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Does Alcohol Kill Brain Cells? What Science Really Says

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Does alcohol kill brain cells? The facts about alcohol-related brain damage, recovery potential, and what it really does to your brain.

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Does Alcohol Kill Brain Cells? Facts, According to Science

The idea that alcohol kills brain cells has echoed through health classes, college campuses, and public service campaigns for decades. The belief took hold after scientific studies in the mid-twentieth century suggested alcohol was directly toxic to the brain, and the idea has stuck ever since.

It turns out that modern brain science tells a more nuanced story. While alcohol may not instantly “kill” brain cells in the way many people imagine, that doesn’t mean it’s harmless.

Research shows that alcohol can shrink brain volume, disrupt communication between brain cells, impair memory, and damage critical areas responsible for judgment, mood regulation, and decision-making. The real impact depends heavily on how much you drink, how often you drink, and your individual brain health.

For many people, alcohol offers a way to cope with stress, unwind after a long day, or feel more comfortable in social settings. They don’t consider that your brain controls how you think, feel, behave, and remember. Anything that affects your brain affects your life. If you enjoy drinking alcohol, the brain effects of alcohol are important to know.

So, does alcohol kill brain cells or is the truth more complicated? In this blog, you’ll learn what current research reveals about alcohol and brain cells, how different drinking patterns influence brain function, and what alcohol-related brain damage actually looks like over time.

Related: 5 Scary Ways Alcohol Damages the Brain

Alcohol can shrink brain volume, disrupt communication between brain cells, impair memory, and damage critical areas responsible for judgment, mood regulation, and decision-making. The impact depends on how much and how often you drink, as well as your individual brain health.

The Short Answer: Does Alcohol Kill Brain Cells?

The question, “Can alcohol decrease the number of brain cells?” has puzzled many people over the years. In reality, the answer is no. Alcohol can’t kill your brain cells on contact. However, it can cause significant damage to them in the long run and interfere with how they communicate.

Studies have shown that, as a neurotoxin, alcohol can impair normal functioning of the cells. It can disrupt your neural connections and lead to structural changes in your brain as well.

Excessive drinking can reduce the level of efficiency in your neurons and increase the risk of alcohol brain damage without directly killing brain cells. In essence, alcohol may decrease the ability of your brain cells to function effectively, but not eliminate them.

Understanding How Alcohol Affects the Brain

Alcohol has both immediate and long-term effects, influencing neurotransmitters, neuron function, and communication between the regions of the brain. 

What Happens When Alcohol Enters Your Brain

Studies show that when you drink alcohol, it quickly enters your blood stream and crosses your blood-brain barrier, and within minutes, it reaches the brain. It becomes a central nervous system depressant, whereby it slows down communication between neurons and alters your normal brain activity. 

It then boosts GABA (whose work is to calm your brain) and reduces glutamate (which excites neurons). That explains why you are likely to experience slowed reaction time, drowsiness, relaxation, and impaired judgment. These effects intensify as the level of alcohol in your blood rises. 

Nearly simultaneously, alcohol increases dopamine in the brain rapidly, often within minutes of the first sip or even simply by thinking about drinking. It activates the brain’s reward system (mesolimbic pathway) almost immediately, causing a surge in dopamine that produces feelings of relaxation and pleasure, creating the rewarding, euphoric “high.”

How Alcohol Disrupts Brain Communication

In your brain, neurons use neurotransmitters to send signals across synapses. This is why your brain is able to control movement, thinking, memory, and emotions. Alcohol can interfere with this system by altering how those chemical messengers work. 

As mentioned, alcohol enhances GABA, your brain’s primary inhibitory chemical. This slows your neuroactivity, producing feelings of drowsiness, relaxation, and reduced self-control. The release of dopamine in your brain’s reward system reinforces drinking behavior.    

Acute vs Chronic Effects

After a single session of drinking, alcohol temporarily affects your brain function, which leads to impaired judgment, slower reaction time, and memory lapses. These are the acute effects that occur because alcohol has disrupted your neuron communication and neurotransmitter balance. 

Due to chronic alcohol use, these effects can last longer. Repeated heavy drinking can disrupt neuron structure and signaling and increase the risk of problems with focus, memory, and emotional regulation.

This cumulative damage can, over time, weaken your brain networks and increase the likelihood of behavioral and cognitive changes even after you’ve stopped drinking. 

Related: How Do You Know If You Have an Alcohol Problem?

The Science: How Alcohol Damages Brain Cells

Mechanisms of Brain Cell Damage

Alcohol produces free radicals that may damage your cell membranes and DNA, and that increases oxidative stress. It promotes inflammation in the brain tissue, interfering with normal repair and increasing the risk of neuronal injury.

Chronic drinking disrupts the absorption of nutrients, especially vitamin B1 (thiamine), which is important for neuron metabolism and survival. Alcohol can also trigger toxicity, particularly during withdrawal when glutamate activity surges. That can overstimulate neurons and cause cellular damage.

Again, alcohol can also interfere with the synthesis of protein, which can limit your brain’s ability to repair and also maintain cells. It could also impair mitochondrial function and reduce the energy needed for neurons to survive and have effective communication.

Does Alcohol Actually Kill Brain Cells?

Alcohol doesn’t cause widespread immediate death of your brain cells. Rather, most studies assert that alcohol, in most cases, facilitates cell damage and not outright neuronal death particularly with repeated exposure.

Alcohol can shrink dendrites, which can disrupt how neurons share signals or communicate. That can cause neuron atrophy, whereby your cells lose size and function instead of being permanently destroyed. In the long run, these structural changes may impair your brain’s communication and efficiency.

Imaging work has linked prolonged or heavy use of alcohol to white matter damage, which disrupts communication between your brain regions. There is also the gray matter reduction, especially in the regions that are involved in memory, judgement, and emotional regulation.

Brain Regions Most Affected by Alcohol

The effects of alcohol are not uniform. Some regions of your brain are more vulnerable than others. For example, the hippocampus is particularly sensitive, which can impair memory and learning. The cerebellum is often affected early on, disrupting coordination, balance, and motor control.

Your prefrontal cortex may also show decreased activity, leading to weakened judgment, poorer impulse control, and difficulty regulating personality and behavior. Alcohol can also alter the limbic system, interfering with mood regulation and emotional stability. This disruption is one reason alcohol use is linked to emotional volatility.

Alcohol can damage the corpus callosum as well, interfering with communication between the two hemispheres of your brain. With chronic drinking, even the brainstem can be affected, potentially threatening vital, life-sustaining functions such as breathing and heart rate.

That said, the brainstem is generally considered more resistant to the inhibitory effects of alcohol compared to many other brain regions, though prolonged and excessive exposure can still cause harm.

Different Types of Alcohol-Related Brain Damage

The effects of alcohol related brain damage vary depending on the amount, duration, timing of exposure, and the vulnerability of the individual. 

Alcohol-Induced Brain Shrinkage

Chronic use of alcohol has been associated with reduced brain volume, especially in the gray and white matter.

According to imaging studies, there is evidence of shrinkage in the regions involved in decision making, memory, and coordination. A large MRI study found that drinking more than fourteen alcoholic drinks per week was linked to an average 1.6 percent smaller brain volume compared with non-drinkers, with brain size decreasing progressively as drinking increased.

Wernicke-Korsakoff Syndrome

Wernicke–Korsakoff syndrome results from a deficiency in vitamin B1 (thiamine), which is common with chronic alcohol use. The acute phase of the syndrome is called Wernicke’s encephalopathy, and it’s characterized by poor coordination, confusion, and abnormal eye movement.

If not treated, this can progress to Korsakoff’s psychosis, which causes severe loss of memory and confabulation. Confabulation is the unintentional creation of false, distorted, or misinterpreted memories, often used by the brain to fill in gaps in memory. With early thiamine treatment, the outcomes can improve. However, there is a higher likelihood of long-term deficits.

Alcohol-Related Dementia

Individuals may experience alcohol related dementia, which is different from Alzheimer’s disease, even though their symptoms may overlap. This kind of dementia primarily affects attention, memory, and executive function.

Its diagnosis is based on cognitive testing and drinking history. The risk of alcohol related dementia increases with poor nutrition, repeated withdrawal episodes, and long-term heavy use of alcohol.

Alcohol-Induced Blackouts

When experiencing a blackout, a person can remain conscious but may fail to form new memories. Individuals may experience confusion, gaps in memory for the events that took place during drinking, and they may also be unable to recall their actions afterward.

This is diagnosed based on an individual’s history and reported memory loss, either during drinking episodes or afterwards. With repeated blackouts, there is a higher likelihood of long-term cognitive impairment.

Fetal Alcohol Spectrum Disorders (FASD)

FASD usually results from prenatal exposure to alcohol, which can interfere with brain development. Its effects are structural brain changes, behavioral problems, and learning difficulties that can persist throughout the life of the child. Due to the fact that no safe level of alcohol in pregnancy has been established, it’s important for pregnant mothers to abstain.

How Much Alcohol Causes Brain Damage?

With regard to alcohol, brain damage depends on individual vulnerability, amount, and frequency. Although there are standard guidelines for moderate drinking, at Amen Clinics, we recommend minimizing your intake of alcohol whenever possible to protect your brain health. Even moderate drinking can affect your neuron function and communication, especially if you have personal or family risk factors.

Defining Drinking Levels

  • Moderate drinking:  According to Centers for Disease Control and Prevention (CDC), it is up to one drink for women and two drinks for men per day. 
  • Heavy drinking: regular drinking that exceeds moderate levels is usually more than three drinks a day for women and four per day for men. 
  • Binge drinking: this is drinking that can bring blood alcohol concentration (BAC) to 0.08 percent or higher in two hours. (about four or more drinks for women and more than five drinks for men).

Blood alcohol concentration refers to the measurable alcohol in your bloodstream, whereby a higher BAC can increase the likelihood of neuron damage. 

The Dose-Response Relationship

More alcohol equals brain damage. Binge patterns or repeated heavy drinking can significantly raise the risk. Experts assert that there is no level of alcohol that is completely safe for brain health. 

Individual Risk Factors

Factors that can make someone more vulnerable to alcohol related brain damage include:

  • Family history or genetics, where inherited susceptibility can increase risk.
  • Age, especially for adolescents and older adults, as they are more sensitive.
  • Gender, because even at lower amounts, women are at a higher risk.
  • Health status, where poor nutrition, chronic illnesses, and medication interactions can increase your vulnerability.

Who Is Most Vulnerable to Alcohol-Related Brain Damage?

Alcohol affects everyone differently. In general, the following groups are more vulnerable to the effects of alcohol:

Adolescents and Young Adults

Human brain development continues into the mid-twenties, when the prefrontal cortex and hippocampus fully mature. During this period, the brain is especially sensitive to alcohol, making adolescents and young adults more vulnerable to both functional and structural damage.

Exposure to alcohol at this age can cause long-term cognitive consequences such as attention deficit, decreased executive function, and impaired memory. Drinking can also amplify impulsivity and other risk-taking behaviors that may further compound the harm or increase vulnerability to risky decisions and accidents.

Older Adults

Naturally, aging reduces neuron density and brain volume. For older adults, drinking can compound such age-related changes and accelerate memory impairment and decline. Many older adults take medications, which can increase the likelihood of adverse effects if they interact with alcohol. In addition, alcohol can increase fall risk, which can then have significant consequences for this population.

Women vs Men

In general, women are more vulnerable to alcohol-related brain damage than men. Differences in body composition and hormones, including lower total body water and higher body fat, can lead to higher blood alcohol concentrations even when consuming the same amount as men.

As a result, women may experience a faster progression to brain changes and damage with repeated exposure, even at lower levels of drinking.

People with Existing Health Conditions

People living with mental health disorders like anxiety or depression can experience amplified emotional or cognitive effects from alcohol. Additionally, liver disease lowers the body’s ability to metabolize alcohol, which can increase neurotoxicity.

Poor nutrition that could cause thiamine deficiency can heighten vulnerability to the damage of neurons. If an individual combines alcohol with other substances, the risk of cumulative brain damage increases significantly.

Signs and Symptoms of Alcohol-Related Brain Damage

Alcohol-related brain damage can affect physical function, thinking, and emotional regulation. Symptoms may appear suddenly or develop gradually over time.

Cognitive Symptoms

  • Slowed thinking and reduced mental flexibility 
  • Confusion and disorientation
  • Difficulty forming or recalling recent memories
  • Poor judgment and impaired decision-making
  • Difficulty concentrating or sustaining attention

Physical Symptoms

  • Vision problems
  • Seizures, mostly during severe damage or withdrawal
  • Balance and coordination challenges, which may increase fall risk
  • Numbness and tingling in the hands or feet (peripheral neuropathy)
  • Slurred speech

Emotional and Behavioral Symptoms

  • Irritability and aggression
  • Increased impulsivity and reduced self-control
  • Depression and anxiety
  • Personality changes over time
  • Mood swings

When to Seek Medical Help

Seek medical evaluation if you begin experiencing symptoms such as balance problems, personality changes, persistent memory loss, or confusion. Emergency warning signs include severe disorientation, seizures, loss of consciousness, or sudden changes in vision.

Can Brain Damage from Alcohol Be Reversed?

Recovery from brain damage may be possible depending on the duration of alcohol use, individual health factors, and the severity of the damage. 

The Good News: Neuroplasticity

Neuroplasticity is your brain’s ability to heal and adapt. Even if you have suffered brain damage, existing neurons can sometimes compensate for lost functions, helping support recovery. Over time, the brain can also form new pathways that promote functional improvement after reducing or eliminating alcohol use.

What Can Recover

During recovery, you may experience partial restoration of brain volume, better memory, improved cognitive function, and a stable mood. The recovery time can vary, ranging from weeks to months. In some cases, it can take years depending on how severe the damage is. 

What May Be Permanent

Prolonged or severe alcohol exposure can create lasting damage. Also, conditions like advanced alcohol-related dementia, Wernicke-Korsakoff syndrome, and structural brain changes may not reverse fully for long-term, heavy drinkers. 

Factors That Influence Recovery

Your recovery can be influenced by: 

  • age
  • severity of damage
  • length of abstinence
  • nutritional support
  • overall health
  • participation in cognitive rehabilitation

How to Protect Your Brain from Alcohol Damage

To protect your brain health, reduce your alcohol exposure while also supporting your brain’s ability to repair and recover.

Abstinence or Moderation

Quitting drinking completely will provide the greatest brain-health protection. However, if abstinence isn’t possible, follow the moderate drinking guidelines of no more than two drinks per day for men and only one for women. 

Practice harm reduction strategies like spacing drinks over time, avoiding binge drinking, stopping drinking before impairment occurs, and choosing alcohol free days each week. 

Nutritional Support

Support your nervous system with thiamine (vitamin B1) and a high-quality B-complex supplement. Also, enriching your diet with omega-3 fatty acids and antioxidants may help to calm inflammation caused by alcohol consumption. As alcohol is dehydrating, consuming plenty of water is important too.

Lifestyle Factors

Engage in regular exercise to promote brain resilience and neurogenesis. Stress management, quality sleep, social engagement, and cognitive stimulation can help strengthen your emotional regulation and brain networks.

Medical Support

Embrace ongoing medical checkups to monitor your brain and overall health. Through addiction treatment programmes, medication-assisted treatment, therapy, and support groups like SMART Recovery or Alcoholics Anonymous, you can reduce the risk of a relapse and improve your outcomes. 

The Research: What Studies Show About Alcohol and Brain Cells

Alcohol can disrupt your brain structure and function, whereby the damage increases as exposure becomes heavier.

Indeed, imaging studies (such as MRI, SPECT, PET, and DTI) have revealed compromised white matter integrity, a reduction in the gray matter, and altered blood flow in regions that facilitate memory, emotional regulation, and judgment. 

A study conducted by The Lerner Research Institute at Cleveland Clinic sought to understand the pathology behind  reduced hippocampal mass and cognitive dysfunctions associated with heavy alcohol use. Using an animal model, the researchers found reduced proliferation of neural stem cells and survival rate of newborn neurons, as well as poor synaptic connectivity, which disrupted multiple steps of neurogenesis, leading to cognitive deficits. Why not “killing” brain cells, alcohol negatively impacts neuronal growth and function.

Research shows that heavy alcohol use is highly associated with thinning of the cerebral cortex, referred to as “cortical thinning.” The cerebral cortex is the brain’s outer layer of gray matter responsible for higher-level cognitive functions such as memory, attention, perception, and thought. Cortical thinning also indicates a decrease in the volume of brain cells and synapses.

(On a brighter note, research on individuals with alcohol use disorder and cortical thinning found that partial recovery of the cerebral cortex was observed in the weeks and months following total abstinence.)

Studies have linked even moderate alcohol use to subtle changes in the brain, suggesting that there may be no completely safe level of alcohol. With all these advances, scientists haven’t fully established why some people recover better than others, how lifestyle factors and genetics modify risk, and the precise threshold for irreversible damage. 

The Research: What Studies Show About Alcohol and Brain Cells

Alcohol can disrupt your brain structure and function, whereby the damage increases as exposure becomes heavier.

Indeed, imaging studies (such as MRI, SPECT, PET, and DTI) have revealed compromised white matter integrity, a reduction in the gray matter, and altered blood flow in regions that facilitate memory, emotional regulation, and judgment. 

A study conducted by The Lerner Research Institute at Cleveland Clinic sought to understand the pathology behind  reduced hippocampal mass and cognitive dysfunctions associated with heavy alcohol use. Using an animal model, the researchers found reduced proliferation of neural stem cells and survival rate of newborn neurons, as well as poor synaptic connectivity, which disrupted multiple steps of neurogenesis, leading to cognitive deficits. Why not “killing” brain cells, alcohol negatively impacts neuronal growth and function.

Research shows that heavy alcohol use is highly associated with thinning of the cerebral cortex, referred to as “cortical thinning.” The cerebral cortex is the brain’s outer layer of gray matter responsible for higher-level cognitive functions such as memory, attention, perception, and thought. Cortical thinning also indicates a decrease in the volume of brain cells and synapses.

(On a brighter note, research on individuals with alcohol use disorder and cortical thinning found that partial recovery of the cerebral cortex was observed in the weeks and months following total abstinence.)

Studies have linked even moderate alcohol use to subtle changes in the brain, suggesting that there may be no completely safe level of alcohol. With all these advances, scientists haven’t fully established why some people recover better than others, how lifestyle factors and genetics modify risk, and the precise threshold for irreversible damage. 

Myths vs Facts About Alcohol and the Brain

Myths Facts
Alcohol kills brain cells directly. Alcohol primarily damages brain cells and their connections, rather than immediately killing neurons in most cases.
A few drinks won’t hurt your brain. Even moderate drinking can affect brain communication, memory, and judgment, especially with repeated use.
Brain damage from alcohol is always permanent. Many alcohol-related brain changes can improve with abstinence, thanks to the brain’s ability to adapt and recover.
Only alcoholics get brain damage. Binge drinking and heavy drinking, even without alcohol dependence, can cause measurable brain damage.
Red wine is good for your brain. Recent research challenges this belief, showing that any potential benefits do not outweigh alcohol’s risks to brain health.
Young people’s brains can handle alcohol better. Adolescent and young adult brains are more vulnerable, as brain development continues into the mid-20s.

Alcohol Use Disorder and Brain Health

Alcohol use disorder (AUD) is a medical condition in which an individual is unable to control their use of alcohol despite experiencing negative consequences. AUD develops as a result of repeated drinking, changing brain circuits responsible for judgment, reward, and self-control. 

If you suspect such a problem, seek early help. Treatment options here may include therapy, medical care, structured support programmes, and medication-assisted treatment. 

Protect Your Brain

Here’s what’s important to remember. Alcohol can cause damage to your brain cells, but it doesn’t always kill them. The level of damage depends on the amount you drink, individual factors like age, as well as frequency. On a brighter note, although repeated heavy drinking can increase the risk, your brain can recover, thanks to neuroplasticity, particularly if you’ve stopped or reduced alcohol.

The good, take-home news here is that with proper nutrition, exercise, cognitive stimulation, and sleep, you can enhance your brain’s resilience and recovery. Seeking help from a medical professional is key if you notice judgment changes, memory problems, or other symptoms.

Abstinence or moderation is the best way to protect the health of your brain. 

Monitor your drinking, consult a healthcare provider, and take steps today to preserve your memory, mind, and emotional well-being for the future.

FAQ About Alcohol’s Impact on the Brain

There’s no specific number. Alcohol doesn’t kill brain cells outright. Rather, it damages the neurons and their connections. Over time, this interferes with normal functioning and communication between cells.

No. One night of binge or heavy drinking doesn’t kill brain cells; however, it can cause acute disruptions in brain function like impaired judgment, memory, and coordination. The brain can potentially recover, but repeated episodes can worsen brain damage. 

In certain regions of the brain, abstinence can support neurogenesis and also allow the healthy neurons to adapt and create new connections. Recovery can start within and continue for months and years. That said, severe long-term damage may not reverse fully. 

Timelines can vary from weeks to months, and even years, but that depends on age, the severity of damage, drinking history, and overall health. Improvements in cognitive function, memory, and mood are gradual and ongoing. 

Alcohol is alcohol. No type of alcoholic beverage is safe for the brain. The amount and frequency at which you drink matter more than the type. 

With heavy or prolonged drinking, you risk having alcohol related dementia, particularly with risk factors like nutrition deficiencies. 

Yes, through cognitive assessment and brain imaging (SPECT, DTI, MRI, PET) that evaluate attention, executive function, and memory. Those tools help detect structural and functional changes resulting from alcohol. 

Brain health problems, alcohol use disorders, and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.
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How to Heal from Common Adult Children of Alcoholics Traits

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Facebook-f X-twitter Youtube Table of Contents 5 Common Traits of Adult Children of Alcoholics + How to Heal Growing up in a home with an

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5 Common Traits of Adult Children of Alcoholics + How to Heal

Growing up in a home with an alcoholic parent often means growing up without stability. Chaos, unpredictability, and emotional neglect become the norm—forcing children to adapt in order to survive. Over time, these adaptations can turn into deeply ingrained coping patterns.

While these survival strategies may protect children in the moment, they can quietly undermine mental health, relationships, and self-esteem in adulthood. Many adult children of alcoholics (ACoAs) carry these patterns forward, even if they never develop alcohol use disorder themselves.

Adult children of alcoholics (ACoA) traits describe the lasting psychological and brain-health effects of growing up in an alcoholic home. In this blog, you’ll learn five common ACoA traits—and the science-backed paths that can help foster healing and long-term well-being.

Adult children of alcoholics may have an increased risk of mental health conditions like anxiety, depression, ADHD, and complex PTSD. They may also lack trust or relationship building skills.

How Does Growing Up with an Alcoholic Parent Affect Adult Mental Health?

The presence of substance use disorder (SUD) in American homes is growing. In 2019, the American Academy of Child & Adolescent Psychology reported that one in five adult Americans lived with an alcoholic relative while growing up.

Related: Alcoholic Parents: What Does It Do to a Child’s Brain?

Sadly, stats from the 2023 National Survey on Drug Use and Health found that almost 19 million U.S. children—now one in four—lived with at least one SUD-affected parent or primary caregiver.

When one or both parents struggle with alcoholism (or other dangerous drug use), the home environment can be highly disruptive for a child of an alcoholic. Alcoholic behavior from a parent may lead to:

  • Mood swings
  • Neglect
  • Unpredictability
  • Emotional dysregulation
  • Domestic violence

At the same time, children observe their parent’s faulty coping strategies as they reach for numbing substances. They may never witness their parent modeling healthy emotional regulation. All of the household members therefore suffer from high levels of stress.

These children then grow up to face complex issues as adults. For example, ACoAs may have an increased risk of mental health conditions like anxiety, depression, attention deficit hyperactivity disorder (ADHD), and complex post-traumatic stress disorder (CPTSD). They may also lack trust or relationship building skills.

Adult children of alcoholics are more likely to develop issues with substance abuse (or other impulsive behaviors) or enter into partnerships with addicted individuals. They may exhibit perfectionism, codependency, or people-pleasing. They may fear conflict or abandonment, leading to hypervigilance.

We now know, from research about adverse childhood experiences (ACEs), how much childhood development can impact adult outcomes—in terms of both mental and physical health. Various studies have found that a child’s brain development is very sensitive to its environment.

A loving, predictable home helps foster healthy brain development in children. Conversely, brain development is often compromised in households with trauma, instability, abuse, or neglect.

Chronic exposure to adverse and traumatic experiences constantly sends the brain’s stress activation system into overdrive. This stress impacts the functions of the body’s immune, metabolic, and cardiovascular systems.

The constant flood of stress hormones also disrupts the delicate balance of neurotransmitters (brain chemicals) that are necessary for healthy brain function. These processes are especially important as the brain develops in childhood.

As a result, certain areas of the brain may be stunted, such as the hippocampus (important for memory formation). Moreover, when a child’s brain is so often stuck in fight-or-flight mode, they may experience difficulties with:

  • Self-regulation
  • Learning
  • Social interactions
  • Controlling emotions
  • Aggression
  • Nightmares
  • Forming and maintaining healthy attachment

Finally, research has noted the increased likelihood of ACoAs developing oppositional defiant disorder (ODD), conduct disorder (CD), and eating disorders. They may be hyperactive or inattentive in school, have personality problems, or struggle with finding a job, among other difficulties.

The field of epigenetics illustrates how these issues can be passed along from one generation to the next. This fuels the cycle of generational trauma. That’s why even the grandchildren of alcoholics can feel the effects of an alcoholic home.

What Are the Traits of Adult Children of Alcoholic Parents?

If you grew up in a family with SUD, you’re not alone. Here are five common traits of adult children of alcoholics, which may also occur within a dysfunctional family of any kind:

1. Fear of others.

Growing up around adults with volatile and unpredictable moods leads to fear of criticism, distrust of and fear of authority figures, and often isolation or withdrawal.

Chronic fear can physically change the brain. The amygdala, or fear center of the brain, becomes overactive. At the same time, studies have shown that stress impacts the hippocampus in numerous ways, including reducing its volume.

Together, these changes can make people perceive threats even when none are present. As a result, the individual experiences excess anxiety and fear, interfering with everyday tasks and well-being.

2. Relationship problems.

When a child has not witnessed or learned from a healthy caretaker, many types of toxic relationship patterns can follow them into adulthood. These issues can take many forms, including:

  • Codependency
  • Rescuing others
  • Selecting emotionally unavailable partners
  • Staying in toxic relationships
  • Confusing love with pity
  • Trying to fix others rather than focusing on their own problems

We know that unhappy relationships take a significant toll on mental and physical health. In fact, one Harvard study, spanning more than 80 years, found that positive relationships, more than any other metric, were the factor most likely to boost a person’s longevity and quality of life.

3. Lack of self-esteem.

Low self-esteem can manifest in multiple ways and negatively impact virtually every area of life. This trait may emerge in behaviors such as:

  • Unhealthy approval seeking
  • Difficulty identifying and voicing one’s own needs
  • Feeling guilt when putting oneself first
  • Low self-worth

These habits erode relationships and interfere with performance at school, work, or in the home as a parent. Low self-esteem is associated with underachieving, fear of trying, and feelings of anxiety and depression.

4. Denial.

For many adult children of alcoholics, accepting that their childhood was dysfunctional, unhealthy, or damaging may be very difficult. These children have often learned to suppress their emotions and, even as adults, refuse to acknowledge how they have been affected.

Or they may simply minimize the impact of their alcoholic home. They might say, “It could have been worse” or “No one’s parents are perfect.”

While these statements may be accurate, not facing up to the damages wrought by alcoholic parents can lead to unresolved issues building up. Eventually, without a safe way to process them, they create behavioral or emotional eruptions and harm mental and physical health over time.

5. Hypervigilance.

Growing up in a chaotic home teaches children to be on constant alert. As adults, if this habit continues, they remain on guard and tend to be “jumpy.”

Similarly, they may be unable to relax or fully trust a person or situation. Early exposure to trauma conditions the nervous system to constantly scan for threats rather than rest. This hypervigilance is draining, exhausting the body and mind.

Related: The Generational Impact of Addiction

What Brain Health Strategies Help Heal Adult Children of Alcoholics?

Because this population is more likely to develop mental health issues, it’s crucial to monitor, maintain, and maximize ACoA brain health. Several brain-healthy strategies help to repair the damaging effects of an alcoholic parent.

That’s the good news. Although people who grew up with alcoholic parents face unique challenges, they absolutely can heal and thrive, provided they are willing to seek help.

Here are several ways to heal adult children of alcoholics traits, improve their mental health, and embrace a new freedom:

1. Explore psychotherapy.

Various therapeutic approaches can help with the effects of trauma, negative thinking patterns, and problematic behaviors. These include:

  • Eye movement desensitization and reprocessing (EMDR) helps to take the emotional charge out of traumatic memories, while still maintaining the memory. With usually just a few sessions needed, it is useful for faster processing of trauma. It can be particularly helpful for those with CPTSD.
  • Cognitive behavioral therapy (CBT) helps individuals identify and replace their negative or harmful thinking and behavior patterns. This may include addressing automatic negative thoughts and finding healthier coping skills for stress.
  • Dialectical behavior therapy (DBT) can be more effective than CBT for improving executive function, one study (However, in the same study, CBT was more effective for reducing symptoms of depression and anxiety.)

2. Receive a brain-health evaluation.

Assessment, including brain SPECT imaging, helps determine how well your brain is functioning. It can assist in distinguishing between conditions with overlapping symptoms.

Scans are also useful to increase awareness of any co-occurring brain patterns of ACoAs. For example, results may point to an ADD subtype, such as overfocused ADD. This knowledge can decrease stigma and guide more effective treatment plans.

3. Be proactive.

Stay aware of your family history and be proactive in terms of prevention for the next generations. As we touched on earlier, even grandchildren of alcoholics can feel the reverberations of an alcoholic home, and kids should be educated on their unique risks.

Learn healthy coping and emotional regulation skills to deal with stressors—and model them for your own children. Changing these patterns will ensure that the lineage of dysfunction doesn’t need to infect future generations.

4. Seek recovery.

There are 12-step recovery groups, such as Adult Children of Alcoholics & Dysfunctional Families (known as ACA or ACoA), that offer meetings and literature to help survivors heal. Similar programs, such as Codependents Anonymous (CoDA) support groups, can also be instrumental in healing adult children of alcoholics.

5. Create a stress-busting routine.

Meditation, mindfulness, deep breathing, and journaling or writing a daily gratitude list can all help to keep stress levels down and to process difficult emotions. Healthy lifestyle habits can help minimize stress as well, including regular exercise, following a nutritious diet, spending time in nature, and ensuring good sleep hygiene.

Can Adults Affected by an Alcoholic Parent Heal?

Adults impacted by an alcoholic can absolutely find healing. While childhood makes lasting imprints on all of us, it doesn’t have to sentence anyone to a lifetime of struggle and unhappiness. Thanks to the powers of neuroplasticity, the brain can repair itself, even from deep-seated emotional trauma.

With increased awareness of your challenges, patterns, and family dynamics—and by using the tools above—you can recover well-being. Remember that the cycle of generational family trauma can end with you.

FAQ About Common Traits of Adult Children of Alcoholics

Common traits of adult children of alcoholics include fear of others and authority figures, relationship problems (such as codependency and rescuing), low self-esteem, denial of their childhood’s impact, and hypervigilance or constant alertness.

Exposure to unpredictable moods, emotional neglect, inconsistent care, and trauma in childhood can lead to a variety of negative effects. These include anxiety, depression, attention issues, complex PTSD, low self-worth, relational difficulties, and brain-health impacts in adulthood.

Yes. Some ACoAs show brain patterns such as a subtype of ADHD known as “overfocused.” This brain pattern is associated with rigid thinking, worry, and inflexibility. These individuals may require more tailored brain-health approaches beyond standard treatments.

Potentially successful approaches include trauma-informed therapy (such as EMDR, CBT, and DBT) and brain-health evaluation (including SPECT scans and lifestyle changes).

In addition, it’s important for an adult child to make healthy relational choices, such as setting boundaries and avoiding rescuing roles. Be sure to educate next-generation children about their family history and associated risks.

No. Although early childhood shapes the brain and behavior, adults can still change their patterns. With a personalized, brain-based treatment program, such as what Amen Clinics offers, they can build self-esteem, improve relationships, and address brain-health issues. As a result, they can prevent these traits from affecting their children or grandchildren.

The brain and mental health challenges adult children of alcoholics experience can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.
  1. American Academy of Child & Adolescent Psychology. Alcohol Use in Families. No. 17; Updated May 2019. https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Children-Of-Alcoholics-017.aspx
  2. National Institutes of Health. Millions of U.S. kids live with parents with substance use disorders. June 3, 2025. https://www.nih.gov/news-events/nih-research-matters/millions-us-kids-live-parents-substance-use-disorders
  3. AlSaad, Hebah & AlSaad, Amal & Khalifah, Zahra & Almogarry, Lubna & Alsaihaty, Essra. (2023). Psychological, Behavioral, and Developmental Impact on Children of Alcoholics. International Journal of Medicine in Developing Countries. 1. 10.24911/IJMDC.51-1672650644.
  4. Kim EJ, Pellman B, Kim JJ. Stress effects on the hippocampus: a critical review. Learn Mem. 2015 Aug 18;22(9):411-6. doi: 10.1101/lm.037291.114. PMID: 26286651; PMCID: PMC4561403.
  5. Good genes are nice, but joy is better. By Liz Mineo, Harvard Staff Writer. The Harvard Gazette. April 11, 2017. https://news.harvard.edu/gazette/story/2017/04/over-nearly-80-years-harvard-study-has-been-showing-how-to-live-a-healthy-and-happy-life
  6.  
  7. Afshari B, Jafarian Dehkordi F, Asgharnejad Farid AA, Aramfar B, Balagabri Z, Mohebi M, Mardi N, Amiri P. Study of the effects of cognitive behavioral therapy versus dialectical behavior therapy on executive function and reduction of symptoms in generalized anxiety disorder. Trends Psychiatry Psychother. 2022 Aug 31;44:e20200156. doi: 10.47626/2237-6089-2020-0156. PMID: 35559733; PMCID: PMC10039721.
  8.  
  9. Adult Children of Alcoholic & Dysfunctional Families. https://adultchildren.org/

Related Articles

New Hope for Alzheimer’s: Study Says Lithium May Reverse Aging Brain

lithium element
Study suggests lithium deficiency may explain Alzheimer’s disease and low-dose lithium orotate supplement may be the key to treatment.

Could a naturally occurring metal used in mental health treatment hold the key to preventing—or even reversing—Alzheimer’s disease? A groundbreaking 2025 study published in Nature suggests it just might.

 

In their research, scientists from Harvard Medical School and Rush University discovered a striking link between low levels of brain lithium and Alzheimer’s disease (AD). By restoring this naturally occurring metal to healthy levels, they found it may be possible to protect the brain from damage—and, in some cases, even reverse cognitive decline.

 

This breakthrough points to a future where a safe, natural element could transform how we treat one of the most devastating brain disorders of our time.

A new study from researchers at Harvard Medical School and Rush University suggests that replenishing the brain’s natural stores of lithium may protect against—and potentially even reverse—Alzheimer’s disease.

IS LOW LITHIUM LINKED TO ALZHEIMER’S DISEASE?

 

The researchers’ analyses of human brain tissues and multiple mouse experiments indicate that lithium deficiency in the brain and cognitive decline are closely linked. Specifically, low levels of natural lithium in the brain are associated with the development of memory loss and the buildup of amyloid plaques and tau tangles—hallmarks of Alzheimer’s disease.

 

Additionally, the researchers found evidence in mice that lithium orotate—a specific type of lithium supplement—undoes memory loss and reverses neurological changes, helping to restore the brain to a healthier and younger state in subjects with AD.

 

The groundbreaking study adds to a growing body of research pointing to lithium’s neuroprotective effects. However, the implications of this latest finding are profound. With clinical study, it could potentially lead to new and effective treatments for Alzheimer’s disease—and perhaps even Alzheimer’s prevention supplements of lithium orotate.

 

Here’s a basic overview of Alzheimer’s disease and details on this groundbreaking research.

 

WHAT IS ALZHEIMER’S DISEASE?

 

Dementia is the umbrella term that refers to a category of progressive neurodegenerative diseases that compromise important brain functions and lead to cognitive impairment, memory loss, difficulty with language, and changes in behavior and personality.

 

Alzheimer’s disease (AD) is the most common and well-known form of dementia, representing about 60-80 percent of all cases. AD affects about 6.7 million Americans, according to data from the Centers for Disease Control and Prevention (CDC) and, concerningly, that figure is expected to double by 2060.

 

AD painfully and slowly destroys memory, thinking skills and, over time, the ability to carry out simple everyday tasks, robbing individuals of their independence. Even though it affects mostly older adults, AD is not a normal part of aging.

 

Some of the most common signs and symptoms of Alzheimer’s disease include the following:

  • Problems with short-term memory
  • Difficulty paying bills
  • Trouble preparing meals
  • Forgetting appointments
  • Getting lost in familiar areas
  • Difficulty interpreting what is seen
  • Struggling with vocabulary, verbal expression, and following conversations
  • Impaired judgment
  • Changes in mood or personality

 

According to decades of research, the underlying pathology of AD is believed to be a buildup of beta amyloid plaques that occurs between neurons (brain cells), which interferes with communication from one neuron to the next, and an accumulation of tangles of abnormal tau protein inside the neurons, called “tau tangles.”

 

However, this theory has been increasingly called into question. For example, a 2023 article in the Journal of Alzheimer’s Disease asked: “The Amyloid Hypothesis: The Greatest Invention or the Biggest Blunder in Biomedical Science Ever?”

 

Brain-imaging research shows that changes suggestive of mild cognitive impairment (MCI) can begin more than a decade before the clinical diagnosis of AD.

 

Brain SPECT imaging studies at Amen Clinics, which has the world’s largest database of functional brain scans related to behavior, show that changes associated with Alzheimer’s can be seen on SPECT scans over 20 years before cognitive symptoms develop.

 

Most individuals with the disease have what’s called late-onset Alzheimer’s disease, where symptoms first appear in their mid-60s. Early-onset AD occurs between one’s mid-30s and mid-60s.

 

Currently, there are two immunotherapy drugs that have been approved for the treatment of early stage-Alzheimer’s, which target the reduction of amyloid plaques to slow deterioration. Unfortunately, the benefits of these treatments are modest, and they can have serious brain-damaging side effects.

 

This doesn’t mean there is nothing we can do to prevent Alzheimer’s disease or slow its progression. Understanding what causes Alzheimer’s disease is key to prevention and treatment.

 

 

WHAT CAUSES ALZHEIMER’S DISEASE?

 

The exact cause of AD is unclear, but scientists believe a combination of genetic, lifestyle, and environmental factors play into its development. Psychiatrist and brain health expert Dr. Daniel Amen has identified 11 major risk factors for Alzheimer’s disease. He details these risks as well as strategies to address them and reduce the risk for AD in his book Memory Rescue.

 

In terms of genetics, a variant of the apolipoprotein E (Apo E) gene, called ApoE4, is the number-one risk factor for late-onset Alzheimer’s disease, but having it does not necessarily mean an individual will develop AD.

 

When it comes to lifestyle factors, diet, exercise, sleep, social isolation, and a lack of new learning all have an influence on AD risk. Other contributors to memory loss include exposure to environmental toxins, head trauma, inflammation, low blood flow, infections, neurohormone imbalances, and mental health issues.

 

Related: Alzheimer’s Is a Lifestyle Disease

 

Research shows that treating these risk factors can improve memory and cognitive function. A study performed at Amen Clinics on 30 retired NFL players with cognitive impairment and brain damage found that following a brain-healthy protocol resulted in improvements in memory, attention, and reasoning.

 

Brain scans showed that the former players also benefited from improved blood flow and activity in several key regions of the brain, including:

  • Prefrontal cortex
  • Parietal lobes
  • Occipital lobes
  • Anterior cingulate gyrus
  • Cerebellum

 

In recent years, scientists have also studied the environmental impact of trace metals on Alzheimer’s, which, in part, led to the new study examining lithium deficiency.

 

WHAT IS THE CONNECTION BETWEEN LITHIUM AND HEALTH?

 

Lithium is a natural trace element found in the environment and present in certain foods and water. In the nineteenth and early twentieth centuries, lithium was valued for its various health and mood benefits.

 

Natural springs with higher lithium content became destinations for health as “lithia water” was thought to be a curative for many ailments. Lithia water was bottled and sold as a health beverage. In fact, an early formulation for 7-Up contained lithium with a lemon-lime flavoring and was marketed as a health tonic.

 

However, the US Food and Drug Administration (FDA) banned it due to its potential negative side effects in the 1950s.

 

In the field of psychiatry, the first successful clinical trial on lithium treatment for manic-depression (now referred to as bipolar disorder) was published in 1954, and by 1970, the FDA had approved the use of lithium carbonate as a mood stabilizer, according to published documentation.

 

Today, carefully prescribed levels of lithium carbonate—a pharmaceutical form of the element—is considered the gold standard treatment for bipolar disorder. Yet, this prescribed lithium can have serious negative side effects, including risk of toxicity, if not monitored properly.

 

LITHIUM AND ALZHEIMER’S DISEASE RESEARCH

 

A number of key studies in recent years have pointed to lithium’s protective action against dementia and, specifically, Alzheimer’s disease.

 

One study, published in the British Journal of Psychiatry in 2007, examined risk of Alzheimer’s disease in elderly patients with bipolar disorder. Based on an established association between bipolar disorder and higher risk of dementia, Brazilian researchers compared bipolar patients treated with chronic lithium therapy and those without recent lithium therapy.

 

It turned out that the bipolar patients who had lithium treatment showed reduced prevalence of Alzheimer’s disease to levels in the general elderly population.

 

The findings appeared to provide further evidence that lithium inhibits processes that factor into the pathogenesis of Alzheimer’s disease.

 

Other significant epidemiological research examined the effects of trace lithium in drinking water and how very low doses of lithium, over time, might help to prevent dementia.

A large 2017 Danish study published in JAMA Psychiatry noted an association between long-term increased lithium exposure in drinking water and lower incidence of dementia.

 

More recently, in 2024, Brazilian researchers examined five studies that reported a link between trace lithium in water and dementia and mortality from dementia. The published review study found associations between trace lithium levels and a lower risk of dementia or mortality from dementia.

 

The study concluded that evidence shows that trace lithium levels in drinking water are sufficient to lower the incidence or mortality from dementia and recommended future clinical trials focusing on long-term use of low or even microdoses of lithium for dementia treatment and prevention. 

 

THE BREAKTHROUGH STUDY ON LITHIUM AND ALZHEIMER’S DISEASE

 

As mentioned, the overall grand-arching finding of the new study published in Nature suggests that replenishing the brain’s natural stores of lithium can protect against and even reverse Alzheimer’s disease.

 

The research results presented in the published study offer many significant discoveries, serving to advance the scientific community’s understanding of lithium’s role in both the pathogenesis and potential treatment of AD.

 

Here’s a look at some of those discoveries.

 

  1. Human Research Findings

Scientists have been looking closely at metals in the brain, since imbalances may play a role in Alzheimer’s disease (AD). In one study, researchers measured 27 different metals in the brain and blood of older adults—some healthy, some with mild cognitive impairment (MCI), and some with Alzheimer’s.

Here’s what they discovered:

  • Lithium Is Naturally in the Brain: Healthy brains naturally contain small amounts of lithium.
  • Much Lower Lithium in Alzheimer’s: In both MCI and Alzheimer’s patients, brain lithium levels were about 50% lower than in healthy people.
  • Lower Where Damage Is Worst: Areas of the brain most affected by Alzheimer’s had the lowest lithium levels. Some lithium was trapped inside amyloid plaques, making less available for normal brain function.
  • Other Metal Changes: People with Alzheimer’s also had higher zinc levels and lower copper levels compared to healthy individuals.
  1. Animal Research Findings

Researchers have tested lithium in mice with Alzheimer’s disease (AD), and the results are promising—though they still need to be confirmed in human studies. Here’s what they found:

  • Protects Brain Connections: Lithium helps maintain healthy connections between brain cells as mice age. When mice with Alzheimer’s ate a diet low in lithium, their thinking and memory worsened faster. Their brains also showed more of the harmful protein buildup (amyloid plaques and tau tangles) seen in Alzheimer’s, more inflammation, and gene changes linked to the disease.
  • How It Works: One way lithium deficiency may cause harm is by overactivating a brain protein called GSK3β, which is involved in Alzheimer’s development.
  • Best Form for the Brain: Out of 16 types of lithium tested, lithium orotate was the least likely to stick to amyloid plaques (which are toxic to brain cells).
  • Better Than the Standard Form: In mice with Alzheimer’s, lithium orotate in drinking water worked better than the more common lithium carbonate at preventing memory loss, reducing harmful protein buildup, lowering brain inflammation, and even helping immune cells in the brain (microglia) “clean up” plaques.
  • Helps Healthy Brains, Too: In healthy mice, lithium orotate also protected brain structure from the normal wear and tear of aging.
  • Safer for the Body: Unlike lithium carbonate, lithium orotate didn’t show the same harmful effects on the kidneys or thyroid.
  • Restores Memory: In Alzheimer’s mice, lithium orotate—given in the right dose—restored memory performance to normal levels, something lithium carbonate did not achieve.

These are truly extraordinary results. Treatment for Alzheimer’s disease has previously only targeted the reduction of plaques and tau tangles, but never so many pathologies underlying AD. If these findings are confirmed in clinical trials, it could have substantial implications for AD treatment and prevention.

 

LITHIUM OROTATE VS LITHIUM CARBONATE

 

You may be wondering how lithium orotate differs from high-dose, pharmaceutical lithium carbonate commonly used in the treatment of bipolar disorder.

 

Related: Understanding the Differences Between Lithium and Lithium Orotate

 

For starters, lithium orotate is a low-dose, over-the-counter nutritional supplement that consists of orotic acid (a compound produced naturally in the body) and lithium. It is not a medicine. Some people refer to lithium orotate as “nutritional lithium.”

 

There are no official guidelines for lithium orotate dosage levels but they are much closer to the generally safe amounts of lithium found in foods such as grains and vegetables. (The average human consumption of lithium from food sources and water has been estimated to be approximately 0.5 to 3 mg/day, according to research.)

 

Supplemental suggested dosages are usually between 5 to 10mg, and sometimes up to 20mg with little to no adverse effects noted. By comparison, lithium carbonate may be prescribed at 1,800 mg therapeutically with significant risk of side effects unless monitored closely.

 

Some research has been conducted using lithium orotate in the treatment of alcoholism, migraines, and depression associated with bipolar disorder. However, experts suggest that more research is needed.

 

Until now, the potential benefits of low-dose lithium have been underappreciated largely due the stigma linked to lithium carbonate. Thanks to the new research, however, the tides may now be turning for low-dose lithium orotate.

 

If future clinical research confirms these findings, lithium orotate may become a common strategy for the prevention and treatment of Alzheimer’s disease.

Memory loss, dementia, and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Aron L, Ngian ZK, Qiu C, Choi J, Liang M, Drake DM, Hamplova SE, Lacey EK, Roche P, Yuan M, Hazaveh SS, Lee EA, Bennett DA, Yankner BA. Lithium deficiency and the onset of Alzheimer’s disease. Nature. 2025 Aug 6.

 

CDC Website

https://www.cdc.gov/alzheimers-dementia/about/index.html#:~:text=A%20growing%20problem,getting%20lost%20in%20familiar%20areas.

Accessed August 12, 2025

 

 

Younes L, Albert M, Moghekar A, Soldan A, Pettigrew C, Miller MI. Identifying Changepoints in Biomarkers During the Preclinical Phase of Alzheimer’s Disease. Front Aging Neurosci. 2019 Apr 2;11:74.

 

Shorter E. The history of lithium therapy. Bipolar Disord. 2009 Jun;11 Suppl 2(Suppl 2):4-9.

 

Nunes PV, Forlenza OV, Gattaz WF. Lithium and risk for Alzheimer’s disease in elderly patients with bipolar disorder. Br J Psychiatry. 2007 Apr;190:359-60.

 

Kessing LV, Gerds TA, Knudsen NN, Jørgensen LF, Kristiansen SM, Voutchkova D, Ernstsen V, Schullehner J, Hansen B, Andersen PK, Ersbøll AK. Association of Lithium in Drinking Water With the Incidence of Dementia. JAMA Psychiatry. 2017 Oct 1;74(10):1005-1010.

 

Fraiha-Pegado J, de Paula VJR, Alotaibi T, Forlenza O, Hajek T. Trace lithium levels in drinking water and risk of dementia: a systematic review. Int J Bipolar Disord. 2024 Aug 30;12(1):32.

 

Hamstra SI, Roy BD, Tiidus P, MacNeil AJ, Klentrou P, MacPherson REK, Fajardo VA. Beyond its Psychiatric Use: The Benefits of Low-dose Lithium Supplementation. Curr Neuropharmacol. 2023;21(4):891-910.

 

Kurkinen M. The Amyloid Hypothesis: The Greatest Invention or the Biggest Blunder in Biomedical Science Ever? 2023. https://www.j-alz.com/content/amyloid-hypothesis-greatest-invention-or-biggest-blunder-biomedical-science-ever

 

Amen, D. G., Wu, J. C., Taylor, D., & Willeumier, K. (2011). Reversing Brain Damage in Former NFL Players: Implications for Traumatic Brain Injury and Substance Abuse Rehabilitation. Journal of Psychoactive Drugs, 43(1), 1–5. https://doi.org/10.1080/02791072.2011.566489

How Can You Calm Hangover Anxiety and Recover Your Brain?

man looking hungover
Discover what causes "hangxiety" and learn brain-based strategies to ease post-alcohol anxiety, restore mood, and rebalance your mind.

You wake up with a pounding headache, a queasy stomach, and an overwhelming sense of dread after a night (or day) of drinking. Though it may seem common, this feeling isn’t just a simple hangover. It’s hangover anxiety, or “hangxiety” as it’s commonly dubbed.

 

 This next-day panic often follows drinking and can leave you feeling shaky, emotionally fragile, and wracked with regret. What causes hangxiety?

 

Hangover anxiety is deeply rooted in brain chemistry, neurotransmitter imbalances, and increased inflammation. These post-alcohol mood swings are a sign that your brain needs support to heal, not shame.

This blog will explore why hangxiety happens and what you can do about it starting today.

Pounding headache? Queasy stomach? Overwhelming sense of dread after a night of drinking? Welcome to hangover anxiety—“hangxiety”—which is deeply rooted in brain chemistry. It’s a sign your brain is in need of support.

WHY DOES ALCOHOL TRIGGER HANGOVER ANXIETY THE MORNING AFTER?

 

Alcohol may seem like a simple social lubricant, but it also quietly rewires your brain chemistry while you’re sipping away. It disrupts the balance of the calming neurotransmitter called gamma-aminobutyric acid (GABA) and dopamine, which is the brain’s reward chemical.

 

That initial buzz? It’s your dopamine on overdrive.

 

But the morning after? That’s the dreaded withdrawal.

 

Essentially, your GABA levels crash, leaving your nervous system overstimulated and anxious. Your dopamine levels drop too, dragging your mood down with it. On top of that, alcohol fuels inflammation in the brain, impairs blood flow, and disrupts the delicate web of your emotional regulation system.

 

So, when you wake up the next morning with racing thoughts, a low mood, and physical symptoms like shakiness, it’s not your imagination. This is your brain’s distress call.

Related: 5 Scary Ways Alcohol Damages the Brain

 What Happens to Your Brain After One Night of Drinking?

 

One night of drinking can impair the brain’s natural calming mechanisms. Alcohol initially acts as a depressant, slowing down your central nervous system. However, once the alcohol wears off, the brain rebounds by releasing excitatory neurotransmitters like glutamate to restore balance. This overcorrection causes the classic hangxiety symptoms:

 

  • Increased heart rate
  • Irritability or dread
  • Intrusive thoughts or overthinking
  • Mood swings
  • Sensitivity to light and sound

Alcohol also messes with balancing serotonin signals and cortisol levels, which are crucial for regulating mood and stress. And that post-drinking unease is your brain trying to regain equilibrium after being chemically hijacked.

Foods that may trigger anxiety are plentiful on grocery store shelves. Ultra-processed “Frankenfoods” are obvious culprits. But keep in mind that even foods marketed as healthy can disrupt brain chemistry and increase feelings of anxiety and stress.

6 FEEL-GOOD FOODS THAT MAKE ANXIETY WORSE

Can healthy foods cause anxiety? You may be surprised to know that what you’re eating may have a lot to do with what’s eating you! Did you know that the very foods and beverages we seek out to soothe anxious feelings, although providing temporary relief, may make anxiety worse in the long run?

  1. Fat-Free Snacks

When you’re struggling with anxiety disorders and you’re trying to eat a healthy diet, you might reach for fat-free foods like yogurt or granola bars. But consuming them may make anxiety worse.

 

Many fat-free foods are filled with sugar and refined carbohydrates that spike blood sugar, which increases anxiety and contributes to mood crashes. Unstable blood sugar can trigger irritability, restlessness, and panic-like symptoms.

 

When you eat something high in added sugar or refined carbs, it causes your blood sugar to spike and then drop faster than it would if you had a more balanced meal with protein, carbs, fiber, and fat.

 

Science confirms it. Researchers observed increased symptoms of anxiety in a 2018 animal study where subjects were fed a diet high in refined carbohydrates.

 

Remember that added sugars can come in many forms and hide in all kinds of “healthy” fat-free foods. You can even find added sugar in fat-free sauces, dressings, and condiments.

                                                                                                         

Choose smarter carbs that support calm and are naturally low in fat. Reach for complex carbs like sweet potatoes, berries, and quinoa to stabilize your energy and mood.

  1. High-Fructose Fruit Juice

Packaged juices may seem healthy, but they deliver sugar without fiber, impacting mood regulation due to the blood sugar-anxiety connection explained above. Juice-induced glucose spikes even affect serotonin and cortisol levels.

 

Conversely, studies on diabetes have established that high anxiety levels can result in the release of sympathetic hormones, which can:

 

  • Elevate both cortisol and glucose levels
  • Decrease insulin release
  • Affect the sensitivity and resistance of the insulin hormone

Rather than sip high-sugar fruit juices, try infused water, herbal teas, or whole-fruit smoothies that offer the benefits of added protein and fiber.

 

  1. Whole-Wheat Bread

While often a go-to for “healthy eating,” wheat products can negatively affect sensitive individuals such as those with gluten sensitivity or leaky gut.

 

As a reminder, gluten is the general name used for the proteins found in wheat, rye, barley, and triticale (a cross between wheat and rye). But this ingredient is increasingly a problem for those who have a sensitivity to it.

 

Researchers have estimated that while 1 percent of the US population has been diagnosed with celiac disease, “non-celiac gluten sensitivity” affects up to 6 percent of people in the U.S.

 

In these people, studies have found, gluten triggers gut dysbiosis, neuroinflammation, and gut-brain axis dysfunction. It even increases vulnerability for dementia.

 

Another review study found that gluten sensitivity and celiac disease are related to numerous brain health and mental health issues, including:

 

  • Attention deficit hyperactivity disorder (ADHD)
  • Depression
  • Mood disorders
  • Anxiety disorders
  • Schizophrenia
  • Autism spectrum disorders

 

However, evidence shows that a gluten-free diet has been associated with improvements in mental health conditions. Going gluten-free produced a decrease in symptoms in some people in a study on autism, research on ADHD, and a review study on depression.

 

For healthier bread alternatives, reach for sprouted grains, gluten-free options made with seeds and legumes, or gluten-free coconut wraps.

 

  1. Non-Organic Fruit

Fruit sounds healthy, but non-organic produce may contain pesticide residues linked to mood and brain issues. A 2023 systematic review of 57 studies found that farm workers exposed to pesticides had increased depressive disorders and a higher suicide risk.  

 

Meanwhile, a 2024 study of pesticide-exposed farmers also drew a link between exposure and mental health symptoms. The researchers hypothesized that pesticide exposure “compromises antioxidant defense mechanisms and induces inflammatory processes that may compromise neural circuits.”

 

These changes may be associated with the development of anxiety disorders and major depressive disorder in the pesticide-exposed farmers who were studied. Considering the neurotoxic effects of these chemicals on the brain, it’s important to reduce or eliminate exposure as much as possible.

 

Certain types of produce are notorious for having more pesticides than others. Strawberries, apples, and blueberries, for example, consistently appear on the “Dirty Dozen” list created by the Environmental Working Group (EWG).

Choose clean, mood-safe produce by looking for organic apples and other fruits and vegetables on the “Dirty Dozen” list. Also refer to the EWG’s “Clean 15” list to find which produce has the least pesticides.

 

  1. Factory-Farmed Chicken

Many people view chicken as a preferred alternative to red meat—and it can, in fact, be a healthier choice. But factory-farmed versions may contain added hormones, antibiotics, or inflammatory fats.

 

That’s why quality of meat matters. Additives in low-quality meats may contribute to systemic inflammation and anxiety.

 

A report by The College of Natural Sciences at the University of Massachusetts Amherst warned that modern industrial chicken farming exposes both chickens and humans to many health dangers. These include infectious diseases, antibiotics, and arsenical drugs.

 

To reduce exposure, choose local, pasture-raised and/or organic poultry rich in omega-3s that are grown without harmful chemicals.

 

  1. Sugar-Free Yogurt

Check your labels! “Sugar-free,” yogurt may contain artificial sweeteners like aspartame. Because artificial sweeteners affect the gut-brain axis, they are known to disrupt gut health and mood stability.

 

As known neurotoxins, artificial sweeteners can also disrupt normal nervous system function, leading to increased symptoms of anxiety.

 

One study focusing on nutrition as a metabolic treatment of anxiety suggested that increased anxiousness from artificial sweeteners may be a result of the adverse impacts they have on the microbiome and inflammation.

 

Another study in Nutrition Neuroscience suggested that aspartame (in brands such as Equal and Nutrasweet) can inhibit the transport of dopamine and serotonin precursors into the brain. They may increase the levels of excitatory neurotransmitters, shifting brain chemistry to be more anxiety prone.

 

To protect your mental health, make better dairy and dairy-free choices. Choose full-fat plain yogurt with live cultures, or dairy-free yogurts made from coconut or almond milk, enriched with probiotics for better gut health.

CAN REHYDRATION AND NUTRITION EASE HANGXIETY FAST?

Absolutely! Your brain runs on nutrients, glucose, and hydration like a high-performance engine. After drinking alcohol, dehydration and blood sugar crashes add fuel to the anxiety fire. Rehydrating with electrolytes and replenishing nutrients can calm hangxiety symptoms faster than you think.

What Should You Drink and Eat to Support Your Brain?

A good tip is to skip the coffee as caffeine often worsens dehydration and jitteriness. There is research showing that nutrient dense foods can help alleviate signs of hangover anxiety. To feel better faster, opt for:

  • Electrolyte-rich fluids: Coconut water, electrolyte powders (low sugar), or mineral water
  • Bone broth: Rich in amino acids and collagen to calm the gut-brain axis
  • Clean proteins: Eggs (if tolerated), turkey, or plant-based options to help rebuild neurotransmitters
  • Healthy fats: Avocado, nuts, and seeds support brain cell structure and reduce inflammation
  • Complex carbs: Oats or sweet potatoes help regulate blood sugar and mood

Fueling your body well is one of the fastest ways to help your brain reset and keep anxiety low.

HOW DOES SLEEP IMPACT POST-DRINKING ANXIETY?

Quality sleep is your brain’s housekeeping system, but research shows that alcohol severely disrupts it. While it might knock you out at first, alcohol suppresses REM sleep, which is the most restorative sleep phase tied to emotional processing and memory.

That’s why many people wake up after drinking feeling foggy, wired, and more anxious than before. Poor sleep also increases stress hormones like cortisol leaving your brain extra vulnerable to anxiety.

What Steps Improve Recovery Sleep?

To bounce back from a hangxiety-fueled night, create a soothing sleep-conducive environment using the following:

  • Keep your bedroom cool and dark
  • Avoid caffeine and screens at least two hours before bed
  • Take a magnesium glycinate supplement (if it’s safe for you)
  • Try natural GABA or L-theanine (check with your doctor first)
  • Use a noise machine or drift to sleep with soft calming sounds
  • Take a short nap during the day (20–30 minutes max)

Research shows that even partial sleep recovery helps lower anxiety levels by stabilizing your nervous system to help you heal, especially when you’re stressed.

CAN MINDFULNESS AND BREATHING REDUCE HANGXIETY NOW?

Yes. When your brain is inflamed and your stress circuits are activated, calming your nervous system is key. Deep breathing and mindfulness exercises help disengage the fight-or-flight response and re-engage the brain’s parasympathetic, or “rest and digest,” mode.

Which Techniques Calm the Brain Quickly?

To calm your brain quickly and effectively, you can try these hangxiety-soothing methods:

  • Box breathing: Inhale for four seconds, hold for four, exhale for four, hold for four. Repeat five to 10 cycles and take your time to focus on your breathing.
  • Progressive muscle relaxation: Tense and release muscles from your feet to your head.
  • Guided imagery: Visualize a calming scene—waves on a beach, walking through a forest.
  • Grounding techniques: Name five things you see, four you feel, three you hear, two you smell, and one you taste.

These tools can short-circuit anxious and negative thoughts and give your brain space to reset.

Related: Automatic Negative Thoughts (ANTs): How to Stop Toxic Thinking and Rewire Your Brain

IS MOVEMENT HELPFUL OR HARMFUL DURING HANGXIETY?

Honestly, it depends. While intense workouts can overstimulate an already anxious brain, gentle movement can boost circulation, detox your system, and increase feel-good endorphins without overwhelming you.

What Kind of Movement Soothes Your Brain After Drinking?

Start with low-impact, slow-paced activities you’ll actually enjoy doing like:

  • Nature walks: Studies show that sunlight and greenery calm the amygdala, which is your brain’s fear center
  • Restorative yoga: Focuses on stretching, breathwork, and inner balance
  • Tai chi or gentle Qigong: Great for grounding and improving energy flow

Just 20–30 minutes of mindful movement can reduce anxiety and inflammation while supporting brain recovery.

WHEN SHOULD YOU SEEK PROFESSIONAL HELP FOR HANGXIETY?

If your hangxiety lasts beyond the typical post-drinking window or begins to impact your daily life, it may signal deeper mental health or brain function concerns. Occasional worry is normal; however, persistent anxiety deserves attention.

What Symptoms Signal It’s More Than a Hangover?

Please seek support from a mental health professional if you notice symptoms including but not limited to:

  • Panic attacks that last several hours or reoccur regularly
  • Trouble sleeping for multiple nights in a row
  • Feelings of hopelessness, guilt, or depression
  • Loss of interest in daily activities
  • Physical symptoms like chest tightness or racing heart days after drinking

It’s not just about the alcohol consumption. Your brain may be trying to tell you it’s overwhelmed, inflamed, or operating under chronic stress pointing to more serious problems long-term.

FAQ

At Amen Clinics, we don’t just treat hangxiety. We can help you understand the root cause. Our brain-centered method goes beyond talk therapy or symptom-chasing.

We use advanced tools like brain SPECT imaging to evaluate blood flow and activity patterns that may be affecting your mood, memory, and stress response.

It’s important to realize that it may be necessary to reduce or eliminate alcohol to avoid hangxiety. For many Amen Clinics patients, seeing their brain scans shows how alcohol has affected their brain function and inspires them to cut back on drinking.

At Amen Clinics, customized recovery protocols may include:

  • Brain imaging and diagnostics
  • Neuropsychological assessments
  • Hormone testing
  • Nutritional guidance to heal your gut-brain axis
  • Personalized nutritional supplement plans
  • Psychotherapy techniques
  • Cognitive behavioral strategies
  • Sleep coaching
  • Lifestyle redesign
  • Cutting back on alcohol

With these strategies, you can build resilience and heal your hangxiety from the inside out.

When you take care of your brain, it improves every aspect of your life, including:

  • More emotional stability and less reactivity
  • Fewer cravings and reduced reliance on alcohol
  • Improved energy and motivation
  • Better relationships and focus
  • Stronger coping skills for daily stress

Brain health isn’t just a one-time fix. If you want lasting results, think of it as a daily practice.

Anxiety, addiction, and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Anand, S. K., Ahmad, M. H., Sahu, M. R., Subba, R., & Mondal, A. C. (2023). Detrimental Effects of Alcohol-Induced Inflammation on Brain Health: From Neurogenesis to Neurodegeneration. Cellular and molecular neurobiology, 43(5), 1885–1904. https://doi.org/10.1007/s10571-022-01308-2

 

Naik, D. R., Pina-Leblanc, C., Tang, V. M., Sloan, M. E., Nikolova, Y. S., Pangarov, P., Ruocco, A. C., Shield, K., Voineskos, D., Blumberger, D. M., Boileau, I., Bozinoff, N., Gerretsen, P., Vieira, E., Melamed, O. C., Sibille, E., Quilty, L. C., & Prevot, T. D. (2023). GABAergic signaling in alcohol use disorder and withdrawal: Pathological involvement and therapeutic potential. Frontiers in Neural Circuits, 17. https://doi.org/10.3389/fncir.2023.1218737

 

Tellez-Monnery, K., Berghoff, C. R., & McDermott, M. J. (2023). Investigating the effects of emotion dysregulation and repetitive negative thinking on alcohol hangover anxiety and depression. Addictive Behaviors, 140, 107619. https://doi.org/10.1016/j.addbeh.2023.107619

 

Rosdeitcher, L. (2018, February 12). IU-led study finds neurotransmitter glutamate may play a role in alcohol relapse, addiction. Indiana University News. https://news.iu.edu/live/news/24679-iu-led-study-finds-neurotransmitter-glutamate-may

 

Castle, M. E., & Flanigan, M. E. (2024). The role of brain serotonin signaling in excessive alcohol consumption and withdrawal: A call for more research in females. Neurobiology of Stress, 30, 100618. https://doi.org/10.1016/j.ynstr.2024.100618

 

Moslemi, M., Jannat, B., Mahmoudzadeh, M., Ghasemlou, M., & Abedi, A. S. (2023). Detoxification activity of bioactive food compounds against ethanol-induced injuries and hangover symptoms: A review. Food science & nutrition, 11(9), 5028–5040. https://doi.org/10.1002/fsn3.3520

 

Colrain, I. M., Nicholas, C. L., & Baker, F. C. (2014). Alcohol and the sleeping brain. Handbook of clinical neurology, 125, 415–431. https://doi.org/10.1016/B978-0-444-62619-6.00024-0

 

Meyrel, M., Rolland, B., & Geoffroy, P. A. (2020). Alterations in circadian rhythms following alcohol use: A systematic review. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 99, 109831. https://doi.org/10.1016/j.pnpbp.2019.109831

 

Sudimac, Sonja & Sale, Vera & Kühn, Simone. (2022). How nature nurtures: Amygdala activity decreases as the result of a one-hour walk in nature. Molecular Psychiatry. 27. 1-7. 10.1038/s41380-022-01720-6.

 

Wang, Y., Tian, J., & Yang, Q. (2023). Tai Chi exercise improves working memory capacity and emotion regulation ability. Frontiers in psychology, 14, 1047544. https://doi.org/10.3389/fpsyg.2023.1047544

 

Kim, Y., Kim, J., Oh, J.W. et al. Association between drinking behaviors, sleep duration, and depressive symptoms. Sci Rep 14, 5992 (2024). https://doi.org/10.1038/s41598-024-56625-x

 

Amen, D. G., Trujillo, M., Newberg, A., Willeumier, K., Tarzwell, R., Wu, J. C., & Chaitin, B. (2011). Brain SPECT Imaging in Complex Psychiatric Cases: An Evidence-Based, Underutilized Tool. The open neuroimaging journal, 5, 40–48. https://doi.org/10.2174/1874440001105010040

Sleep and the recovery from stress. Yu, X., Nollet, M., Franks, N.P., Wisden, W. Neuron (2025). DOI: 10.1016/j.neuron.2025.04.028, https://www.cell.com/neuron/fulltext/S0896-6273(25)00311-3

5 Damaging Effects of Drinking Alcohol on Older Adults

man with grey hair drinking a beer
The physical and emotional effects that define an anxiety or panic attack hangover can leave you drained, dazed, and derailed—sometimes for days.

In generations past, young people were traditionally associated with hard-partying lifestyles. But when it comes to drinking alcohol, it’s the baby boomer generation (born 1946-1964) whose consumption may pose the biggest problem in years to come.

After all, the combination of a large aging population and their reportedly increasing alcohol use could take a serious toll. It can affect everything from our nation’s healthcare system to family members and caregivers. And for the older adults themselves, this mixture can turn destructive or even deadly.

IS DRINKING INCREASING AMONG OLDER ADULTS?

As Gen Z increasingly says no to alcohol consumption or joins the sober curious movement, adults 65 and older may be moving in the opposite direction. Baby boomers are showing rising levels of both alcohol consumption and alcohol use disorder (AUD), according to a 2023 article published in the medical journal Alcohol.

American Addiction Centers confirms that alcohol use among adults over 65—including problematic drinking behaviors—is on the rise. Here are some stats the organization shares:

  • Alcohol is the #1 most used substance among adults who are 65 and older.
  • Among the many older adults who fit the criteria for alcohol use disorder, an estimated one-third of them developed the problem later in life.
  • Binge drinking may be on the rise among older adults. In 2021, the Substance Abuse and Mental Health Services Administration (SAMHSA) estimated that more than 11% of 65-and-older U.S. adults had at least one binge drinking episode within the previous month.

5 REASONS WHY AGING AND ALCOHOL DON’T MIX

While alcohol is a toxic substance at any age, drinking can lead to more dangerous effects among the over-65 population. Let’s explore the numerous factors that make alcohol consumption especially problematic for older adults.

  1. Alcohol accelerates age-related cognitive decline.

Both aging and alcohol affect all systems of the body, and the human brain is no exception. Alcohol abuse has been associated with brain damage, especially in brain regions such as the prefrontal cortex (PFC) and hippocampus.

Because the PFC is involved with decision-making and the hippocampus impacts memory and mood, alcohol use may ultimately promote more alcohol use. Less impulse control combined with low moods makes it easier to get caught in a cycle that leads to abuse and addiction.

In addition, heavy alcohol use lowers blood flow to the brain and therefore has been linked to lower neurogenesis, or the generation of new brain cells. Research has shown that drinking even “moderate” amounts of alcohol (1-7 drinks per week) is associated with lower total brain volume, with heavier use leading to greater shrinkage.

It’s no surprise that, according to one study, moderate to heavy drinkers have a 57% higher risk of dementia than non-drinkers and light drinkers. And alcohol abuse has been determined as a driver of accelerated brain aging.

The process of aging, on the other hand, is commonly accompanied by symptoms of cognitive decline. Adding ongoing alcohol use to the brain’s normal aging process can be devastating.

  1. Alcohol destroys sleep.

Many people experience changes in their slumber as they age, such as interrupted sleep and reduced quality or quantity of sleep. The Sleep Foundation points to various factors behind these disruptions, including:

  • Changing circadian rhythms
  • Physical or mental health conditions
  • Changes in hormone production, including melatonin and cortisol
  • Medication side effects
  • Stress and anxiety
  • Less exposure to daylight
  • Lifestyle changes (such as less-structured sleep schedules)

As a notorious sleep destroyer, alcohol only worsens these issues. Drinking booze before bed is linked to dysfunctional sleep patterns, lower-quality sleep due to REM sleep disruptions, and even snoring and sleep apnea. Furthermore, sleep issues like insomnia can wreak havoc on both cognitive performance and mental health.

  1. Alcohol increases the risk of injury and/or death in the elderly.

As reflexes and muscle mass decline and other health issues may impede movement, the elderly are at high risk for falls. The National Institute on Aging (NIA) reports that more than one-quarter of people ages 65 or older fall each year, and their risk only rises with age.

Falls must be taken more seriously in the elderly, because they can lead to broken bones, hospital visits, disability, and even death. But anyone who’s taken a drink knows that alcohol interferes with major functions like coordination, stability, balance, and judgment. These all increase fall risk.

In addition, one study found that those who consumed alcohol were more likely to sustain a head injury during a fall than those who had not drank. The alcohol users were also at risk for more severe injuries, with more alcohol consumption associated with greater severity.

Falls are just one major concern when drinking. The risk of other (and potentially deadly) injuries also increases, such as those caused by car accidents, fires, domestic violence, drowning, or hypothermia.

  1. Alcohol boosts risk for chronic diseases.

A 2023 review in Molecular Metabolism noted that “evidence suggests a bidirectional and cyclical relationship between chronic inflammation and the development of age-related conditions” like cardiovascular diseases, neurodegeneration, and general frailty.

Indeed, inflammation has been linked to everything from memory loss and mental health issues to liver disease and arthritis. We also know that drinking alcohol creates inflammation in the body. And the development of chronic diseases is a common concern among older adults.

Experts have established a clear link between alcohol and cancer, for example. According to the World Health Organization (WHO), alcohol consumption was responsible for almost 4% of cancers diagnosed worldwide in 2020. And, in the United States alone, alcohol is linked to an estimated 75,000 cancer cases and 19,000 cancer deaths each year.

The WHO adds that, in 2019, an estimated 474,000 deaths from cardiovascular diseases were caused by drinking alcohol. Alcohol is also associated with greater risk of liver diseases, heart diseases, and mental health conditions, including depression and anxiety.

  1. Alcohol can interact poorly, even fatally, with medications.

According to a report by the NIA called Facts About Aging and Alcohol, older adults are at high risk for adverse reactions when mixing alcohol and medications. That’s because they’re more likely to have health issues that require medication. They may also be more forgetful about what they’ve taken or how much they’ve had to drink.

The NIA warns that all kinds of medicines (prescriptions, over-the-counter drugs, and even herbal ingredients) can lead to dangerous side effects when mixed with drinking.

For example, aspirin and alcohol combined increase the risk of internal bleeding. Taking cold and allergy medicines when drinking can cause excessive drowsiness. Acetominophen and alcohol can damage the liver. In some cases, mixing booze with sleeping pills, pain medication, or anxiety pills can lead to death. And consuming alcoholic drinks while taking antidepressant medications can increase suicide risk.

Keep in mind that some medicines themselves, including many over-the-counter cough syrups, contain high concentrations of alcohol. These can further increase the impact of other alcoholic drinks consumed.

ALCOHOL AFFECTS OLDER ADULTS DIFFERENTLY

Many people in the baby boomer generation grew up believing that drinking is a normal, acceptable, and even a healthy and necessary part of life. Today, thanks to further research on the myriad damaging effects of alcohol, we know these attitudes must change.

On top of all the potential dangers listed above, alcohol is metabolized differently among over-65 populations. They may find that the effects of drinking increase as they get older, or their tolerance lowers. This may be particularly dangerous for older women, since females—at any age—are biologically affected by alcohol differently than men.

The bottom line is that drinking alcohol negatively impacts both physical and mental health. Unfortunately, mental and physical health struggles (as well as facing the challenges that accompany aging) can lead to increased alcohol use.

These factors can create a dangerous, even deadly, combination for people over 65 who choose to drink—whether they imbibe in so-called moderation or excess. The best strategy for sticking to safe levels of drinking is to abstain altogether, at any age.

ADD/ADHD, and other mental health conditions can’t wait.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

CDC. Data and Statistics on ADHD. (May 16, 2024). www.cdc.gov/adhd/data/index.html#:~:text=An%20estimated%207%20million%20(11.4,parents%20using%20data%20from%202022

Schiavone, N., Virta, M., Leppämäki, S. et al. Mortality in individuals with childhood ADHD or subthreshold symptoms – a prospective perinatal risk cohort study over 40 years.BMC Psychiatry 22, 325 (2022). https://doi.org/10.1186/s12888-022-03967-3

Schein J, Adler LA, Childress A, Gagnon-Sanschagrin P, Davidson M, Kinkead F, Cloutier M, Guérin A, Lefebvre P. Economic burden of attention-deficit/hyperactivity disorder among adults in the United States: a societal perspective. (November 22, 2021) Journal of Managed Care & Specialty Pharmacy. 2021;28(2). Available at: https://doi.org/10.18553/jmcp.2021.21290

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Alcohol or Marijuana: Which is Worse for Your Brain?

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August 6, 2024

This blog has been updated since its original publication date.

One of the most common things people want to know is whether alcohol or marijuana is worse for your brain and overall health. The brain-imaging work at Amen Clinics and recent research suggest that neither one is good for you.

Alcohol is not a health food, and marijuana is not an innocuous substance—it is a drug. But is one of them more damaging than the other?

At first glance, it might seem that alcohol does the most damage to our brain health and general well-being because it is more widely used. Over 84% of American adults say they’ve consumed alcohol at some point in their lives. And nearly 64% of Americans aged 12 and over say they’ve had a drink in the past year, as reported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA).

Compare that to just 19% of Americans, including young people, who said they used marijuana in 2019, according to the Center for Disease Control (CDC). Although not as widespread, the harmful effects of marijuana on the brain, including brain development, may be greater.

Let’s take a closer look at some of the worst consequences of drinking and marijuana.

One of the most common things people want to know is whether alcohol or marijuana is worse for your brain and overall health.

CONSEQUENCES OF DRINKING ALCOHOL

There are many consequences of consuming alcoholic beverages, whether it’s beer, wine, champagne, cocktails, hard seltzer, or other types of alcohol. Here are some of the biggest repercussions.

Death: According to the NIAAA, over 178,000 deaths annually can be blamed on excessive alcohol use. This puts alcohol at #4 on the list of leading preventable causes of death in the U.S., just after tobacco, poor diet/physical inactivity, and illegal drugs.

Chronic health conditions: Some of the leading causes of alcohol-related deaths are liver disease, heart disease (including heart attack), stroke, cancer, and high blood pressure.

Traffic fatalities: Statistics from the National Highway Traffic Safety Association (NHTSA) show that in the U.S., approximately 30% of all traffic accident deaths involve drunk driving. An estimated 32 Americans lose their lives each day in crashes where someone is driving drunk.

Alcohol use disorder: For some people, drinking leads to addiction, as 29.5 million people from the young age of 12 and up have an alcohol use disorder, according to the 2022 National Survey on Drug Use and Health (NSUDH). Addiction can impair a family environment and destroy relationships.

Binge drinking: Over 21% of American adults engaged in binge drinking in the past month, according to the NIAAA. Binge drinking is defined as consuming 5 or more drinks for men and 4 or more drinks for women within a span of about 2 hours.

Binge drinking leads to a litany of serious consequences, such as injuries, violence, risky sexual behavior, unwanted pregnancy, and more.

Reduced brain volume: Drinking alcohol, even just 1-7 drinks per week, is associated with brain shrinkage, according to a study in JAMA Neurology. A study published in the BMJ shows that having just 1-2 glasses of wine per day is associated with atrophy in the hippocampus, an area of the brain involved in mood, memory, and learning.

Heightened risk of dementia: Recent research suggests that people who are moderate to heavy drinkers are at a 57% increased risk of developing dementia. Brain SPECT scans of heavy drinkers evaluated at Amen Clinics show low blood flow in the brain, which is the #1 brain-imaging predictor that a person will develop Alzheimer’s disease.

Poor decision-making: Even in people who are light drinkers, consuming alcohol impacts brain function and can lead to bad decisions. When people drink, it lowers blood flow to the prefrontal cortex, which is involved in impulse control, judgment, the ability to solve problems, and forethought.

Normally, the brain builds connections when focused on these functions, but alcohol impairs this process and makes people more likely to say or do things that get you in trouble—relationship trouble, financial trouble, or legal trouble.

Depression and mental health issues: Some people use alcohol as a way to self-medicate symptoms from mental disorders, such as anxiety and depression. Although drinking may temporarily provide relief from of symptoms, it ultimately exacerbates depression, anxiety, and other mental health conditions.

ADVERSE BRAIN HEALTH EFFECTS OF MARIJUANA USE

How does marijuana affect the brain and body? Marijuana use is associated with a wide range of consequences. Some of the well-known physical health effects of marijuana include slowed motor skills as well as emphysema from exposure to marijuana smoke and other chemicals in cannabis.

How much marijuana a person uses can make a difference. Substance abuse, also known as substance use disorder, increases the risk of negative consequences and the severity of problems.

If you’ve been wondering, “Is weed bad for the brain?” take a look at the following research findings:

Traffic fatalities: A notable research study published in the Journal of Studies on Alcohol and Drugs found that traffic fatalities increased by 4% and accidents with injuries jumped by close to 6% in states that had legalized recreational marijuana.

Cannabis affects reaction time, judgment, and other critical brain functions, and high doses of cannabis products cause greater impairment.

Increased risk of depression and suicidality: Most people associate recreational use of marijuana with getting high and happy (or even to treat pain). However, a 2019 review in JAMA Psychiatry concluded that early exposure, including adolescent marijuana use, is associated with a higher risk of brain problems, such as depression, suicidal ideation, and suicide attempts.

Young adults and older folks who use cannabis regularly are also vulnerable to these mental health problems because of the effects of marijuana on the brain—even in those who might not have cannabis use disorder.

Fuels anxiety: According to a study in Neurology, more research suggests that some people who smoke marijuana (or ingest it) with higher levels of THC, the compound in the cannabis plant that causes the psychoactive effects in the brain, increased anxiousness is a common problem.

Makes you psychotic: Research in The Lancet Psychiatry about marijuana exposure shows that high-potency cannabis use may be responsible for 10% of new cases of psychosis.

Impairs memory: Using marijuana temporarily disrupts brain activity, including memory formation and puts you at risk for cognitive dysfunction later in life, according to research in JAMA Internal Medicine.

Researchers have found that THC (one of the most active ingredients) attaches to receptors in brain areas associated with memory, including the brain structure called the hippocampus.

Of course, heavy marijuana use and other factors can make that risk even higher. And, more research that was published in The American Journal of Psychiatry found that IQ points decreased in long-term heavy cannabis users compared to non-users.

Decreases brain health: In an Amen Clinics brain imaging study on the drivers of brain aging that was published in the Journal of Alzheimer’s Disease, cannabis abuse, especially cannabis use disorder—one of the most common types of drug abuse—was second only to schizophrenia in accelerating brain aging.

Schizophrenia was associated with 4 years of premature aging while cannabis substance abuse represented 2.8 years of accelerated aging. Clearly, stopping marijuana use can reduce this risk.

Alcohol abuse represented 0.6 years of accelerated aging and came in fifth on the list after bipolar disorder (1.6 years of accelerated aging) and ADD/ADHD (1.4 years of accelerated aging).

THE ALCOHOL VS. MARIJUANA CONCLUSION

So which substance is worse? Alcohol has more far-reaching consequences because it is consumed by so many more people. However, marijuana users—including medical marijuana users—are at higher risk when it comes to the direct impact of cannabis on brain development and brain aging.

For obvious reasons, heavy marijuana use can lead to even worse brain health consequences. The bottom line in terms of brain health and cognitive impairment along with overall well-being, is to eliminate or reduce the use of both these substances.

Addictions, including cannabis use disorder and alcohol use disorders, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

Reviewed by Amen Clinics Inc. Clinicians

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more.

Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 30-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Dr. Amen is also the founder of BrainMD, a fast growing, science-based nutraceutical company, and Amen University, which has trained thousands of medical and mental health professionals on the methods he has developed.

In addition, he has produced 16 national public television shows about the brain and his online videos on brain and mental health have been viewed over 300 million times. Dr. Amen is a 12-time New York Times bestselling author, including Change Your Brain, Change Your Life; The End of Mental Illness; Healing ADD; and many more. Hist latest book, Raising Mentally Strong Kids, was published March 2024.

 REFERENCES

National Institute on Alcohol Abuse and Alcoholism. Alcohol Facts and Statistics. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics

Centers for Disease Control. Cannabis Facts and Stats, Feb. 22, 2024. https://www.cdc.gov/cannabis/data-research/facts-stats/index.html

National Institute on Alcohol Abuse and Alcoholism. Alcohol-Related Emergencies and Deaths in the United States (updated 2024). https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-related-emergencies-and-deaths-united-states

NHTSA. Drunk Driving. https://nhtsa.gov/risky-driving/drunk-driving

National Institute on Alcohol Abuse and Alcoholism. Alcohol Use Disorder (AUD) in the United States: Age Groups and Demographic Characteristics (updated 2024). 2022 National Survey on Drug Use and Health. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-disorder-aud-united-states-age-groups-and-demographic-characteristics

National Institute on Alcohol Abuse and Alcoholism. Prevalence of Past-Month Binge Drinking. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-united-states-age-groups-and-demographic-characteristics

Paul CA, Au R, Fredman L, et al. Association of Alcohol Consumption With Brain Volume in the Framingham Study. Arch Neurol. 2008;65(10):1363–1367. doi:10.1001/archneur.65.10.1363

Topiwala A, Allan C L, Valkanova V, Zsoldos E, Filippini N, Sexton C et al. Moderate alcohol consumption as risk factor for adverse brain outcomes and cognitive decline: longitudinal cohort study BMJ 2017; 357 :j2353 doi:10.1136/bmj.j2353

Elizabeth P. Handing, Ross Andel, Pavla Kadlecova, Margaret Gatz, Nancy L. Pedersen. Midlife Alcohol Consumption and Risk of Dementia Over 43 Years of Follow-Up: A Population-Based Study From the Swedish Twin Registry, The Journals of Gerontology: Series A, Volume 70, Issue 10, October 2015, Pages 1248–1254, https://doi.org/10.1093/gerona/glv038

Charles M. Farmer, Samuel S. Monfort, and Amber N. Woods. Changes in Traffic Crash Rates After Legalization of Marijuana: Results by Crash Severity. Journal of Studies on Alcohol and Drugs 2022 83:4 , 494-501. https://doi.org/10.15288/jsad.2022.83.494

Gobbi G, Atkin T, Zytynski T, Wang S, Askari S, Boruff J, Ware M, Marmorstein N, Cipriani A, Dendukuri N, Mayo N. Association of Cannabis Use in Adolescence and Risk of Depression, Anxiety, and Suicidality in Young Adulthood: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2019 Apr 1;76(4):426-434. doi: 10.1001/jamapsychiatry.2018.4500. Erratum in: JAMA Psychiatry. 2019 Apr 1;76(4):447. doi: 10.1001/jamapsychiatry.2019.0464. PMID: 30758486; PMCID: PMC6450286.

Koppel, Barbara S et al. “Systematic review: efficacy and safety of medical marijuana in selected neurologic disorders: report of the Guideline Development Subcommittee of the American Academy of Neurology.” Neurology vol. 82,17 (2014): 1556-63. doi:10.1212/WNL.0000000000000363

Di Forti M, et al. The contribution of cannabis use to variation in the incidence of psychotic disorder across Europe (EU-GEI): a multicentre case-control study. The Lancet Psychiatry, vol. 6,5 (2019): 427-436. DOI:https://doi.org/10.1016/S2215-0366(19)30048-3

Auer R, Vittinghoff E, Yaffe K, et al. Association Between Lifetime Marijuana Use and Cognitive Function in Middle Age: The Coronary Artery Risk Development in Young Adults (CARDIA) Study. JAMA Intern Med. 2016;176(3):352–361. doi:10.1001/jamainternmed.2015.7841

Heier MH, et al. Long-Term Cannabis Use and Cognitive Reserves and Hippocampal Volume in Midlife. American Journal of Psychiatry, Vol. 179,5 (2022): 362-374

https://doi.org/10.1176/appi.ajp.2021.21060664

 

Eat, drink, and be merry! It’s the tagline for the holiday season that runs from Thanksgiving to New Year’s. And Americans are living up to that saying. A 2018 study shows that on average, Americans double their booze intake during the holiday season. And approximately 69% of people say this is the season when they’re most inclined to overindulge in alcohol.

New Year’s Eve takes the top spot when it comes to binge drinking—that means consuming 5 or more drinks for men or 4 or more drinks for women in a 2-hour window—with 47% of men and 40% of women admitting they overdo it on the final night of the year. Over 27% of men and nearly 17% of women say they have blacked out on New Year’s Eve. Drinking until you blackout can be a sign of an alcohol use disorder.

Warning Signs of Alcoholism

Recognizing if your drinking is a serious problem isn’t easy. For many people, addiction creeps up slowly, and the changes are hard to notice. To help you determine if your drinking is out of control, take the following quiz. This questionnaire is called the CAGE assessment and it has been used in the addiction field for decades.

1. Have you ever felt you should Cut down on your drinking?

2. Have people Annoyed you by criticizing your drinking?

3. Have you ever felt bad or Guilty about your drinking?

4. Have you ever had a drink first thing in the morning as an Eye-Opener to steady your nerves or get rid of a hangover?

If you answer yes to 2 or more of these questions, then you may have a problem, and it’s a good idea to seek help.

One additional question you should ask yourself is:

5. Do you continue to drink despite significant negative consequences with your health, relationships, finances, or with the law?

If your answer is yes, then it is time to take a hard look at your drinking habit. Functional brain imaging with SPECT can be a very powerful tool to help break denial about addictions and can be helpful in many other ways.

Tips to Help You Avoid Overindulging

For people struggling with a substance use disorder, all the drinking that comes with the holidays can be a real problem and can act as a gateway to relapse. If you want to avoid drinking altogether or limit your alcohol intake during the holidays, here are some simple strategies to follow.

If you’re hosting a party: Serve a selection of non-alcoholic mocktails. Be sure they aren’t full of sugary juices or syrups. Sugar acts like a drug in the brain and ramps up cravings.

If you’re a guest: Consider bringing a stash of herbal teas or festive cider as a host/hostess gift. This way, you will be assured there will be non-alcoholic options available.

Practice saying no: Get into the habit of declining alcohol when it’s offered to you. The more often you say no to drinks when you socialize, the easier it will become. If you find it difficult to turn down a drink in social situations, ask a friend to back you up. If you both agree not to indulge, you will be accountable to each other, which increases the likelihood you will stick to your plan.

Remember, alcohol isn’t the main attraction: Adopt a mindset that holiday parties aren’t about drinking, they’re about spending time with people you like. Focus your attention on the people you enjoy.

Eat first: If you’re going to drink, wait until you’ve had some healthy food before having a cocktail or glass of bubbly. Drinking on an empty stomach lowers activity in the prefrontal cortex, which impairs judgment and makes you more likely to say yes to that second, third, or fourth drink. When you’ve eaten some lean protein and healthy carbs—think veggies and sweet potatoes—it delays the absorption of alcohol into the bloodstream, balances your blood sugar for better decision-making, and reduces cravings.

At Amen Clinics, we use brain SPECT imaging as part of a comprehensive evaluation to help our patients see the effects alcohol has had on their brains. This is often a powerful first step to breaking the chains of addiction. We use an integrated brain-body approach to healing the brain that includes biological, psychological, social, and spiritual areas of your life.

If you want to join the tens of thousands of people who have already enhanced their brain health and overcome their symptoms at Amen Clinics, speak to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

 

  People generally think of an alcoholic as someone who routinely gets drunk and out of control and whose life is in shambles. But that’s not always the case. Many people with alcohol use disorder lead successful lives and don’t appear drunk or disorderly. An individual who fit this description is often called a high-functioning alcoholic. Here are 11 signs and symptoms of high-functioning alcoholism.   Many people with alcohol use disorder lead successful lives and don’t appear drunk or disorderly. An individual who fit this description is often called a high-functioning alcoholic.
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WHAT IS HIGH-FUNCTIONING ALCOHOLISM?

High-functioning alcoholism is a subtype of alcohol use disorder. One study by the National Institute on Alcoholism and Alcohol Abuse (NIAAA) found that nearly 20% of all alcoholics fall into this category. These individuals tend to be middle-aged, well-educated and have steady jobs and stable families. A high-functioning alcoholic may have a high-paying job, a beautiful home, a high credit score, a loving family, and a wide circle of friends. They may appear to be a high achiever, or they may even be in a position of power. Take Columbus Short, for instance. A successful actor who appeared in the TV series Scandal, Short talked about his experiences with alcohol when he visited Amen Clinics to have his brain scanned as part of an episode of Scan My Brain. “I don’t drink to the point of being wasted,” the actor says to Dr. Jay Faber in the episode. “I never get wasted. I drink enough to keep me functional. I’m a high-functioning alcoholic.” In the episode, Short reveals that at one point he was drinking approximately 4 shots before 10 am, another 4 during the day, and yet another 4 from 7-9 pm. “That’s way too many,” he acknowledges. From the outside, it might look as if people like Short have an ideal life. But they don’t. Underneath that successful exterior, they may be struggling with alcohol abuse. According to Dr. Faber, when our brains aren’t healthy they can fool us into thinking that we aren’t drinking too much. “Our brains are interesting creatures,” Dr. Faber says. When blood flow and activity levels in the brain aren’t optimal, “they can create less clarity about that stuff.”

WHO IS AT RISK FOR HIGH-FUNCTIONING ALCOHOLISM?

According to the NIAAA study, which surveyed 1,484 people who met the criteria for alcohol use disorder, the following risk factors are associated with high-functioning alcoholism:

11 SIGNS OF A HIGH-FUNCTIONING ALCOHOLIC

What are the signs and symptoms of high-functioning alcoholism? Here are 11 red flags that you or a loved one might have a drinking problem.

1. They deny having a drinking problem.

High-functioning alcoholics are often in denial. They believe that since their life isn’t falling apart, they don’t have a drinking problem.

2. They hide their alcohol intake from others.

A high-functioning alcoholic is likely to lie about how much they drink. They also tend to drink alone and may have one or more drinks before going out to a restaurant or bar. They may also sneak a few sips from a hidden bottle in their desk at work or in their car. They may also put alcohol in what looks like a water bottle.

3. They get defensive when confronted about alcohol intake.

If friends, coworkers, or loved ones make a comment about how much a person is drinking and they lash out or make excuses, it’s a sign they may have an alcohol addiction.

4. They make excuses for their drinking.

“I’m celebrating!” “It’s Friday!” “I had a bad day.” “It’s game day!” People with this type of alcohol use disorder always seem to have a reason to explain why they’re drinking.

5. They skip meals and drink instead.

People with high-functioning alcoholism may use mealtimes as an excuse to drink. They may take only a few bites of their food or skip it entirely while they consume several drinks.

6. They make light their alcohol use.

One of the common signs of alcoholism is joking about their own drinking habits. They may say things like, “It’s happy hour somewhere,” “It’s always wine o’clock,” or “What’s a weekend without cocktails?”

7. They can’t stop after one drink.

Alcoholics often start the day with the intention that they’re only going to have one drink, but then they end up having 2, 3, or more drinks. The inability to say no to alcohol is one of the signs of alcohol abuse.

8. They frequently cancel or reschedule appointments.

People with alcohol problems tend to flake out on social engagements or may make excuses for missing work meetings.

9. The experience memory lapses.

Drinking too much can cause problems with recall. These people may forget meeting someone or will space out on a conversation they had while drinking. Research shows that these alcohol-induced blackouts may trigger changes in the brain and can lead to mental health symptoms.

10. They attempt to quit drinking but fail.

These individuals often proclaim that they could quit any time they want to, but they can’t. Their efforts to stop drinking are short-lived, and they go back to their old ways.

11. They feel ashamed about their alcohol use.

Although they may appear successful on the exterior, people struggling with high-functioning alcoholism often experience shame and guilt about their drinking. They fear that others will discover how much they’re really drinking, which can cause added stress and lead to anxiety and depression. These all contribute to increased drinking as a way to self-medicate to soothe those feelings.

OVERCOMING HIGH-FUNCTIONING ALCOHOLISM

With the right treatment, it’s possible to heal from excessive alcohol use. For people who are high functioning, it starts by recognizing the signs and admitting that you have a problem. In addition, it’s especially important to address any underlying mental health conditions, such as depression, anxiety, or emotional trauma. Healing from these issues can help you in your journey to overcome your dependence on alcohol. Substance use disorders, anxiety, depression, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. For years, studies have suggested that drinking alcohol in moderation is associated with a host of health benefits. But newer research dispels those claims, finding zero health benefits from moderate consumption of alcohol. Moderate drinking is defined as 1-2 drinks per day. In fact, alcohol is the opposite of a health tonic and, instead, causes problems in the brain and body. Researchers behind the most recent findings about alcohol and health, published in JAMA, analyzed 107 studies including nearly 5 million participants. They found that many of those studies were flawed, and many of them were funded by the alcohol industry. For years, studies have suggested that drinking alcohol in moderation is associated with a host of health benefits. But newer research dispels those claims, finding zero health benefits from moderate consumption of alcohol.
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ALCOHOL IS NO HEALTH TONIC

Far from serving as a health tonic, it turns out that even lower alcohol consumption rates cause harm. In fact, the consumption of any alcohol—even the smallest amount—disrupts the development of white matter and function in the brain. Think of the white matter as superhighways in the brain that increase processing speed. Drinking harms the brain in many ways, including the following alcohol health risks:

1. Increasing the risk of dementia

Moderate to heavy drinkers have a 57% higher risk of dementia compared to nondrinkers or light drinkers, according to a 2015 study.

2. Shrinking brain volume

Nondrinkers have larger brains than people who consume 1-7 drinks a week, according to a 2008 Johns Hopkins study that appeared in the Archives of Neurology.

3. Reducing blood flow to the brain

On brain SPECT scans, which measure blood flow and activity in the brain, heavy drinkers show lowered blood flow to the brain. This can lead to brain fog, poor decision-making, and impulsivity among other problems. Of critical importance is the fact that reduced blood flow to the brain is the #1 brain-imaging predictor of future memory problems and Alzheimer’s disease.

4. Atrophy of the hippocampus

A 30-year study of 550 men and women, published in 2017 in BMJ, found that drinking 1-2 glasses of wine a day causes the hippocampus to atrophy. The hippocampus is a critical part of the brain focused on learning and memory.

5. Reducing the number of new brain cells

In a study presented at Neuroscience in 2009, monkeys that consumed alcohol showed a 58% decline in the creation of new brain cells and a 63% reduction in the survival rate of new brain cells. In short, drinking can literally make you lose your mind.  Beyond the harm to the brain, alcohol degrades the body at nearly every other level, as well.

MORE ALCOHOL HEALTH RISKS

Your ability to stay balanced while walking or exercising, your ability to focus your vision, your reaction time, and your good judgment and behavior are all negatively impacted by alcohol use. All of these impairments increase your risk of injury and, thereby, death. Overall, alcohol is the third-leading cause of preventable death in the United States. Nearly 30% of all deaths attributable to alcohol were due to injuries in 2016, according to global statistics. These causes include car accidents, drownings, falls, and injuries from violence, according to the NIAA. Alcohol use also impairs liver function. Any excessive alcohol use, even over a couple of days, can contribute to fatty liver disease. It can also increase digestive problems by inflaming the stomach and causing heartburn, acid reflux, and esophageal disorders. Alcohol-driven intestinal disorders can lead to cancers of the gastrointestinal tract, neurological health issues, and irritable bowel syndrome, according to research.

RESTORING HEALTH AFTER ALCOHOL USE

The good news is that whether you’re a light, moderate, or heavy drinker, it’s possible to improve brain and body health. Here are 6 strategies that help reduce alcohol health risks.

1. Stop drinking alcohol.

Based on the new science, eliminating alcohol is best for your brain function, mental well-being, and overall physical health.

2. Keep your goals in mind.

To help curb the temptation to drink socially, think about your goals in life. Do you want to be happy, healthy, successful, and in a fulfilling relationship? When you feel the urge to grab a beer or a glass of wine, ask yourself, “Does this fit?” Will this behavior help you get what you want from life? Or will drinking steal your happiness, diminish your health, and cause trouble in other areas of your life?

3. Learn to say no to drinking.

Drinking is part of the social fabric of life in the United States. People drink to celebrate holidays, weddings, birthdays, graduations, Fridays, and many other occasions. On a regular basis, you are likely to come across people who encourage you to join them for a drink. Living an alcohol-free life means finding ways to say no to alcohol in social situations.

4. Consider hyperbaric oxygen therapy.

If drinking has impacted the health of your brain and body, HBOT may be beneficial. HBOT is a non-invasive treatment that uses pure oxygen to accelerate the healing process. For example, research shows that HBOT boosts blood flow to the brain. And considering that alcohol is a toxic substance, another benefit of HBOT lies in its detoxification effects.

5. Keep your blood sugar balanced.

Low blood sugar levels are associated with lower overall brain activity, including lower activity in the PFC. Low brain activity here is associated with increased cravings, poorer decisions, and a greater likelihood of giving in to temptations. Low blood sugar levels can also make you feel hungry, irritable, or anxious. All of these make you more likely to reach for an alcoholic drink.

6. Make brain-heathy habits a priority.

To counter the negative effects of drinking, eat nutritious foods, move your body daily, and get adequate sleep. Alcohol use disorder, addictions, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Science now knows that addiction is not a moral failing, but rather a chronic brain disorder that can affect anyone. The dopamine surge and activation of the brain’s reward centers that results from an addictive substance or behavior can, with continued use, create cravings, the loss of control, and the compulsion to continue use despite consequences. These are all part of the addiction cycle. One way to avoid the cycle of addiction is to be aware of what makes you vulnerable to it. Here are 11 things that increase your risk of addiction.   Head injury can make you more vulnerable to addiction – especially if the injury compromises areas of the brain responsible for reward, judgment, and impulse control.
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11 Factors That Raise the Risk for Addiction

1. Getting poor sleep.

Sleep deprivation interferes with connections between your brain’s prefrontal cortex (involved in planning, judgment, and impulse control) and its limbic system (emotional centers) and reward network, according to research, which results in a greater likelihood of irrational behavior and poor judgment. According to the National Institute of Drug Abuse, poor sleep downregulates dopamine receptors, which makes people more impulsive and vulnerable to seeking the excitement drugs offer.

2. Being under the age of 25.

In adolescents and young adulthood, the brain is still developing and maturing. The brain’s prefrontal cortex (PFC)—responsible for planning, judgment, and impulse control—is not fully developed until approximately age 25. The brain matures by becoming more interconnected and more specialized. However, in young people, connections are weak among the PFC itself, as well as between the PFC and areas involved in the brain’s reward system. All of this means that young people are particularly vulnerable to drug and alcohol addiction and behavioral addictions (also called process addictions) as their ability to evaluate risk, weigh consequences, control impulses, and make smart decisions is not developed.

3. Head injuries.

When you understand that addiction starts in the brain, it makes sense that head injury can make you more vulnerable to addiction—especially if the injury compromises areas of the brain responsible for reward, judgment, and impulse control. Some research indicates that head injuries sustained in early life can damage the reward pathway networks that are characteristically underdeveloped during childhood and adolescence. A traumatic brain injury (TBI) can interrupt the ongoing maturation of these areas and predispose one to substance use disorder later in life. Another concern is that head injuries are associated with a higher incidence of mood disorders, which may make one more susceptible to addiction as a means of coping.

4. Having ADD/ADHD.

Untreated ADD/ADHD makes a number of adverse long-term conditions more likely, including a greater prevalence of substance use disorder, research has found.  In fact, one meta-analysis shows that every fifth patient suffering from substance addiction could be diagnosed with co-existing ADD/ADHD. This common condition is often associated with low activity in the PFC. The condition’s hallmark symptoms of impulsivity and poor judgment may, to some degree, explain the higher prevalence of addiction. Additionally, individuals with ADD/ADHD may turn to drugs to self-medicate. There also may be a genetic link between ADD/ADHD and the vulnerability to addiction.

5. Coronary artery surgery.

Opioid use for pain management post-coronary surgery puts individuals at higher risk for addiction. Heart surgery is also known to negatively impact brain function, which also may increase the chances of addiction. Nearly 10% of cardiac surgery patients developed new “persistent opioid use,” according to one 2020 study that involved more than 36,000 cardiac patients. Interestingly, the patients who underwent coronary artery surgery were among the most susceptible to substance use issues. A 2018 Canadian study also indicated this vulnerability in patients who underwent coronary artery surgery, finding 21.7% of patients who used opioids reported ongoing opioid use 3 months post-op.

6. Caffeine.

Caffeine is the most consumed psychoactive drug in the world. It’s advised that caffeine consumption be limited to avoid addiction. Yet consumers love coffee, tea, and energy drinks with caffeine for their stimulating effect. Caffeine promotes alertness, concentration, and optimism. However, as with all addictive substances, more and more is needed to produce the same effect. Over time, caffeine may not provide the same level of mood and cognitive boost. As a result, some people may seek out more dangerous stimulating drugs such as amphetamines and cocaine. Young people are known to combine caffeine-laden energy drinks with stimulant drugs such as MDMA (ecstasy), research has noted.

7. Frontal lobe dementia.

People who suffer from frontal lobe dementia are at greater risk of behavioral problems such as aggression, changes in personality, irritability, apathy, lack of empathy, depression, and addiction, research has found. That’s because a characteristic of frontal lobe dementia is behavioral disinhibition, which can manifest in substance use, studies report.  In fact, researchers are now exploring how frontal lobe dementia may be linked to late-onset alcohol use disorder.

8. Medications.

When you take medications, such as opioids for pain, depressants for anxiety or sleeplessness, or stimulants for attention problems, you are at greater risk for addiction.  Medical experts advise that if these medications are not taken as directed, they can activate the brain’s reward centers, which leads to physical dependence. In fact, the Mayo Clinic warns that taking opioid medications for even “more than a few days increases your risk of long-term use, which increases your risk of addiction.”

9. Low blood sugar.

Your brain needs a steady supply of glucose to run optimally. Low blood sugar levels are associated with lower brain activity, including lower activity in the PFC. An underperforming PFC makes you vulnerable to poor decisions, lack of self-control, and impulsiveness. Indeed, research shows that self-control failures are more likely to occur when blood sugar levels are low. Self-control failure of course is a major feature of all addictions. It is well understood by medical experts that people with alcohol abuse problems tend to suffer from hypoglycemia (low blood sugar) too. In fact, one recent study made balancing blood sugar part of a treatment program for recovering alcoholics.

10. Sugar-Filled Treats.

Sugar-filled treats may seem benign if enjoyed on occasion, but in terms of the reward centers of the brain and addiction potential, the sweet white granules may be as addicting as another white powder—cocaine. Research using animal models indicates that the effects of heavy sugar consumption produce neurochemical changes in the brain that also occur with addictive drugs. When an individual consumes a sugary treat, the brain produces a large surge of dopamine—not unlike the dopamine surge triggered by heroin and cocaine, which can lead to intense sugar cravings. Researchers think that the feel-good dopamine boost might be because our bodies have adapted over time to seek out foods (such as sweets) that are high in calories to ensure survival.

11. High-carb foods.

Ultra-processed refined carbohydrates found in snack foods—such as chips, crackers, pizza, cookies, baked goods, and soft drinks—play on the same reward centers of the mind that sugar and cocaine do and are highly addictive. Indeed, a 2018 study found that high-glycemic index, carbohydrate-rich foods are addictive and lead to obesity. When researchers at Yale University set out to track the addictive-like qualities of certain foods with the development of the Yale Food Addiction Scale, many questions about eating behavior involved the consumption of high-carbohydrate foods because they are among the most addictive. Knowing the factors that increase vulnerability to addiction and eliminating them, when possible, can help you avoid becoming caught in the grips of addiction. If you’re in recovery, avoiding these risk factors is one of the keys to lasting healing. Addiction and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.