8 Signs of Alcoholism—From a Former Alcoholic

Medically reviewed by Dr. Alex Lee, DSW, LCSW on March 10, 2021

Table of Contents

I’d venture to say that most people who drink alcohol have had at least one experience where they drank more than planned. This can happen even with the best intentions: One drink turns into two, then three, and then the numbers begin to blur, logic and inhibitions get relinquished, and you wake up hungover, piecing together the night before. Did you offend anyone? Why did you drink so much? Do you even remember everything?

It’s not necessarily a big warning sign if this happens to you a handful of times in your life. Many of us have been there. But there comes a point where things tip over a certain threshold. And once you’re there, it can be hard to face that things are different, or that you’ve really crossed that line.

Here are eight signs of alcoholism that were always present during my decade-long battle with this substance—signs that I didn’t always see, or perhaps dismissed as “no big deal.” If you’re starting to question your drinking, consider whether any of these sound familiar—and read on to find out how I beat my own addiction, and found a healthier relationship with alcohol.

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8 Signs of Alcoholism – From a Former Alcoholic

  1. Hangovers, and recovering from them, become a part of your regular routine
  2. You begin to notice yourself drinking more than others around you
  3. You prefer alcohol to be at every social function or gathering
  4. You try to take breaks from drinking, but have a hard time doing so
  5. You are not truthful with yourself or others about how much alcohol you drink
  6. Your drinking patterns are impacting your life in negative ways
  7. You obsessively think about alcohol, or find that you often have cravings for it
  8. You try to control your drinking, but find it to be mentally exhausting

1. Hangovers, and recovering from them, become a part of your regular routine

woman drinking wine by fence, signs of alcoholism
Photo by Arzu Cengiz on Unsplash

Whether it’s daily, weekly, or monthly—hangovers are becoming something you can count on. Your well-being may be affected because you spend your precious days off in bed or feeling ill, as opposed to being out and about, enjoying life. Or perhaps you show up to work, life, or family events feeling foggy, grumpy, and just wishing you could leave to go home and rest.

Most of us know what a hangover feels like. If they’re occurring in your life more often than you’d like, you might consider this a sign of alcoholism. For me, hangovers were a consistent part of my life about 2 to 3 days a week, every week. I’d go to work hungover, taking breaks to go lay down in my car to ease the pain, or running to the bathroom to throw up. I’d spend at least one weekend day in bed nursing a hangover, feeling achy from all of the alcohol poison in my body.

I hated this part of my life. I hated spending so much time hungover. But I still couldn’t seem to control how much I consumed when I drank. Nor could I stick with long-term sobriety. I was in a trap.

2. You begin to notice yourself drinking more than others around you

This was definitely a big one for me. I would always be finished with my glass of wine while others were just sipping on theirs. “How can they drink so slowly?” I remember asking myself.

I hated the awkward experience of having to go refill my glass while others watched, knowing I’d already polished one (or more) off. If I didn’t refill my glass, I would battle the endless chatter in my mind that repeated “more alcohol, more alcohol, more alcohol” until I finally got more. Other times, I’d bring my own alcohol and sneak it when people weren’t looking.

This was a big sign of alcoholism for me, because I could see that my drinking wasn’t like most people’s. It was compulsory, an obsession, a “need to have it” like a thirsty person needs water. When I was drinking socially, that was usually all I could focus on. I was always thinking about the next drink while I still had one in my hand, wondering if there was enough alcohol, or if we needed to get more. The people, the activities, the socializing—that all came second to booze.

3. You prefer alcohol to be at every social function or gathering

Whether you’re having brunch or dinner with friends, going to a house party, spending time in nature, attending a work event, or simply spending a quiet night at home, you want alcohol to be there because it makes things more ‘fun’ or ‘interesting.’

Perhaps you cannot loosen up or relax without it. You might even feel irritated, impatient, or distracted if alcohol isn’t at a function, wishing you had some. I know this was true for me. For example, if I knew certain social functions wouldn’t have alcohol—or even if they’d have it, but not enough by my standards—I would often drink beforehand, or sneak in my own private stash.

I would also avoid spending too much time at functions without alcohol, just because I felt like I needed alcohol to socialize and have fun. It was hard to simply enjoy the company of friends without the company of alcohol as well. I know now that this is because alcohol had hijacked the pleasure center in my brain, making it hard for me to find pleasure in things that did not involve alcohol. This is why the medication naltrexone, and pharmacological extinction therapy, was such a game-changer for me when I later started that treatment.

4. You try to take breaks from drinking, but have a hard time doing so

Perhaps you’ve heard of movements like Sober October and Dry January, which promote taking month-long breaks from drinking alcohol. Maybe you’ve even participated in these events, and found it surprisingly difficult to achieve 30 days without the booze. Or maybe you’ve instituted your own alcohol breaks—whether it be committing to only drink on the weekends, or taking a whole week or month off.

No matter what form of intentional break you take from alcohol, if you find it difficult to take space from this substance—if you find yourself craving it, or if it’s become an essential part of your routine—perhaps it’s time to reexamine your relationship with it.

For me, taking breaks from alcohol always showed me that I had a dependence on the substance. Often, I found it hard to take even five days off from drinking, let alone thirty. Over the course of my ten-year battle with alcohol addiction, I did successfully take many breaks from drinking—a few days, a week, a month, and even 6 months one time. But I would always wind up binging on alcohol again once the break was over.

Now I know about something called the Alcohol Deprivation Effect (ADE). According to studies, if you develop a dependence on regular, heavy alcohol consumption, and then remove the booze, whenever you reintroduce it you are likely to binge. Ask yourself, if you’ve tried taking breaks from alcohol, how easy was it? Did you find yourself going overboard when the break was over? Are you due for a longer break, or maybe even a permanent change?

5. You are not truthful with yourself or others about how much alcohol you drink

woman pouring drinks, signs of alcoholism
Photo by Annie Spratt on Unsplash

Another sign of alcoholism is not being honest regarding how much you consume—whether that’s with your doctor, your spouse, your friends, your co-workers, or even with yourself.

If you find that you are regularly concealing how much you really drink, it might be because on some level you perceive that you are drinking too much. For me, I would always under-report when my doctor asked, and kept secret stashes of alcohol around my house so that my partner wouldn’t see how much I was drinking. I would also make a habit of drinking before social functions, showing up having secretly had a few, while everyone else was just getting started.

If you feel the need to conceal, or lie about how much you’re drinking, this may be a sign that you’re drinking too much.

6. Your drinking patterns are impacting your life in negative ways

In the DSM-5, the American Psychiatric Association lists 11 questions used to diagnose alcohol use disorder (AUD). Several of these involve continuing to drink even if it’s negatively impacting your life—including increasing your anxiety or depression, putting yourself or others in danger, or causing trouble for your loved ones.

There are a lot of ways that excess alcohol use can harm your life, and it’s not always easy to see this when you’re consumed with a drinking problem. I know that for me, feelings of anxiety and depression were just a part of my daily routine, and I would usually cope with them by consuming more alcohol. I would also regularly put myself in risky situations where I could have been harmed easily. The next day I’d be filled with so much regret, asking myself why I did that.

When I started to drink less, I found myself making better choices, and I noticed the anxiety and depression beginning to lighten. I now realize just how much my alcohol consumption was actually causing and perpetuating these problems. Take a good look at the ways alcohol may be negatively impacting your life, and keep in mind that it might not always be so obvious.

7. You obsessively think about alcohol, or find that you often have cravings for it

How often are you thinking about alcohol? How often are you planning your next drink? Or how often are you thinking about “not drinking” (i.e., resisting the urge to drink knowing you’ve already had too much today, this week, or this month)?

For me, my cravings and obsessive thoughts about alcohol were constant. However, I didn’t quite realize how much mind-space they took up until I was a few months into my pharmacological extinction therapy and the cravings were starting to go away.

My first thoughts of alcohol would usually begin in the late morning, when I’d start fantasizing about my nightly bottle (plus) of wine. They’d last throughout the day, until the workday ended and I’d race home and open the wine the moment I got in the door. And if it was a weekend, I’d usually be drinking by 11:00am, or as soon as the first craving hit.

When I knew I’d been drinking too heavily for days or weeks on end, I’d resist these cravings by trying to distract myself with other activities that didn’t involve drinking. It was a vicious cycle, and alcohol was nearly always on my mind in one way or another.

Once I started naltrexone treatment, those thoughts about alcohol started to fade, and my mind felt spacious, expansive, and open for the first time in a decade. It was possible to focus on things other than alcohol, and genuinely enjoy them without wishing alcohol was present. I felt truly free for the first time in ten years.

I invite you to begin paying attention to how many times thoughts of alcohol come into your mind throughout the day. You might be surprised.

8. You try to control your drinking, but find it to be mentally exhausting

Maybe you’ve realized that your drinking has gotten out of hand a few times, and you want to control or moderate it on your own by setting certain guidelines for yourself. For example, not drinking during the week, or limiting yourself to two or three when you do drink. Or perhaps deciding not to keep alcohol in the house anymore, and staying away from hard liquor.

While this approach can work for many people, those experiencing stronger dependence may struggle with this type of moderation. For example, they might commit to only drinking 2 servings, but end up having more and wonder how they let that happen. Or they might commit to drinking only on the weekends, but then binge drink every weekend, or even “slip up” and drink during the week anyway.

I know this was the case for me. I would try to save my drinking for the weekend, only to find myself binging so heavily on Friday that I’d be hungover until Sunday. And I could hardly limit how much I consumed, because once I had a couple drinks in me, all self-control would go out the window. I’d forget the agreement I set with myself, or it would feel less important. It was mental ping-pong for me to try to control or limit my drinking.

That is, until I started with pharmacological extinction.

How I Cut Back on Drinking, Then Ultimately Gave It Up For Good

The science of pharmacological extinction is what finally allowed me to gain control over my drinking, like nothing I’d ever tried before. This “extinction therapy” is known as the Sinclair Method (TSM), and involves taking an opiate blocker medication (naltrexone) in combination with drinking.

The medication naltrexone works by blocking the reinforcement or reward that a person experiences when drinking alcohol. Over time, drinking on this medication reduces cravings and alcohol consumption for most people. After a year of this treatment, I watched myself go from a daily drinker, to drinking a few days a week, a few times a month, once a month, and finally deciding to go completely sober. Thanks to naltrexone, drinking was no longer pleasurable for me at all anymore, and instead began to feel quite dull. I genuinely preferred sobriety.

What’s great about the Sinclair Method and pharmacological extinction is that, when done correctly, it gives most people the option to drink moderately if they wish. By reducing your cravings for alcohol, naltrexone helps you relearn to drink like a “normal” person—which means you don’t actually need to be abstinent. And if abstinence is your ultimate goal, TSM can also help by freeing you from having to battle cravings in sobriety.

For me, going abstinent “cold-turkey” before TSM never worked in any permanent way. The Alcohol Deprivation Effect would kick in, and I’d find myself battling cravings regularly, having to “white-knuckle” my way through sobriety. Ultimately, like many others, I’d relapse again. I did this dozens of times before I found TSM, and finally put an end to my cravings. After that, abstinence happened on its own.

While treatments like naltrexone and the Sinclair Method were relatively unknown for some time, there are now more and more ways to find support for TSM, including online programs like Ria Health. Rehab, treatment, and even terms like “alcoholic” don’t need to mean what they used to. If any of the above signs seem familiar to you, and you’re concerned about your drinking, I encourage you to take action. You don’t need to be ashamed or turn your life upside down. Real change is possible, and it’s more accessible than ever before.

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Written By:
Katie Lain Goyatton
Leading video blogger and advocate for medication-based treatment for alcohol use disorder. Background in marketing, media and community building efforts. Personal experience with overcoming alcohol dependence using pharmacotherapy.
Reviewed By:
Evan O'Donnell
Evan O’Donnell is an NYC-based content strategist with four years’ experience writing and editing in the recovery space. He has conducted research in sound, cognition, and community building, has a background in independent music marketing, and continues to work as a composer. Evan is a deep believer in fact-based, empathic communication—within business, arts, academia, or any space where words drive action or change lives.
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