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The Stages of Alcoholism Explained Early, Middle and End-Stage

The DSM-5 criteria allow for a broader range of symptoms and a more nuanced understanding of individuals’ experiences. Increased tolerance levels also increase the chances that one will binge-drink, so binge-drinking symptoms can also occur at this stage of alcohol addiction. Additionally, one begins to become more dependent on alcohol here. A person at this stage is still said to be a moderate drinker and may only tick three or four of the aforementioned DSM-5 criteria. People may start losing sleep or feeling more anxious or depressed, causing them to turn to alcohol even more.

Instead of just drinking at parties once in a while, you may find yourself drinking every weekend. Knowing the signs and symptoms of each stage can aid you in seeking help before your problem turns into dependence and addiction. But when alcohol consumption gets out of control, you may find yourself on a dangerous path toward addiction. Alcoholics in this stage have a hard time controlling their drinking. They may begin drinking early in the day and plan their day around their drinking. In social situations, they may be unable to stop drinking when others do and find that they can’t handle as much as they previously could without becoming drunk.

Tolerance and Cell Resistance to Alcohol

Their alcohol withdrawal symptoms are so severe that they must drink continually to avoid them. The primary symptoms of stage three include high tolerance to alcohol, physical symptoms, and more obvious drinking behaviors. The middle stage of alcoholism is when drinking interferes with everyday life. An alcoholic lacks the ability to quit drinking despite  many negative consequences and adverse effects it has had on their life. Alcoholism can be divided into 5 stages, each with their own unique symptoms and warning signs. Becoming addicted to alcohol is not something that happens overnight.

  • The first stage of alcoholism is characterized by general experimentation with alcohol.
  • For instance, alcohol abuse can be a component cause of gout and worsen the condition.
  • Binge drinking is characterized as having five or more drinks in two hours for men and four or more drinks in two hours for women.

The risk of various cancers, particularly those of the liver, mouth, throat, and esophagus, also increases with long-term alcohol abuse. Cardiovascular health can deteriorate, leading to issues such as hypertension and heart disease. Chronic stage alcoholism, also known as alcohol use disorder (AUD), represents a critical phase in the progression of alcoholism. This stage is characterized by the individual’s 5 stages of alcoholism increased tolerance to alcohol and the presence of withdrawal symptoms when not consuming. The transition from early to chronic alcoholism is marked by a shift from voluntary to compulsive drinking habits, often leading to significant physical, psychological, and social consequences. People in the late alcoholic stage may attempt to quit drinking several times and remain unsuccessful.

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In any case, as soon as you realize you have a problem with alcohol use, you should seek professional help. Behavioral therapies are crucial in modifying attitudes and behaviors related to alcohol use, helping to build a strong social support system, and setting reachable goals. Cognitive-behavioral therapy (CBT), in particular, can occur one-on-one or in small groups and is instrumental in developing coping strategies and avoiding triggers. Moreover, malnutrition is a common issue due to the replacement of nutritious food with alcohol and the impairment of nutrient absorption and metabolism.

Licensed medical professionals review material we publish on our site. The material is not a substitute for qualified medical diagnoses, treatment, or advice. It should not be used to replace the suggestions of your personal physician or other health care professionals. For this reason, a full spectrum of rehab services that starts with medical detox and continues to treat the psychological aspects of abuse is needed.

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