Alcohol Use Disorder

Alcohol Use Disorder(AUD) is a crucial topic that affects many people, and it’s important for us to understand it better. Based on the 2021 National Survey on Drug Use and Health, approximately 28.6 million adults who were 18 years and older (constituting 11.3% of this age group) experienced AUD. Furthermore, it was estimated that around 894,000 adolescents aged 12 to 17 (comprising 3.4% of this age group) had AUD during the same time period. Imagine that AUD is like a puzzle with different pieces. In this article, we will begin by putting together the first pieces of our puzzle.
So, let’s start by defining AUD and learn about its various levels of severity to grasp why it’s a significant concern for our overall health and well-being. As we put these puzzle pieces together, we’ll gain a clearer picture of how to deal with AUD and its impact on individuals and society.

Alcohol Use Disorder

What is AUD?

AUD stands for Alcohol Use Disorder, and it’s a bit like a hiccup in the normal way our minds work. AUD can be influenced by both our genetic composition (our genes) and the surroundings we find ourselves in. When someone has AUD, it means their relationship with alcohol has become tangled and troublesome.

AUD: A Disease in Disguise

So, is AUD like a common cold or a broken bone? Not exactly. It’s more like a sneaky thief that can steal a person’s control and happiness. So why is alcohol bad for you? Imagine your favorite video game suddenly glitching, and you can’t control your character properly. That’s how it feels in the minds of people with AUD. It’s not something you can see on an X-ray, but it’s there, lurking beneath the surface.

Craving for Alcohol: The Unquenchable Thirst

You know that feeling when you just have to have your favorite snack, like a mouthwatering piece of chocolate? For someone with AUD, it’s similar, but instead of chocolate, they’re craving alcohol, and it’s not just a desire—it’s a need they can’t ignore.

Loss of Control Over Drinking: The Runaway Train

Picture this: you’re on a speeding train, and suddenly the brakes stop working. It’s a heart-pounding, terrifying situation. Well, that’s what it’s like for people with AUD when it comes to “Loss of Control over Drinking.” Once they start, they can’t seem to stop, even when they’re desperate to. It’s like being on a rollercoaster with no way to hit the brakes.

Negative Emotional State Without Alcohol: The Lingering Storm

Lastly, think about those moments when you’re feeling really down or anxious. Usually, a chat with a friend or some relaxation can help, like a gentle breeze that clears the clouds. But for someone with AUD, it’s like those clouds of sadness or anxiety just won’t go away. The only thing that seems to make them disappear, even for a little while, is having a drink.

Stages of Alcohol Use Disorder

Imagine AUD as a winding road with different stops along the way, like a journey through four stages. Each stage tells us something important about how people with Alcohol Use Disorder (AUD) experience their relationship with alcohol.

  • At-risk stage: This is like the beginning of the journey, where things seem okay, but there are warning signs. People in this stage might have a few drinks when they’re out with friends or to relieve stress.
  • Early AUD: As the journey continues, we reach the “Early AUD” stage. This is where things start to get a bit tricky. People might start drinking alone or in secret, and thoughts of alcohol become more frequent.
  • Mid-stage AUD: Now, we’re deeper into the journey, and the road gets even rougher. In the “Mid-stage AUD,” people can’t control their drinking anymore, they show a lot of physical symptoms of alcoholism and it starts causing problems in their daily life—work, family, health, you name it.
  • End-stage AUD: This is the final destination, and it’s not a good place to be. At the “End-stage AUD,” alcohol becomes the main focus of life, pushing everything else aside. It’s like being lost in a forest with no way out. Despair sets in, and serious health problems may follow.

AUD vs. Binge Drinking

Imagine two different paths people can take when it comes to alcohol – one is called Alcohol Use Disorder (AUD), and the other is called binge drinking. Let’s explore how these two paths are distinct, like comparing apples to oranges.

Parameters of Binge Drinking

Binge drinking is like taking a detour on the alcohol journey. It happens when someone drinks a large amount of alcohol in a short time, raising their blood alcohol level to 0.08% or more. For a guy, it’s usually around five or more drinks in a few hours, while for a girl, it’s about four or more. It’s like a sudden rollercoaster ride of alcohol.

Effects of Binge Drinking

Now, you might wonder, is binge drinking alcoholism? It’s an important question. Binge drinking can lead to harmful consequences on its own, including accidents, injuries, and alcohol poisoning. However, it doesn’t necessarily mean someone has AUD. Binge drinking is more like a wild ride on the alcohol rollercoaster, whereas AUD is a longer, more complex journey. Not everyone who binge drinks ends up with AUD, but binge drinking can be a stepping stone, like a bridge to the world of AUD. To make it clearer, think of a table:

Parameters Binge Drinking AUD
Amount of Alcohol Lots in a Short Time (Binge) Ongoing Drinking Problem (AUD)
Blood Alcohol Level 0.08% or More Varies, Can Range from Mild to Severe
Link to AUD Not Everyone Who Binge Drinks Develops AUD Often Progresses to AUD Over Time

Alcohol Effects on the Body

Heavy drinking can lead to some serious health troubles. It’s like setting sail on a voyage where we’ll uncover the dangers of excessive alcohol use.

  • Increased Cancer Risk: Think of your body as a fortress, built to protect you. But when you drink too much, it’s like leaving the gates wide open. Heavy drinking can increase the risk of cancer, especially in places like the breast, liver, colon, and mouth. It’s as if these harmful invaders slip past the defenses and cause chaos inside.
  • Liver Diseases (Fatty Liver, Cirrhosis): Picture your liver as a superhero, working hard to keep you healthy. But too much alcohol is like Kryptonite. It weakens the liver, causing fatty liver disease and cirrhosis. It’s as if our superhero is battling a relentless villain.
  • Brain and Organ Damage: Your brain is your control center, but heavy drinking can damage it. There definitely exist long-term effects of alcohol on the brain. It’s like a storm causing chaos in your thoughts and memories. And it’s not just the brain; other organs, like the heart and pancreas, can also get hurt in the process.
  • Harm During Pregnancy: For all the soon-to-be parents out there, listen up! Drinking during pregnancy is like letting a storm loose on your baby’s future. It can lead to serious issues like fetal alcohol syndrome, harming the little ones even before they’re born.
  • Elevated Risk of Death: Now, let’s talk about the risks that heavy drinking brings. It’s like stepping onto a dangerous path. When people drink too much, they’re more likely to get hurt or even face death. Car accidents, injuries, violence, and sadly, even suicide, become greater threats.


Let’s tackle some burning questions about Alcohol Use Disorder (AUD) to get a clearer picture.
What is AUD, and how does it affect people?
AUD is a medical condition where people can’t control their drinking, even when it causes harm to themselves or others. It can range from mild to severe, impacting social, emotional, and physical well-being.
How long does alcohol detox take?
Alcohol detox duration varies from person to person, but it typically takes a few days to a week. The severity of withdrawal symptoms can influence the duration.
How can I recognize if I or someone I know has AUD?
Look for physical signs of alcoholism like craving for alcohol, loss of control over drinking, and experiencing negative emotions without alcohol. These are red flags.
Are there serious health risks with heavy drinking?
Absolutely. Heavy drinking can increase cancer risks, damage the liver and brain, harm unborn babies during pregnancy, and elevate the risk of accidents, injuries, violence, and suicide.
Can AUD be treated?
Yes, AUD can be managed with treatments like therapy, medications, and support groups. Early intervention increases the chances of successful recovery and helps to quit drinking alcohol.


In summary, AUD is a medical condition affecting millions, marked by an insatiable craving for alcohol, an inability to control drinking, and negative emotions in its absence. There is a clear distinction between AUD and binge drinking, and there exist serious health risks associated with excessive alcohol consumption, such as cancer, liver diseases, and brain damage.
To conclude, remember that AUD is treatable, and seeking help is a sign of strength. Early intervention and the right support can lead to recovery and a brighter, healthier future.

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