Instead, the proper diagnostic term for alcohol addiction is alcohol use disorder. In the third stage of alcohol addiction, individuals have increased beyond moderate levels but have not reached severe dependence. For some, it might take years of heavy drinking to reach the middle or end stages of alcoholism.
Warning Signs and Risk Factors

Some therapies include cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET). In both types of therapy, the goal is to give clients the skills to prevent relapses and manage their triggers. Fortunately, the condition is reversible if the person abstains from drinking for months or years.

Signs and Symptoms:
For example, genetics play a key role in developing alcohol use disorder. Furthermore, certain environmental factors can interact with a genetic predisposition to make a person more likely to develop problems related to alcohol. For example, childhood trauma and stress from issues like social deprivation or abandonment can place a person at risk of later alcohol addiction.

It is important to approach intervention with care and compassion, as it can be a sensitive and emotional process. At this stage, a person is experiencing multiple problems or dangers in their life due to alcohol misuse. People with moderate AUD often benefit from inpatient residential programs or more intensive treatment options.
How Are the Stages of Alcoholism and Alcohol Use Disorder DSM-5 Criteria Different?
To ensure a safe transition from late-stage alcoholism to sobriety, you’ll need constant care and attention during the detox process. You may also need to commit to an inpatient recovery program for sixty to ninety days. Attending a substance abuse treatment program can give you the tools you need to stay sober and resist cravings once you return home. Remember, seeking help and recovery is a courageous step towards overcoming alcoholism. There are numerous resources available, including helplines, treatment centers, and online support groups.
Understanding the nature of alcoholism and recognizing its impact is crucial in order to provide support and seek appropriate treatment for individuals struggling with this disease. By addressing alcoholism early on, individuals can take steps towards recovery, improving their health and overall quality of life. The progression from social drinking or an occasional binge to becoming dependent on alcohol can be a gradual one – or, for many people, it may not happen at all. But knowing the stages of alcoholism can make it easier to spot the points at which alcohol use turns to abuse – and addiction. The characteristics of end-stage alcoholism are damage to the kidneys, the heart, angina, severe malnutrition, liver disease, cancer, and/or chronic pancreatitis. Financial and legal ruin are common, as well as being completely withdrawn from loved ones.
There are several treatment options available for individuals struggling with alcoholism. Stopping alcohol abruptly, known as going “cold turkey,” can be very risky for individuals who are reliant on alcohol and do not have professional medical guidance. Severe withdrawal symptoms can occur when alcohol is abruptly stopped for those in the advanced stages of alcoholism due to the body’s high level of dependence on it.
- Sunnyside Med offers access to compounded naltrexone (50mg + B6 5mg), paired with behavioral tools to help you reduce your drinking over time.
- Individuals cannot function without alcohol, neglect all responsibilities, and continue drinking despite extreme health risks.
- The National Institute on Alcohol Abuse and Alcoholism provides extensive alcohol research on the effects of end stage alcoholism.
- Seeking professional help and support is crucial for individuals in the late stage of alcoholism.
- For example, they may depend on a drink to help them get through a stressful day.
Syringe Services Programs (SSPs) Fact Sheet
- Alcohol can interfere with the effectiveness of psychiatric medications and disrupt the therapeutic process.
- Alcoholics will typically have a harder time maintaining a stable neurochemical level in their brain.
- It not only affects the individual struggling with alcoholism but also impacts their relationships, work performance, and overall well-being.
For others, misuse of alcohol could coincide with misuse of medications or other drugs or using them in dangerous situations. The person may now secretly recognize there is a drinking problem, and others may begin to notice as well. Unfortunately, the alcoholic no longer can judge how much alcohol his/her body can handle. Typically, the drinker denies to himself and others that alcohol is a problem so he won’t have to deal with his inner turmoil. Hangovers, blackouts and stomach problems may now drug addiction be physical symptoms that occur on a regular basis.
Uncertainty in Treatment for Those Who Have Had Multiple Attempts
People used to refer to alcohol use disorder as alcoholism, and the people with it as alcoholics. Experts have increasingly seen these terms as negative and unhelpful labels. Today, instead of people being alcoholics, professionals refer to them as people with AUD. If you are struggling with addiction and co-occurring mental health, our expert team is here to guide you every step of the way. Don’t wait— reach out today to take the first step toward taking control of your life.
Counseling & Therapy
Individuals may begin to use alcohol as a coping mechanism for stress, anxiety, or depression. This stage is characterized by a gradual shift from voluntary to compulsive drinking. Warning signs include drinking alone, lying about alcohol consumption, and an increasing focus on alcohol-related activities. In end-stage alcoholism, family members often witness severe physical and mental deterioration in their loved one.
Cravings become more pronounced, and withdrawal symptoms may appear when alcohol is not consumed. At this stage, the individual may still be able to control their drinking, but the signs of stages of alcoholism addiction are starting to appear. Alcoholism is a chronic disease that affects millions of people worldwide. It is a disorder that involves the excessive consumption of alcohol, leading to negative consequences such as health problems, social difficulties, and impaired judgment. Severe alcohol use disorder is any AUD in which a person might meet six or more of the criteria listed in DSM-5.
The body has started to adapt to alcohol in the bloodstream, and the person now needs more to feel the same level of intoxication. In addition, heavy drinking weakens the immune system, making you prone to infectious diseases and illnesses, including the flu. Significant psychological side effects are also prevalent at this stage and can cause behavioral challenges and problems within relationships. Over time, the brain compensates for this disruption by increasing the production of excitatory neurotransmitters like glutamate and reducing inhibitory neurotransmitters like GABA. This chemical imbalance can result in heightened tolerance, withdrawal symptoms, and a stronger compulsion to drink, as the brain relies on alcohol to maintain its altered state of function.