Am I an alcoholic? The signs worth being honest about
In short: It isn’t how much you drink, or which days, that decides it. It’s what happens once you start and what it costs you. The signs below will give you an honest answer.
Nobody types “am I an alcoholic” into Google at two in the afternoon on a good day.
It’s usually late. Or it’s the morning after. Something happened, or someone said something, and the question you’ve been stepping around for a while is suddenly sitting right in front of you.
So let’s look at it properly. No lecture, no label. Just an honest look.
The word matters less than the pattern
“Alcoholic” is a heavy word, and most of us picture someone much worse off than we are. That picture is one of the main reasons people wait so long.
Doctors don’t actually diagnose “alcoholism.” The World Health Organization calls it Alcohol Dependence, and it isn’t defined by the type of drink, the amount, or the days of the week. It’s defined by a pattern: drinking again and again, compulsively, despite what it’s costing you.
So a more useful question than “am I an alcoholic?” is this one: is alcohol in charge, or am I?
The signs, in plain language
These are the signs used to recognise dependence. Read them slowly, and be honest. Nobody is watching.
- Cravings. Strong urges to drink that are hard to ignore, and a lot of time spent thinking about the next one.
- It’s moving up your list. Drinking is starting to come before things that used to matter more: people, health, the things you believe in.
- You carry on despite the damage. You know what it’s doing to your marriage, your work or your body, and you drink anyway.
- Life is getting harder to run. Missed mornings, money that’s gone, arguments, promises you didn’t keep.
- Tolerance. You need more than you used to for the same effect.
- Withdrawal. When you cut down or stop, you get shaky, sweaty, anxious or can’t sleep, and a drink settles it.
You don’t need all of them. But if you recognised yourself in several, don’t argue yourself out of it. Underrating it only makes it last longer.
The clearest sign of all
If I had to reduce it to two sentences, they’d be these:
Once I start, I can’t stop. Once I stop, I can’t stay stopped.
The first is what happens on the night. The second is what happens to the promise you made the next morning. Many people spend years trying to manage, moderate or control their drinking: only beer, only after five, only on weekends, never alone. If you’ve needed rules like that, and you keep bending them, that tells you a lot.
How it creeps up on you
Nobody starts out dependent. It creeps in, usually in stages:
- It starts as relief. Social, occasional, then regular. Somewhere along the way a drink becomes the way you unwind, cope or switch off.
- It becomes a problem. You’re drinking more, the justifications start and the consequences begin to show up.
- It becomes dependence. Long or frequent sessions, and your body now expects alcohol.
- It takes over. Drinking sits at the centre of everything, and the damage spreads into every part of life.
Here’s the part I most want you to hear. You don’t have to reach the bottom of that list before you turn around. Many people don’t. They get off earlier, and they lose far less.
The things we tell ourselves
Denial isn’t stupidity. It’s the mind protecting itself from something painful. See if any of these sound like you:
- “I only drink on weekends.”
- “I’ve never missed a day of work.”
- “At least I’m not like him.”
- “Anyone would drink with the stress I’m under.”
- “If they didn’t go on at me, I wouldn’t need to.”
- “I could stop if I really wanted to. I just don’t want to yet.”
Every one of those can be true and you can still have a problem. Holding down a job doesn’t mean you’re fine. It often just means the job is the last thing to go. If the weekend one caught your eye, read Do I have a drinking problem if I only drink on weekends?
What to do with this
If you’ve read this far, you already have a fair idea of the answer. Here’s what I’d suggest.
- Take the Alcohol Dependence Audit. It’s free, it takes a few minutes, and nobody sees your answers but you.
- Tell one person the truth. Not the managed version. Secrecy is what keeps this going.
- If you drink heavily every day, see a doctor before you stop. Alcohol withdrawal can be dangerous, and it’s one of the few that can be life-threatening. Don’t detox on your own.
- Come and talk to us. A Biopsychosocial Assessment is R750 and takes about 45 minutes, in person or on Zoom. Or come to a free Monday group first and just listen.
You are not a bad person trying to become good. You’re a person who is unwell and working out how to get well. Those are very different things, and only one of them is true.
WhatsApp Steven on +27 76 402 7083. Let’s talk.
