The four stages of alcoholism

Sunnyisland

Alcoholism is a progressive degenerative disease that includes the following four symptoms: craving, physical dependence, tolerance, and the loss of control.

Alcoholism is a complex topic that can be better understood when it is studied and assessed via the four alcoholism stages. And keep in mind that when the term "alcoholism" is used, this also means "alcohol addiction," "alcohol dependency," or "alcohol dependence."

Alcoholism: The First Stage

In the first stage of alcoholism, drinking is no longer social but becomes a means of emotional escape from inhibitions, problems, inhibitions. Stated differently, during the first stage of alcoholism, drinking is, in many instances, a psychological attempt to escape from reality. For instance, early in the disease an individual starts to depend on the mood-altering effects of alcohol.

Another observable characteristic of the first stage of alcoholism is that a slow and gradual increase in tolerance develops, meaning that more and more amounts of alcohol are needed for the individual to "get high" or to "feel the buzz." For example, it is common for problem drinkers in the first stage of alcoholism to start gulping one or two drinks before attending a social function and then to increase social drinking to 3 to 5 drinks per day.

Alcoholism: The Second Stage

In the second stage of alcoholism, the need to drink becomes more powerful. For example, it is common during this stage for the problem drinker to start to drink earlier in the day.

As tolerance increases, furthermore, the individual with the drinking problem drinks not because of psychological tension or stress relief, but because of his or her dependence on alcohol. During this stage of the disease, even though the "loss of control" does not occur on a regular basis, it is, nevertheless, starting to become more noticeable by others such as relatives, family members, neighbors, friends, and co-workers.

Also during this stage of the disease, the problem drinker may begin to feel more concerned and embarrassed about his or her drinking. Often during this stage, problem drinkers are unsuccessful in their attempts to stop drinking.

In this stage, physical symptoms such as hangovers, blackouts, hand tremors, and stomach problems increase. Interestingly, instead of seeing their drinking as the root of the many problems and issues they experience, however, drinkers with a drinking problem in this stage frequently start to blame others and things external to themselves for their difficulties.

Alcoholism: The Third Stage

In the third stage of alcoholism, the loss of control becomes more severe and more observable. This means that problem drinkers are unable to drink in accordance with their intentions. For example, once the individual takes the first drink, he or she commonly can no longer control further drinking behavior, in spite of the fact that the intent might have been to have just "one or two drinks." It should be stressed that an important aspect of this stage of the illness is the following: the drinker often starts to experience more serious drinking problems as well as alcohol-related employment, relationship, financial, and legal problems.

In the third stage of alcoholism, it is common for the problem drinker to start avoiding friends and family and to show a lack of interest in activities and events that once were fun or important. Also typical during this stage are "eye-openers," that is, drinks that are taken whenever the problem drinker awakens. Eye-openers are taken mainly to "calm the nerves," lessen a hangover, or to quiet the feelings of remorse the individual occasionally experiences after a period of time without consuming a drink.

As the drinking increases the individual with the drinking problem starts to neglect most things of importance, even necessities such as food, water, personal hygiene, shelter, and personal interaction. And finally, during this stage, the drinker often makes half-hearted attempts at getting professional medical assistance.

Alcoholism: The Fourth Stage

The fourth and last stage of alcoholism is characterized by a chronic loss of control. In the earlier stages of the illness, the problem drinker may have been successful in maintaining a job. Due to the fact that drinking during this stage frequently starts earlier in the day and commonly continues throughout the day, however, few, if any, full-time jobs can be maintained under these conditions.

In the earlier stages of the illness, the problem drinker had a choice whether he or she would take the first drink. After taking the first drink, the drinker typically lost all control and would then continue drinking. In the last stage of alcoholism, however, alcoholics no longer have a choice: they need to drink in order to function on a daily basis.

During the fourth stage of alcoholism, benders are typical. More to the point, in the fourth stage of alcoholism the alcoholic frequently gets helplessly drunk and may remain in this predicament for a number of days or weeks. The unattainable goal for the drinker while engaging in his or her bender is to experience the "high" they he or she once experienced.

In the second or third stages of alcoholism the drinker's hands may have trembled slightly on mornings after getting drunk the previous night. In the fourth and last stage of alcoholism, conversely, alcoholics get "the shakes" whenever they attempt or are forced to refrain from drinking.

These tremors are an indication of a serious nervous disorder that now affects the drinker's entire body. When "the shakes" are combined with hallucinations, furthermore, the result is known as "the DTs" or delirium tremens. The DTs are a potentially deadly kind of alcoholism withdrawal that almost always takes place unless the alcoholic receives immediate alcoholism treatment. It may come as no surprise that after an attack of the DTs, more than a few alcoholics promise to never drink again. Sadly, most of them do not and cannot fulfill their promise. Consequently, they more often than not return to drinking and the alcoholic drinking patterns and drinking problem start all over again.


From the information discussed above, it can be concluded that the four stages of alcoholism paint a bleak picture for individuals who are alcohol addicted. Perhaps learning about the destructive and damaging outcomes and the unhealthy nature of alcoholism may not make a much of an impact on most individuals who are already chronically alcohol dependent.

It is hoped, however, that by exposing the facts about alcohol dependency and about the stages of alcoholism to our youth BEFORE they start consuming alcohol in an abuse and irresponsible manner will prevent many of our teenagers from experiencing the drinking problems and the unhealthy and devastating realities suffered by most alcoholics

Finding a quality treatment program can be a difficult process. That's why it is important to log on & post here daily and of course other forums or organisations like this,
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Sunnyisland

If you have decided that you need to get help for your drinking , you have already entered the first stage of recovery by admitting that you have a problem and seeking outside help.
This process -- reaching out for help and seeking some kind treatment or rehabilitation -- is known as treatment initiation. It is the first of four stages of recovery

If you are like most people who seek help for substance abuse problems, in the very early stages you probably still harbor some feelings of ambivalence about giving up your drug of choice, and you may still be in denial about the full extent of your problem. This is common for people in the early days. Denial simply means refusing to believe the reality of your circumstances. Many people new to recovery usually have some level of denial about their addiction. Denial can take many forms, from thinking that you can still control your substance use to denying that you are really addicted.

It's likely that during your substance abusing days you associated your drinking with certain people, places and things. Perhaps you always stopped by the same bar or you only drank when around certain people. You may even have had a favorite glass you drank from . All of these can be triggers that can cause you to relapse.
It is absolutely critical to your continued abstinence that you avoid the triggers and other high-risk situations. You need to helpyourself identify the people, places and things that you associate with your drinking and help you develop strategies for avoiding these triggers, Many alcoholics organize their entire daily routine around obtaining, drinking and recovering from the effects of their drink.
Once you quit drinking, there will be a void in your daily scheduled and/or a sense of loss. You may be used to a daily schedule that is chaotic and disorganized,. You may find it difficult imagining what you will do now that you are no longer drinking.

Not everyone experiences cravings during early abstinence, but for those who do, it can become overwhelming. Craving is a strong urge to return to drinking . Craving can be both physical and psychological to the point that you can become obsessed with thinking about drinking again.
you must recognize what craving feels like and learn that it is temporary and will pass. you must learn that you have choices; you can choose to "sit the craving out." You do not have to respond to the urge in a self-damaging way.
The longer you remain abstinent, the fewer cravings you will have and the less intense they will become. But if you give in to the urge, they will remain strong.

If you have been clean and sober for 90 days, you now need to put the tools that you learned in early abstinence to work toward maintaining your sobriety and avoiding relapse. maintaining your recovery is basically up to you. In order to maintain abstinence, it is important that you:

Avoid environmental triggers.
Recognize your own psychosocial and emotional triggers.
Develop healthy behaviors to handle life's stresses.

People get in trouble when they let their guard down after their early-absitence success. It is important that you not take your sobriety for granted and that your recognize the power of your addiction. Maintaining a recovery-oriented attitude is critical.
It is also important your participation in support groups and that you remain honest with yourself and others about your feelings and thoughts. Changes in attitudes, feelings and behaviors can quickly lead you to a relapse.
A relapse does not begin when you pick up a drink . It's a gradual process marked by negative changes in your attitude, feelings and behaviors. If you find yourself in the downward relapse spiral, do something different! Go to more support group meetings, spend time with others who support your recovery, maintain a heatlhy structure in your life, make sure you are in a drink-free environment and avoid external triggers. Take positive action to resolve any relationship, personal or work-related problems that are causing you stress.

The fourth stage is reaching advanced recovery in which you have achieved long-lasting abstinence and have made a commitment to continue to lead a lifelong sober lifestyle. Advanced recovery, sometimes called stable recovery, usually begins after five years of sustained abstinence.
Hopefully you have not only learned to maintain abstinence, you have also learned to make more healthy and productive choices in all areas of your life. Advanced recovery is living that healthy lifestyle for the rest of your life.
As you have learned during your journey , recovery is much more than merely remaining abstinence. Of course, maintaining abstinence is a necessary part of recovery and the core of your recovery program. But if you do not make healthy choices in all areas of your life, you will find it difficult to lead a satisfying, fulfilling life.
One group of recovery experts published a definition of recovery as "a voluntarily maintained lifestyle characterized by sobriety, personal health, and citizenship." Personal health involves not only to physical and mental health, but also social health -- participation in family and social roles. Citizenship refers to "giving back" to the community and society.
Even if you have been clean and sober continually for more than five years, you are still one slip away from a relapse. In spite of your success, you can continue your participation in your mutual support groups.
After five years of sobriety you are much less likely to have a relapse and you may not have to spend as much conscious effort to maintain your sober lifestyle, but your continued recovery can be a lifelong process.