Quiet Drinking: How Functional Alcoholism Is Masking a Mental Health Crisis

Quiet drinking describes a pattern where someone drinks alcohol in secret. They hide their drinking from you and others around them. They may keep a stash of alcohol in their car or in places you rarely check. They might also drink at times you do not expect. For instance, they could slip away during social events or drink alone while everyone else is asleep.

The term functional alcoholism helps explain why this can be so easy to miss. A person in this pattern often holds a job, takes care of their daily life tasks, and appears fine. They do not fit the stereotype of a person who drinks heavily and is in constant crisis. They may be successful in many areas of life. They might even excel at work, with a reputation for being responsible. Yet, they quietly suffer from a long-term drinking problem that they cannot control.

Quiet drinking can lead to a high tolerance for alcohol, which means they may need more and more alcohol to feel the same effect. Over time, this high tolerance increases the risk of serious health issues.

The Mental Health Connection

Many people who engage in functional alcoholism are dealing with unspoken emotional distress. They may use alcohol to self-medicate. They may experience intrusive thoughts, feelings of worthlessness, or social anxiety. These concerns are not always visible, especially if they are skilled at putting on a brave face, all while secretly hiding these issues.

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Mental health issues, such as anxiety or depression, can push someone to rely on alcohol to relax or to escape constant worry. The cycle becomes destructive. The more they drink, the harder it becomes to address the root cause of their pain. They get trapped, and substance abuse takes center stage. Over time, they risk losing interest in healthier coping methods or seeking professional help.

Many people with functional alcoholism also carry unresolved trauma. They might have grown up in a home where heavy drinking was common. They might have survived a distressing event during childhood. Alcohol becomes a shield against emotional pain. But that shield comes at a high cost, it harms physical health, strains relationships, and prevents real healing.

Why Quiet Drinking Is Dangerous

You might think that a “quiet drinker” is in less danger than someone who drinks more openly. In reality, the harm can be just as severe. Quiet drinking can lead to late-night binges that go unnoticed. It can trigger withdrawal symptoms if the person tries to stop on their own. It can also mask serious health problems for years.

Functional alcoholics often hide their struggles until they are in crisis. By the time they accept they have an issue, they may face advanced liver damage, heart problems, or a severe mental health breakdown. The day-to-day demands of life can also become harder to manage. Mistakes at work can happen more often. Relationships can suffer because of mood swings or broken promises.

When quiet drinking lasts for a long time, it may only become obvious when a person hits a turning point. They might lose a job, develop sudden health issues, or face legal trouble. You may see these outcomes and wonder how they escalated so quickly. The truth is it builds up slowly over time. Recognizing it early can save them from these dire consequences.

Societal Pressures and Quiet Drinking

Society often glamorizes drinking. Many social events revolve around alcohol. Friends and family can unintentionally enable silent drinking by normalizing heavy drinking. They might dismiss a person’s habit as “stress relief” or a way to “unwind.”

People with high status in their careers or communities also feel pressure to maintain appearances. They want to seem in control, so they do not want to be seen as someone who struggles with mental health or addiction. As a result, they rely on private drinking sessions to cope. This leads to more secret behaviors, more denial, and potentially more severe issues in the future.

Signs of Secret Drinking

You may wonder if there are clear signs of secret drinking. Below are some things you can look for. They are not proof on their own, but they can hint at a larger pattern:

Finding bottles in unexpected places can suggest that your loved one is trying to hide their drinking.
You might notice they forget conversations or events more often. Alcohol can cause blackouts or minor memory gaps.
Mood changes can happen, especially if they are feeling guilt or shame about their drinking.
They might step outside or go to the car often. This can be a way to drink in private.
They might drink more than others without seeming intoxicated. A high tolerance is a common sign of a long-term drinking problem.
A person with functional alcoholism can become short-tempered or anxious when they cannot drink. This can be due to withdrawal symptoms or cravings.

The Role of Friends and Family

Your support is crucial. Many functional alcoholics do not realize their drinking has become a serious problem until someone they trust shows concern. As a friend or family member, you can start the conversation. You can encourage them to be honest about their drinking habits.

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It is essential to do this calmly and without judgment. Suggest that they consider talking to a professional or exploring support groups. Remind them that help is available and that change is possible.

Treatment Options and Support

Quiet drinking can mask a crisis, but there is hope. Early intervention can disrupt the harmful cycle and address the core mental health issues. Below are some common methods:

Professional Counseling and Therapy

A mental health professional can explore the underlying causes of secret drinking. They can provide coping strategies that do not involve alcohol. Therapy may also include working through trauma, anxiety, or depression.

Inpatient or Outpatient Addiction Treatment Programs

There are many alcohol addiction treatment programs designed for those who want to end substance abuse. These programs offer structured care. They also provide medical supervision if withdrawal symptoms become too severe.

Support Groups

Groups like Alcoholics Anonymous offer a community of peers who share similar struggles. Meetings can help your loved one feel understood. They can also learn from others who have walked the same path.

Holistic Approaches

Some people find help in activities that support overall well-being. Exercise, meditation, and learning stress management techniques can reduce the urge to drink. These activities also address some mental health challenges directly.

Medication

In some cases, a doctor might recommend medication to ease cravings or treat symptoms of depression. This is usually combined with therapy or counseling for the best outcome.

Why Early Intervention Matters

Functional alcoholism can last for years without obvious signs. Over time, it can lead to severe health complications, fractured relationships, and a deep sense of isolation. When you encourage early intervention, you help your loved one break free from the cycle before it becomes worse.

Stepping in is not always easy. You might fear conflict or worry about losing the relationship. Yet, reaching out with care, empathy, and facts can set the stage for change. Even if your loved one resists initially, your concern shows them that you care, and they are not alone. You plant a seed of hope for when they are ready to receive help.

Get Help at More Than Rehab

We meet many families who are just now realizing that functional alcoholism masks deeper mental health issues. We see how this hidden drinking hurts relationships and self-esteem. We design addiction treatment programs that uncover the real causes, not just the symptoms.

If you suspect your loved one is a high-functioning alcoholic, reach out. We walk you through therapy, support groups like AA or NA, and every stage of care. You do not have to wait for a crisis. Healing starts with one step. Talk to us today, and let’s find a way to help your loved one reclaim their life.

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Does Alcohol Addiction Lead To Dangerous Sleepwalking?

Alcohol addiction can lead to many health problems, including liver diseases, heart disease, and pancreatitis. It can also increase the risk of accidents and injuries and contribute to mental health problems such as anxiety and depression. One less well-known effect of alcohol dependence is sleepwalking.

While there is no direct experimental evidence that alcohol predisposes one to sleepwalk, some literature indicates that it can trigger sleepwalking or increase its risk by increasing the quantity of slow-wave sleep (SWS). Alcohol also alters total sleep time and affects the time required to fall asleep.

Although researchers still don't have a grasp of all the complex processes that occur during sleep, what's known is that lack of sleep could predispose one to depressive disorders and sleep disorders. According to the National Institute on Alcohol Abuse, people who drink before sleeping often experience insomnia symptoms and feel sleepy the next day.

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What is a Normal Sleep Pattern?

A normal sleep pattern consists of two types of sleep: slow-wave sleep (SWS) and rapid-eye-movement sleep (REM).

SWS is a deep, restorative sleep during which the body repairs and heals itself.
REM is a lighter, dream sleep during which the brain processes information and consolidates memories.

Most people cycle through both types of sleep several times during the night. A typical sleep cycle lasts 90 minutes and consists of four or five periods of REM followed by a period of SWS.

However, the exact duration and timing of sleep cycles vary from person to person. Some people may have longer or shorter cycles, and some may spend more time in REM than SWS.

How the Brain Controls Sleep

Sleep is a complex and fascinating process that scientists are still working to understand. However, we do know that the brain controls sleep. The brain stem, responsible for basic functions like heart rate and breathing, also regulates sleep.

When we are awake, the brain stem sends signals to the rest of the brain that keeps us alert and active. And when we sleep, it signals the brain to slow down and relax. This process is known as sleep initiation.

Scientists believe that sleep is important for restoring energy levels, lowering stress levels, and improving moods. It is also thought to play a role in memory formation and learning.

The Relationship between Alcohol and Sleep

Although moderate alcohol consumption before bedtime may help you fall asleep, it significantly affects sleep continuity and quality. Normally, sleep is divided into three non-REM stages and a REM stage.

During the first two non-REM stages, your heartbeat and breathing slow, and your body temperature decreases. You progress from light sleep in stage 1 to deep sleep in stage 2. In the third stage of non-REM sleep, delta waves (slow brainwaves) begin to appear. This is the deepest and most restorative stage of sleep.

Finally, during REM sleep, your heartbeat quickens, your breathing becomes shallow and irregular, your eyes dart back and forth under closed eyelids, and your arm and leg muscles are temporarily paralyzed.

Alcohol consumption before bedtime can adversely affect all four stages of sleep. Although alcohol may help you fall asleep initially, it disrupts subsequent REM sleep. As a result, you may wake up feeling groggy and unrefreshed. Moderate to heavy drinkers are more likely to experience these effects than light drinkers.

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According to a survey published by the National Institute on Alcohol Abuse, Alcohol affects sleep initiation and sleep maintenance during the 1st and 2nd half of the nighttime sleeping period.

Furthermore, alcohol withdrawal can also lead to insomnia. If you regularly drink alcohol to excess and then experience insomnia when you suddenly stop drinking, you may be experiencing alcohol withdrawal. Insomnia is one of the most common withdrawal symptoms.

Alcohol and Sleep Disorders

Alcohol is a central nervous system depressant, and it can cause a range of sleep disorders, including:

Insomnia

The most common sleep disorder caused by alcohol use is insomnia, making it difficult to fall and stay asleep. When you are addicted to alcohol, you are more likely to experience periods of binge drinking followed by periods of abstinence. This can lead to a condition called rebound insomnia, which can, in turn, lead to sleepwalking.

Sleep Apnea

Alcohol can also cause disruptions in the normal sleep cycle, leading to problems such as sleep apnea. Sleep apnea is a condition in which people stop breathing repeatedly during the night. It can cause fatigue during the day and increase the risk of high blood pressure, heart disease and stroke.

Night Terrors

Alcohol use can increase the risk of developing night terrors. Sleep terrors usually occur during the first few hours of sleep when alcohol inhibits REM sleep, which is when most dreams occur. This increased dreaming can lead to night terrors, characterized by suddenly waking up in a state of panic.

Sleepwalking

Sleepwalking is a type of parasomnia, defined as an unwanted behavior or event that occurs during sleep. It is most likely to occur after several hours of deep sleep. Alcohol decreases the level of glucose in the brain, which can lead to micro-awakenings that disrupt deep sleep and increase the likelihood of sleepwalking.

Alcohol-Induced Sleepwalking

No research has established a direct connection between alcohol consumption and sleepwalking. What we know is that alcohol can interfere with sleep patterns and can trigger sleep conditions like sleep apnea.

Untreated sleep apnea can increase sleepwalking risk, especially when enhanced with alcohol use. Alcohol relaxes the upper airways, causing the same effects to sleep apnea when someone stops breathing when sleeping. When this happens, the body may wake someone up from sleep, but there may be confusion in the consciousness level that could raise the chances of alcohol-induced sleepwalking.

How to Prevent Sleepwalking and Stay Safe

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Sleepwalking occurs when you are in a state of semi-consciousness, and you walk or perform other activities while you are asleep. Although sleepwalking episodes are usually brief and harmless, they can sometimes be dangerous. In rare cases, sleepwalkers have been known to injure themselves or others.

Sleepwalking is most common in children, including those with fetal alcohol syndrome. But it can also occur in adults. The condition is usually triggered by fatigue, stress, sleep deprivation, or alcohol use and may expose one to risks.

During sleepwalking episodes, people are often unaware of their surroundings and may put themselves in danger by walking into traffic or falling downstairs. It gets even worse as sleepwalkers may attempt to drive or operate machinery while sleepwalking and end up hurting themselves and others.

If you are addicted to alcohol, it is important to get treatment to avoid the risks associated with sleepwalking. You can also do the following to help with sleepwalking:

First, stop drinking alcohol or avoid it before bed as it can disrupt your sleep cycle and lead to parasomnias.
Second, make sure you get enough rest by following a regular sleep schedule and creating a calm environment in your bedroom.
Finally, if you have a history of sleepwalking, your doctor may prescribe sleep medicine to help prevent future episodes.

Alcohol addiction can lead to some dangerous sleepwalking behavior. If you or a loved one is struggling with an alcohol addiction, it's important to seek treatment to address the alcohol use issue. There are also many resources available online from the Department of Health and Human Services that you can check out.

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What Happens to Your Brain When You Get Blackout Drunk?

If there is one thing that we can all agree on, it is that 2020 has been a stressful year. Along with the nation battling the surge of cases in the COVID-19 pandemic, is the increased rates of alcohol consumption sweeping across the country. No one could argue against ending a long stressful day with a relaxing alcoholic beverage, but there is such a thing as drinking too much. Even in the face of adversity, if you are getting “blackout drunk,” there might be a problem.

Most experts agree that drinking moderation is perfectly fine, and while that may look different depending on the individual, in general, consuming more than four alcoholic drinks per day for men and three alcoholic drinks for women is considered to be too much.

Another important thing to consider if you are beginning to wonder if you or a loved one are consuming too much alcohol is whether or not memory lapses have been experienced after a night of drinking. Drinking too much alcohol in a short amount of time, especially on an empty stomach, can lead to what is known as an alcohol-related blackout. If you have ever experienced a time when you got blackout drunk, you might have had that “uh-oh” feeling the next day as you begin texting your friends, trying to piece together what happened the night before. Unfortunately, though commonly experienced, blackouts are a tell-tale sign that way too much alcohol has been consumed.

What is it like to get blackout drunk?

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For those who have ever experienced a blackout, it can often be a scary experience. Not only are you left wondering what happened the night before, you may also begin to wonder what exactly happens to your brain when you get blackout drunk? Why does it make it impossible to remember what happened, say, after the fourth shot of tequila? Well, even though we can’t exactly tell you whether or not you really danced on the pool table in front of your boss, we can try to help explain why drinking too much may cause memory lapses or blackouts.

What happens to your brain when you get blackout drunk?

When you hear the term blacking out, that doesn’t necessarily mean that the person is unconscious. In fact, it may even be hard to tell that a person is experiencing a blackout when they have had too much to drink within a short amount of time. Blackouts typically occur when a person's BAC (blood alcohol content) reaches twice the legal limit, that is around .15%. Also commonly referred to as alcohol-induced amnesia, blackouts happen when enough alcohol has been consumed that it inhibits the brain's ability to process and store short-term memories into long term memories. Interestingly, it's also not so much about how much you drink but how quickly you drink. Someone who slams three drinks in a row is much more likely to experience a blackout when compared to someone who elevates their blood alcohol content over twice the legal limit, slowly over a longer span of time.

When you rapidly consume a large amount of alcohol, a roadblock essentially goes up between the immediate and short term memory, affecting the brain's ability to store memories and recall them later. The main ingredient behind alcohol’s potent effects is a substance known as ethanol. When consumed, ethanol has the ability to cross the blood-brain barrier. This can then allow the ethanol, or alcohol, to target receptors located in the hippocampus, the area of the brain responsible for controlling functions like emotions, memory, and recollection. During a blackout, you may be able to recall things in between the 30, 60, and 90 second time-span but anything beyond that is all but forgotten.

Additionally, depending on how much alcohol is consumed, and how many of these receptors are targeted, a blackout can either be partial or complete. A partial blackout is commonly referred to scientifically as “fragmentary”, and they are sometimes referred to as “brown-outs”. Partial blackouts are where bits or pieces of information may be easily recalled, but there are still gaps in time where nothing can be remembered. Visual or verbal cues may be helpful in putting together what may have happened the night before. Or, these cues could help someone recall more bits of information if a partial blackout is the kind experienced.

Drinking too much alcohol can cause temporary amnesia.

Complete blackouts, however, are when the person experiences complete and total amnesia up until a certain point in time where they ultimately consumed too much alcohol. Complete blackouts are sometimes referred to scientifically as “en bloc” or as “that never happened”. It is also highly possible that even though you may have experienced a complete black out, you weren’t a total mess. Sometimes the blackout is triggered before enough alcohol has been consumed to affect your cognitive abilities and motor functions. This sometimes happens when someone was consuming too much alcohol on an empty stomach. This can make it difficult to detect, as there may not be any signs beyond normal slurring of speech and the appearance of minimal impairment.

If you have a friend or loved one who has a tendency to go a little overboard while at the bar, it might be helpful to ask them if they remember what happened 15 minutes ago. If they do not, it is highly likely they have had too much to drink and are experiencing a blackout. If you’re a good friend, then you should maybe at least try to keep them from making poor decisions they might regret later. Although one isolated incident of drinking to the point where you experience a blackout may not initially be a sign that an alcohol abuse problem is present, if it is something that continues to happen on a regular basis that is a huge sign that there is an alcohol problem. It may be a great enough problem that it might require some professional help from a reputable addiction treatment program.

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If you believe you, a friend, or another loved one may be experiencing an alcohol addiction or substance abuse problem of any kind, then we are here to help. At More Than Rehab, we are a team of trained professionals who are also a family, not just with the staff but with our clients as well. We understand what it takes to live a life of sobriety and we would love the opportunity to share the tools we have learned with you. Reach out to us today and join the family at More Than Rehab. We’re here for you 24/7:

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Binge Drinking in the State of Texas: When Does It Become Too Much?

Binge drinking alcohol literally affects every cell in your body. Over the course of long-term binges on liquor, beer, wine and other spirits, your brain can become permanently damaged as a result of cellular nutritional deficiencies. Thiamine or vitamin B1, is an important nutrient that is depleted from the body when alcohol abuse has taken over your life. When someone drinks a lot, over a long period of time, thiamine in the body is depleted, while the body’s ability to absorb it in the digestive tract is reduced. Cells are also inhibited in utilizing thiamine from chronic alcohol consumption. For teens and young college students who may be new to experimenting with alcohol, it can seem like it’s all just fun and games in the beginning. Over time however, drinking excessive amounts of alcohol can cause a lot of damage to our minds and our bodies. No one thinks they will develop alcohol-related dementia, or “wet brain” syndrome but sadly, it does happen.

College binge-drinking remains a problem for students in Texas.

At colleges and universities across the United States, the culture of partying and binge drinking is pervasive. When drinking to excess starts to cause a lot of problems in academic areas like grades, attendance and extra curricular activities, maybe it is time to start thinking about your regular consumption of alcoholic beverages. We have all seen this party culture at institutions of higher learning be glorified and glamorized in popular movies, television shows and music. Some say it’s kind of like a rite of passage for young adults. We all know that students want to have a good time while they’re young, but excessive drinking can lead to disastrous, life-altering consequences.

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Underage drinking is a problem that affects the residents of Texas, much like the rest of the country. The phenomenon of underage drinking leads to hundreds of deaths and thousands of injuries each year in the United States. Underage drinkers have an unfortunate tendency to participate in binge drinking, much more than the adult population does. Teens and young adults who experiment with drinking to excess are more prone to experience troubling consequences as a result. Accidents, injuries, arrests, and jail time are much more likely when alcohol is present. Plus, rates of sexual assault, rape and other types of physical assaults are all much more likely to occur when underage drinking is at play.

Alcohol abuse and binge-drinking affects public health as a whole in Texas communities.

In April of 2018, Houston, Texas police made 36 felony alcohol arrests of drivers in the area. Felony DUI or DWI culprits in Texas can face up to $10,000 in fines, have their license suspended and they could serve anywhere between 2-10 years in a Texas state prison. Most of these arrests were the result of the subject’s third DWI, some were intoxicated even while having a child in the car with them. Two of the arrests were for vehicular manslaughter incidents involving alcohol. Cracking down on drunk driving is a supreme necessity, as more and more needless deaths occur on our streets. In 2017 alone, 1,468 people died in Texas as a result of automobile accidents where at least one driver was under the influence of alcohol. These accidents comprised nearly 40% of all traffic fatalities in Texas in 2016.

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Excessive alcohol consumption and binge-drinking comes with considerable negative health consequences.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), excessive alcohol consumption will increase a person’s risk of developing serious health problems, in addition to the other risky behaviors that are commonly associated with being drunk. According to the Harvard Medical School, liver disease, high blood pressure, heart failure, cancer, dementia and even suicide rates all go up for people who consume alcohol in excessive amounts over time.

Depression, stress, insecurity and anxiety are common emotional and mental health issues which people list as reasons that they started drinking. Yet alcohol abuse actually makes these problems worse over time, as you end up just masking these symptoms by getting drunk. Binge drinking can be exceptionally detrimental for college students who suffer from any kind of mental, or behavioral health disorder. Excessive drinking will only make these problems worse, as this can easily lead to a downward spiral of more and more drinking and experimentation with other types of drugs.

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Alcohol is the number one gateway drug, well ahead of marijuana.

According to research completed by teams at Texas A&M and the University of Florida, 54% of young people reported using alcohol as their first drug of use, before they moved on to trying other drugs. This was a lot more than what was reported for marijuana, where only 14% of respondents claimed it as the first drug they used.

How early people began using substances also serves as an important indicator of future decisions and risky behaviors that people may take with drugs and alcohol. The same study also looked at how early kids began using and found that the earlier they initiated use, the more likely they were to use harder drugs later in life.

While drinking alcohol may become a problem for many people in the Houston, Texas area, there are resources available to help you, a family member or loved one who is struggling with alcoholism or an addiction to other drugs. More Than Rehab offers one of the most successful drug and alcohol rehabilitation programs in the state of Texas. Give us a call and see if our addiction treatment program is right for you.