What does it mean to be an alcoholic?
Being an alcoholic goes far beyond occasional drinking or enjoying a glass of wine in the evening. Alcoholism, also known as alcohol dependence, is a serious condition characterized by the inability to control alcohol consumption. Often, alcohol is used to feel “normal” or to cope with everyday challenges. A strong craving develops, so intense that it overshadows all other priorities in life. This illness has not only physical, but also psychological and social consequences that can profoundly affect the lives of those affected and those around them. Recognizing this dependence can be difficult, as many people live in a state of denial for a long time and justify their alcohol consumption to themselves and others.
Signs of alcoholism: When is it considered dependence?
The line between “normal” alcohol consumption and dependence is often blurred. However, there are some clear signs that indicate alcohol use has become problematic. One of the most common indicators is a strong craving for alcohol. Those affected feel they can no longer relax or function without it. Another warning sign is the loss of control: Even if there is a desire to drink less, it is often not possible to reduce consumption. The amount of alcohol consumed frequently exceeds what was planned, and use is often hidden from others or downplayed. Another red flag is when hobbies, work, or social contacts are neglected because alcohol takes priority. If you notice that you are organizing your life around alcohol consumption or that your health and well-being are suffering, you should take this as a serious warning sign.


The difference between alcohol abuse and alcoholism
There is a subtle but important difference between alcohol abuse and alcoholism. Alcohol abuse refers to someone regularly drinking too much without necessarily being physically or psychologically dependent. This can lead to short-term problems such as hangovers, memory lapses, or conflicts in social settings. Alcoholism, on the other hand, goes further: it involves an actual dependence, where individuals can no longer function without alcohol and organize their entire lives around its consumption. Alcoholics do not drink just for fun or to relax; they need alcohol to feel okay at all. While alcohol abuse is often triggered by external factors such as stress or social pressure, alcoholism is a disease with long-term health and social consequences.
Physical and psychological effects of alcoholism
The consequences of chronic alcoholism are devastating—for both the body and the mind. Physically, people with alcoholism often suffer from serious illnesses such as liver cirrhosis, inflammation of the stomach lining, or cardiovascular diseases. The nervous system is also severely affected, which can lead to memory disorders, tremors, or even permanent nerve damage. The body becomes weakened and more susceptible to infections and other illnesses. Alcoholism also has severe psychological effects. Those affected frequently experience depression, anxiety, or general emotional instability. Alcohol becomes a form of “escape” to cope with unpleasant feelings or stress. However, this often leads to a vicious cycle, as alcohol consumption worsens psychological problems. Social isolation is another consequence, since those affected often withdraw from friends and family.
Alcoholism: Effects on social life
Not only health, but also social life is severely affected by alcohol addiction. People struggling with alcoholism often lose contact with friends and family as alcohol becomes increasingly central in their lives. They avoid gatherings with friends or family celebrations, or only attend if alcohol is involved. Alcoholism can also cause significant tension in relationships: Trust is destroyed, misunderstandings and conflicts arise, and in many cases, even domestic violence occurs. The consequences are also noticeable at work. Those affected often struggle to perform their duties reliably, leading to absenteeism or a significant decline in productivity. Many lose their jobs or are no longer able to fully carry out their profession. Ultimately, the entire social environment suffers from the effects of addiction, which only serves to reinforce the vicious cycle.

Are there genetic or personal risk factors?
Not everyone who drinks alcohol regularly automatically becomes an alcoholic. However, there are certain risk factors that increase the likelihood of developing a dependency. The most important factors include genetic predispositions: Studies show that children of parents with alcohol addiction are at higher risk of becoming dependent themselves. Psychosocial factors also play a role. People who experience high levels of stress, anxiety, or depression are more likely to use alcohol as a coping strategy. Personality traits such as impulsivity or low frustration tolerance can also increase the risk. Finally, the environment is crucial: Those who are part of a social circle where alcohol is consumed frequently and in large amounts are more susceptible to developing a dependency.
Help for those affected: When should you seek support?
The first step to breaking free from alcohol addiction is recognizing the problem. Many people spend a long time in denial and refuse to admit they are dependent. However, as soon as someone realizes they can no longer control their alcohol consumption or begins to notice negative effects on their health and life, it is important to seek help early. There are many resources available, such as counseling centers, self-help groups, or therapy programs that specialize in alcohol addiction. Inpatient detoxification or outpatient therapy may also be appropriate. What matters most is that those affected do not feel ashamed to seek support. The earlier the problem is identified, the better the chances for long-term abstinence and a healthy life without alcohol.