Organizations such as the American Society of Addiction Medicine can guide you to help, too. ” self-assessment below if you think you or someone you love might be struggling with an alcohol use disorder (AUD). The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of an AUD.
What Makes Dealing with High-Functioning Alcoholics so Challenging?

The term is somewhat controversial, as it implies a level of control or sustainability that may not exist, and it may contribute to denial and delayed treatment seeking. When we hear the term alcoholic, we typically think of someone who is struggling with an alcohol addiction. And there are several “types” of alcoholics, to further complicate the matter. So what is the difference between someone who is an “alcoholic” and someone who is a “functioning alcoholic”? If you’re wondering what is considered to be an alcoholic, it’s not whether or not they can “hold their liquor” better than the other — both are under the same definition of having an alcohol use disorder or AUD.

Treatment Options for Functional Alcoholism
Treatment is tailored to individual needs, and a comprehensive plan may include a combination of therapy, medication, and support groups to address both the physical and psychological aspects of AUD. It’s easy to underestimate the amount of alcohol you consume daily or weekly, especially in social settings when others around you are doing the same. Because of this, many people deny having a problem or believe they can stop drinking at any time. While this may be true for some, stopping cold turkey can not only be difficult but also ill-advised, as the acute alcohol withdrawal syndrome may be life-threatening if not managed properly. Over time, heavy alcohol use and binge drinking may increase the chances of developing alcohol use disorder. A high-functioning alcoholic’s behavior may change significantly while drinking.
- Moderate and severe withdrawal syndromes can include hallucinations, seizures, or delirium tremens; the latter two can be life-threatening.
- In outpatient programs, those working toward recovery receive addiction treatment while living at home or outside of a facility.
- Or they may drink in front of their children, increasing their risk of becoming an alcoholic when they grow up.
- For example, a family history of alcoholism or a stressful environment.
- Regardless of whether the person can function in some aspects of life, alcoholism is a serious disease.
What Part Does Denial Play in Alcoholism?
These behaviors are potential signs that a person is unable to control their cravings for alcohol or they’re trying to resolve withdrawal symptoms by drinking, both of which are symptoms of AUD. Treatment programs at The Recovery Village include a full spectrum of alcohol recovery services, from alcohol detox to rehab, aftercare and sober housing. When you’re ready to seek help, or if you have questions about how to live with an alcoholic, we’re here for you. When you’re living with a high-functioning alcoholic, your own health is at stake as well as the welfare of your loved one.
Supported living
We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions. The brain experiences the effects of alcohol right away, resulting in changes in mood, behavior, and judgment. The more alcohol you drink, the higher your blood alcohol levels and the greater your level of alcohol intoxication. If it’s time to seek help, contact us to learn about our treatment approach and facilities.
Addressing High-Functioning Alcoholism in Professional Settings
Patients receive 24-hour attention while living within a facility and can benefit from their peers and the support staff.5 During this time, they’ll also attend many group therapy and individual counseling sessions. Since alcohol affects various aspects of a person’s life, treatment plans are designed to also work on a person’s psychological and physical well-being. When they know other people are going to be around, high-functioning alcoholics may sneak a drink early, drink before going out to the bar or club, or drink alone. This hidden drinking and secretive lifestyle is a huge red flag when it comes to alcoholism and shouldn’t be ignored. Just because someone is high-functioning doesn’t mean they’re not at risk of hurting themselves or others as a result of their drinking. It’s important to treat high-functioning alcoholics just like all other addicts by helping them realize the severity of their addiction and encouraging them to seek treatment.

While some struggle with their addiction, others can live successful lives. Alcohol use disorder can include periods of being drunk (alcohol intoxication) and symptoms of withdrawal. In addition, since the impact of AUD may not be as obvious, the person may be unable to recognize the severity of their condition in these early stages. high functioning alcoholic Both residential and outpatient day treatment programs are available for those in recovery. It can also ultimately lead to relationship difficulties as well as legal and financial problems. You could have AUD even if you are able to keep a relatively normal life if you fulfill at least two of the DSM-5 criteria for the condition.
Causes and Risk Factors of Alcohol Use Disorder
Related Conditions and Causes of Alcohol Use Disorder
- There are several treatment options available for AUD, and there’s no one-size-fits-all solution.
- With these interventions, people can find health and happiness in sobriety.
- A high-functioning alcoholic often does such a good job of hiding their issues that other people don’t know the issues exist.
- According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), heavy alcohol use is defined as consuming more than four drinks a day for men or more than three drinks a day for women.