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Problem Drinker vs Alcoholic: What’s the Difference?

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We’ve all known someone who’s been a “problem drinker.” This is that person who always has a drink in their hands and doesn’t seem to know when to call it quits. Sometimes you may wonder: is that person an alcoholic? Sometimes it can be hard to tell the difference.

What Is Problem Drinking?

Problem drinking is generally characterized by excessive or binge drinking on occasion. It’s associated with problems excessive drinking can bring, such as relationship issues, DUIs, or other troubles with the law. It can also quickly lead to Alcohol Use Disorder (AUD), also known as alcoholism.

If you or someone you know is a problem drinker, here are some facts surrounding alcohol abuse you should know:

  • Alcohol abuse is one of the leading causes of preventable death in the United States
  • On average, 140,557 Americans die from its effects in an average year
  • One in ten Americans is diagnosable with AUD

In this article, we’ll go over the difference between a problem drinker vs an alcoholic, the dangers of alcoholism, and treatment for alcohol abuse.

Problem Drinker vs Alcoholic: What’s the Difference?

While the two terms are often used together, they’re not the same. The most important difference is that a problem drinker goes without drinking for significant periods and does not feel withdrawal effects.

In other words, they’re not physically dependent on alcohol – an alcoholic is.

Yes, problem drinkers might drink far too much for their good – getting down drunk at parties, for instance. And this can cause problems for them and others. But they don’t need alcohol to function.

Alcoholism is fundamentally different. It involves both a physical and psychological dependence on alcohol. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is a standard reference book for health professionals, categorizes AUD as a disorder.

Some of the symptoms listed in the DSM-5 for AUD include craving, withdrawal, a lack of control over use, and negative effects on personal responsibilities and relationships.

How to Tell If Someone Is Abusing Alcohol?

Alcohol abuse, also known as alcohol use disorder (AUD), can be hard to identify because it can manifest in different ways.

If you are having trouble telling if you or someone you know is a problem drinker vs an alcoholic here are some signs to look for:

Physical signs:

  • Increased tolerance to alcohol: needing to drink more to achieve the same effect.
  • Experiencing withdrawal symptoms: if they stop drinking, they may have symptoms such as shakiness, anxiety, or nausea.
  • Significant hangovers, and drinking to alleviate them.
  • Frequently smelling of alcohol, and potentially trying to cover it up with other scents.
  • Neglecting personal appearance and hygiene.

 

Psychological signs of alcohol abuse:

  • Preoccupation with drinking: they may spend a lot of time thinking about when they will be able to drink next.
  • Using alcohol as a way to relax or de-stress.
  • Denying or downplaying the negative effects of their drinking.
  • Feeling guilty or defensive about their drinking.
  • Experiencing mood swings, depression, anxiety, or other mental health issues.

Remember that these are potential signs and that alcohol abuse can look different for different people. If you are struggling with alcohol abuse, please seek professional help.

What Are the Risks of Alcohol Abuse?

The risks of alcohol abuse make for a long list.

Short-term effects of alcohol use:

  • Diarrhea
  • Vomiting
  • Anemia (loss of red blood cells)
  • Decreased perception and coordination
  • Upset stomach
  • Decreased judgment; higher chance of drunk driving or legal issues
  • Mood swings
  • Coma
  • Anxiety
  • Headaches
  • Mental confusion
  • Unconsciousness
  • Blackouts
  • Depression
  • Lowered inhibitions
  • Drowsiness
  • Breathing difficulties

Long-term effects of alcohol use:

  • Liver diseases: Fatty liver, alcoholic hepatitis, cirrhosis
  • Bone damage —  Alcohol can interfere with new bone production, leading to an increased risk of fractures and other injuries
  • Wernicke-Korsakoff syndrome
  • Insomnia
  • Nerve damage
  • Alcohol-related brain damage and dementia
  • Ulcers and gastrointestinal problems
  • Pancreatitis
  • Increased risk of stroke, heart disease, and high blood pressure
  • Increased risk of cancer
  • Depression and anxiety
  • Weakened immune system

Alcohol Addiction Treatment at South Coast Behavioral Health

If you or a loved one are struggling with alcohol addiction, it’s time to seek professional help. South Coast Behavioral Health offers compassionate and affordable alcohol addiction treatment.

Get Started Today

Treating alcohol abuse is possible. Alcoholism and problem drinking are no way to go through life. If you or a loved one are struggling with alcohol addiction but wonder how long addiction treatment takes or have other questions, call us at 866-881-1184. Our highly qualified staff will be happy to help give you an idea of what to expect from your addiction recovery timeline, verify your insurance, and assist with any other questions you may have.

REFERENCES:

  • Pierce Willians, Author

    Content Writer

    Pierce Willans is a professional writer and editor specializing in substance abuse and addiction treatment. Having written everything from informational articles to landing page copy, he now seeks to bring his years of experience to his current role at South Coast Behavioral Health. He's passionate about educating people on the dangers of drug abuse and the importance of addiction treatment, with a personal interest in how various substances affect brain chemistry. In his free time, he enjoys reading, writing, and pursuing a healthy lifestyle. Pierce continues to refine his approach to making addiction-related information accessible and available to all.

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Pierce Willans
Kelly McIntyre
Medically Reviewed by Kelly McIntyre, MS, LMFT
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