Addiction Alcohol Use Binge Drinking Your Relationship With Alcohol Guide Your Relationship With Alcohol Guide Overview Where to Start Take a Quiz What Is Alcohol Use Disorder? Understanding Risks Types of Alcohol Problems How Much Is Too Much? Risks of Binge Drinking What Is a Problem Drinker? Myths About Alcohol Modification Tips What Is Sober Curious? How to Be Social While Quitting Drinking How to Say No to Alcohol Sobriety Support What Is Recovery? Benefits of Recovery Tips to Stay Sober What Is a Problem Drinker? 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 January 05, 2021 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 ljubaphoto / Getty Images Table of Contents View All Table of Contents About Alcohol Use Disorder Symptoms Tips for Cutting Back Getting Help Next in Your Relationship With Alcohol Guide 8 Facts About Drinking Alcohol Many people fall into the category of "problem drinker" but what does this label mean and how can it help you understand your relationship with alcohol? A "problem drinker" is not an official diagnosis, but a phrase used to describe people who misuse alcohol but don't necessarily need medical treatment, peer group support, or a spiritual awakening to stop or modify their drinking patterns. Often, having a sufficient reason to cut back—or a particularly embarrassing or frightening experience caused by drinking—is enough to signal a problem drinker to self-correct. Many one-time heavy drinkers merely "grow up" and change their behaviors. 1:34 Watch Now: 5 Health Problems That Can Be Caused by Excessive Drinking How It Compares to Alcohol Use Disorder If you have an alcohol use disorder (AUD), on the other hand, all the willpower and self-resolve is often not enough. Despite repeated attempts, a person with an AUD will likely not be able to curtail or quit drinking without outside help from a healthcare professional, addiction counselor, or self-help program or recovery program such as Alcoholics Anonymous (AA). Labels aside, the biggest reason for understanding whether you are a problem drinker versus someone with a mild AUD is knowing when and how to get help. If left unchecked, alcohol misuse can have short- and long-term consequences on your relationships, job, finances, and overall physical and mental health. 8 Facts About Drinking Alcohol Symptoms One of the first steps in understanding your relationship with alcohol is learning how much alcohol is too much. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines the guidelines for low-risk drinking as follows: Men: Four or fewer standard drinks on any single day and fewer than 14 drinks during a given week Women: Three or fewer standard drinks a day and no more than seven drinks per week for women If you're regularly exceeding these amounts, you could be putting your health and well-being in jeopardy as well as increasing your risk of an alcohol use disorder. Honestly answering the following question is a great first step toward figuring if you need to cut back on your drinking or seek help for a mild, moderate, or severe AUD. Do you have a family history of alcohol problems?How much time do you spend each day and each week drinking?Does alcohol occupy a lot of your time (buying it, drinking it, recovering from the effects)?Has your tolerance changed? Do you need to drink more to achieve same desired effects?Do you often drink more than you planned to drink?Do you ever get an urge to drink or craving for alcohol?Has your drinking ever caused an embarrassing situation?Does your drinking ever put you in a risky or dangerous situation?Has the effects of alcohol ever caused you to miss work or school?Is drinking impacting your ability to care for your family?Is drinking impacting your sleep or mood?Have you ever tried to cut back on drinking? If so, were you able to do it?Do you experience signs of withdrawal, including trouble sleeping, shakiness, restlessness, nausea, sweating, and a racing heart, when the effects of alcohol wear off. Keeping a daily drinking diary, which includes how much you drink and the reasons you're drinking, can also help you identify any problematic patterns. Could You Have an Alcohol Abuse Problem? Tips for Cutting Back Ultimately, it's up to you to weigh the pros and cons of your drinking. Consider taking some time to think about how improving your relationship with drinking could have a positive impact on your life. Would it benefit your health, relationships, or career? Would you lose weight, be more productive, or save money? Now, think about the reasons why you might not want to change your drinking patterns. If you think that you are a problem drinker, and you would sincerely like to cut back or quit drinking, the NIAAA has some tips and tools that might be helpful, including a questionnaire to help determine if you are drinking too much and a tool for setting personal goals. Here is a sampling of some of the tips from the NIAAA on cutting back on drinking: Set drinking goals. Designate which days of the week you can and can't drink, and how many drinks you'll have on those days.Don't stock up on alcohol. Only buy limited amounts based on your personal drinking goals.Drink slowly. Make sure you have no more than one drink per hour. You can also slow down your consumption by having a full glass of water in between drinks.Practice saying no. If you plan to cut back on your drinking, there will be likely times when you'll have to turn down a drink. Having a polite, convincing "no thanks," ready will make it easier to stick to your resolve.Seek out healthy alternatives. Try new activities and hobbies to replace the time you spend drinking or recovering from drinking. Get Advice From The Verywell Mind Podcast Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast shares strategies for coping with alcohol cravings and other addictions, featuring addiction specialist John Umhau, MD. Follow Now: Apple Podcasts / Spotify / Google Podcasts Getting Help Giving up alcohol without medical intervention ("going cold turkey") can be dangerous for people who drink frequently and heavily. If your body has become chemically dependent on the substance, you should get help. Even if you haven't yet developed a physical dependence but have trouble cutting back or quitting alone, there is no shame in seeking medical guidance and support. There are even medications, including Naltrexone, that can help quell your desire to drink. There are plenty of resources available to help give you tools as you work to remedy your problem drinking and develop a healthier relationship with alcohol. 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. Best Online Sobriety Support Groups 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. National Institute on Alcohol Abuse and Alcoholism. Alcohol Use Disorder. National Institute on Alcohol Abuse and Alcoholism. Rethinking Drinking. U.S. Department of Health and Human Services. 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? 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