Since my college sorority days, I have known that "I really should reduce my wine intake." But over the last year or so, I have found myself more and more often asking this question-"Could this really be a problem?" I even discussed my concerns with my husband and best friend; yet, it never progressed past the idea or conversation-I would just return to my regular drinking routine as if these instances never even occurred. I was drinking about a bottle of wine per night, usually more. If I had to go somewhere in the evenings, my Solo cup full of wine went right along with me as I drove. Drinking nightly was so habitual that, when there was no wine in the house, I honestly experienced discomfort and anxiety until I could get to the store to rectify that situation. I woke up hungover every single day. Taking Excedrin Migraine & Ibuprofen had become as much of my morning routine as brushing my teeth. Still for the most part, no one knew the full extent of my drinking.
During the last few months, the momentum of my drinking was rapidly picking up its pace-as was the poor judgement I was using to make decisions. To give you an example, just 2 weeks ago-as I was thinking about the damage I had done to my stomach with all the OTC meds to cure my morning headache-it occurred to me that I had never tried that "Hair of the Dog" thing. I found this a very interesting idea to consider. The more I thought about it, the more I believed it was actually the CURE for my stomach problems! Concurrently with this though, I was also considering "allowing" myself to, yet again, move forward my "acceptable evening drinking hour." Years ago it was 6pm, then 5:30, then 5pm and I had just moved it back to 4:45 and that felt OK, so "why not move it on to 4pm, right?"
I realize now that I was in such utter denial about my drinking. I came across this definition of alcoholism and, I'm sad to say, it describes my condition perfectly. All of my justifications-pain relief, stress, even "health benefits" of wine and comparisons to "true" alcoholics who had absolutely destroyed their lives were all ideas contrived by my alcoholic brain.
If you are unsure whether or not you have a "problem", see if any of this definition resonates with you. If it does, PLEASE tell someone you trust to hold you accountable to get the help you need. Don't allow your perceived fears of this confession stand in the way of saving your own life!
"Alcoholism is a primary*, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease* is often progressive and fatal*. It is characterized by continuous or periodic: impaired control* over drinking, preoccupation* with the drug alcohol, use of alcohol despite adverse consequences*, and distortions in thinking, most notably denial*."
The Council goes on to elaborate the terminology contained in the definition:
"Primary" refers to the nature of alcoholism as a disease entity in addition to and separate from other pathophysiologic states which may be associated with it. "Primary" suggests that alcoholism, as an addiction, is not a symptom of an underlying disease state.
"Disease" means an involuntary disability. It represents the sum of the abnormal phenomena displayed by a group of individuals. These phenomena are associated with a specified common set of characteristics by which these individuals differ from the norm, and which places them at a disadvantage
"Often progressive and fatal" means that the disease persists over time and that physical, emotional, and social changes are often cumulative and may progress as drinking continues. Alcoholism causes premature death through overdose, organic complications involving the brain, liver, heart and many other organs, and by contributing to suicide, homicide, motor vehicle crashes, and other traumatic events.
"Impaired control" means the inability to limit alcohol use or to consistently limit on any drinking occasion the duration of the episode, the quantity consumed, and/or the behavioral consequences of drinking.
"Preoccupation" in association with alcohol use indicates excessive, focused attention given to the drug alcohol, its effects, and/or its use. The relative value thus assigned to alcohol by the individual often leads to a diversion of energies away from important life concerns.
"Adverse consequences" are alcohol-related problems or impairments in such areas as: physical health (e.g., alcohol withdrawal syndromes, liver disease, gastritis, anemia, neurological disorders); psychological functioning (e.g., impairments in cognition, changes in mood and behavior); interpersonal functioning (e.g., marital problems and child abuse, impaired social relationships); occupational functioning (e.g., scholastic or job problems); and legal, financial, or spiritual problems.
"Denial" is used here not only in the psychoanalytic sense of a single psychological defense mechanism disavowing the significance of events, but more broadly to include a range of psychological maneuvers designed to reduce awareness of the fact that alcohol use is the cause of an individual's problems rather than a solution to those problems. Denial becomes an integral part of the disease and a major obstacle to recovery.
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Approved by the Boards of Directors of the National Council on Alcoholism and Drug Dependence, Inc. (February 3, 1990) and the American Society of Addiction Medicine (February 25, 1990).