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?
Click below.
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.
Seek professional assistance to resolve physical cravings [1]
Avoiding Cravings vs Resolving Cravings
Avoidance and distraction techniques, or urge surfing (observing and describing urges without reacting) are commonly suggested to avoid cravings [2].
Whilst this may help resolve short-term cravings, this is not a long-term resolution and can lead to:
Unhelpful self-talk
Associations to triggers that reduce ability to overcome cravings in the future
This is especially true when dealing with intrusive cravings.
Dealing With Triggers In The Short Term vs Long Term
Continual short-term avoidance of known triggers is not viable in the long term as:
Continual conscious attention to triggers can exacerbate anxiety associated with them
Consciously overcoming triggers using affirmations or reinforcing beliefs is time and labour intensive
Practically, avoiding triggers is not always possible during day-to-day life activities
Whereas, taking action to resolve triggers for the long term means:
The need to consciously react to trigger situations is eliminated
Day to day life is no longer consumed by fears of being triggered
Stopping Emotional Cravings vs Physical Cravings
Emotional cravings are the result of psychological associations and conditionings that occur during periods of drinking [3].
Whereas, physical cravings are created as a result of withdrawal symptoms and deficits in neurotransmitters and receptor sites in the brain [4].
Differentiate between the two types before attempting to resolve either.
Physical cravings cannot be overcome alone, professional assistance to detox is required.
How To Stop Emotional Cravings For Alcohol
Separate Intention From Behaviour
Where the trigger involves another person:
Identify the trigger situation in the external world
Identify and emotionally separate, the behaviour that you saw in the external world, from the intention the individual had
Question any negative assumptions held - is it really likely or true that the individual had a negative intention? [5]
Separate Meaning From Events
Where the trigger involves a situation, or circumstance:
Identify the trigger situation in the external world
Identify the conclusion or meaning you arrived at, which ultimately causing cravings
Consider whether this conclusion is really true
Anything existing in the outside world has a colour, shape, and location in space. Consider where in the world is your conclusion? What colour is the conclusion?
Is it clear that the meaning you gave the event is NOT in the outside world, and therefore does not exist?
Remember that an event in the outside world means nothing about you as a person [6]
Recall Negative Consequences
Recognise consciously that the craving is occurring
Consider that alcohol is just one of many possible reactions to this issue
Consider the short term negative consequences that arose, when giving in to alcohol cravings in the past
Consider the very long term negative consequences and knock-on effects, as a result of deciding to drink in the past
Turn to a more suitable resource, to deal with the trigger situation more appropriately
Improve and add to this more positive resource, for future triggers.
Understand That Alcohol Did Not Fix Anything
Acknowledge that whilst alcohol may have functioned as an escape in the past, it did not fix any issues
Consider whether drinking really fixed the underlying situation
Consider whether drinking helped overcome or resolve your responsibility in the situation
Consider whether drinking was useful in this situation [7]
Identify Your Why
Write down - in detail - bigger picture reasons and rationale for quitting drinking
Recall, visualise, and relive these reasons when experiencing cravings
Find An Alternative Way To Address The Need/Stressor
Plan ahead to find alternative ways to overcome triggers, without using alcohol as a coping mechanism:
Trigger
Underlying Issue
How to Resolve
Negative association
Recurrence of previous negative events - leading to alcohol relapse
Collapse underlying beliefs and meanings attached to previous events
Positive association
Trying to recapture positive feelings from previous alcohol use
Challenge the positive meaning attached to previous experiences with alcohol
Environmental cue
Being at parties, bars etc where alcohol is normalised
Consciously recognise craving. Remember that drinking doesn't fix issues. If unable to tolerate, leave.
Conditioning
Previous drinking paired with specific environments or times - causing cravings at those times/places.
Plan ahead of time or environment. Be aware of triggers and implement positive coping mechanisms [8].
Trauma
Association to old trauma being re-triggered
Recognise trauma is causing craving. Separate trauma from the conditioning/meaning attached via CBT [9].
Identify And Resolve The Underlying Beliefs
When considering a previous occasion of feeling triggered to drink, write down:
What is the feeling that's not there, that then appears, when you did decide to drink?
What is the feeling that's not there, that then appears, when you decided NOT to drink?
For both versions, look for beliefs about self, that surface, e.g. I'm good enough, I'm worthy, what I say matters, etc.
If having a drink results in feelings of "I'm good enough again", or "I'm important now", is it clear that these point to underlying beliefs of "I'm not good enough" and "I'm not important"?
And is it clear that if these beliefs were resolved, there would be no need to turn to a coping mechanism, like alcohol?
This is what we help our clients identify, every day, in our Scotland and Gloucester clinics.
Always address the core underlying beliefs with professional therapeutic assistance.
How To Stop Physical Cravings For Alcohol
Acknowledge that cravings resulting from physical withdrawal/dependence on alcohol are more dangerous than emotional cravings, due to brain normalisation of neurotransmitter levels [10]
Be aware that professional help must be sought for physical cravings, and that these must never be tackled without professional assistance
A cravings plan could be considered to be a mini aftercare plan, that tackles only cravings
A cravings plan replicates the same approach as an aftercare plan (including identifying a personal need for alcohol, setting up supports in advance and creating a long-term plan) but addresses only cravings
Being confronted by a situation initiating cravings compromises clear thinking, and our ability to access help, in that moment.
Therefore, a cravings plan should be as detailed as possible to make it easy to follow through at the point of crisis, and describe:
Clear directions of what to do when experiencing a specific craving for alcohol
Previously successful coping mechanisms
Telephone numbers for relevant support channels
Trigger
Support
Long Term Plan
Contact from social services re access to children - fear they will be taken away
Contact therapist, sponsor or in-person/ online parents in recovery groups
Demonstrating sobriety to improve access to children - using a drinks diary and keeping contact with ADP key worker
Manager unhappy with work quality - fear of losing job
Therapy, self-help CBT worksheets or employee counselling
Breaking old associations and beliefs through therapy - remembering work was not the problem, alcohol was
Previous drinking habits and routines - drinking associated with specific times or places [11]
Contact sponsors or therapists - self-help worksheets to identify triggers
Changing environments or using distraction techniques at specific times/ places until habits and routines are broken
Persistent Cravings Over Time
When emotional or psychological cravings have persisted over long time periods, consider:
Seeking professional therapeutic CBT or counselling
Using self-help worksheets or CBT/DBT to challenge the beliefs, conditions and associations of cravings [12]
Seeking private addiction specialist treatment
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).