What indicates alcohol use disorder?
Direct Answer
Alcohol use disorder is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. It is a spectrum disorder, not a single state of being.
Common Misunderstandings
["Some believe alcohol use disorder only applies to individuals who drink daily or have lost all their possessions. This is incorrect; the disorder can manifest in various ways, including binge drinking patterns or functional dependence.","A common misunderstanding is that one must hit 'rock bottom' to have alcohol use disorder. This is not accurate; the condition is identified by patterns of use and related problems, not a specific life event.","People sometimes think that being able to stop drinking for a period means they do not have an alcohol use disorder. Intermittent sobriety does not necessarily preclude the presence of the disorder; relapse patterns are a common feature."]
In Practice
Indicators of alcohol use disorder include drinking more or longer than intended, repeatedly trying to cut down or stop drinking without success, and spending a lot of time drinking or recovering from its effects. It can involve continued alcohol use even when it causes problems with family or friends, or interferes with work, school, or home responsibilities. There may be a strong craving or urge to use alcohol, or developing a tolerance where more alcohol is needed to feel the same effect. Another indicator is continuing to drink despite experiencing anxiety, depression, or blackouts caused by alcohol.
What This Does NOT Mean
["This does not mean that occasional heavy drinking automatically constitutes an alcohol use disorder. The diagnosis involves a pattern of symptoms over time.","This does not include a casual social drinker who consumes alcohol responsibly and without negative life impacts. The distinction involves impaired control and adverse consequences.","This does not guarantee a specific future physical or mental health outcome. The presence of symptoms indicates a condition; future progression varies by individual."]
Scope
This information is for reference purposes only and does not constitute medical diagnosis or treatment advice.