Stages of Alcoholism
Everything in moderation. It’s a very common phrase that you might use when talking to your kids about eating candy, but what about things like alcohol? Where is the line from casual drinking to alcoholism? Did you know that over 3.2 million Florida adults admit to binge drinking or heavy drinking within the past year? How does it get to that point? What are the stages of alcoholism?
Here at Clean Recovery Centers, we aim to offer a path to recovery for those looking for a solution for their alcohol use disorder.
Alcohol Addiction
4 Stages of Alcoholism
When discussing alcoholism, one must take an aerial view of the disease. It would be best if you stepped outside of and above the basic symptoms to gain an overview of the condition. From an omniscient perspective, you can see the disease for what it is, a progressive disorder.
In 1946, a scientist, Morton Jellinek, authored a paper defining alcoholism’s progression. According to Jellinek, alcoholism follows a predictable trajectory or stages of decline. The evidence through Jellinek’s career culminated in the production of the Jellinek Curve. The curve is representative of the four stages of alcoholism:
- Pre-alcoholic stage
- Early-stage alcoholism
- Middle alcoholic phase
- End-stage alcoholism
The Pre-Alcoholic Stage
What is alcoholism when it isn’t alcoholism? In the pre-alcoholic stage, alcohol is not yet an issue. In the early stage of the addiction cycle, a user may find the effects of alcohol pleasant and reassuring. The drinks mimic natural processes that promote relaxation or action. The effect of alcohol to loosen inhibitions can become addictive and encouraging.
In the pre-alcoholic stage, the user can go down one of three paths. The first path occurs when the user stays in the pre-alcoholic stage; they drink socially but do not cross the line to dependence. The second path occurs when a user finds other, healthier ways to promote the same benefits of drinking; they stop drinking for good. The third and final path leads to the next stage; it occurs when the user drinks to bolster their mood or promote sleep. In the third path, people grow dependent on alcohol, progressing rapidly toward alcoholism. Signs of the pre-alcoholic stage include:
- Needing a drink to relax or unwind
- Relying on alcohol during social situations
- Using alcohol to cope with emotions
Early-Stage Alcoholism
Binge drinking is part of the prodromal phase in the stages of alcoholism; early-stage alcoholism is the standard title. Researchers suggest the phase is often a sign of experimentation gone wrong. Many people experiencing this phase of alcoholism will drink to the point of blacking out. One experience of blacking out or drinking too much is not an indication of alcoholism. However, when the experience becomes a pattern, it signals addiction and early-stage alcoholism.
It is challenging define alcoholism for an early-stage alcoholic because it can still fall in the realm of occasional drinking. People fitting into the category may not drink every day or week, but they tend to binge when they drink. Most people in the early-stage alcoholism category will describe their drinking as occasional and for relaxation or celebration. The common signs of early-stage alcoholism include:
- Frequent binge drinking
- Blacking out
- Routine promises to stop drinking
- Struggle to control the amount they drink
The Middle Alcoholic Phase
The middle alcoholic phase is when many people begin to notice problems. The person might experience problems at work, school, or home. Most often, family and friends will see changes in your behavior, and some of them may ask probing questions.
The problem with alcoholism as a disease is how it cultivates complicity in the patient. The affected individual will often lie to themselves, downplaying how much they drink or making excuses for out-of-character behavior.
Additionally, like other substances, alcohol provides diminishing returns over time. If an individual wants the same effects they experienced early in the use cycle, they will need more alcohol. As they chase the euphoria or other benefits of alcohol, they continue to increase the volume. Signs of this stage of alcoholism include:
- Prioritizing drinking over other obligations
- Lying about behavior
- Progressive memory lapses
- Facial redness, shaking and sweating
The middle alcoholic phase is often the best point for intervention. People with the disorder might notice the problems of the illness, but it is still early enough in the progression of the condition to recover with minimal effects.
End-Stage Alcoholism
In which stage of alcoholism does the drinker face serious health problems? The end-stage. During end-stage alcoholism, people can no longer hide the long-term effects of abuse. Many people will face financial, professional, and physical problems. Drinking becomes an integral part of life at this stage, with most activities working toward supporting their addiction.
Additionally, the stress and anxiety of finances and personal relationships only push someone further into the abuse cycle. Paranoia frequently accompanies end-stage alcoholism.
Some people can maintain a semblance of a healthy, well-adjusted life. Known as functioning alcoholics, these individuals may continue to argue against claims of addiction. Still, functioning alcoholics will suffer health problems from drinking, including liver and kidney damage.
Failing to seek treatment for end-stage alcoholism will have disastrous effects on one’s health. The user will develop health problems, including alcohol-induced diseases like cancer or cirrhosis. When asked, “how does alcoholism kill you,” the answer is in various ways. Alcohol destroys vital organs and eventually leads to crippling and lethal diseases. Signs of end-stage alcoholism are obvious and include:
- Alcohol dependence
- Financial trouble
- Relationship trouble
- Career trouble
A person with end-stage alcoholism cannot operate without alcohol. You will often see them with alcoholic beverages. Affected individuals may also hide or stash alcohol in their homes and places of frequent visits.
We strive to help all of those who are seeking it. We believe part of this help stems from having educational, easy-to-access articles on informative topics so you can be armed with the information you need to make decisions about your health.
Signs That Could Indicate Problem Drinking
At what point should you be concerned about how much you’re drinking or how often you’re drinking? If you or a family member has mentioned your drinking before, maybe it should be given more than a passing thought.
When drinking starts to regularly disrupt your life, from constantly thinking about drinking, participating in drinking, or recovering from drinking, you might have developed an alcohol use disorder. Another indicator is if drinking and how you behave because of drinking has started to impact your social life and relationships. If any of this sounds familiar to you, it might be time to consider if this is the path you wish to stay on.
When Should Your Drinking Concern You?
Maybe you’ve heard before that alcoholism can be genetic. If you have loved ones who have had alcohol use disorder, you might need to be more aware of your alcohol consumption patterns. Drinking in moderation on occasion is not something you should be concerned about, regardless of your family’s history of alcohol use. If you think you’re drinking too much or too often, trust your judgment.
How to Help a Loved One Who Has an Alcohol Use Disorder
Many times alcoholism doesn’t just impact the person who’s doing the drinking. It extends to the family and loved ones around them. If you have a loved one who is managing an alcohol use disorder, it’s important to remember that coming in with judgment won’t help the situation. Be open-minded and supportive as they go through their recovery journey. Feel free to offer your help, from driving them to appointments to helping them complete things that may be assigned to them by their therapist. Going through recovery alone is never fun, so being a good support system can greatly help as they continue on their road to healing.
Get Treatment for Alcohol Use Disorder in Florida
If you or a loved one is looking to start the journey of recovery from alcohol use disorder, or if you have any questions about our treatment programs, don’t hesitate to give us a call today at (888) 330-2532. Our staff is here and ready to assist you in any way we can.
FAQs About the Stages of Alcoholism
What is alcoholism?
Alcoholism is classified as someone who drinks regularly and is unable to stop without experiencing harsh cravings or withdrawal.
What are the dangers of alcoholism/AUD?
Alcoholism (alcohol use disorder) comes with many long-term consequences, from damaged relationships and career options, to increased risk of cancer and stroke.
How can you help a loved one with alcoholism?
If you want to help your loved one who is trying to manage their alcohol use, don’t forget to be open-minded and supportive. Coming in full of judgment won’t help.
Sources:
- https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/underage-drinking

