Silent Night, Secret Stash: Identifying High-Functioning Addiction During the Holidays

The holiday season is often portrayed as a time of joy, connection, and relaxation. But for millions of families, it is a pressure cooker of stress, unspoken tension, and hidden struggles. While we’re busy wrapping gifts and planning holiday parties, a silent crisis may be unfolding right in the living room.

For those struggling with high-functioning alcoholism, the holidays aren't just a celebration; they are a gauntlet of triggers and a convenient mask for their addiction. The abundance of alcoholic drinks at every gathering provides the perfect camouflage for a problem that runs much deeper than festive cheer.

At More Than Rehab, we know that addiction doesn't always look like the stereotypes we see in movies. It often looks like the successful professional, the "super mom," or the beloved uncle who just seems a little too into the eggnog. Recognizing the hidden addiction signs during this time can be the difference between another year of suffering and the start of a life-changing recovery.

The Myth of the High-Functioning Alcoholic

There is a dangerous misconception that an alcoholic is someone who has lost everything - their job, their home, or their family. This stereotype keeps many people in denial. A high-functioning alcoholic is someone who maintains their external life: holding down a job, paying bills, attending family events, all while secretly battling a severe dependency on alcohol.

During the holidays, the "functional" mask often slips. The disruption of routine, combined with the stress of hosting or traveling, makes it harder to maintain the facade. If you are noticing that a loved one’s alcohol consumption seems to be the central focus of their holiday experience, it might be time to take a closer look.

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Why the Holidays Are the Perfect Cover

Addiction thrives in the shadows, but it also hides in plain sight. Holiday traditions often revolve around food and drink, making binge drinking socially acceptable in many circles.

Signs of High Functioning Alcoholic Behavior to Watch For

If you are worried about a loved one, you don't need to be a detective, but you do need to be observant. High-functioning addicts are often masters of deception, but the cracks usually show in the details.

1. Pre-Gaming and Hiding Supply

One of the most telling signs is drinking before the event starts. If a family member arrives at the party already smelling of distilled spirits or seems buzzed before the first toast, they may be "pre-gaming" to steady their nerves or avoid withdrawal symptoms.

You might also notice them sneaking off to the garage, their car, or a specific room frequently. As we’ve discussed in previous articles, addicts are incredibly ingenious at hiding their stash, using everything from water bottles to coffee mugs to conceal vodka or gin.

2. Mood Swings and Irritability

Alcohol withdrawal doesn't always look like the shakes; in high-functioning drinkers, it often looks like irritability. If a loved one becomes snappy, anxious, or agitated when alcohol isn't available, and then suddenly transforms into a charming, relaxed person once they have a drink in hand, that is a major red flag. This reliance on a substance to regulate mental health and mood is a hallmark of dependency.

3. "Just Tired" or "Not Feeling Well"

Alcohol disrupts the body’s natural sleep cycles, leading to poor quality rest. You might notice your loved one nodding off on the couch in the middle of the day, or complaining of constant fatigue. They may use the excuse of "holiday exhaustion," but if they are passing out rather than falling asleep, or experiencing "micro-awakenings" and confusing behavior at night, it could be alcohol-induced.

4. Excessive Focus on the Alcohol Supply

Does your loved one seem overly concerned with whether there will be enough booze? Do they volunteer to make the drink run? If the holiday parties run dry and they panic or insist on leaving immediately to get more, their physical dependency could be driving the bus.

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Spotting Drug Abuse During Holidays

While alcohol is the most visible culprit, the holidays are also a time when drug abuse can spike. The stress of the season leads many to self-medicate with stimulants (to keep up with the busy schedule) or depressants (to numb the anxiety).

Watch for physical changes like:

The Dangers of Ignoring the Signs

It is tempting to "keep the peace" and ignore these behaviors to avoid ruining the holiday mood. However, ignoring the problem increases the risk of tragic consequences.

A Family Intervention Guide for the Holidays

If you recognize these signs, you may feel compelled to act. However, the middle of Christmas dinner is not the time for a confrontation. Here is a brief guide on how to handle it:

  1. Don't Confront While They Are Intoxicated: You cannot reason with compromised brain chemistry. Wait for a calm, sober moment.
  2. Come from a Place of Love: Focus on your concern for their health and happiness, not their behavior. Use "I" statements like, "I am worried because I noticed..." rather than accusatory "You" statements like "You ruined the Christmas party."
  3. Set Boundaries: It is okay to say, "We would love to have you over, but we are keeping this a dry event."
  4. Offer a Solution, Not Just Criticism: Have the number of an addiction treatment center like More Than Rehab handy. Offer to make the call with them.

Start the New Year with a Clean Slate

The holidays should be about presence, not presents (or pints). If friends and family members are concerned about your drinking, or if you find yourself unable to navigate the holiday season without a drink in your hand, it may be time to ask for help.

At More Than Rehab, we believe in a social model of recovery. We don't just treat the addiction; we treat the person. We help you rebuild the connections and life skills that addiction has stolen. Whether it’s managing mental health disorders that fuel the addiction or undergoing a safe medical detox from alcoholic drinks and drugs, we are here to help you get your life back.

Don't wait for a New Year's Resolution. If you are struggling, the best gift you can give yourself and your family is the decision to get help.

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Frequently Asked Questions

Q: How can I tell the difference between "festive drinking" and a drinking problem?

A: The key difference usually lies in control and consequences. Festive drinking is situational and stops when the party ends. Problem drinking often involves alcohol consumption that continues after the party, drinking in secret, an inability to stop once started, or drinking despite negative consequences (like arguments or hangovers affecting work and family obligations).

Q: Is it safe to stop drinking cold turkey after the holidays?

A: For heavy or long-term drinkers, stopping alcohol abruptly (or going cold turkey) can be dangerous and even life-threatening due to withdrawal symptoms like seizures or delirium tremens. It is highly recommended to seek professional help from an addiction treatment center to detox safely under medical supervision.

Q: What should I do if a family member gets drunk and belligerent at a holiday party?

A: Safety comes first. Do not engage in an argument or try to reason with them while they are intoxicated. Ensure they do not drive. If they become violent or unsafe, you may need to ask them to leave or call for help. The next day, when they are sober, have a serious conversation about their behavior and set boundaries for future gatherings.

Q: Can high-functioning alcoholics really benefit from rehab?

A: Absolutely. High-functioning alcoholics often have a lot to lose, which can be a strong motivator for recovery. However, their denial is often stronger because they haven't "hit rock bottom" yet. A specialized program that addresses the underlying stressors, like career pressure or family dynamics, is often a very effective motivator for this demographic.

If you or a loved one are struggling with addiction this holiday season, you don’t have to face it alone. More Than Rehab is here to help you navigate the season safely. Call us today. We are available 24/7, 365 days a year: 

888-249-2191

Top 10 Common Relapse Triggers & How to Avoid Them

Being in addiction recovery is a huge accomplishment. You’ve made it through the hardest early days, dealt with withdrawal symptoms, and started building a life free from drug or alcohol addiction. Along the way, you might notice specific thoughts, feelings, or situations that make cravings surface. These are called relapse triggers.

Relapse triggers are all around us. But you must be aware of and spot them before they get louder. Knowing your triggers gives you power. It helps you build the right coping mechanisms so you protect your mental health and long-term sobriety.

Here’s a list of 10 common relapse triggers and how to avoid them.

Stress

Stress has a way of sneaking up on you. Maybe it’s pressure at work, family tension, money problems, or one of those days when everything seems to go wrong. Before you know it, your body feels tight, your mind starts racing, and those cravings creep in. That’s because your brain remembers that, during times of long-term drug abuse, substances once felt like a quick escape from all that tension.

How to Avoid Stress

You can’t completely erase stress from life. But you can change how you deal with it. Try:

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Certain Social Environments

You probably already know this one. Being in the wrong place can throw you off track fast. Think about bars, parties, or even hanging out with old friends who still use. These social gatherings might seem harmless at first, but your brain is quick to connect the dots: “This is where I used to drink or use drugs.” Suddenly, you’re back in a high-risk situation, and cravings feel stronger than ever.

How to Avoid Certain Social Environments

Negative Emotions

Negative emotions can hit hard. Maybe it’s sadness that lingers, anger that boils up out of nowhere, or loneliness that makes you feel like no one gets what you’re going through. When those feelings show up, it’s easy for your mind to whisper, “Remember how substances helped you forget all this?” That’s because your brain connects past drug or alcohol addiction with quick relief, even though it was never a real solution.

How to Avoid Negative Emotions

Overconfidence

Overconfidence is not something that many people in addiction recovery talk about enough. When you’ve been sober for a while, you might start thinking, “I’ve got this. I can handle being around it. One drink won’t hurt.” It feels like confidence, but really, it can open the door to a mental relapse. The truth is, recovery is ongoing. Even after years of long-term sobriety, certain internal triggers can sneak up when you least expect them.

How to Avoid Overconfidence

Social Isolation, Boredom, and Loneliness

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Quiet moments can feel peaceful for some people. But for those in addiction recovery, too much time alone can turn into a heavy trigger. Boredom, loneliness, or pulling away from others creates space for old thoughts to creep back in. When your mind isn’t engaged, it’s easy to remember how long-term drug abuse once filled the silence or numbed those empty feelings.

Isolation also means missing out on support groups, sober friends, or person-to-person connections that keep your mental health strong. Without that support, the risk of relapsing rises, especially during withdrawal symptoms or other vulnerable moments.

How to Avoid Isolation and Boredom

Sex and Relationships

Intimacy can be both exciting and overwhelming in addiction recovery. For some, the rush of a new relationship feels like a substitute for the highs once found in drug or alcohol addiction. For others, intimacy brings up old wounds, insecurities, or negative emotions that can feel hard to manage without substances. Both situations create high-risk situations if you’re not careful.

Sex and relationships can stir powerful feelings like joy, fear, jealousy, or rejection, and these may trigger cravings. If boundaries aren’t clear, or if a partner doesn’t fully understand your commitment to long term sobriety, you might find yourself more vulnerable to the risk of relapsing.

How to Avoid Relapse in Intimacy

Complacency

In the early days of addiction recovery, every sober day feels like a victory. You’re careful, alert, and motivated. But as time passes, it’s easy to relax your guard. Maybe you skip a meeting, stop checking in with support groups, or start thinking, “I’ve got this. I don’t need to worry anymore.” That’s complacency, and it can quietly increase the risk of relapsing.

The truth is, recovery is a lifelong process. Even when you’ve achieved long term sobriety, old habits can resurface if you stop practicing the coping mechanisms that keep you grounded. Complacency isn’t about weakness, it’s a normal part of your recovery journey. But if ignored, it can lead to a mental relapse long before a physical one happens.

How to Avoid Complacency

Relationships and Conflict

Relationships can be some of the biggest sources of love and support, but can also stir up stress, frustration, and old wounds. Arguments with family, tension with a partner, or feeling misunderstood by friends can leave you vulnerable.

For many people with a history of drug or alcohol addiction, conflict can feel like an automatic pull back toward substances. It’s not just the fight itself. It’s the negative emotions that follow, like anger, loneliness, or resentment. Those feelings can quietly fuel the risk of relapsing if they aren’t addressed.

How to Avoid Relationship Triggers

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Health Issues or Life Transitions

Life has a way of throwing curveballs, such as an unexpected diagnosis, moving to a new city, losing a job, or even becoming a parent. These health issues and major life transitions can shake your sense of stability and bring back old cravings. When everything feels uncertain, your mind might drift toward substances as a way to cope, especially if that’s how you used to handle stress before addiction recovery.

How to Avoid Relapse During Transitions

Physical Pain or Withdrawal Symptoms

One of the toughest parts of addiction recovery is dealing with physical pain or the lingering effects of withdrawal symptoms. Maybe it’s back pain that flares up, headaches that won’t quit, or body aches that remind you of the past. When your body hurts, your brain might bring back an old coping mechanism.

How to Avoid Relapse from Pain or Withdrawal

Setbacks don’t define you, they’re just part of the journey. Every day you choose recovery, you prove your strength. If you’re struggling with relapse triggers or the pull of drug or alcohol addiction, know that help is always within reach. More Than Rehab offers the support, treatment, and guidance you need to heal and maintain sobriety.

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TikTok and Teen Drug Use: How Viral Trends Shape Perception

TikTok has exploded in popularity among young people. But along with dance memes and comedy skits, the social media platform is rife with videos depicting drug use among teens in a surprisingly casual light. Scrolling through the “For You” page, it’s easy to find clips of teens experimenting with alcoholic beverages, misusing medicines, or showing off vaping tricks.

Viral Content as the “New Normal”

TikTok’s algorithm delivers content based on user behavior. A teen who engages with videos about cannabis or alcohol might quickly find their feed full of similar posts. Repetition desensitizes in real time. Content that once seemed shocking soon feels normal, especially when portrayed as humorous or relatable.

These videos rarely show outcomes like hangovers, arrests, or overdoses. Instead, they promote a filtered, upbeat version of reality that minimizes harm, spreading misinformation about prescription drugs, alcoholic beverages, and even illegal drugs.

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Viral Trends That Normalize Substance Use

Here are a few troubling TikTok trends that have circulated widely:

The Benadryl Challenge

One of the most dangerous trends encourages teens to take excessive amounts of Benadryl to hallucinate. In 2023, a 13-year-old boy in Ohio died after attempting this challenge. The videos that inspired him made it look like a thrill, not a medical emergency.

DIY Highs

The “Nutmeg Challenge” encouraged teens to consume large amounts of the spice for a psychedelic effect. Nutmeg in high doses is toxic, leading to confusion, heart palpitations, and lasting damage. Yet the challenge gained traction, often presented as a weird experiment rather than a serious risk.

BORGs (Blackout Rage Gallons)

Popular among college students, BORGs involve mixing vodka, water, and flavor enhancers into gallon jugs. Despite claims that these drinks are “safer” because they include electrolytes, they often contain the equivalent of 16+ shots of alcohol. One TikTok-fueled BORG party led to 28 students being hospitalized for alcohol poisoning.

Vaping Videos

Teens frequently post vaping tricks and brand endorsements, portraying vaping as trendy and harmless. The health risks, addiction potential, and legal issues are rarely mentioned.

Hashtags Like #TripTok and #SniffTok

Under these tags, users share experiences and skits related to cannabis, ketamine, or even prescription drug misuse. These videos often present drug use as funny or bonding, downplaying or ignoring risks.

How Misinformation and Peer Pressure Work Online

Many teens know about the dangers of drugs. But TikTok’s content makes those dangers feel distant. When someone scrolls through dozens of upbeat videos about drinking or smoking weed, they start to see it as normal, even expected.

The problem is what’s missing. Teens aren’t seeing detox, withdrawal, or ER visits. They’re not seeing the ramifications of full-blown addiction. This selective portrayal of reality can mislead teens into thinking drugs are safe in moderation—or even that they’re a social necessity.

Negative peer pressure plays a huge role. On TikTok, popularity is measured in views and likes. When risky behavior goes viral, it sends a signal: this is what gets attention. That kind of social validation influences behavior, especially among teens who may already feel isolated, stressed, or insecure.

For teens with existing risk factors like mental health challenges or family trauma, TikTok’s messaging can be especially harmful. A funny video about getting high may reinforce the idea that substances are a solution to deeper problems.

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Real-World Consequences

While not every teen who sees drug-related TikTok videos will try them, these trends have had clear offline impacts:

The content teens consume online contributes to risky decisions offline—and in some cases, tragically fatal ones. Drugs like chemical inhalants and opioids are a very real public health crisis.

How Parents Can Respond

TikTok isn’t going away. Instead of panic, parents can focus on education, dialogue, and boundaries.

1. Talk Without Judgment

Ask your teen what they’re watching and how they feel about it. Share what you’ve seen, too. Rather than lectures, aim for conversations. The goal is open communication, not control. Tell them they can talk to you about anything, especially if they’re feeling pressured or confused about what they see online.

2. Promote Critical Thinking

Help your teen understand that not everything online is true. Discuss how videos can be staged, edited, or only show part of a story. Encourage them to ask: “What’s missing here? What might have happened after this video ended?”

3. Monitor and Support Without Spying

Keep tabs on what your teen is exposed to—without invading their privacy. If you’re not already connected on TikTok, ask to see the kinds of accounts they follow. Teens with engaged, supportive parents are less likely to try alcohol and marijuana or experiment with drugs in secret. Staying aware is critical for your family safety as well as growing public health effort to reduce digital exposure to risky behaviors.

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4. Address the Underlying Why

Talk about why teens might want to use substances. Boredom, social anxiety, or emotional pain are all common motivators. If your teen is dealing with mental health challenges, make sure they know there are safer ways to cope.

5. Share Real-Life Consequences

Without fearmongering, talk about the actual risks. Mention overdose deaths tied to fake pills. Bring up the students hospitalized from BORGs. Let them know that what happens online doesn’t always stay there—and that bad decisions can carry real world costs.

6. Encourage Healthier Content

Not all of TikTok is harmful. Some creators promote sobriety, mental wellness, and honest discussions about drug recovery. Help your teen find and follow accounts that reflect positive values.

A Shared Responsibility

TikTok’s influence on young adults isn’t going away. But it doesn’t have to lead to harm. With informed parenting, open communication, and strong critical thinking, teens can learn to question what they see and resist harmful trends.

The key is staying involved. Don’t assume your teen knows better. Talk to them, ask questions, watch a video together, and unpack it. That small investment of time can prevent big problems down the road.

And if your teen is already struggling—or if you suspect substance use is becoming a problem—don’t wait to get help. The risks are too high, and the stakes are too real to go it alone.

Where to Turn for Help

If your teen is already struggling with substance use or mental health challenges, don’t wait. Reach out for help. Professional support can make all the difference in preventing a temporary mistake from becoming a long-term crisis.

More Than Rehab offers evidence-based treatment and resources tailored for teens, young adults, and families facing challenges related to substance use. Visit More Than Rehab to speak with a caring team that understands the pressures today’s youth face—and how to turn things around before it’s too late.

888-249-2191

Friends & Family Can Contribute to Drug Addiction

There is truth to the expression, “One rotten apple spoils the whole barrel.” That’s because ripe apples produce ethylene, a ripening agent. When you store apples together, the ethylene prods other apples to ripen further and eventually rot.

It takes a single apple to start a domino chain that ruins the rest of the bunch. And guess what? The same holds true for drug users. You’re very likely to abuse drugs when you hang out with people who abuse drugs. Not because of weak morals, but because of several mechanisms that we’ll cover in this article.

Understanding addiction

The initial decision to use drugs or alcohol is voluntary for most people. However, repeated use changes the brain in ways that make it hard to quit, even for those who want to. Those recovering from a long term substance use disorder have a higher risk of drug use, even after years of leading a sober life. This is especially true if they’re dealing with mental health problems or are hanging around places or people connected to the addictive behavior.

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Friends or family members, who participated in the addictive behavior, are potential triggers for relapse, irrespective of whether or not they’re still using drugs. That’s because they bring back the memories of addiction. In some cases, they may ask you to go out or even tell you stories and share images of their happy moments in your absence. All these can lead you back to addiction.

But relapse is not the only way friends can contribute to drug addiction. This article will discuss different ways friends can worsen your drug use problems. But before we do, let’s look at the relationship between peer pressure and drug use.

Social learning theory

Social scientists who study peer pressure see it through the lens of social learning theory. According to this theory, when people observe other people’s behaviors and reactions using addictive substances, they may wish to replicate what they saw. For example, an agitated friend walks into the room.

They then sniff cocaine or smoke meth. After a few minutes, they’re relaxed and fun to be around. The person observing all this will know that the drug is a good way of coping with stress – because it’s what they’ve seen. So, any time they feel stressed or agitated, they may use the drugs to calm down.

Social learning is the most common way that people learn. When you observe your friends abusing drugs, you become more likely to try out drugs too. That’s because you have learned through observation that drugs achieved a positive result. You could also use drugs out of a need to be part of the group.

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Human beings have a strong need for social interaction. So, it becomes critical to consider the compelling social nature of many addictions. Most addictions need at least the cooperation of other people. And as the addiction progresses, the chances of a person interacting with healthy, non-using individuals become slimmer.

That’s because family and friends eventually disengage. At the same time, addiction takes up most of the addict’s time. In the end, the addict’s entire social circle is dominated by role models associated with the addiction.

How friends and family can contribute to drug addiction

Negative peer pressure

Negative peer pressure can be divided into two parts:

Direct negative often involves peers or friends directly asking you to try something, like abuse illegal drugs. It may be difficult to say no, especially if you are young and are concerned about how they’ll think of you. In some cases, they may hint that you’d be “uncool” if you didn’t take part or even provide reasoning that’s hard to argue against. The fear of losing friends or facing mockery can make you yield. Direct negative peer influence includes your friends or peers:

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Indirect negative is a subtle type of peer pressure and isn’t as apparent as direct negative. It happens when you try out drugs or alcohol just to fit in. Your friends don’t encourage you to participate in risky behaviors, but you feel pressure to do so to continue being part of that social group. Indirect negative peer pressure includes things like:

An NIH study assesses the group influences on an individual’s drinking and other drug use at clubs. A total of 368 social groups representing 986 people were anonymously surveyed. The study found that social groups had a definite impact on the individual outcome.

Group members seemed to know about other members’ drug use or drinking patterns, which were related to their drinking and other drug use. This suggests that normative patterns are established for the group, and social modeling happens within the group.

Signs your friends are making your drug use problem worse

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Positive peer pressure

Not all peer pressure is bad. Friends can influence you into making the right choices. Positive peer pressure is when friends bring a good change in your life – and this can be a useful tool in addiction treatment. In fact, many treatment facilities use this strategy to influence patients’ behavior. The same way a person in a drug-using circle uses drugs to fit in is the same way a person in a sober circle will want to stop using to fit in.

If you or someone close to you is struggling with substance abuse as a result of hanging out with wrong company, we can help. Contact us today to get started.