Alcoholism: Start the conversation

Alcoholism, and addiction overall, isn't a character flaw, or a weakness of self-control. It's a disease. And, if you are like most of us, you've probably been affected by it. Maybe you struggle with alcohol consumption yourself or have a friend or family member who does. I rarely talk with anyone who doesn't have a personal story about how addiction has affected their life.

About 14 million adults have an alcohol use disorder and there are about 95,000 alcohol-related deaths every year in this country.

Unfortunately, we don't think of it like any other medical illness, so we don't usually talk to our primary care doctor about it. But that is one of the best places to start the conversation, during your yearly checkup, when you're talking about health goals it is okay to say, "I think I have a drinking problem."

Some of the warning signs to look for in yourself or a loved one include sacrificing family bonds for your addiction such as missing a child's ball game, concert or graduation. Things that you were once passionate about fall by the wayside. You're fatigued and foggy; barely able to get up in the morning. You have cravings for the substance. You're counting down the time until you can get off work and have a drink. You are in danger of losing your job or important relationships or you've gotten in trouble with the law. You tell yourself and others that you could easily quit and will; but you never do.

By starting the conversation, you will have a clearer path toward the help you need. Your doctor can guide you to outpatient counseling or support groups or perhaps treatment at a facility.

There is overlap between behavioral health and addiction in terms of risk factors. Much like behavioral health, addiction has an approximate 60% genetic hereditability. Mental health conditions and a history of trauma put you at greater risk of addiction. And, like so many health conditions, the earlier you start the worse the disease. Those who begin drinking before age 15 have a five times greater risk of developing an alcohol use disorder.

I've spent my career talking about and treating addiction. I see that the conversation is changing and I'm heartened by it. There is a rising social consciousness about addiction. More and more were willing to have candid and productive conversations about it.

The next time your doctor asks you about alcohol consumption, take that as a prompt to have an honest conversation.

Matthew Stanley, D.O., a psychiatrist in Sioux Falls, South Dakota, is a contributing Prairie Doc® columnist and guest host this week on the Prairie Doc® television show. For free and easy access to the entire Prairie Doc® library, visit http://www.prairiedoc.org and follow Prairie Doc® on Facebook featuring On Call with the Prairie Doc® a medical Q&A show streaming on Facebook most Thursdays at 7 p.m. central.