The term "alcoholic" is commonly used to describe someone who has an alcohol use disorder (AUD), which is a medical condition characterized by an inability to control alcohol consumption despite negative consequences on one's physical health, mental well-being, and social life.
It's important to note that alcohol use disorder exists on a spectrum, and not everyone who drinks heavily is necessarily an alcoholic. The diagnosis of AUD is made based on specific criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association. The criteria include:
- Drinking more or for a longer period than intended.
- Persistent desire or unsuccessful efforts to cut down or control drinking.
- Spending a significant amount of time obtaining, using, or recovering from the effects of alcohol.
- Craving or a strong desire to use alcohol.
- Continued alcohol use despite causing or worsening social or interpersonal problems.
- Giving up or reducing important social, occupational, or recreational activities because of alcohol use.
- Recurrent use of alcohol in physically hazardous situations.
- Continued alcohol use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to be caused or exacerbated by alcohol.
- Tolerance, defined as the need for increasing amounts of alcohol to achieve the desired effect or a diminished effect with continued use of the same amount of alcohol.
- Withdrawal, as manifested by specific symptoms when alcohol use is reduced or stopped.
To receive a diagnosis of alcohol use disorder, a person must meet at least two of these criteria within a 12-month period.
It's important to remember that individuals vary in their response to alcohol, and factors like genetics, mental health, and social environment can all play a role in the development of alcohol use disorders. If you or someone you know is struggling with alcohol consumption and its impact on daily life, it's essential to seek professional help and support from healthcare providers or addiction specialists. They can provide a comprehensive assessment and guide you towards appropriate treatment and resources.