According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), there are over 15 million American adults who struggle with the overconsumption of alcohol.
This statistic is massive, yet it is dwarfed by the immense genetic, mental and psychological workings that comprise the affliction.
Let’s focus on the complicated psychology of alcoholism and explore a few facets of this detrimental disease.
Alcoholism lies within endorphins
People who suffer from drug and alcohol addiction may very well be fighting their own physiology. Namely, they are fighting their own brain’s response to drinking.
As a depressant, alcohol is known to lower inhibitions, slow reflexes and impair brain function. However, it is not solely this incapacitation that addicts crave.
According to a 2012 study published in the Science Translational Medicine site, alcohol actually stimulates the pleasure centres of the brain.
The study neurologically mapped both heavy and light drinkers as they consumed their beverage.
Each group’s brain scans revealed a surge of “feel good” opioids rushing through the reward centres of the brain.
Although both drinking groups showed the endorphin response, the heavier drinkers’ brains released a higher concentration of endorphins.
Thus, those with the over-responsive pleasure centre received more of a “reward” from drinking.
Therefore, they are more likely to drink to a hazardous level in order to gain this release.
Alcoholism can be inherited
It is possible for substance abuse to be inherited by family members.
According to the American Academy of Child and Adolescent Psychiatry, children whose parents are alcoholics are four times more likely to develop alcoholism than children whose parents are not.
It’s important to note that there is no single “alcoholic gene”. Instead, there are many complex factors that can influence a heavy drinker’s disposition.
For example, mental illnesses like schizophrenia and depression are normally linked to substance abuse and addiction. Yet, it is mental illnesses that tend to be inherited, not the propensity to overuse.
It’s also important to take into account the argument of nature versus nurture. Even if a child has the genetic makeup of someone who could start drinking, it doesn’t mean they are destined to.
Alcoholism can be avoided by growing up in a trauma-free environment with access to mental health care.
However, if a child develops in an environment where addiction is readily apparent, their genetic disposition is more likely to manifest.
When you go for an alcohol detox, these factors are taken into consideration.
Alcoholism is a spectrum
Psychologists are well familiar with the idea that mental and emotional disorders can exist on a spectrum. The same is true for alcoholism.
In the world of drinking, there is no duality between alcoholics and non-alcoholics. There is no black and white distinction that can classify the world into these two groups. Instead, everything exists in shades of grey.
This is because people live in a world where drinking is inexplicably linked with their culture. Alcohol is everywhere, and people’s reasons for consuming it, are multifaceted.
People drink as a bonding experience, as a communal coping mechanism, and for countless other societal reasons.
Since people cannot extract drinking from their culture, they also cannot find the harsh line between “societal drinking” and “problematic drinking”.
Instead, the best way to approach alcoholism is from a spectrum.
On one end, there are those who seldom drink. On the other hand, there are those who imbibe far past the NIAAA’s recommended four drinks per day or 14 drinks per week.
Alcoholism is individualised
When it comes to alcoholism, everyone’s journey is different. No two breakthroughs are identical, and no two recoveries are the same.
Instead, look deeply at your addiction and find what you need to recover from.
If your propensity to drink is born out of previous trauma, find therapeutic outlets to emotionally heal. If you are struggling with self-destructive tendencies, you might consider a sober living facility.
It is through understanding your disease that you can equip yourself with the right tools to fight it.
Dennis Relojo-Howell is the world’s first blog psychologist and founder of Psychreg. As an international mental health advocate, he speaks at various conferences around the world and believes that everyone experiencing a mental health problem deserves both support and respect.