Alcoholism is a disease characterised by continuous heavy drinking. Until people with alcohol use disorder admit to problems with alcohol and stop drinking, the risk of alcohol use disorder continues which affects both physical and mental health.
Alcohol starts to injure the brain once it reaches the bloodstream.
Excessive consumption can lead to Alcohol-Related Brain Damage, or ARBD, which is a type of brain disorder caused by alcohol consumption. Brain shrinkage caused by alcohol abuse is permanent, as alcohol kills brain cells and grey matter.
For more information and effects click ‘Learn More’.
Family Recovery Compass is a newsletter for friends and family members who feel trapped between supporting a loved one in addiction, and protecting their own wellbeing.
Every week, we tackle one specific situation in addiction family dynamics, and deliver practical decision-making frameworks and exact dialogue scripts – that help you respond with confidence instead of reaction.
Every month, we bring you an unfiltered recovery conversation with someone who’s either experienced addiction firsthand, or works closely with those in recovery.
No sanitised success stories – just practical insights on what actually works in recovery, that you can apply, in your life too.
Recovery capital is the internal and external resource used to begin the recovery process and maintain sobriety. This combines personal, social, and community support to provide a joined-up approach that supports the addict through recovery.
Do you or a loved one need addiction treatment for alcohol or drugs? Thousands blindly walk into addiction treatment in expensive rehab centres and find that the reality doesn’t meet expectations.
If you’re considering rehab treatment, first check our ultimate guide for complete instructions on how to find the right rehab centre for you.
Take-home Naloxone kits help families and loved ones respond quickly in an opioid overdose emergency, until emergency services arrive. Kits contain nasal or injectable forms of Naloxone.
Changes in legislation mean Naloxone kits are now more widely available from pharmacies and drug services, including Abbeycare.
For additional information, click ‘Learn More’ below.
Overcoming alcohol addiction means first ceasing alcohol intake, and taking care of physical and chemical withdrawal symptoms.
Detoxing from alcohol means undergoing withdrawal from alcohol, but with the assistance of prescribed medication and detox phase, to substitute in place of the alcohol itself.
Alcohol rehab focuses on tackling the problems underneath alcoholism, such as grief, trauma, depression, and emotional difficulties, in order to reduce continuing drinking after treatment.
Inpatient services at an alcohol rehab programme provides 24 hour access to specialist care.
Alcohol home detox provides a means of semi-supervised addiction treatment in the comfort of your home. It’s often suitable for those with inescapable practical commitments, or where a reduced budget for treatment is available.
An at-home detox is the most basic detox option available from Abbeycare, and assumes you have support available, post-detox, for the other important elements of long-term addiction recovery.
The term alcoholism refers to the consumption of alcohol to the extent that the person is unable to manage their own drinking habits or patterns, resulting in side-effects that are detrimental to the quality of life and health of the alcoholic, or those around them.
An alcoholic is someone who continues to compulsively abuse alcohol in this way, despite the negative consequences to their lives and health.
Immediately following treatment, the early stages of recovery and abstinence are most vulnerable to lapses.
At Abbeycare, a structured and peer-reviewed aftercare plan is usually prepared whilst still in treatment. This comprises social, peer, and therapeutic resources individuals draw upon, following a residential treatment programme for drug or alcohol misuse.
Clinically managed residential detoxification is:
– A structured detox that uses medication-assisted treatment and regular physical health observations
– Takes place in an inpatient rehabilitation unit or hospital
– Typically lasts from 7-10 days, but in Abbeycare, it is incorporated into a 28-day rehab programme
Family Therapy at Abbeycare Scotland or Gloucester is realistic, compassionate, and appropriate for families and loved ones of addicts.
Family therapeutic interventions in residential rehabilitation have been designed to support those living with or caring for participants entering the Abbeycare Programme.
Support for families in a group setting allows for a safe, constructive, and confidential place to listen and share common experiences.
Inpatient rehab is drug and/ or alcohol treatment in a rehab centre, where patients remain on-site for the duration of inpatient rehabilitation.
It includes detoxification from drugs, therapy (group work and 1-2-1 sessions), and aftercare planning. Inpatient rehabs typically last 28 days, but this varies on an individual basis.
Long-term treatment at Abbeycare has been developed for those suffering from alcohol or drug addiction. Completing a long-term drug and alcohol inpatient programme may be the solution to problematic substance use.
Motivational Enhancement Therapy can be used by trained addiction recovery therapists to elicit internal changes within and promote long-term recovery from substance use disorder.
All the answers to addiction can be found within with this comprehensive and successful therapy concept leads to behavioural changes, reflective listening, self-motivational statements, and a comprehensive recovery process.
Outpatient drug or alcohol rehab is daytime treatment as opposed to living in a treatment facility.
Outpatient treatment is similar to inpatient in terms of the methods used to treat substance abuse. Where they differ is in their approach to recovery.
Abbeycare’s prison to rehab is a 12-week structured rehab programme which involves direct transfer from prison. The suitability of the candidate is decided by prison staff.
Short-term residential treatment programmes are the chance to press the reset button and access a therapeutic programme designed to create recovery from the use of alcohol and drugs.
Feeling stuck in a rut. Want to stop but can’t seem to achieve sobriety?
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The 12-step programme was created by alcoholics anonymous (AA), and is specifically designed to aid addicts in achieving and maintaining abstinence.
The central ethos behind the programme is that participants must admit and surrender to a divine power to live happy lives. Ideas and experiences are shared in meetings, and help is sought in an attempt to achieve abstinence.
Abbeycare’s policy to respect your privacy and comply with any applicable law and regulation regarding any personal information we may collect about you, including across our website and other sites we own and operate.
Celebrate wins by providing external motivation to cement the drinker's behavioural changes (e.g. highlighting positive outcomes of sobriety, offering rewards for achieving sobriety milestones) [2]
Reframe beliefs about alcohol by changing meaning of previous experiences around alcohol
Avoid enabling or protecting the drinker from negative consequences
Maintain boundaries
Avoid prioritising the drinkers' needs above own needs [1]
Prevent An Alcoholic From Drinking By Identifying Triggers
Psychological Triggers
Prevent an alcoholic from drinking by identifying the following psychological triggers:
Worsening symptoms of mental illness or new mental illness
Signs or symptoms of trauma - exhaustion, anxiety, anger, dissociation, and flashbacks [3]
Repeated isolation/ loneliness
Using this knowledge tackles this underlying trigger by:
Initially tackling symptoms of mental illness before attempting to stop drinking
Knowing the alcoholic's triggers allows family members to intervene during signs of emotional relapse, before physical relapse can occur
Environmental Triggers
Prevent an alcoholic from drinking by identifying the following environmental triggers:
Times or places where the addict typically drinks
Individuals that the alcoholic typically drank with
Unemployment/excessive unstructured time
Using this knowledge tackles this underlying trigger by:
Encouraging the drinker to develop relevant coping mechanisms for triggers to avoid drinking
Helping the drinker to reduce stress without the family members taking responsibility for drinking behaviours
Creating a structured routine that results in the drinker taking focus away from drinking
Conditionings & Associations
Prevent an alcoholic from drinking by identifying the following conditionings and associations:
The drinker has positive associations with drinking environments - are more elated after drinking
Using alcohol as a coping mechanism - drinking more after a difficult day or due to boredom
Using this knowledge tackles this underlying trigger by:
Challenging positive associations by reminding the alcohol addict of negative consequences of alcohol (e.g. hangovers, loss of employment, legal issues, etc)
Substituting alcohol for more functional coping mechanisms
Reinforce Positives
Celebrate Wins
Celebrating wins helps to stop those with alcohol use disorders from drinking by:
An external recognition of success that the drinker can focus on, breaking down sobriety into manageable steps
Providing external motivation cements positive feelings from celebrating wins, endorsing a greater commitment to long-term change [2]
Recognise When Ready For Sobriety
Characteristics That Indicate An Alcoholic Is Ready For Sobriety
How To Recognise As Readiness For Sobriety
How Does This Stage Of Readiness For Sobriety Stop An Alcoholic From Drinking
Hepatic health issues
Increased hospital/doctor visits, jaundice, ascites or sclera, increased rate of health issues
Physical acknowledgement of negative consequences of alcoholism and realisation that drinking must stop
Legal consequences
Fines, points on licence, drink driving offences, drinking being paused due to this
Reaching a low point that temporarily shocks the alcoholic into stopping drinking
Setting boundaries
Removing themselves from enablers, codependency, or environments that lead to drinking
Voluntarily and consciously setting boundaries allows pre-contemplation to progress towards actively stopping drinking
Acknowledging alcohol dependency
Will momentarily admit to being an alcoholic/ having an alcohol dependency in conversations with family, friends, or medical professionals
Breaking down patterns of denial incrementally allows the alcoholic to be more open to treatment options
Being realistic
Being aware that relapse may occur and recovery presents challenges, but still being committed to sobriety
More likely to enter into long-term recovery if aware of the challenges and potential for relapse, and still believing recovery is possible if pre-framed around relapse challenges
Making plans for future sobriety
Increased frequency of mentioning and researching treatment options, considering residential rehab facilities/ treatment in the community (appropriate to circumstances)
Considering treatment fosters the alcoholic’s progress from pre-contemplation to actively seeking treatment, stopping drinking
Taking responsibility
Accepting that the alcoholic has caused harm to life and hurt others around the alcoholic
Self-forgiveness for actions in the past brings end to past shame and encourages starting recovery journey
Track Sober Time
Tracking clean time helps to stop an alcoholic drinking:
Gives the alcohol addict motivation after relapse to regain previous clean time
Highlights patterns of recurring triggers and causes of relapse, allowing appropriate coping mechanisms to be put in place
Providing positive reinforcement for addicts who have experienced negative reinforcement from life outside of alcohol - providing extrinsic motivation
Drinking can be tracked through apps - providing a variable schedule of reinforcement at incremental stages [4]
Encourage Accountability
Encouraging accountability helps to stop an alcohol addict from drinking by:
Acknowledging personal powerlessness over alcohol, as part of the 12 steps
Discourages the drinker from shifting blame and interrupts continuing patterns that underlie drinking
Identifying trigger thought patterns, that may escalate into relapse
Viewing alcohol addiction as a disease encourages family to think of alcohol misuse recovery as an ongoing process
Avoid using preconceived stereotypes about addiction to judge the drinker; instead putting a practical, realistic plan in place
Using family members new understanding of alcohol disorder to set realistic boundaries, that when enforced by the family members, encourages the alcoholic to continue on recovery pathway
Be Prepared For Relapse To Stop An Alcoholic From Drinking
During the process of recovery, relapse is likely to occur.
This does not mean that the drinker will never recover, or has lost motivation to recover.
To help an alcoholic stop drinking by being prepared:
Identify if this is a pattern of addiction that the drinker was previously unaware of? Consider if this a recurring issue that requires changing the meaning of core beliefs in therapy or counselling
Reminding the addict of previous progress by keeping a diary of previous successes
When an alcoholic relapses, family members should avoid taking responsibility for their recovery as it is important that the drinker overcomes co-dependency on others and resolves underlying beliefs of drinking patterns alone.
Discourage Patterns Of Drinking By Eliminating Enabling
Family members can eliminate enabling by avoiding:
Financial support without expectation of repayment - alcoholic has to accept financial consequences of actions rather than lose access to alcohol as a coping mechanism
Rationalising negative consequences - forces the drinker to face the denial that perpetuates drinking patterns
Prioritising drinker's needs above their own - interrupts the schedule of addiction and shows the addict that their needs will not be prioritised [6]
CRAFT Method
The craft method helps to stop an alcohol addict from drinking by:
Helping the family members to take care of themselves, to provide the necessary support to stop the alcohol addict from drinking
Encouraging family members to positively reinforce attempts to seek help
Advising to approach the alcoholic non-confrontationally, even if they do not want to seek help [7]
Establishes alternative coping mechanisms before removing alcohol as a coping mechanism
The drinker becomes aware of the support that is available during future recovery attempts, helping to corroborate the belief that recovery is possible
Being able to take an active role in the recovery journey by choosing the resources that are most effective for their own recovery personally
Resources
Mutual aid groups - learning from others' experiences and successes fosters accountability and reduces isolation
Specialist recovery groups - (e.g. sober social clubs, art therapy workshops, sober gardening groups, etc) ability to connect with others through shared experience
Self-help worksheets - taking personal accountability for patterns of addiction
12-step programmes - breaking down alcohol use disorder into manageable recovery steps to follow with group accountability [8]
Engaging in therapy - working through underlying causes of drinking [9]
Online meetings and forums - accessible and available support at all times, able to try different forms of meetings without travel restrictions [10]
How To Stop An Alcoholic From Drinking Across Different Settings
Homelessness
Homelessness changes normal guidance on how to stop an alcohol addict from drinking:
Immediate needs must be resolved before attempting recovery (e.g. food, shelter, and medical needs) compared to regular living circumstances
Previous lack of access to care and suffering from comorbid conditions (e.g. mental health disorders, AIDS, polydrug use, physical trauma, etc) mean recovery is more complex than regular living circumstances
Blood-borne viruses (e.g. Hepatitis B, Hepatitis C, and HIV) require medical attention before integrating into addiction programme
Support programmes are needed alongside addiction treatment due to previous stigma and lack of other support systems [11]
Initially focusing on changing relationships from enabling to productive help that enforces boundaries and allows taking responsibility
Social workers/ medical professionals informing both family members and drinker about unconscious behaviour or family member's mental health problems causing enabling
Social workers/ medical professionals informing the drinker about consequences of and severity of alcoholism, even if enabling has protected them from consequences [12]
Functioning v Dysfunctional Alcoholic
Being a functioning drinker changes normal guidance on how to stop an alcohol addict from drinking:
Removing pre-existing denial and rationalisations that are maintaining functional behaviours
Highlight that control over drinking is not sustainable and treatment is needed [13]
Extreme Denial
Being in extreme denial changes normal guidance on how to stop an alcohol addict from drinking:
Breaking patterns of denial through intervention before attempting treatment, as otherwise the drinker will either refuse treatment or be unsuccessful in treatment due to residual coping mechanisms
Drinkers in extreme denial are more likely to react negatively when challenged, family members having expectations of this are emotionally inoculated from being offended
Expect recovery timescales to be longer for drinkers in denial as the underlying belief system is strong and the drinker truly believes they do not have a drinking problem
Serial Relapsers
Being a serial relapser changes normal guidance on how to stop an alcohol addict from drinking:
Allows creating or updating a relapse prevention plan that is informed by previous relapse causes and triggers
Preventing a slip from progressing to a full relapse by having multiple points of contact
If a serial relapser's fear of withdrawals is causing continued drinking, providing reassurance that detox is comfortable physically
Social Isolation
Being socially isolated changes normal guidance on how to stop an alcohol addict from drinking:
Organising alternative support systems to substitute for social support before attempting recovery
Finding an alternative way to be held accountable for sobriety using alternative resources (e.g. online sober trackers, AA sponsors, online support groups and self-help worksheets)
Early indicators of alcohol dependency (e.g. drink driving, increase in usual intake, secret drinking, warnings at work about drinking, etc) that the drinker ignores
Having previously promised to stop drinking and failed [17]
Intervention At The Point Of Crisis
Indicators that intervention at the point of crisis is the most appropriate method to help an alcohol addict stop drinking are:
Being later in the alcohol dependency timeline than those requiring family intervention - no longer able to maintain a job or other responsibilities
Being in complete denial about the negative consequences being as a result of alcohol dependency
Refusing to go to rehab
Rehab
Rehab with a therapeutic programme is the most appropriate option when:
The drinker has had multiple failed attempts to quit drinking - especially detox unassisted or in the community
Triggered by local environments or are being enabled by those around them
Have previously disengaged from a treatment programme or left treatment early
In The Community
Treatment in the community is the most appropriate option when:
The drinker has work, childcare, or adult caring responsibilities
The drinker has co-occurring chemotherapy, dialysis, or physical therapy commitments that cannot be completed alongside inpatient treatment
Free from being triggered by living environment or being enabled
Alcoholism is diagnosed as mild to moderate
It is the first time that the drinker is seeking treatment
The patient does not experience trigger situations between home and an outpatient treatment centre
About the author
Harriet Garfoot
Harriet Garfoot BA, MA has an Undergraduate degree in Education Studies and English, and a Master's degree in English Literature, from Bishop Grosseteste University. Harriet writes on stress & mental health, and is a member of the Burney Society. Content reviewed by Laura Morris (Clinical Lead).