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Well&Good 2003, Issue 2

Is it a problem?


Alcoholism is a psychological, and sometimes a physical need to use alcohol that doesn't go away--even when using it causes negative consequences.

The physical, emotional, and social problems associated with it grow with continued use. The combination of physiological craving and psychological need is a hallmark of addiction.

When does "social" drinking cross the line and become a problem? The answer varies with each individual. What is a trigger for one, is not a problem for another. There is a recognizable process that identifies the various stages that take a person from first use to alcoholism, says Jill Liesveld, M.D., UI Behavorial Health physician.

First stage--Experimentation. People try alcohol out of curiosity or media or peer pressure.

Second stage--User. People are in control of their consumption and experience few, if any, negative consequences from family or work.

Third stage--Misusers. The physiological changes that come from regular drinking affects the drinker's mood. The drinker becomes preoccupied with thoughts of alcohol and where the next drink will come from.

Fourth stage--Chemically dependent. Drinkers continue to misuse alcohol despite continued consequences. They do not see their experiences as a result of addiction. Their focus is the next drink, or money for the next drink. There is emotional and physical discomfort when they don't drink.

If there are consequences from their drinking, they may attempt to curb their intake, proving to themselves and the world that there is no problem.

But out-of-control drinking does not have to be a lifestyle. Alcoholism is treatable and can be held in remission.

For chemical dependency service information call UI Health Access at 319-384-8442, ext. 403, or 800-777-8442, ext. 403, or call UI Behavorial Health, at 319-384-8765 or 877-384-8999.

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There were 19,358 alcohol-induced deaths in the U.S., not including traffic fatalities?
  • There were 26,552 deaths in the U.S. from chronic liver disease?
  • Chronic liver disease is the 12th leading cause of death in the U.S.?
  • 62 percent of Americans over the age of 18 drank at least one drink?

Is this you?

  • You have conflict in your primary relationship
  • You isolate yourself
  • You are unpredictable and moody
  • You are irritable, restless, discontent
  • You have financial problems and your debt is growing
  • You have job-related problems
  • You have low self-esteem
  • You tend to blame others

*National Center for Health Statistics


For more information:

Listed above are several Web sites that offer additional information on this topic. University of Iowa Health Care does not sponsor or endorse these sites, or guarantee the accuracy of the information contained on these sites. These links are here for general information only, and should not be used for personal diagnosis or treatment. If you have any questions, please contact UI Health Access.

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Last modification date: Fri Dec 21 11:01:27 2007
URL: http://www.uihealthcare.com /news/wellandgood/2003issue2/isitaproblem.html