What Causes Alcoholism?
In This Article
Alcoholism is a complex condition influenced by various factors. It isn’t a moral failing but a disease with deep roots in our biology and social experiences.
By understanding the different factors at play, we can approach alcoholism with empathy and empower people to make informed choices about their health. Let’s discuss more about the causes of alcoholism.
Does Genetics Cause Alcoholism?
Just as we inherit eye color and height from our parents, we can also inherit predispositions that can make us more susceptible to alcohol dependence. If alcoholism runs in your family, you might carry a higher risk.
This doesn’t mean your future is predetermined, but it’s important to be mindful of your family history and take proactive steps to protect your health. Specific genes can also influence your relationship with alcohol.
Some genes affect how quickly your body metabolizes alcohol, impacting your tolerance and making you more or less likely to experience its pleasurable effects. Other genes may contribute to personality traits like impulsivity or risk-taking, which can also increase the likelihood of problematic drinking.
How Does Brain Chemistry Influence Alcoholism?
Alcohol has a powerful effect on the balance of chemicals in our brains, particularly those involved in reward and pleasure. When you drink, your brain releases a surge of dopamine, a neurotransmitter associated with feelings of joy and satisfaction.
Over time, repeated alcohol use can alter the way your brain functions, making it difficult to quit even when you want to.
Our brains can become “wired” for alcohol, craving that dopamine rush and experiencing withdrawal symptoms when it’s absent. This dependence is a biological response to repeated exposure to alcohol.
Can Childhood Experiences Lead to Alcoholism?
While biology lays the groundwork, alcoholism can also develop from the experiences we have. Childhood and the messages we receive from society play a powerful role in shaping our relationship with alcohol.
Perhaps you grew up in a household where alcohol was consistently present at celebrations or used as a way to unwind after a long day. Maybe you witnessed a loved one struggling with alcohol dependence. These early experiences can shape our beliefs and attitudes about alcohol, setting the stage for potential problems later in life.
Trauma can also leave deep scars that increase the likelihood of addiction. When faced with difficult experiences like abuse, neglect, or loss, some turn to alcohol as a way to cope with pain. Unfortunately, this coping mechanism can easily spiral into alcoholism.
How Does Early Exposure Lead to Alcoholism?
Research shows that the risk for alcoholism increases when a person is exposed to alcohol at a young age. The substance can significantly impact a developing brain, which can be a concern well into the mid-twenties.
Young people are more susceptible to peer pressure and messages in advertising. In college, they’re exposed to the additional risk factor of binge drinking. According to the NIAA, 9% of college students meet the criteria for alcoholism.
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How Does Society Worsen Alcoholism?
Addiction is often shrouded in shame and judgment, making it difficult for people to seek help. The fear of being labeled an “alcoholic” or being ostracized by loved ones can prevent people from reaching out for the support they need.
This stigma also perpetuates misconceptions about addiction, portraying it as a personal weakness rather than a complex disease.
The Connection Between Mental Health and Alcoholism
Mental health concerns can lead someone to self-medicate with alcohol, seeking temporary relief. However, excessive alcohol consumption can worsen existing mental health issues or even trigger new ones.
Roughly 37% of people misusing alcohol have at least one serious mental health condition. Mental health conditions commonly associated with alcoholism include:
- Post-traumatic stress disorder (PTSD)
- Depression
- Bipolar disorder
- Anxiety
- Attention-deficit/hyperactivity disorder (ADHD)
- Antisocial personality disorder
- Obsessive-compulsive disorder
- Schizophrenia
The co-occurrence of alcoholism and mental health issues can make both diagnosis and treatment more difficult. Symptoms often overlap as both conditions can present with mood swings, sleep problems, and emotional distress.
Alcoholism and mental health disorders can share genetic and environmental risk factors. These include similar brain pathways and exposure to stressors like trauma or a difficult childhood. When both are treated together, recovery outcomes improve significantly.
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Strategies for Support and Recovery within Families
When alcoholism affects a family member, helplessness and even anger are natural. It’s important to remember that there are ways to navigate this difficult situation and foster an environment that supports recovery.
We’ve listed support strategies people can use for support and recovery:
- Learn about alcoholism: This is a complex disease that affects the brain and behavior. Education can help you approach with compassion.
- Create safe spaces: This may involve removing alcohol from the house and encouraging healthy activities that don’t revolve around drinking.
- Maintain open communication: Let your loved one know that you’re there for them without enabling their behavior.
- Join support groups: Al-Anon can provide a safe space to share experiences, learn from others, and gain valuable coping strategies.
- Take care of yourself: You can’t pour from an empty cup. Prioritize your well-being and seek therapy or support groups if needed.
Recovery is a journey, not a destination. There will be setbacks and challenges along the way, but with patience, understanding, and unwavering support, families can play a vital role in helping their loved ones reclaim their lives from the grips of alcoholism.
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- “Alcohol use disorder.” Mayo Clinic, 2022.
- Dryden, Jim. “Trauma Increases Risks for Alcohol Problems in Women – the Source – Washington University in St. Louis.” The Source, 2011.
- Witt, E.D. “Research on Alcohol and Adolescent Brain Development: Opportunities and Future Directions.” Alcohol, 2010.
- “Dual Diagnosis: Substance Abuse and Mental Health.” HelpGuide.org, 2024.
- “Harmful and Underage College Drinking.” National Institute on Alcohol Abuse and Alcoholism, 2022.
- Puddephatt et al. “Associations of common mental disorder with alcohol use in the adult general population: a systematic review and meta‐analysis.” Addiction, 2022.
- Shivani et al. “Alcoholism and Psychiatric Disorders.” Alcohol Research & Health, 2002.