Addiction Alcohol Use Denial as a Symptom of Alcoholism As alcoholism progresses, so does the denial By Buddy T Buddy T Facebook Twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial process Updated on May 21, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by John C. Umhau, MD, MPH, CPE Medically reviewed by John C. Umhau, MD, MPH, CPE John C. Umhau, MD, MPH, CPE is board-certified in addiction medicine and preventative medicine. He is the medical director at Alcohol Recovery Medicine. For over 20 years Dr. Umhau was a senior clinical investigator at the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (NIH). Learn about our Medical Review Board Print Westend61 / Getty Images One of the most frustrating factors in dealing with alcoholism is it is almost always accompanied by a phenomenon known as denial—a refusal to admit the truth or reality of the condition. With denial, a person with alcohol use disorder has impaired insight into their condition. Denial is a common symptom of alcohol use disorder and it can keep the person from seeking treatment. Friends and family members can also become involved in denial. Signs of Denial in Alcoholism Honesty is often the first thing to go in the course of alcohol use disorder. The drinker simply lies about his drinking—to himself and others. These lies take several forms of denial behavior. Blame: The alcoholic blames his drinking on other people, situations, or bad luck. "She makes me so mad I have to have a drink." "If my job wasn't so frustrating, I wouldn't need a drink." "It's just bad luck that the cop stopped me after I left the bar."Concealing: The alcoholic begins to hide his drinking from others and deny that he is drinking when they ask him about it. "No, that's just breath freshener you smell." "Yes, I stopped at the bar, but just to say hi to the guys."Defensiveness: The alcoholic defends his drinking as a choice. "It's my body and my life, it's nobody else's business."Dismissing: The alcoholic refuses to talk about his drinking or dismisses it as not a real problem. "Let's not talk about this now, okay?" "Stop nagging me about drinking."False agreement: The alcoholic agrees that he has a problem and to take action, but never does. "Yeah, I need to cut back." "This is my last drink."Making comparisons: The alcoholic may excuse his drinking to himself or others as being a normal pattern or not as excessive as another person's. "I don't drink as much as Charlie, and he's not having any problems." "At least I'm not drunk all day like my dad was."Rationalization: The alcoholic explains his excessive drinking in a way that makes it more acceptable. "I only had two." "I haven't had a drink in a week." Development of Denial The alcoholic covers up and denies his drinking out of his own feelings that there is something different or "wrong" about it. Somewhere inside he realizes that his drinking means more to him that he is willing to admit. Alcohol use disorders damage the brain, resulting in worsening denial and compromising insight regarding the illness. A Defense Mechanism As the disease progresses and his drinking begins to cause real problems in his life, remarkably the denial likewise increases. Drinking sprees can create problems at work, relationship losses, or even arrest for driving while impaired, but the alcoholic denies these problems have anything to do with drinking. Some say this is purely a defense mechanism. How is this possible? Usually, by the time the disease has gotten to the crisis point, a person with alcoholism has developed a support system of family and friends who unwittingly enable him to continue in his denial. They can display secondary denial, making similar excuses for the drinking and its consequences. How Does Denial Affect Addiction? Protecting the Alcoholic Family and friends often protect their loved one by covering for them, doing the work that they don't get done, paying the bills that they don't pay, rescuing them from their scrapes with the law, and generally taking up the responsibilities they have abandoned. He can't come to work today, he's got a virus.We've got to get him out of jail; he'll lose his job—then what will we do?It was my fault, officer. I said some things I should not have said. If you or a loved one are struggling with substance use or addiction, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. Rescuing By doing these things, family and friends are protecting the alcoholic from the consequences of his actions. The alcoholic never experiences the pain caused by his drinking. It's as if they are putting pillows under him and he is never hurt by his fall. How to Know if You're Enabling an Addict Although drinking has placed him in a helpless and dependent position, the alcoholic can continue to believe he is still independent because he has been rescued from his troubles by his well-meaning family, friends, co-workers, employers, and sometimes clergymen and counselors. Secondary Denial The roles these enablers play to "help" the alcoholic can be just as obsessive and harmful as the alcoholic's drinking, which many times is a subject of denial for the alcoholic's loved ones. With these enabling devices in place, an alcoholic is free to continue in the progression of his disease, with his denial intact, until he hits bottom, at which point even the most dedicated drinker must finally admit there is a problem. But there is no way for him to ever hit bottom when it's always covered with pillows. There are self-assessments that can help you determine if you have been enabling an alcoholic. How to Stop Enabling an Alcoholic or Addict 2 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Dibartolo MC, Jarosinski JM. Alcohol Use Disorder in Older Adults: Challenges in Assessment and Treatment. Issues Ment Health Nurs. 2017;38(1):25-32. doi:10.1080/01612840.2016.1257076 Carvalho AF, Heilig M, Perez A, Probst C, Rehm J. Alcohol use disorders. Lancet. 2019;394(10200):781-792. doi:10.1016/S0140-6736(19)31775-1 Additional Reading Tracey J. The mind of the alcoholic. J Am Coll Dent. 2007;74(4):18-23. Walvoort SJ, van der Heijden PT, Kessels RP, Egger JI. Measuring Illness Insight in Patients With Alcohol-Related Cognitive Dysfunction Using the Q8 Questionnaire: A Validation Study. Neuropsychiatric Disease and Treatment. 2016;12:1609-1615. doi:10.2147/NDT.S104442. By Buddy T Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Get Treatment for Addiction Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.