# data[].attributes.headline
Heavy drinkers released more endorphins in response to alcohol, and they reported feeling more intoxicated than the lighter drinkers after drinking the same amount of alcohol

# data[].attributes.subject
Heavy drinkers released more endorphins in response to alcohol, and they reported feeling more intoxicated than the lighter drinkers after drinking the same amount of alcohol

# data[].attributes.attachment_link.readable_text
Jan. 11, 2012 -- We know alcohol makes many people feel good, and that it affects the brain, but new research goes a step further by tightening the focus on areas of the brain most likely affected by alcohol.

The new brain imaging research may lead to a better understanding of alcohol addiction and possibly better treatments for people who abuse alcohol and other drugs.

Investigators say they have identified specific differences in how the so-called reward center of the brain responds to alcohol in heavy and light drinkers.

In both groups, drinking alcohol caused the release of naturally occurring feel-good opioids known as endorphins in two key brain regions associated with reward processing.

But heavy drinkers released more endorphins in response to alcohol, and they reported feeling more intoxicated than the lighter drinkers after drinking the same amount of alcohol.

The findings suggest that people whose brains release more natural opioids in response to alcohol may get more pleasure out of drinking and may be more likely to drink too much and become alcoholics, researcher Jennifer M. Mitchell, PhD, of the University of California, San Francisco, says.

"Greater endorphin release was associated with more hazardous drinking," Mitchell says. "We believe this is an important step in understanding where and how alcohol acts in the brain."

Alcoholism and the Brain

Mitchell says the findings could lead to better versions of the existing alcohol abuse drug naltrexone, which blocks the opioid response and blunts alcohol cravings in some, but not all people.

Mitchell says a better understanding of the specific endorphin receptors involved in the alcohol "high" could lead to treatments that better target these reward centers. Currently, naltrexone takes more of a buckshot approach, affecting multiple receptors. This research could lead to more focused medications.

The University of California study included 13 people who identified themselves as heavy drinkers and 12 people who did not.

Using PET imaging, the researchers were able to measure opioid release in the brain before and immediately after the study participants drank the same amount of alcohol.

Drinking alcohol was found to be associated with opioid release in the nucleus accumbens and orbitofrontal cortex -- two areas of the brain associated with reward processing.

The study appears in the Jan. 11 issue of the journal Science Translational Medicine.

# data[].attributes.attachment_link.title
Why Is Alcohol Addictive? Study Offers Clues

# data[].attributes.attachment_link.description
Jan. 11, 2012 -- We know alcohol makes many people feel good, and that it affects the brain, but new research goes a step further by tightening the focus on areas of the brain most likely affected by alcohol.

# data[].attributes.headline
Alcohol abuse is a serious problem. It is a pattern of drinking too much alcohol too often. It interferes with your daily life. You may be suffering from alcohol abuse if you drink too much alcohol at one time or too often throughout the week

# data[].attributes.subject
Alcohol abuse is a serious problem. It is a pattern of drinking too much alcohol too often. It interferes with your daily life. You may be suffering from alcohol abuse if you drink too much alcohol at one time or too often throughout the week

# data[].attributes.attachment_link.title
Alcohol Abuse Treatment - What Is Alcohol Abuse? | familydoctor.org

# data[].attributes.attachment_link.description
Alcohol abuse can lead to multiple health and psychological problems, but it can be treated with therapy and sometimes medication.

# data[].attributes.headline
They may also drink to deal with their personal problems. However, alcohol doesn't make the problems go away. Alcohol abuse can lead to a disease known as alcoholism. 

# data[].attributes.subject
They may also drink to deal with their personal problems. However, alcohol doesn't make the problems go away. Alcohol abuse can lead to a disease known as alcoholism. 

# data[].attributes.headline
Over time, the need for alcohol may become so strong that a person may feel sick without it. 

# data[].attributes.subject
Over time, the need for alcohol may become so strong that a person may feel sick without it. 

# data[].attributes.headline
Alcoholism, now known as alcohol use disorder, is a condition in which a person has a desire or physical need to consume alcohol, even thought is has a negative impact on their life

# data[].attributes.subject
Alcoholism, now known as alcohol use disorder, is a condition in which a person has a desire or physical need to consume alcohol, even thought is has a negative impact on their life

# data[].attributes.headline
Like many other drugs, alcohol is addictive. An addiction is a psychological or physical need for a drug or an other substance. 

# data[].attributes.subject
Like many other drugs, alcohol is addictive. An addiction is a psychological or physical need for a drug or an other substance. 

# data[].attributes.attachment_link.readable_text
Alcoholism, now known as alcohol use disorder, is a condition in which a person has a desire or physical need to consume alcohol, even though it has a negative impact on their life.

In the past, a person with this condition was referred to as an "alcoholic." However, this is increasingly seen as an unhelpful and negative label. Health professionals now say that a person has an alcohol use disorder (AUD).

According to the National Institute of Health (NIH), in 2015, 15.1 million American adults (6.2 percent of the population) had an alcohol use problem.

According to the World Health Organization (WHO), globally, 3.3 million deaths every year result from the harmful use of alcohol.

Definition

Alcohol abuse disorder refers to a long-term addiction to alcohol.
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) describes alcohol use disorder as "problem drinking that becomes severe."

A person with this condition does not know when or how to stop drinking. They spend a lot of time thinking about alcohol, and they cannot control how much they consume, even if it is causing serious problems at home, work, and financially.

Alcohol abuse can be used to talk about excessive or inappropriate consumption of alcohol, but not necessarily dependence.

Moderate alcohol consumption does not generally cause any psychological or physical harm. However, if who enjoy social drinking increase their consumption or regularly consume more than is recommended, AUD may eventually develop.

Symptoms

A person who drinks excessive amounts of alcohol will often not be the first person to realize that this is so.

Some signs and symptoms of AUD include:

drinking alone or in secret

not being able to limit how much alcohol is consumed

blacking out and not being able to remember chunks of time

having rituals and being irritated if someone else comments on these rituals, for example, drinks before, during, or after meals, or after work

losing interest in hobbies that were previously enjoyed

feeling an urge to drink

feeling irritable when drinking times approach, especially if alcohol is not, or may not be, available

storing alcohol in unlikely places

gulping drinks down in order to feel good

having problems with relationships, the law, finances, or work that stem from drinking

needing more alcohol to feel its effect

experiencing nausea, sweating, or shaking when not drinking

Some people experience some of these signs and symptoms but are not dependent on alcohol.

Alcohol consumption becomes a problem when it takes precedence over all other activities. Dependence can take several years to develop.

The problems linked to alcohol dependence are extensive. The effects can be physical, psychological, and social.

Causes

Causes and risk factors include peer pressure, drinking from a young age, and depression.
Alcohol dependence can take from a few years to several decades to develop. For some people who are particularly vulnerable, it can happen within months.

Over time, regular alcohol consumption can disrupt the balance of:

gamma-aminobutyric acid (GABA) in the brain

glutamate

GABA controls impulsiveness and glutamate stimulates the nervous system.

Dopamine levels in the brain rise after consuming alcohol. Dopamine levels may make the drinking experience more gratifying.

Over the long- or medium-term, excessive drinking can significantly alter the levels of these brain chemicals. This causes the body to crave alcohol in order to feel good and avoid feeling bad.

Possible risk factors

Some risk factors may also be linked to excessive drinking.

The age of the first alcoholic drink: A study has suggested that people who start drinking alcohol before the age of 15 years may be more likely to have problems with alcohol later in life.

Easy access: There appears to be a correlation between easy access to alcohol - such as cheap prices - and alcohol abuse and alcohol-related deaths. One study registered a significant drop in alcohol-related deaths after one state raised alcohol taxes. The effect was found to be nearly two to four times that of other prevention strategies, such as school programs or media campaigns.

Peer drinking: People whose friends drink regularly or excessively are more likely to drink too much. This can eventually lead to alcohol-related problems.

Low self-esteem: Those with low self-esteem who have alcohol readily available are more likely to consume too much.

Depression: People with depression may deliberately or unwittingly use alcohol as a means of self-treatment. On the other hand, consuming too much alcohol may increase the risk of depression, rather than reducing it.

Media and advertising: In some countries, alcohol is portrayed as a glamorous, worldly, and cool activity. Alcohol advertising and media coverage of it may increase the risk by conveying the message that excessive drinking is acceptable.

How the body processes (metabolizes) alcohol: People who need comparatively more alcohol to achieve an effect have a higher risk of eventually developing health problems related to alcohol.

Diagnosis

For AUD to be diagnosed in the U.S., the individual must meet the criteria laid out in the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association (APS).

The criteria include having a pattern of consumption that leads to considerable impairment or distress.

At least three of the following criteria should have been present during the past 12 months:

Alcohol tolerance: The person needs a large quantity of alcohol to feel intoxicated. However, when the liver is damaged and cannot metabolize the alcohol so well, this tolerance may drop. Damage to the central nervous system may also reduce tolerance levels.

Withdrawal symptoms: When the individual abstains from alcohol or cuts down, they experience tremors, insomnia, nausea, or anxiety. They may drink more to avoid these symptoms.

Beyond intentions: The person drinks more alcohol, or over a longer period, than they intended.

Unsuccessful attempts to cut down: The person is continuously trying to cut down alcohol consumption but does not succeed. They may have a persistent desire to cut down.

Time consumed: The person spends a lot of time obtaining, using, or recovering from alcohol consumption.

Withdrawal: The individual withdraws from recreational, social, or occupational activities that they previously participated in.

Persistence: The person continues consuming alcohol, even though they know it is harming them physically and psychologically.

Some signs and symptoms of alcohol abuse may be due to another condition. Ageing can lead to memory problems and falls, for example.

A person may go to the doctor about a medical condition, such as a digestive problem, and not mention how much alcohol they consume. This can make it difficult for a doctor to identify who might benefit from alcohol dependency screening.

If a health worker suspect alcohol may be a problem, they may ask a series of questions. If the patient answers in a certain way, the doctor may then use a standardized questionnaire to find out more.

Tests for alcoholism

Blood tests can only reveal very recent alcohol consumption. They cannot tell whether a person has been drinking heavily for a long time.

If a blood test reveals that the red blood cells have increased in size, it could be an indication of long-term alcohol abuse.

Carbohydrate-deficient transferrin (CDT) is a blood test that helps detect heavy alcohol consumption.

Other tests can indicate whether there is damage to the liver, or - in males - reduced testosterone levels. Both of these might indicate chronic alcohol consumption.

However, screening with an appropriate questionnaire is seen as an effective means of reaching an accurate diagnosis.

Many people who consume unhealthy amounts of alcohol deny that alcohol poses a problem for them. They may tend to minimize the extent of their drinking.

Talking to family members may help the doctor understand the situation, but they will need permission to do this.

Complications of this condition may include memory loss, confusion, mental health issues, and problems with work or home life.
Complications

Drinking alcohol usually elevates a person's mood at first.

However, a person who has been consuming unhealthy amounts of alcohol for a long time is likely to become sedated when they drink.

This is because alcohol depresses the nervous system.

Alcohol may undermine a person's judgment. It can lower inhibitions and alter the drinker's thoughts, emotions, and general behavior.

Heavy regular drinking can seriously affect a person's ability to coordinate their muscles and speak properly.

Heavy binge drinking could lead to a coma.

Eventually, regular heavy drinking may cause at least one of the following problems:

Fatigue: The person feels tired most of the time.

Memory loss: Alcohol affects the short-term memory in particular.

Eye muscles: The eye muscles can become significantly weaker.

Gastrointestinal complications: Gastritis or pancreas damage can occur. These will undermine the body's ability to digest food, absorb certain vitamins, and produce hormones that regulate metabolism.

Hypertension: Regular heavy drinking is likely to raise blood pressure.

Diabetes: There is a high risk of developing diabetes type 2, and people with diabetes have a high chance of complications if they regularly consume more alcohol than is recommended. Alcohol prevents the release of glucose from the liver, resulting in hypoglycemia. If a person with diabetes is already using insulin to lower their blood sugar levels, hypoglycemia could have serious consequences.

Menstruation: Excessive consumption of alcohol can stop or disrupt menstruation.

Erectile dysfunction: There may be problems getting or sustaining an erection.

Fetal alcohol syndrome: Consuming alcohol during pregnancy increases the risk of birth defects. The newborn may have a small head, heart problems, shortened eyelids, and developmental and cognitive problems.

Thinning bones: Alcohol interferes with the production of new bone, leading to a thinning of the bones and an increased risk of fractures.

Nervous system problems: There may be numbness in the extremities, dementia, and confused or disordered thinking.

Accidents: There is a higher chance of injuries from falls, road traffic accidents, and so on.

Domestic abuse: Alcohol is a major factor in spouse-beating, child abuse, and conflicts with neighbors.

Work or school problems: Employment or educational problems and unemployment are often alcohol-related.

Suicide: Suicide rates among people with alcohol dependence or who consume alcohol inappropriately are higher than among those who do not.

Mental illness: Alcohol abuse increases the risk of mental illness, and it can make existing mental illnesses worse.

Problems with the law: People who consume alcohol are significantly more likely to spend time in court or in prison, compared with the rest of the population.

The following are recognized treatment options for alcoholism:
Treatment

The first step toward recovery is to acknowledge that there is an alcohol dependency problem.

The next step is to get help. This is available from a range of support groups and professional services.

Counseling: A qualified counselor can help the person share their problems and then devise a plan to tackle the drinking. Cognitive behavioral therapy (CBT) is commonly used to treat alcohol dependency.

Residential programs: These can offer expert professional help, individual or group therapy, support groups, training, family involvement, activity therapy, and a host of strategies for treating alcohol abuse. Being physically away from access to temptation is helpful for some people.

Drug that provokes a severe reaction to alcohol: Antabuse (disulfiram) causes a severe reaction when somebody drinks alcohol, including nausea, flushing, vomiting, and headaches. It is a deterrent, but it will not treat the compulsion to drink or solve the problem in the long term.

Drugs for cravings: Naltrexone (ReVia) may help reduce the urge to have a drink. Acamprosate (Campral) may help with cravings.

Detoxification: Medications can help prevent withdrawal symptoms (delirium tremens, or DTs) that can occur after quitting. Treatment usually lasts 4 to 7 days. Chlordiazepoxide, a benzodiazepine medication, is frequently used for detoxification (detox).

Abstinence: Some people complete detox successfully, but they start drinking again either soon after or some time later. Access to counseling, medical help, support groups, and family support can all help the individual avoid alcohol as time goes on.

Alcoholics Anonymous: Alcoholics Anonymous is an international fellowship of men and women who have faced problems with alcohol. It is nonprofessional, self-supporting, multiracial, apolitical, and available almost everywhere. There are no age or education requirements. Membership is open to anyone who wants to stop drinking.

We picked linked items based on the quality of products, and list the pros and cons of each to help you determine which will work best for you. We partner with some of the companies that sell these products, which means Healthline UK and our partners may receive a portion of revenues if you make a purchase using a link(s) above.

# data[].attributes.attachment_link.title
What is an alcoholic? How to treat alcoholism

# data[].attributes.attachment_link.description
Alcoholism, now called alcohol use disorder (AUD), refers to an addiction to alcohol. A person with this condition can no longer control their consumption of alcohol and they will become ill if they try to stop suddenly. AUD is a serious and life-threatening condition, but treatment and support are available.

# data[].attributes.headline
Alcohol abuse means that people are using alcohol in ways that are unhealthy, illegal, or both. People may abuse alcohol because they are worried about something or they feel insecure. 

# data[].attributes.subject
Alcohol abuse means that people are using alcohol in ways that are unhealthy, illegal, or both. People may abuse alcohol because they are worried about something or they feel insecure. 

# data[].attributes.body
Alcohol becomes more important to them that any part of their lives.

# data[].attributes.body
Alcoholism is a disease in which a person has a physical and treatment like counseling or even spending time in a hospital.

# data[].attributes.headline
          How is Alcohol addictive?                              

# data[].attributes.subject
          How is Alcohol addictive?                              

# data[].attributes.body
By MaKynlie and Mia