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Why is Alcohol Dependency Considered a Chronic Disease?

Why is Alcohol Dependency Considered a Chronic Disease?

Alcohol use disorder is a chronic disease because it involves long-term symptoms, interference with daily life, and a necessity for medical attention.

Why is Alcohol Dependency Considered a Chronic Disease?

Alcohol use disorder is a serious chronic condition affecting about 28.8 million adults ages 18 and older in the US.
This disorder leads to negative behavioral changes and even death in some cases.

In this blog post, we'll explore why alcohol use disorder is considered as a chronic disease and its significant impact on individuals. We'll examine the medical, social, and psychological factors involved, highlighting the importance of understanding its chronic nature for effective support and interventions. 

Alcohol Dependency as a Disease

Let’s explore what alcohol dependency is and the factors involved in it.

Is Alcohol Dependency a Disease?

Alcohol dependency or alcohol use disorder (AUD) is a serious medical problem where individuals struggle to control their drinking despite its harmful effects on their lives. Imagine feeling unable to say 'no' to alcohol, even when it jeopardizes your health, job, or relationships. This challenge arises from alcohol's profound impact on the brain, making it very difficult to escape its hold.

However, there's good news—treatments like therapy, support groups, and medicines are available to support those who are struggling with this disorder.

Biological and Genetic Factors

Genetics plays a big role in AUD, making up around 60% of the risk. If someone has family members with alcohol use disorder, they're more likely to develop it too. Recognizing the genetic aspect of AUD is vital for spotting those at risk and providing appropriate support or treatment.

Moreover, psychiatric disorders such as depression often accompany AUD, increasing the risk of developing the disorder. Additionally, those with a history of childhood trauma are more likely to develop AUD, showing the complex link between mental health and alcohol use.

Environmental and Behavioral Influences

Starting drinking at a young age greatly increases the chances of developing AUD later on. Research shows that those who begin drinking before 15 are more than three times as likely to report AUD within the past year than those who start at age 21 or older. This risk is especially high among females.

Moreover, peer pressure significantly impacts drinking behavior among adolescents and young adults, potentially increasing the genetic risk for AUD. In social settings where alcohol use is prevalent, individuals are more likely to engage in heavy drinking. 

Stress can also drive people to drink more, especially when faced with traumatic events or ongoing life difficulties. This link between stress and alcohol dependency has long been acknowledged, revealing how stress alters the brain and behavior.

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What is Chronic Alcohol Dependency?

Chronic alcohol dependency is a condition characterized by long-term difficulties in controlling alcohol consumption, despite its consequences on health and life. It involves persistent misuse of alcohol and challenges in reducing or abstaining from drinking altogether. 

Those struggling with chronic alcohol dependency endure substantial consequences on physical health, relationships, and overall well-being. It's essential to seek professional assistance and support to address this condition and improve quality of life effectively.

Symptoms of Chronic Alcohol Dependency

When someone is dealing with chronic alcohol dependency, they may exhibit a number of symptoms. The following are examples of some of these:

  • Strong cravings and urge to drink alcohol
  • Experiencing withdrawal symptoms when not drinking alcohol
  • Giving up social events, jobs, and hobbies for alcohol
  • Continuing to consume alcohol while engaging in risky activities (e.g., driving)
  • Failing to fulfill obligations due to alcohol drinking

If you or someone you know is experiencing these symptoms, please consult your healthcare provider for support.

Challenges and Stigma Surrounding Alcohol Dependency

Alcohol dependency is not only a personal struggle but also a condition filled with societal challenges and stigma

Misunderstanding

There is often a lack of understanding about alcohol dependency, leading to misconceptions and judgment towards those affected by it. This misunderstanding can perpetuate stigma and make it harder for individuals to seek help.

Social Isolation

People struggling with AUD may experience social isolation as their drinking behavior takes over relationships and social activities. This isolation can worsen feelings of shame and reinforce the stigma surrounding alcohol dependency.

Discrimination

Individuals with alcohol dependency may face discrimination in various aspects of life, including employment and healthcare. This discrimination can further isolate them and discourage them from seeking treatment and support.

Internalized Stigma

Many individuals with AUD internalize the stigma associated with their condition, leading to feelings of shame, guilt, and low self-esteem. Overcoming internalized stigma is a crucial step in the recovery journey and requires support from healthcare professionals and peers.

Treatment for Chronic Alcohol Dependency

Chronic alcohol dependency can be treated using different methods:

Medication-Assisted Treatment (MAT)

Medication-assisted treatment combines medications with therapy and support to address chronic alcohol dependency. Medications like naltrexone, acamprosate, and disulfiram are commonly used to reduce alcohol cravings, manage withdrawal symptoms, and discourage drinking by causing adverse effects when alcohol is consumed.

Behavioral Therapy

Behavioral therapy, including cognitive-behavioral therapy (CBT) and motivational interviewing, is crucial in treating alcohol dependency. These therapies target changing drinking behaviors, addressing underlying psychological factors, and developing coping strategies to prevent relapse.

Support Groups

Support groups provide a supportive setting for individuals with chronic alcohol dependency to share their experiences, receive encouragement, and gain insight from others who have faced similar struggles. These groups offer continuous peer support, accountability, and guidance during the recovery process.

Rehabilitation Programs

Rehabilitation programs offer structured environments for individuals with severe alcohol dependency or those needing intensive support. These programs provide comprehensive treatment, including medical detoxification, therapy, and skill-building, in a distraction-free setting away from triggers.

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Chronic Alcohol Dependency FAQs

Is alcohol dependency a disease or a choice?

Alcohol dependency is widely recognized as a disease rather than a choice, as it involves complex changes in brain chemistry and functioning that affect behavior. This emphasizes the need for medical treatment and support rather than solely attributing alcohol misuse to personal choice.

When was alcohol dependency declared a disease?

Alcohol dependency was declared a disease by the American Medical Association in 1956. It marked a significant shift in understanding that alcohol misuse involves physiological and psychological components that require medical intervention and treatment.

What makes alcohol dependency a chronic rather than an acute disease?

Alcohol dependency is labeled as a chronic disease because it typically persists over time and demands continuous management and support. Unlike acute illnesses that can resolve quickly, alcohol dependency entails lasting changes in behavior, brain function, and health.

Is alcohol dependency curable?

Although alcohol dependency can't be cured conventionally, it can be effectively managed with the right treatment and support. With therapy, medications, support groups, and lifestyle changes, many people with alcohol use disorder can achieve long-term sobriety and lead fulfilling lives.

Take the First Step Towards Healing Today

Alcohol use disorder isn't simply a choice—it's a complex, chronic condition impacting millions of people worldwide. Understanding its medical, social, and psychological aspects is vital for effective treatment. Despite the challenges and stigma, help is here.

At Confidant Health, we offer personalized support and effective treatments tailored to you. Our dedicated team is ready to guide you on your journey to recovery. With virtual access to treatments like alcohol rehab, you can get the help you need right from home.

Reach out to Confidant Health today and take that first step toward healing and thriving. You don't have to go through this alone anymore.

This article has been medically reviewed by
Erin Hillers
Erin Hillers
Erin Hillers
Nurse Practitioner

Erin is a Nurse Practitioner with 8 years of experience in midwifery and women's health. She has spent the past 5 years specializing in the treatment of opioid and alcohol use disorders.

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