The first attempt to collect information on mental health began in the 1840 census. By the 1880 census, the Bureau of the Census had developed seven categories of mental illness. In 1917, the Bureau of the Census began collecting uniform statistics from mental hospitals across the country. We know it’s not easy coming to terms that your loved one may have an alcohol use problem, and we’re here to give you the support you need. With our Family & Friends Program, you’ll receive the most important pieces of support in helping you manage life when someone you love has an alcohol use problem.
Behavioral Differences: Disruption vs. Disease
- When talking with people about alcohol-related problems, there’s a good chance you’ve heard lots of terms thrown around without really knowing what they mean.
- This differs from alcoholism, a condition characterized by a physical dependency that causes cravings once consumption stops.
- AUD exists on a spectrum, meaning you can have a mild, moderate or severe case.
- Delirium tremens is a symptom of severe alcohol withdrawal that can be potentially fatal.
- By Buddy TBuddy T is a writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism.
While no longer separate diagnoses, it can be helpful to understand the differences between the two. “Dependence” refers to being unable to stop drinking without experiencing withdrawal symptoms while “abuse” refers to continuing to consume alcohol despite adverse consequences. Alcohol dependence, on the other hand, typically develops over time from repeated alcohol abuse, with genetic, biological, and mental health factors playing a larger role. People with a family history of addiction, certain personality traits, or underlying mental health issues are at a higher risk of developing dependence, where they rely on alcohol both physically and mentally. Acamprosate helps restore the balance of brain chemicals affected by alcohol dependence, easing withdrawal symptoms and reducing the urge to drink. Disulfiram, on the other hand, causes unpleasant reactions when alcohol is consumed, deterring individuals from drinking.
Difference Between Alcohol Abuse and Alcoholism: Understanding Main Distinctions
They continue to drink, even if the behavior is causing trouble with Sober living house friends and family. Unwinding with friends and drinking alcohol helps her relax and forget about the day’s worries. She decides to stop drinking after work so that she no longer risks getting a DUI.
Common Causes of Alcoholism and Alcohol Abuse

Borderline Personality Disorder (BPD) is marked by intense emotional instability, impulsive behaviors, and difficulty in relationships. Treatment often involves therapy to develop coping mechanisms and improve what is the difference between alcohol abuse and alcoholism emotional regulation. Obsessive-Compulsive Disorder (OCD) involves unwanted, persistent thoughts (obsessions) and repetitive behaviors (compulsions).
- Common triggers include stress, boredom, social situations where alcohol is present, or negative emotions like anger or sadness.
- Comprehensive rehabilitation programs, available in both inpatient and outpatient settings, provide a structured environment for addressing the psychological, emotional, and physical aspects of alcoholism.
- Treatment of AUD focuses on relieving symptoms of alcohol withdrawal in the short term and then suppressing alcohol cravings in the long term.
- This chronic disease often results in severe psychological and physical health issues, such as liver disease, cardiovascular problems, and mental health disorders.
Kidney Pain After Drinking Alcohol: Why It Happens & What to Do
- You’re physically and psychologically dependent on alcohol, and your drinking is compulsive and out of your control.
- There is no level of negative consequences that will overcome the person’s need to drink because they are mentally and physically unable to make the change for themselves.
- After World War I, the Army and Veterans Administration broadened the nomenclature to include disorders affecting veterans.
- The liver, responsible for metabolizing alcohol, can suffer from diseases such as cirrhosis, with nearly half of liver disease deaths involving alcohol.
- Alcoholism is a layman’s term and not a clinical term used in medical diagnosis.
Consequently, distinguishing between social or moderate drinking and damaging patterns is vital for health preservation. Casual drinkers enjoy moderate, controlled consumption without adverse effects. Those with AUD have an ongoing, compulsive pattern that disrupts their lives and health.
Alcohol dependence refers to being unable to stop drinking without experiencing symptoms of withdrawal. By knowing this difference, you’ll be much better equipped to confront your loved one’s behaviors, be more confident in finding solutions, and have a better understanding of your loved one on a deeper level. When you notice a loved one who’s dangerously toeing the line between “having a good time” and dependency, it can be difficult to tell when harmless or occasional drinking has turned into a real problem. Maybe you’re noticing your partner coming home late after the bar multiple times per week. Or maybe you’re a parent having to pick up your grandkids more often from school because your child is often too inebriated to drive.

Alcohol use disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. It encompasses the conditions that some people refer to as alcohol abuse, alcohol dependence, alcohol addiction, and the colloquial term, alcoholism. Lasting changes in the brain caused by alcohol misuse perpetuate AUD and make individuals vulnerable to relapse.
