Today is the day! Today is the day we are going to find out if you have a drinking problem…or not. Are you ready?
For Paul, when it finally sunk in that he did indeed have a drinking problem (and a good one at that!) two things happened.
First…he was like, “Oh F&#K!”
Then…immediately after, as this truth spread into his body, to his bones, to his conscious, his unconscious, to the heart, to the liver, something neat happened. An incredible amount of energy was instantly liberated.
For two reasons.
- The stigma or label of an alcoholic didn’t change who he was. He was still alive.
- But more importantly…all the energy, the incessant thinking he had of…
- Do I drink, or not?
- Do I have a problem, or not?
- How am I going to control my next session of drinking?
- How am I going to hide it?
- Let’s do our best not to black out before 8 pm.
- Do I have enough shitty box wine back home?
- Let’s not let people know we’ve already had 9 drinks before meeting up at the bar.
ALL of that went away instantly.
In fact the worst place a person can be with a drinking problem is in limbo. The do I or don’t I phase. (Paul covers this in Episode 417).
So for this diagnostic, we are going to use the test listed in the DSM 5, or the diagnostically statical manual which is what most psychologists and/or therapists have somewhere on their shelves.
There’s 11 YES or NO questions. If you answer YES to 2 of the questions, if you meet 2 of the 11 criteria, within the past 12 months, they call it an Alcohol Use Disorder.
- Do you sometimes have difficulty controlling how much you drink or for how long you drink alcohol?
- Have you made unsuccessful attempts to cut down your drinking?
- Do you sometimes spend a significant amount of time drinking or recovering from drinking?
- Has your alcohol use had any negative consequences at home, school, or work? (Have you ever lost time off work because of your drinking?)
- Has your alcohol use had any negative consequences to your relationships or social life? (Have you ever concealed how much you drink? Has anyone ever commented on your drinking?)
- Have you continued to use despite any negative consequences?
- Have you put off things or neglected to do things because of your alcohol use? (Have you ever disappointed your family or friends? Have you ever missed a family event?)
- Do you occasionally have strong cravings for alcohol?
- Has your tolerance for alcohol increased? Are you able to drink more than you did before?
- Have you experienced withdrawal symptoms the next day after drinking? (Have you ever been shaky or sweaty that evening or the next day?)
- Has your alcohol use led to any dangerous situations? (Have you ever been charged with impaired driving?)
Paul has always strived to be a good student, and was “happy” to report a score of 100%. 11/11. For shits and giggles, let’s’ cover what it means if you didn’t ace this like he did.
WHAT IT ALL MEANS
The presence of at least two of these symptoms means you have an AUD. If you have two to three symptoms, it’s considered mild; four to five symptoms is considered moderate; six or more symptoms is considered severe. (If you don’t fall into the severe category, a mild diagnosis can still warrant concern, as it may be the start of a larger problem.)
A couple things before we wrap this up. If you have a drinking problem, life isn’t over…in fact, it’s just beginning.
Some of you may have just learned you have a drinking problem. If this is devastating to you, go to Episode 411 where Paul talks about the grateful alcoholic.
Paul had one more bit of info in his notes from Episode 428 If you find yourself listening to a sobriety podcast (or reading this blog), and you’re not a therapist, a doctor, or listening so that you can support a loved one, then YOU have a drinking problem. If you question whether or not you have a drinking problem, you just answered that question. The bigger question is…what are you going to do about it?
***Taken from Recovery Elevator Podcast, Episode 428, host Paul Churchill***