Europeans, in particular, have consistently held the top spot, consuming the most alcohol per capita and also drinking the most days out of the year. Drinking isn’t synonymous with getting drunk, however. In this, Australia takes the number one spot, followed by Denmark, Finland, and the United States coming in at number four. 

How Many People Die From Alcohol-Related Deaths?

That same W.H.O. report estimates that the number of alcohol deaths per year worldwide is about 3 million a year, 1 out of every 20 people. These account for 5% of all global deaths and are not attributed to alcohol in general but whose precise causes could be from more than 200 different circumstances including disease, disability, and injury. 

The majority of alcohol-related deaths (28%) were related to unintentional injury; motor vehicle accidents, violence, or self-harm. The next highest cause at 21% is digestive orders, followed by cardiovascular issues at 19% diseases. The full breakdown of all 200 alcohol-related injuries are as follows:

Infectious Diseases

A lot of the body’s ability to fight off diseases comes from the gut. Excessive alcohol consumption severely interferes with the digestive system which in turn, ends up negatively impacting immune response. This coupled with alcohol’s ability to affect cognition and impulse control, drinkers face a higher risk of engaging in risky behavior that might expose them to a harmful pathogen and then have a reduced ability to fight the illness. For this reason, alcohol has a direct correlation with an increased risk of HIV/AIDS and viral hepatitis transmission as well as death by tuberculosis and lower respiratory infection.

Non-Infectious Diseases

Noncommunicable diseases are the ones that affect organs and are caused by internal dysfunction rather than a foreign pathogen. These include many of the health conditions that alcohol is infamous for such as cardiovascular diseases and liver disease, but can also contribute to the development of certain cancers. The specific conditions can include:

  • Heart: hypertension, coronary heart disease, stroke, peripheral arterial disease, and cardiomyopathy
  • Liver: alcoholic hepatitis, steatosis, steatohepatitis, fibrosis and cirrhosis
  • Cancers: oropharynx, larynx, esophagus, liver, colon, rectum, and breast cancer (for females)

Injury & Poisoning

The broadest classification of alcohol-related deaths, injury, and poisoning includes both intentional and unintentional acts.

  • Injury: Falls, burns, drowning, road traffic injuries (non-driving)
  • Traffic injuries: Drunk driving
  • Aggression and violence: Physical altercations, sexual assault
  • Homicides
  • Poisoning: Alcohol poisoning

If you struggle with alcoholism, time is of the essence for taking action and doing something about it. One of the easiest ways to get started with zero pressure is to find an Alcoholics Anonymous meeting. There you can connect with others who have been in your position and can help you begin your recovery journey. 

Sources:

https://apps.who.int/iris/bitstream/handle/10665/274603/9789241565639-eng.pdf?ua=1

https://www.who.int/news-room/fact-sheets/detail/alcohol

https://www.who.int/news/item/21-09-2018-harmful-use-of-alcohol-kills-more-than-3-million-people-each-year–most-of-them-men

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Is Molly [Ecstasy] Addictive?

MDMA, the popular club drug better known as ecstasy or ‘molly’, is a synthetic stimulant that causes euphoric rushes like amphetamines and psychedelic symptoms like hallucinogens. Widely used in party settings like raves, nightclubs, and music festivals, you wouldn’t have to look far before coming across the drug most often distributed in the form of colorful little pills or capsules. Despite there being all sorts of risks that can come from using this recreational drug (fatal hypertension, fainting, panic attacks, and seizures–not to mention the unpleasant come down), molly and ecstasy have reputations as being harmless. But, danger aside, is molly addictive as well?

How Addictive Is Molly?  

There has yet to be a definitive consensus as to MDMA’s potential to get people hooked on it. Studies have found prolonged use can disturb serotonin and dopamine systems–the two neurotransmitters that play an integral role in the development of addiction. While MDMA is not nearly as addictive as drugs like heroin or cocaine, it absolutely has the possibility of being habit-forming, even if it is a few hairs shy of full-blown substance use disorder. 

However, this doesn’t mean that molly gets off scot-free. Most molly isn’t pure MDMA. Nor is it a “more pure” form of the MDMA derivatives compared to ecstasy, despite popular belief. In many cases, the molly you’re being sold doesn’t contain a single bit of MDMA (a study found that 40% of what users believed to be molly didn’t test positive for any traces of the compound). Even in instances when MDMA is present, molly (and ecstasy as well) are often adulterated–diluted or ‘cut’ with other additives. These mimic the effects of MDMA and are virtually impossible to detect with the naked eye. The same goes for ecstasy, and both MDMA derivatives are equally at risk of being cut with more dangerous drugs.

If it’s not molly, what is it?

Common adulterators include dangerous compounds like bath salts, or other much harder drugs such as ketamine, cocaine, and meth. The addictiveness of these drugs is much less questionable. If molly is addictive, it largely is due to the presence of these dangerous substances as an additive. So what’s the takeaway from all this? If molly is the real deal, pure and unadulterated, it isn’t as addictive as other drugs. However, given the very likely circumstance that it’s a pill made of mystery substances and what you’re most likely to encounter at a party scene, then yes, you can get addicted to molly. 

The Dangers of Using Molly

Don’t exhale a sigh of relief just yet. Just because (real) molly likely isn’t going to get you addicted on the first try, that’s not to say that it can’t happen at all. It also doesn’t mean you’re in the clear of avoiding unpleasant withdrawal symptoms or experiencing a potentially fatal overdose. Even before you get to this point, using molly can kill you. Here are a few physical side effects of using molly:

  • Dehydration
  • Electrolyte (sodium) imbalance
  • Faintness
  • Headache
  • High blood pressure (hypertension)
  • Hot flashes or chills
  • Illogical or disorganized thoughts
  • Involuntary jaw clenching and teeth grinding
  • Kidney failure
  • Lack of appetite
  • Loss of consciousness
  • Marked rise in body temperature (hyperthermia)
  • Muscle or joint stiffness
  • Nausea
  • Panic attacks
  • Restless legs
  • Seizures
  • Sweating
  • Swelling of the brain

The conditions in which molly is often used significantly add to its dangers and can lead to several of the side effects listed above. Molly can lead to the body losing the ability to self-regulate its temperature. Consider a setting in which molly is often taken, a dance floor or other place crowded with dancing bodies. In this scenario, the results can send body temperature skyrocketing, a symptom known as hyperthermia. This can quickly lead to the shutdown and failure of the kidneys, rigid muscles or spasms, and rapid heartbeat that could result in heart failure.

Molly Overdose Symptoms

Many of the most dangerous symptoms of using molly are the ones that precede or are indicative of an overdose. These include:

  • Confusion
  • Dizziness 
  • Heart palpitations
  • Muscle twitching or cramps
  • Racing blood pressure
  • Seizures
  • Sharp rise in body temperature 
  • Vomiting

 

Long-Term Psychological Risks of Using Molly

Even if you’re fortunate enough to avoid all those, frankly, quite terrifying symptoms of using molly, you’ll still have the psychological consequences to deal with. The serotonin and dopamine pathways that enable molly to cause euphoric highs end up depleted after the drug’s effects have passed and a shortage ensues. This can lead to mood disturbances such as depression, anxiety, and paranoia. There are cognitive side effects too, such as poor memory and decreased ability to focus.

If you’re a molly user that’s having trouble trying to quit, find a Narcotics Anonymous meeting near you today.

Sources: 

https://www.drugabuse.gov/publications/research-reports/mdma-ecstasy-abuse/mdma-addictive

https://drugpolicy.org/drug-facts/what-are-most-common-adulterants-whats-sold-molly-or-ecstasy-other-words-what-chemicals 

https://nida.nih.gov/publications/research-reports/mdma-ecstasy-abuse/mdma-addictive

 

What Does it Mean to be Restored to Sanity? [Step 2 of AA]

The 12 Steps of Alcoholics Anonymous (AA) can sometimes use charged words that instinctively cause us to resist them. However, once we set our egos aside and allow ourselves to work through the initial discomfort those words might cause, we are rewarded with enlightenment and self-discovery. In Step 1, which introduced the all-important necessity of recognizing the extent of our substance abuse problem, it was the word ‘powerlessness.’ Step 2 mentions ‘sanity’ and implies the loss of it. This insinuation of insanity seems drastic at first, so much so that we reject it and assume it couldn’t possibly apply to ourselves. However, embracing this concept is integral to properly working Step 2 of Alcoholics Anonymous, as well as the following ten steps. 

What Does “Restored To Sanity” Mean?

Before diving into what “restored to sanity” means and how it applies to addiction, let’s first look into the origin of the word. The term ‘sanity’ comes from Latin and means healthy–specifically, being of sound mind. Insanity, on the other hand, means just the opposite: an unhealthy mind. Just by examining the etymological roots of the word choice in Step Two, we can immediately see the connection between a lack of sanity and substance abuse. 

From a biological perspective, the act of continuously ingesting compounds that are toxic to the body–and doing them in spite of the many negative health and social consequences that come with them–seems completely at odds with our innate survival instincts. To willingly hurt ourselves and bear witness to our own demise doesn’t seem like something any logical creature would do. This is precisely what addiction does to us.

Being restored to sanity, as Alcoholics Anonymous puts it, is the healing of this flawed mindset. It means no longer allowing substance abuse to control us and being what our world revolves around. So, how exactly does AA propose for this to be done? Undoing psychological dependence is no small feat. This is precisely what Step Two strives to teach its members.  

The Meaning (and Purpose) of Step 2 of AA

“Came to believe that a Power greater than ourselves could restore us to sanity.”

Step 2 is an extension of the messaging of the first step of AA. Whereas Step 1 brings alcoholics to terms with the realities of their addiction and the fact that they do not have control over the substance, Step 2 says that since you cannot rely on yourself to get out of your addiction, you must instead turn to a higher power.

The reference to a higher power can be pretty divisive. It is one of many future religious references to come in Alcoholics Anonymous’ 12 Step program. It’s important to recall that AA was founded as a Christian organization (though this support group is open to individuals of all faiths–or those without one at all). Even so, original AA literature goes into great detail about the reasoning behind these steps and points out that a Higher Power is up to personal interpretation. While the original references may have once been to a Christian-based ‘God,’ Alcoholics Anonymous has grown and adapted since its inception nearly a century ago in 1935 and has said that there is no one singular answer to what a higher power is or must be. 

What To Choose As Your Higher Power

A higher power is anything outside of yourself that will give you the ability to overcome your addiction. In practical terms, it can be anything that motivates you to gain control over your life once more. It can be a religious deity or something abstract like nature, the universe, or humanity itself. Your higher could be something worldly, like a person you admire or care for, a hobby you are passionate about, like listening to music or playing sports. Once again, the only requirement is to look for something outside of yourself. Your higher power will continue to serve as a reminder that no one can overcome addiction by themselves. 

Need Help Working Step Two of AA?

Although you can find the 12 steps of AA online and attempt to work through them on your own to get the most out of the process, it’s strongly recommended that you attend an AA meeting (either virtual or in-person). Hearing the stories of triumph and hardship from others will provide you with a greater perspective on your own situation. They can help you work through the steps, an invaluable resource for the very likely scenario where you get stuck on one. There’s no need to struggle with alcohol addiction on your own; find an AA group near you today. 

What Does Powerlessness Mean in the 12 Steps?

Making change often means going out of your comfort zone. Dealing with something as all-encompassing as addiction likely means that you’ll have to go way, way out of it. Despite knowing this when they attend their first Alcoholics Anonymous (or similar addiction support group) meeting, attendees sometimes balk at the first step: admitting powerlessness. They view it as a great insult and assault on their character while others approach it from the other end of the spectrum, seeing it as an excuse that their “lack of power” justifies that troubling behavior. 

Neither of those beliefs is correct. 

In this article, we’ll explain the definition of powerlessness and why it’s so important in AA’s twelve steps process. Keep reading if you’re looking to get the most out of your Alcoholics Anonymous experience and make breakthroughs in your battle with substance abuse.

What Does Powerlessness Mean?

Step One of Alcoholics Anonymous: “We admit we are powerless over alcohol – that our lives have become unmanageable.”

The concept of powerlessness can seem quite foreign, especially to those from countries like America whose culture idolizes independence and raising one’s self by their bootstraps. But powerlessness is not the same thing as weakness; it isn’t something to be feared or despised. It also is not a lack of agency that implies we are helpless when it comes to choosing between right and wrong. 

Powerlessness is simply a lack of control. It applies both to our inability to abstain from using a substance or engaging in certain behavior as well as limiting its quantity. While the realization might be painful and challenge the idea of who we imagine ourselves to be, it’s impossible to solve a problem without first acknowledging the scope and scale of the issue.

Why Does Admitting Powerlessness Matter?

Admitting this, as Step One of AA urges us to do, requires us to grapple with a fact that might not have been fully accepted as an addicted person: That we do not have control over our substance abuse. Subconsciously, we might feel like our drug use habits are a choice, a matter of us (constantly) giving into temptation or being pushed by some external trigger like a bad day at work or a fight with our significant other. We trick ourselves into thinking it’s not that we can’t stop drinking or using drugs, but just that we don’t want to give it up yet.

This couldn’t be further from the truth. Our body (and brain) inherently seek self-preservation; we recoil from pain, avoid things we view as dangerous and feel good when engaging in activities that are healthy like exercising or eating vegetables. To think that we are of sound mind when we repeatedly engage in habits like drug use that so quickly destroy us from the inside out is nothing short of delusional–a result of drugs having hijacked our thinking. Admitting powerlessness means shattering this false belief.

Further, by accepting that there are things that we cannot control, including our drug use, we open ourselves up to receiving the help of others. Coming to this understanding will make you much more receptive to looking to sources outside yourself for recovery, such as your sponsor, your fellow group members, or your Higher Power. All of which makes you more receptive to learning and healing, which in turn makes it much easier to follow through with the remaining twelve steps of AA.    

No Man Is An Island: The Importance of Accepting Help From Others

So you understand the benefits of Step One and of admitting powerlessness, but the next question then is why is such emphasis placed on being reliant on others to get yourself out of addiction? The philosophy behind this thinking is that your judgment was flawed enough to get yourself into this situation, it’s too flawed to get yourself out of it. 

Let’s put it another way: Imagine you have a friend who’s bankrupt and penniless, but they want to give you financial advice and handle all your money. You probably wouldn’t be too keen to let them, would you? Solely relying on yourself to overcome drug addiction is effectively the same thing. It’s not to say that you’ll never be able to manage yourself and make good decisions in the future, but right now in your current state of mind, you’re not in the best position to make good decisions for yourself.

If you’re struggling with drug or alcohol addiction and are trying to overcome it on your own, give 12 step meetings a chance. Find an AA meeting near you to hear from others in a similar position and receive judgment-free support. 

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All About the NA Big Book

Very similar to The Big Book in AA, Narcotics Anonymous (NA) also provides its members with literature such as pamphlets, booklets, and readings to explain more about their mission. One of the most popular books is the NA White book. It serves as an introductory booklet to the Fellowship of Narcotics Anonymous. While the booklet itself is not meant to be comprehensive, it contains the essentials everyone needs to know to start their recovery journey. 

The NA Big Book

The Narcotics Anonymous Big Book is 453 pages long and breaks down the main chapters of the Narcotics Anonymous program:

  • Chapter One: Who Is an Addict?
  • Chapter Two: What Is the Narcotics Anonymous Program?
  • Chapter Three: Why Are We Here?
  • Chapter Four: How It Works
  • Chapter Five: What Can I Do?
  • Chapter Six: The Twelve Traditions of Narcotics Anonymous
  • Chapter Seven: Recovery and Relapse
  • Chapter Eight: We Do Recover
  • Chapter Nine: Just for Today – Living the Program
  • Chapter Ten: More Will Be Revealed

In addition, the book includes over 200 pages of member stories, from reflections and challenges of working the steps to words of gratitude and hope. The book even explains NA’s symbol, which graphically captures what their universal program is about: goodwill, society, self, God, service, and freedom. 

How It Works

In chapter four, the NA book explains essentially how the program works. It breaks down the steps in NA designed to make our recovery possible and becomes the path effectively to follow as you continue working on your recovery. The 12-Steps of Narcotics Anonymous are:

  1. We admitted that we were powerless over our addiction, that our lives had become unmanageable.
  2. We came to believe that a Power greater than ourselves could restore us to sanity.
  3. We made a decision to turn our will and our lives over to the care of God as we understood Him.
  4. We made a searching and fearless moral inventory of ourselves.
  5. We admitted to God, to ourselves, and to another human being the exact nature of our wrongs. 
  6. We were entirely ready to have God remove all these defects of character. 
  7. We humbly asked Him to remove our shortcomings.
  8. We made a list of all persons we have harmed and became willing to make amends to them all.
  9. We made direct amends to such people wherever possible, except when to do so would injure them or others.
  10. We continued to take personal inventory and, when we were wrong promptly admitted it.
  11. We sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
  12. Having had a spiritual awakening as a result of these steps, we tried to carry this message to addicts, and to practice these principles in all our affairs. 

At a quick glance, these steps are very similar to those used in AA meetings. However, most NA meetings will focus on narcotics and drugs, occasionally talking about alcohol (AA only tackles alcoholism). These steps also focus heavily on the person’s recovery efforts and journey. Meetings are structured slightly different and will vary by chapter and location. 

Frequently Asked Questions About the NA Big Book

What is the NA book called?

The NA book is known among members as the “basic text.” In it, the book describes NA as a “nonprofit fellowship or society for people whose drugs had become a major problem … and recovering addicts who meet regularly to help each other stay clean.” 

How much does the NA book cost?

You can find hardcover copies of the book online starting at $12.99. However, many NA chapters will share a book PDF on their websites for free. 

Who wrote the NA book?

The NA “Basic Text” book is believed to be written by Jimmy Kinnon, who wrote most of Narcotics Anonymous’s early literature. 

Getting Help for Addiction

If you or someone you know is struggling with a substance use disorder, please know there’s help available. Attending support group meetings is an important aspect of recovery and treatment. However, it’s also important to contact a rehab center near you to discuss personalized treatment. 

Addiction recovery is a long-term journey that needs comprehensive and personalized assistance from an addiction professional. Most rehab journeys will involve detox, rehab, and aftercare planning, alongside attending group support meetings. Contact one of our caring admission specialists today and start your recovery journey for more information about our treatment programs. 

Sources:

https://na.org/admin/include/spaw2/uploads/pdf/litfiles/us_english/Booklet/NA%20White%20Booklet.pdf

https://na.org/admin/include/spaw2/uploads/pdf/litfiles/us_english/Booklet/Twelve%20Concepts.pdf

https://na.org/?ID=ips-eng-index

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3 Most Common Reasons Why Women Drink

According to the Centers for Disease Control and Prevention, nearly 2 out of three adults in the United States drink alcohol. In 2019, 4% of women had an alcohol use disorder (AUD). Women are more prone to alcoholism than men in general. This is primarily due to their body compositions, but the reasons women drink are so prevalent that it’s difficult to ignore them. 

Women and Alcohol by The Numbers

The Centers for Disease Control and Prevention (CDC) reports that 74% of women ages 18 years and older drank within the past month compared to 66% of men in that same age group. Furthermore, 34% of women consumed four or more drinks in one sitting at least once in the last year, while only 26% of men did the same.

First, women are more likely to consume alcohol for emotional or stress factors. They’re also likely to have undiagnosed co-occurring mental health disorders that might increase their risk of an alcohol use disorder. 

3 Reasons Why Women Drink

Women drink for a variety of reasons. Some of the most common reasons women drink heavily include:

  • To feel confident in social situations
  • To relieve stress
  • To cope with depression and anxiety

However, chronic pain is the leading cause of drinking problems in women. Women are more likely to struggle with chronic pain than men. Still, most of the time, the severity of their symptoms is overlooked by medical professionals, leading many women to self-medicate with alcohol and other drugs. 

Another common reason why women drink is mental illness. Over 29 million women in the United States are diagnosed with a mental health disorder every year. Women are twice as likely to experience panic disorders, anxiety, depression, and PTSD. 

Simultaneously, they’re also three times more likely to attempt suicide, eight times more likely to suffer from anorexia, and almost six times more likely to deal with a binge-eating disorder. These mental health disorders tend to increase the risk of alcohol consumption as a coping mechanism. Unfortunately, it also increases the risk of addiction. 

At last, one in every five women will experience a traumatic event in their lifetime. Trauma can cause significant distress, leading someone to use alcohol as a coping mechanism. 

Effects of Alcohol On Women’s Bodies

Women tend to feel the effects of alcohol more than men, and it’s not just because they weigh less. Women also have a higher percentage of body fat and less water in their bodies than men. This means that when they drink alcohol, their blood alcohol concentration (BAC) will be higher than if they consume the same amount as a man.

This can make it much easier for women to become intoxicated and much easier for them to suffer from long-term consequences like liver disease and cancer.

Alcoholism is an illness that causes abnormal drinking behaviors, including cravings for alcohol, physical dependence on alcohol, and withdrawal symptoms when not using it. These alcoholism symptoms can lead to addiction and unhealthy socialization.

When to Seek Help for Alcohol Addiction

Unfortunately, alcohol can be highly addictive, mainly when used as a coping mechanism for another issue. It’s so important to learn about the warning signs of alcoholism so you can help someone who might be developing an alcohol problem. Here are the main symptoms to watch out for:

  • They are drinking more than they used to
  • They are drinking alone or in secret
  • They have tried to cut down or quit drinking without success
  • They experience withdrawal symptoms whenever they try to stop drinking
  • They continue their drinking habits despite negative consequences

If you notice yourself or a woman you love displaying any of these symptoms, consider speaking out. Reach out for help and consult with a medical professional to learn more about rehab options. 

There are many reasons why people drink alcohol. Drinking can be a way to celebrate, relieve stress, bond with friends and family, or cope with complex life events. However, drinking can also lead to addiction, trigger depression, and even more. If someone you know is struggling with alcoholism, reach out to them and offer help.

Most of the time, women will conceal their substance use disorders and manage their addiction independently. However, both men and women need professional addiction treatment to address their needs and find long-lasting recovery. Otherwise, they risk experiencing life-threatening withdrawal symptoms or relapse, resulting in overdose. Remember, if you or someone you know is dealing with alcoholism, reach out for help; recovery is possible. 

Sources:

https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/women-and-alcohol

https://www.cdc.gov/alcohol/fact-sheets/womens-health.htm

https://www.samhsa.gov/data/sites/default/files/reports/rpt31102/2019NSDUH-Women/Women%202019%20NSDUH.pdf

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4 Facts About Women and Alcohol

If you had to guess which gender of Americans drinks more booze, which would you reckon? It’s a surprisingly close match, as men only slightly outpace women (68% compared to 64%, respectively), However, these numbers fail to tell the whole picture of the distinct relationship between women and alcohol, like their drinking habits and frequency, the reason they drink, and as well as the risks they face. Understanding and respecting gender-based differences of substances makes for better addiction treatment as well as more effective preventative measures. Here are five facts about alcohol consumption in women that everyone needs to know:

Women Have a Lower Drinking Threshold

While the ideal amount of alcohol a person should drink would be zero, that’s not realistic. Health organizations know this, which is why they established an official measure of what constitutes a “safe” amount to drink, better known as a moderate drinking level. What defines it is divided by gender. For men, moderate alcohol use is considered to be no more than two drinks a day.  In women, this is limited to one or less. Regardless of how well you claim that you handle your alcohol, this is what experts have determined as the guideline for reducing the risks of alcohol-related issues. The reason for this disparity brings us to point number two…

Women Process Alcohol More Slowly

Women simply cannot process alcohol as efficiently as men. Metabolism is one of the primary factors that affect how much a person can drink and how intoxicated they’ll become.​​ Typically larger and with greater muscle mass, men have the upper hand when it comes to handling alcohol. As such, even when men and women drink identical amounts, women will have higher BAC levels.

Another reason is one of a molecular level. Women naturally tend to produce fewer of the liver-produced enzymes called alcohol dehydrogenase that are responsible for breaking down the alcohol that enters our bodies. This also makes women more susceptible to alcohol addiction. Fewer of these enzymes means extended exposure to alcohol in the brain and greater opportunity for increased alcohol tolerance

Women are More Prone to Alcohol-Health Risks

When it comes to both the short- and long-term health consequences of drinking, women are disadvantaged in either respect. Women experience alcohol-related health issues sooner than men do, even when they drink less (talk about unfair). Additionally, these health issues often tend to be more severe than that of their male counterparts. 

Liver Damage

Alcohol-related liver damage is one of the deadliest consequences of alcohol abuse. The liver is responsible for all sorts of vital functions from enabling the body to extract fat, protein, carbohydrates, and vitamins from food to detoxing our entire blood supply (there are over 500 in total). This damage itself can be life-threatening, but can also result in a domino effect that causes other serious health problems. Women are more likely to develop alcoholic hepatitis than men who drink the same amount. 

Heart Damage

Alcohol abuse is one of the primary causes of heart conditions such as heart failure or stroke. Even occasional misuse can quickly result in dangerous increases in blood pressure. Indirectly, alcohol can contribute to increased fat deposits and weight gain, which can add to the danger. Women will once again find themselves facing a higher susceptibility to alcohol-related heart issues than a man who drinks more frequently or heavily. 

Brain Damage 

Sustained alcohol abuse can permanently alter the physical surface of the brain, causing lasting effects on cognition, coordination, mood regulation, impulse control, and more. These detrimental changes happen sooner in women drinkers than in men. Additionally, the extent of these damages are often more pronounced in women. This is evident in the effects of alcohol on women’s hippocampus, where a study found that women were more likely to experience blackouts. Another study that compared the consequences of binge drinking of teenage boys to teenage girls found that the girls showed less brain activity.

Women Have an Increased Risk of Sexual Assault

Sadly, one of the risks that disproportionately affects female drinkers is the increased risk of sexual harassment and assault. Women under the influence are more vulnerable to being attacked as they are physically and cognitively less capable of thwarting a potential assailant. It’s estimated that about half of sexual assault victims say they were drinking alcohol at the time. 

The gender differences in alcohol use show that women are particularly vulnerable to internal and external issues that come from drinking. Attempting to “keep up with the guys” is impossible to do safely and risks significant long-term consequences. 

https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/women-and-alcohol

https://www.cdc.gov/alcohol/fact-sheets/womens-health.htm

https://www.npr.org/sections/health-shots/2021/06/09/1003980966/women-now-drink-as-much-as-men-and-suffer-health-effects-more-quickly

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Can You Help an Alcoholic in Denial?

There are a lot of things that are difficult about having a loved one who’s an alcoholic. One of the most frustrating is bearing witness to their alcohol-fueled descent but having them continuously deny that they have a drinking problem (a common behavior amongst substance abusers of any kind). Since acknowledging that there’s a problem is the essential first step to overcoming it, any potential recovery is likely still a long way off. Fortunately, there are ways that you, the parent, child, sibling, spouse, or friend of an alcoholic, can do more than just stand back and watch. Here are a few practical ways how to help an alcoholic in denial. 

1. Avoid placing blame

One way to significantly increase the odds that you’ll be able to get through to your loved one is by knowing what not to say to an alcoholic. Avoid harsh words that place blame or sound accusatory. They are likely already feeling defensive regarding their drinking habits, and any perceived attack on themselves (regardless of how true or deserved your words may be) will only push them further into their hole of denial.

While this is true for any sort of conflict-resolving communication, avoiding these types of words is especially important when dealing with someone struggling with addiction. Continuous substance abuse literally changes the surface of the brain, impacting how it communicates with the body, itself, and ultimately, the outside world. These changes include decreased logic processing, reduced ability to think in the long term, increased impulsivity, and difficulty regulating emotions (this is why sometimes an addicted individual’s personality may undergo drastic changes. To make a long story short: It can make them difficult to talk to and particularly volatile.

2. Be supportive (without being an enabler)

Despite the tremendous headway made in understanding and treating addiction, the condition is still heavily stigmatized. For these reasons, addicted persons intentionally avoid acknowledging the truth of their condition. They don’t want to feel shame or embarrassment. So rather than confronting an alcoholic in denial (for reasons detailed above), set the stage for them to come to you

Create an atmosphere of loving support that lets them know that you would accept them through their addiction and are willing to stick by their side to see them get better. Knowing they have a non judgemental ear to turn to could make them more inclined to let their guard down. Ask them open-ended questions, sympathize (when appropriate), and remind them of the unconditional love of their family and friends. Getting them to talk gives you more opportunities to find items you both agree on or can relate to and opens the door for strengthening feelings of trust and safety. 

There’s a fine line, however, between being supportive and being an enabler. Don’t agree with them blindly in their rationalization or justification of their drinking problem. You would just be adding fuel to the fire and furthering their victim mindset.

3. If all else fails, plan an intervention

Interventions are not to be taken lightly. These are meant to be last-resort efforts to confront someone about their substance abuse and shock them into realizing the extent of the problem as well as how it’s affected those around them. The reason is that if an intervention goes wrong (which is not unlikely), the nature of the confrontation can elicit strong negative emotions from the person. This can cause them to distance themselves from those trying to help them. It’s possible to minimize the odds of a disastrous outcome through careful planning and the involvement of a professional intervention specialist.

When planning an intervention, it’s helpful to first enlist others who have a close relationship with the alcoholic and have been negatively impacted. These can be family members, friends, coworkers, or even community members. This core team will be vital in coordinating the time and place of the intervention, as well as coordinating with other attendees. Next, notify all potential attendees to write down what they want to say in advance and establish a speaking order. This keeps things orderly and organized and lessens the chance that someone may say something hurtful in the heat of the moment. 

Last but not least, it’s critical that any ultimatums or promises made during the intervention are upheld. Failing to follow through signals to the alcoholic that there are no consequences for their drinking and therefore, eliminates the incentive to modify their behavior. The ultimate goal of an intervention is to get them to go to rehab. If they resist, try smaller steps and start with 12 step groups that are free and require no commitment. 

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Quick Tips For Working the 12 Steps of AA [LIST]

For nearly a century, the 12 steps of AA have served as a foundation for recovering alcoholics. These dozen tenants have guided thousands through stages of admittance, self-awareness, gratitude, and forgiveness. But knowing the 12 steps is only part of the journey towards sobriety. To truly have these nuggets of wisdom be useful (and ultimately, living a sober and happy life) it’s crucial to understand how to work these steps and apply them to your everyday life. This easy and practical list of tips for working the 12 steps of AA will get you through it.

How To: Tips for Working the 12 Steps of AA

An inforgraphic breaking down 6 tips to keep in mind when entering AA’s 12-step program.
  1. Be self-motivated. Let’s clear one thing up: No one is going to follow up on you to make sure you’re giving each step its consideration and taking the lessons to heart. Not your sponsor, not chapter leadership, not other members. If you want to get anything out of the 12 steps, you’ll have to hold yourself accountable and really put in the effort. If you’re just going through the motions or doing it for someone else’s sake, you’re wasting your time and cheating yourself of what could be a very enriching experience. 
  2. Take your time and go at your own pace. How long it takes to work all 12 steps is completely unique to the individual. The lessons of some steps will come naturally to you. Others may be more challenging and take days, or even weeks, to fully comprehend and put into practice. This is perfectly okay. Rushing through them for the sake of “finishing” benefits no one–especially yourself. There is no deadline as to when a person has to have completed all 12 Steps and most will tell you it’s a lifelong journey that’s never truly done. 
  3. Abstaining from alcohol or drugs doesn’t mean you’re recovered. So you haven’t had a drop of alcohol in weeks, months, years. While technically you are sober, the 12 Steps is about much more than abstaining from drugs or alcohol. It’s about acknowledging the personal flaws that have led to this point and learning from them. Reckoning with your past as an addicted person, and using that as your motivation to remain abstinent. Don’t abandon the 12 steps midway through (or even worse, stop attending meetings), or else you risk missing out on the insights to stay sober when times get hard. 
  4. Complete the steps in order. Being stuck on a step can be frustrating. If you aren’t making the progress you would like, you may be tempted to move on and proceed to the other steps—the end goal is the same, right? The beauty of the 12 step program is that each step builds upon the other in a very deliberate progression. You might miss out on a valuable perspective required to properly work through those later steps you’re rushing towards. 
  5. Don’t be intimidated by religious references. If you’re agnostic, atheist, or uncomfortable openly discussing your faith, or anything in between, this tip is for you. Many individuals in recovery are put off or intimidated by the 12 Steps because of their frequent religious references. Bear in mind that Alcoholics Anonymous started as a Christian organization. It’s to be expected then, that those texts will carry some sort of religious mention. Do not feel that being a Christian–or any religion, is necessary to participate in AA. To better serve modern society, many AA groups have adopted a modified agnostic version of the 12 Steps that omits mentions of God and instead, calls on participants to apply their own spiritual interpretations.
  6. Prepare to be uncomfortable at times. There’s no sugar-coating it. The 12 steps push us to look inwards with sometimes brutally honest self-reflection. While many describe the feeling of completing these exercises as being freeing and exhilarating, in the moment, it can be disconcerting having to think about the not-so-great things we said, did, or thought, while under the control of drugs. For this reason it’s also very helpful to keep in mind that the purpose of the 12 steps is not to make you feel bad, penitent, or regretful. Growing as people requires coming to terms with ourselves and coming clean about the good, bad, and ugly of our past. 

Keep these tips in mind as you work through the 12 steps. Whether it’s your first time doing them, or your 100th, remembering these fundamentals will put you in the right frame of mind for getting the most out of these tried-and-true lessons. Find a 12 Step group meeting near you to begin your healing journey today.

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