High functioning alcoholic: Signs, risks, and more

The classic picture of someone with alcohol use disorder is someone who always drinks too much and whose life is falling apart because of it. You may begin to notice that a couple of beers after work has turned into a six-pack or even a case. As time goes on and tolerance increases, they may attempt to hide the growing problem, and a growing number of empty bottles or cans, from cocaine withdrawal symptoms going through cocaine detox friends and family. Chronic heavy drinkers can display a functional tolerance to the point they show few obvious signs of intoxication even at high blood alcohol concentrations, which in others would be incapacitating. If someone you are close to is living with alcohol use disorder, you may be looking for ways to help them cope with the impacts of their disease on your own life.

What are the signs of AUD?

“Functioning alcoholic” is an outdated term that in the past was used to describe people with alcohol use disorder who appear to meet their everyday responsibilities. However, alcohol use disorder is diagnosed based on a set of criteria that aren’t always seen by others. If people with high functioning AUD do not get treatment, the disease may progress to a point at which their dependence significantly impacts their day-to-day lives. Alcoholism is a chronic, progressive, and lifelong disease that needs to be treated, whether the alcoholic is a lawyer or a homeless person. The face of the alcoholic needs to be changed and the walls of denial must be broken down in order that alcoholics everywhere can receive proper diagnosis and treatment. Call now to connect with a treatment provider and start your recovery journey.

Intervention Help

  1. The landscape has changed post-pandemic, and innovations in the self-help and treatment space, as well as many virtual options, have increased access to care.
  2. There is research showing that about 19.5 percent of people with AUD are middle-aged, well-educated, and have stable jobs, homes, and families.
  3. “Always approach a loved one from a place of support and desire to help them, instead of leading with judgment or anger,” says Omar Elhaj, MD, a senior medical director at LifeStance Health.
  4. Whether you have an alcoholic spouse, partner or other loved one, you may be wondering how to help.

The term “currently-functioning” may be used since it’s not likely they will remain functional (and not misuse alcohol) indefinitely. It is not uncommon for individuals with AUD to experience conflict with family and friends, and have drinking negatively impact their job, schooling, and overall safety. For this reason, these factors are a part of the diagnostic teen drug abuse criteria. Sadly, according to the National Epidemiological Survey on Alcohol and Related Conditions, only 25 percent of alcoholics ever receive treatment—indicating a serious problem of denial on a societal level. What is most important in the process of growth is to find individuals in the therapeutic and self-help worlds that value individualized care.

Find Alcohol Treatment

You likely have questions about how to deal with an alcoholic, or how to help an alcoholic. Self-help organizations, church groups, and 12-step programs like Al-Anon and Alateen offer advice, hope and encouragement to people involved with functioning alcoholics. Consciously or unconsciously, the codependent may help the alcoholic to continue drinking to maintain the status quo.

Addiction Treatment Programs

Today, healthcare professionals would say that a person has an alcohol use disorder (AUD). To cope with your stress, you may want to attend a support group for family and friends of people with alcohol use disorder (such as Al-Anon) or consider therapy. Issues with work, school, and relationships are common among people living with AUD.

As a result, being able to fulfill job duties adequately does little to discourage them from continued patterns of alcohol abuse. The participants in an intervention could include the alcoholic’s spouse or partner, children, parents, friends, coworkers, employer, friends and other individuals who have been affected. A substance abuse counselor, family therapist or spiritual advisor may also attend to provide an objective presence and keep the agenda on track.

To find a therapist near you, visit the Psychology Today Therapy Directory. There are five stages to the recovery process identified by the Connecticut Community for Addiction Recovery training for recovery coaches. We receive advertising fees from purchases through the BetterHelp links below. Every person who loves someone with an addiction has to choose whether to help the person or to distance themselves from the person.

Alcohol withdrawal can produce a withdrawal effect known as delirium tremens that can prove life-threatening. Detox under medical supervision is a safer and more effective option than attempting to detox without help. High-functioning alcoholism is defined by the alcohol’s ability to work or function normally. These people appear successful and healthy despite a possible underlying alcohol use disorder.

Early intervention and treatment can help reduce the severity of the disease and prevent further physical or mental complications from developing. People who are concerned about their drinking habits, and those who are showing signs of an AUD, may wish to reach out antibiotics and alcohol for help and support. According to the NIAAA, the majority of people with an AUD can benefit from some form of treatment. According to the Centers for Disease Control and Prevention (CDC), 95,000 people lose their lives every year due to excessive alcohol use.


NOSSOS CLIENTES