Stages of Alcoholism
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The Four Stages of Alcoholism. Alcoholism is a progressive degenerative disease that can
be better understood when it is analyzed and evaluated via the four stages of alcoholism, also known as the four
alcoholism stages.
Stages of Alcoholism: The First Stage
Alcoholism Stages. The research literature verifies that alcoholism is a disease that
progresses through various alcoholism stages. For instance, in the first stage of alcoholism, drinking is no
longer social but becomes a means of psychological escape from problems, stress, and inhibitions.
More specifically,
early in the disease a person starts to depend on the mood altering capabilities of alcohol.
Another characteristic of this first stage of alcoholism is that a gradual increase in tolerance develops,
meaning that increasing amounts of alcohol are needed in order to "get high" or to "feel the buzz."
For instance, it is typical for individuals in the first stage to start gulping a few drinks before attending a
social function and increasing social drinking to 3 to 5 drinks per day.
The following represents some of the classic alcoholic behaviors in the first stage of alcoholism:
- Increasing tolerance
- Lack of recognition by the person that he or she is in the early stages of a progressive illness
- Gross Drinking Behavior - more frequent drinking of greater amounts
- A conscious effort to seek out more drinking opportunities
- An ability to drink great amounts of alcohol without any apparent impairment
- Drinking is not social but a psychological escape from stress and problems
- Boasting and a "big shot" complex
Alcoholism Stages: The Second Stage
In the second stage of alcoholism, the need to drink becomes more intense. Typically at this stage, the
individual starts to drink earlier in the day.
As tolerance increases, moreover, the person drinks because of his or her dependence on
alcohol, rather than because of psychological tension relief.
During this alcoholism stage, "loss of control" does not yet manifest itself on a regular basis; it is,
nevertheless, gradually observed by others such as family members and friends.
Also at this stage of the disease, the drinker may begin to feel shame and to worry about his or her
drinking. Frequently during this stage, drinkers unsuccessfully attempt to quit drinking.
In fact, drinkers in this stage of alcoholism may change brands of alcohol or switch from hard liquor to beer or
wine. Additionally, to help quiet the internal conflict they now experience, drinkers during this stage start
to resort to denial of their drinking problem.
During this stage, physical symptoms such as hangovers, stomach problems, blackouts, and hand tremors
increase. Rather than focusing on their drinking as the cause of the many problems they experience, drinkers
in this stage typically start to blame others and things external to themselves for their difficulties.
Classic Alcoholic Behaviors in The Second Stage of Alcoholism
The following represents some of the classic alcoholic behaviors in the second stage of alcoholism:
- Increasing physical problems

- More frequent blackouts
- Denial
- Increasing tolerance
- Drinking because of dependence rather than for stress relief
- Sporadic loss of control
- Blaming problems on others and on things external to themselves
- Sneaking extra drinks before social events
- Unsuccessful attempts to stop drinking
- Feelings of guilt and shame
- Chronic hangovers
Stages of Alcoholism: The Third Stage
In the third stage of alcoholism, the loss of control becomes more predominant, meaning that the individual is
unable to drink according to his or her intentions.
For example, once the individual takes the first drink, he or she can no longer control what will happen, even
though the intention might have been to have at most two or three drinks. During this stage of the disease, the
drinker typically starts to experience serious work-related, relationship, and financial problems.
| United States alcoholism statistics demonstrate that individuals who start using
alcohol before the age of 15 are four times more likely to become alcoholic (and exhibit alcoholic
behavior) at some time in their lives, compared to those who start drinking at the legal age of
21. |
In addition, he or she starts to avoid friends and family and experiences a loss of interest in things that used
to be important. Also common during this stage are "eye-openers," that is, drinks that are taken whenever the
person awakens.
Eye-openers are usually taken to calm the nerves, lessen a hangover, or to quiet their feelings of remorse the
drinker experiences after a period of time without a drink.
| Alcoholism Stages. As the alcoholic advances through the various alcoholism stages,
he or she commonly experiences severe difficulties and problems in just about all aspects of his or
her life. Examples of this alcohol behavior include financial issues, employment difficulties,
poor health, relationship difficulties, and legal problems (such as receiving multiple DUIs) |
As the drinking increases the individual starts to neglect most things of importance, even necessities such as
food and shelter.
Interestingly, at this stage of the disease, rather than experiencing an increase in tolerance, the drinker
usually experiences a DECREASE in alcohol tolerance. This means that less alcohol is required to feel its
effects.
And finally, during this stage, the drinker frequently makes half-hearted attempts at seeking medical help. That
is, due to the fact that most drinkers during this stage will not disclose the extent of their drinking, they
rarely receive any lasting medical treatment.
Even when they admit a small part of the "truth" concerning their drinking behavior to a health care
practitioner or to their doctor, they typically fail to follow through with the medical instructions, therefore
accomplishing little, if anything of significance regarding their disease.
| Problems in the Late Alcoholism Stages. Why would anyone who is an alcohol abuser
want to experience the horrors that are common in the late stages of alcoholism? The point: before
you become alcohol dependent, get professional alcohol treatment for your abusive drinking. |
The following represents some of the classic alcoholic behaviors in the third stage of alcoholism:
- Avoidance of family and friends
- A decrease in alcohol tolerance
- Serious financial, relationship, and work-related problems
- Neglect of necessities such as food
- The development of an alibi system - an elaborate system of excuses for their drinking
- Aggressive and grandiose behavior
- Eye-openers
- Increasing tremors
- Loss of interests
- The start of physical deterioration
- Loss of control has become a pattern
- Half-hearted attempts at seeking medical aid
- Frequent violent or destructive behavior
- A decrease in alcohol tolerance
- An increase in failed promises and resolutions to one's self and to others
- Unreasonable resentments
- Problems with the law (e.g, DUIs)
- The development of an alibi system - an elaborate system of excuses for their drinking
- Loss of willpower
| Inpatient Detox and Alcoholic Behavior. Various studies have demonstrated that
inpatient detoxification programs are longer lasting and more effective than outpatient detox
programs. The significant issue here, however, is the following: those who are suffering from
the late stages of alcoholism are more likely to experience more severe alcohol withdrawal
symptoms. As a result, inpatient detoxification and treatment programs should be used for these
alcoholics. |
Alcoholism Stages: The Fourth Stage
The fourth and final stage of alcoholism is characterised by a chronic loss of control. In the earlier
stages of the disease, the individual may have been successful in maintaining a job.
Now, however, drinking starts earlier in the day and typically continues throughout the day. Not surprisingly,
few, if any, full-time jobs can be maintained once an individual is in this state of mind.
In the earlier stages of the disease, the alcoholic had a choice whether he or she would take the first
drink. After taking the first drink, the alcoholic usually lost all control and would then continue
drinking.
In the last stage of alcoholism, however, alcoholics no longer have a choice: they must drink in order to
function.
During the fourth stage of alcoholism, benders are typical. More precisely, in this stage, the
alcoholic gets helplessly drunk and may remain in this condition for a number of days. The unattainable goal
for the alcoholic while involved in his or her bender is to experience the level of euphoria they once felt.
During this stage, the alcoholic usually manifests an utter disregard for everything, including
job, family, food, and shelter. Ironically, these occasional "flights into oblivion" are perhaps best
described as drinking to get away from the problems caused by drinking.
| Children of alcoholics are significantly more likely to engage in underage alcohol
abuse, to engage in abusive and alcoholic behavior, and possibly develop an addiction to
alcohol. |
In the second or third stages of alcoholism the person's hands may have trembled slightly on
mornings after getting drunk the previous night.
In the final stage of alcoholism, however, alcoholics get "the shakes" whenever they try or are
forced to refrain from drinking. These tremors are an indication of a serious nervous disorder that now
affects the entire body.
When "the shakes" are combined with hallucinations, the result is known as "the DTs" or delirium
tremens. The DTs are a potentially fatal type of alcohol withdrawal that will result unless the alcoholic receives
immediate medical care.
After an attack of the DTs, many alcoholics promise to never drink again. Regrettably, most of
them do not and can not fulfill their promise. Consequently, they eventually return to drinking and the alcoholic
behaviors start all over again.
In the fourth and final stage of alcoholism, having an easily accessible supply of alcohol close at
hand (to avoid "the shakes") becomes the most important thing in the life of the alcoholic.
During this stage, the alcoholic will do almost anything to get the alcohol he or she
requires. Once the alcohol is secured, alcoholics will usually hide their bottles so that they can get a drink
whenever they need it, which usually means any hour of the day or the night.
The Late Stages of Alcoholism. It can be noted that the third and fourth stages of
alcoholism represent the late stages of alcoholism. These are the stages that are best typified by chronic
alcoholism, an almost total lose of control over one's drinking, worsened physical deterioration, continued
tremors, and impaired thinking.
While the disease is certainly the worst during the late stages of alcoholism, it is still possible
during these stages in some circumstances for alcoholics to recover from alcoholism via professional treatment. The
bottom line here is this: no matter what alcoholism stage you are in, even if it is one of the late stages of
alcoholism, getting immediate professional alcohol treatment is your best option for sobriety, better health, and
recovery.
| In the United States, almost three times as many men (9.8 million) as women (3.9
million) abuse alcohol or manifest alcoholic behavior. |
The following represents some of the classic alcoholic behaviors in the fourth stage of
alcoholism:
- Vague spiritual desires
- Benders, or lengthy intoxications
- Persistent remorse
- Moral deterioration
- The realization of being out of control
- Indefinable fears
- The possibility of alcoholic psychosis
- Impaired thinking
- The "DTs"
- Devaluation of personal relationships
- Loss of tolerance for alcohol
- Unreasonable resentments and hostility toward others
- "The shakes"
- An obsession with drinking
- Nameless fears and anxieties such as feelings of impending doom or destruction
- The collapse of the alibi system
- Continual loss of control
- Auditory and visual hallucinations
Stages of Alcoholism: Conclusion
Alcoholism Stages. Research has shown that alcoholism is a disease that progresses
through four alcoholism stages. From the information articulated above and from the research literature it can be
concluded that the four stages of alcoholism paint a bleak picture for those who are alcohol dependent and who
exhibit chronic alcoholic behavior. This is especially the case if the person is in one of the late stages of
alcoholism.
It might be the case that learning about the destructive consequences and the degenerative nature
of alcoholism may not make a much of an impact on most of those who are already chronically alcohol dependent.
It is hoped, however, that by exposing the facts about alcohol dependency and about the stages of
alcoholism to our youth BEFORE they start abusing alcohol will prevent many of our teens from experiencing the
unhealthy and damaging realities suffered by most alcoholics.
And as far as those who are involved in chronic alcoholic behavior, even if they are in the late
stages of alcoholism, it is imperative for them to get immediate alcohol treatment from professionals so that they
stop their hazardous drinking, and start on the road to alcohol recovery.
| People who are experiencing alcohol withdrawal symptoms should not treat these
symptoms at home. Instead, they need to seek medical assistance immediately so that their
doctor, urgent care center personnel, healthcare provider, or emergency room personnel can assess
the severity of their withdrawal symptoms and initiate the best option for treatment. Keep in mind
that alcoholics in all alcoholism stages will probably experience alcohol withdrawal symptoms when
they suddenly stop drinking. |
| Stages of Alcoholism Treatment. Alcoholism treatment can be seen as consisting of
four stages. First, the alcohol dependent person needs to be medically
stabilized. Second, the alcoholic needs to undergo the detoxification process as well as the
alcohol withdrawal process. Third, the alcohol addict needs counseling and education so that
he or she can learn how to function in society without drinking. And fourth, the alcoholic
needs to establish long-term sobriety and rehabilitation. This last stage is commonly done in
conjunction with outpatient training or counseling and/or through attending support groups such as
Alcoholics Anonymous. |
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