This article discusses the history of the term ETOH abuse, its symptoms, diagnosis, adverse health effects, and treatment options.
History of the Term ETOH Abuse
In 2013, the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published. The new edition combined the terms alcohol dependence and alcohol abuse into a single disorder called alcohol use disorder (AUD) which was broken down into three subtypes: For more mental health resources, see our National Helpline Database. Although the term ETOH abuse has been integrated into alcohol use disorder, it is helpful to understand the original definition of ETOH abuse.
ETOH Abuse Symptoms
The symptoms of ETOH abuse have an immediate effect compared to the symptoms of severe AUD which tend to be prolonged. However, the symptoms of each can overlap. Some physical symptoms of ETOH abuse include:
Blacking out after excessive drinkingHaving trouble concentratingHaving difficulty controlling body movementsSlurred speechHaving memory gaps and not remembering what happenedHaving problems making decisionsExperiencing hangovers after drinkingExperiencing slowed reflexes
In cases where the blood alcohol level is very high, it can cause breathing issues, coma, alcohol poisoning, or death.
Diagnosing ETOH Abuse
Alcohol abuse refers to excessive drinking. There are different criteria for males and females. For males, heavy drinking is defined as drinking more than four drinks per day or more than 14 per week. Binge drinking is defined as having five or more drinks in two hours.
Consuming ETOH while pregnant Choosing to drink even though it is causing problems with school, relationships, work and health Drinking to cope with adversity, stress, or to numb difficult emotions Driving while drunk Participating in high-risk activities while drinking Drinking under the legal age limit Consistently drinking more and longer than intended Binge drinking
For females, heavy drinking is defined as drinking more than three drinks per day or more than seven drinks per week. Binge drinking is defined as having four or more drinks in two hours. An individual must experience two of the 11 primary symptoms of AUD during the past 12 months to be clinically diagnosed with an AUD. The disorder is then classified into the following categories:
Mild AUD: two to three symptomsModerate AUD: four to five symptomsSevere AUD: six or more symptoms
A summary of the criteria is as follows:
Long-Term Adverse Health Effects of ETOH Abuse
ETOH abuse can lead to AUD which can cause and increase the risk of severe health conditions. Some long-term health effects of alcohol abuse include:
Brain damage: Excessive drinking over time can permanently affect the physical structure of the brain. This can lead to unpredictable mood swings, learning problems, impaired motor skills, and decreased decision-making abilities.Heart Disease: Heavy drinking regularly can permanently damage the heart and cardiovascular system. This can lead to a weakening of the heart muscles, irregular heartbeat, stroke, heart attack, and increased blood pressure.Cancer: Frequently consuming alcohol excessively can increase the risk of certain cancers, specifically in the body parts which alcohol comes into contact with. These include cancers of the liver, throat, mouth, and pancreas.
Treatment
Treating alcohol abuse may be different than for those who are alcohol dependent as this depends on the severity of their disorder. Alcohol dependence is a chronic physical and mental condition where the person is unable to stop drinking without experiencing withdrawal symptoms. The frequency of alcohol abuse can vary from one person to another. Someone can have an acute instance of alcohol abuse followed by a period of time when they aren’t abusing alcohol. Effective treatment options for alcohol abuse include a combination of the following:
Behavioral therapy: Working with a trained professional can be incredibly helpful in identifying triggers for drinking, understanding your relationship with alcohol, learning how to recognize situations, behaviours and issues that lead to alcohol abuse and developing alternative ways to cope with stress. Medications: Certain medications can be effective in treating alcohol abuse in combination with behavioral therapy and support. Naltrexone is a medication that can help manage alcohol cravings. Acamprosate can be prescribed to alleviate withdrawal symptoms. Disulfiram interferes with alcohol metabolism and causes you to experience symptoms such as vomiting, nausea, and headaches when you drink. Support Groups: Peer support groups are available online and in the community. The programs aim to help people reduce or stop drinking by connecting with others who have similar experiences and learning from each other. There are also family-based support groups.
A Word From Verywell
Although healing from alcohol abuse can be a daunting process, many who seek treatment are able to recover. Getting help early can minimize the chances of relapse to drinking. There are many effective treatment options available to you including behavioral therapies that help you develop skills to manage triggers and medications to help you deter alcohol cravings. Never feel scared or ashamed for asking loved ones for support and/or getting professional help.
