For decades advertising sold alcohol as the companion of every celebration. The purpose of any such advertising is sales, and it never shows what the illness actually looks like. Here are four typical patterns.
Men usually make no attempt to keep up appearances: their circle of friends shifts fairly quickly towards people with similar interests. The characteristic signs are indifference to the type and quality of the alcohol, and intoxication that often comes with aggression. The illness reaches its chronic stage in roughly 10 to 15 years.
Addiction in men is easier to treat than in women. The binge is broken first and the body cleared with medication; the result is then made to hold during rehabilitation, under specialist supervision and with psychotherapy alongside.
It develops much faster. Women more often link alcohol with consolation: a way to relax, to release stress that has built up, to step away from problems for a while.
The typical signs are attempts to hide the drinking and denial that there is any addiction at all. The stages of the illness pass more quickly than they do in men. Alongside medical help, work with a psychotherapist is therefore almost always needed here: the emotional attachment to alcohol as an "antidepressant" holds firm.
It usually begins with "harmless" beer or low-alcohol drinks in company. The drinks then get stronger, and the need for them stops being questioned: without them an evening out feels dull. That gradual rise in strength is what leads to addiction.
At this age specialist help is needed straight away, not postponed "until they are grown up". Treatment goes together with supportive psychological therapy, and with ways of turning the teenager's attention towards something they genuinely find absorbing.
Drinking beer only looks safe and easy to stop at will. The danger of beer addiction lies in how slowly and imperceptibly it develops, and by doctors' estimates the likelihood of becoming dependent is even higher here than among people who drink spirits.
Giving up regular beer is anything but easy. Physical damage shows up early — the cardiovascular system, the liver and other organs all suffer.
Daily beer is already a reason to get checked. A specialist makes the diagnosis, but there is one sign worth watching at home: whether the person can stop for a long stretch without strain and without looking for a substitute.
No, that is a myth. It develops faster and calls for more attention to the emotional side of the work, but it is treated in the same way as in men.
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