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What Are the Different Types of Alcohol Addiction?

Alcohol addiction looks different for different people. Your age, family history, and other mental health issues have a major impact on your drinking habits. To better understand this behavior, experts have defined a few subtypes of drinkers.

About the Subtypes of Alcohol Addiction

Alcohol is legal, accessible, and socially acceptable. Because of this, alcohol addiction is extremely common. According to one survey, 10% of teen and adult Americans have alcohol addiction.1 And you might not realize you have this condition until it gets out of hand. The National Institute on Alcohol Abuse and Alcoholism (NIAA) defines various drinking levels2 as follows:

  • Moderate drinking includes up to 2 drinks a day for men, or up to 1 drink a day for women.
  • Binge drinking raises your blood alcohol concentration to .008% or higher. For most men, that means having 5 or more drinks in 2 hours. For most women, it means having 4 or more drinks in the same amount of time.
  • Heavy drinking refers to a pattern of behavior. For men, it means having over 4 drinks in a given day or over 14 drinks in a week. For women, it means having 3 or more drinks in a day or over 7 drinks in a week.

On their own, these behaviors aren’t always problematic. You can have an occasional night out and still lead a balanced life. But if you binge drink or drink heavily on a regular basis, you increase your risk of alcohol addiction. 

In one 2007 study, NIAA researchers defined 5 distinct subtypes of alcohol addiction.3 While these categories are not official diagnoses, some clinicians use them to aid in addiction treatment. You may or may not fit into any of the subtypes. But if you do, this framework can help you understand the root cause of your addiction. It can also help your care team design a treatment plan. If you have a loved one with alcohol addiction, learning about these subtypes can give you insight into their experience.

Young Adult Subtype

Compared to other age groups, young adults have the highest rates of binge drinking.4 This contributes to their high rates of alcohol addiction. According to the NIAA, 31.5% of people with alcohol addiction5 in the U.S. fit into this subtype. 

Social norms play a role in young adults’ drinking6 habits. For example, college students tend to drink more than other young adults of the same age. Experts believe this is because students have fewer responsibilities. If you’re working long hours, married, or raising children, you might not have time to go to parties or drink with friends. 

Many young adults recover from alcohol addiction without formal treatment. As you take on more work or family commitments, your priorities will naturally change. It’s not that easy for everyone. But data shows that alcohol addiction treatment is extremely effective for this demographic.

Young Antisocial Subtype

Alcohol addiction and antisocial personality disorder7 often go hand in hand. If you have these co-occurring disorders, you might need specialized care during recovery. 

Antisocial personality disorder, or ASPD,8 is a serious mental health issue. Having a parent with alcohol addiction increases your risk of developing this diagnosis. ASPD makes it hard to empathize with the people around you. This personality disorder can undermine your relationships and your career, and even increase your risk of legal issues. 

There’s a great deal of overlap between the symptoms of alcohol addiction and ASPD. For example, impulsivity is both a symptom of ASPD9 and a common trait of people with alcohol addiction. You may often find yourself in high-risk situations, including those where you’re encouraged to drink.

Up to 75% of people with ASPD have alcohol addiction.10 Recovery from either one is a complex process. Experts recommend managing the symptoms of ASPD11 with long-term treatment. This usually includes medication and outpatient therapy. Some of the same methods might help you recover from alcohol addiction. 

Functional Subtype

Dr. Howard Moss of the NIAA explains that people in this subtype experience “fewer psychosocial consequences from their alcohol dependence.”12 In other words, while this type of drinking can severely damage your health, it might not noticeably affect your relationships. People with this form of alcohol addiction tend to have a few traits in common:

  • Middle-aged or retired adults
  • Higher family income
  • College education
  • More lIkely to be married than other subtypes

If you fit into this classification, recovering from your addiction might not feel urgent. But, Moss emphasizes, you might still “be at significant risk of the biomedical consequences” of heavy drinking. In addiction treatment, your therapist can help you understand the impact your addiction has on the rest of your life. 

People with functional alcohol addiction can approach recovery in several ways. Many programs, including 12-Step rehabs, encourage total abstinence. But depending on your physical health, that may or may not be necessary for you. For example, your care team might suggest you moderate your drinking instead of quitting completely. If you decide to go this route, make sure you schedule regular check-ins with your doctor, talk therapist, or another provider. They can help you stay on track throughout your ongoing recovery.

Intermediate Familial Subtype

Data shows that there’s a genetic component to alcohol addiction.13 The intermediate familial subtype14 mostly includes middle-aged people with a family history of this condition. People in this category often have co-occurring disorders, especially depression and bipolar disorder, and develop substance use disorders later in life. One study found that most people within this subtype start drinking as teenagers but don’t show signs of alcohol addiction until their 30s.

Nearly 20% of people in the intermediate familial subtype15 also use cocaine, marijuana, or both. Most also smoke cigarettes. If this is your experience, you might consider attending residential rehab for multiple addictions. While inpatient treatment won’t change your family history, it can give you the coping skills you need to move forward.

Chronic Severe Subtype

While chronic severe alcohol addiction16 accounts for just 9.2% of all alcohol addiction in the U.S., this is the most serious subtype. Most people with this condition start drinking in their teens and show signs of alcohol addiction before the age of 30. They are also at a high risk of several different co-occurring disorders:

People in this subtype are also at risk for developing multiple addictions at once:

If you fit into this subtype, it’s extremely likely that 2 or more people in your family also have some form of alcohol addiction. 

When you enter recovery for chronic severe alcohol addiction, you might need intensive treatment like medical detox. That’s partly because 88% of patients experience withdrawal symptoms when they try to quit drinking.17 Without proper support, alcohol detox can be life-threatening.18 

With the right treatment, you can get through this process safely. And once your body heals, you’ll be able to focus on your long-term emotional recovery.


Connect with a rehab for alcohol addiction to start planning your healing journey.

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9 Ways To Help Someone With An Addiction

If your loved one is addicted to drugs or alcohol, you can make an impact in their life by supporting their recovery journey. Being a positive support for your loved one can help them navigate the transition to treatment, and life afterwards. If the addicted person doesn’t have a strong support network, they could easily fall back to old patterns. You can be that powerful motivator.

There are resources available to help work through addiction at all stages of rehabilitation. You can start the journey by finding addiction treatment to start the healing process today.

What To Do: How to Help Someone With an Addiction

Here are 9 ways you can help a loved one who’s struggling with addiction.

1. Educate Yourself

Addiction is not necessarily “curable,” but with understanding and guidance, it is possible to successfully manage the ups and downs of it. Education is key for family and loved ones to provide the best support to those affected by addiction. Empowering yourself through knowledge helps you through the recovery process.

The Biology of Addiction

When you take drugs, they interrupt how neurotransmitters communicate in the brain1. Addiction begins when your brain produces less of its natural neurotransmitters due to high, constant drug use. You can build up a tolerance and need to take more of the substance. At first, using drugs or drinking alcohol is a choice, but it can soon spiral out of control.

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Eventually, some neurotransmitter networks and areas of the brain become damaged from the constant disruption. Because of this, addiction changes your brain chemistry, so many scientists believe that it is a disease. In some ways, you can look at addiction like cancer or diabetes. It’s an ongoing disease that, luckily, can be treatable. As the Centers for Disease Control and Prevention (CDC) thoughtfully puts it, “addiction is a disease, not a character flaw2.”

2. Recognize The Signs of Relapse

Just like other diseases, relapse is always possible. So, being aware of warning signs is crucial. Everyone’s triggers are different, but common ones include stress and trauma. 

If your loved one is about to relapse, you might notice them fudging the truth, keeping secrets, or lying about their whereabouts. They could also show other changes in behavior such as:

  • Being withdrawn or distant
  • Showing a loss of interest in activities they like
  • Displaying mood swings

If you notice this, you may want to start gathering resources for help and talk to a professional. 

3. Listen

Be compassionate with your loved one. Ask them questions about why they drink or use drugs. And speak without judgment. Getting them to trust you with this vulnerable information is the first step towards getting them the help they need.

3A. Be open-minded: Ask questions that can help your loved one reflect on their addiction and their progress. Don’t judge the person or their decisions. Show that you are open to different approaches and solutions.

4. Be Patient

This process can be a great opportunity to show your loved one how much you care. Being patient and empathetic throughout their recovery journey will help them through difficult times and be greatly appreciated. Let the person know that you care and understand what they are going through. Your presence and support will be invaluable to them.

5. Vocalize Your Support

Sometimes, we think actions speak louder than words, but voicing your support of this journey is so important. Just saying, “I love you, and we’re going to get through this together” can encourage your loved one during a confusing and difficult time. Here are some more supportive phrases for recovery:

1. “I’m here for you no matter what.”

2. “I’m proud of you for seeking help.”

3. “I believe in you.”

4. “I’m here to help.”

5. “You can do this.”

Words of Support and Encouragement for Your Loved One During Their Recovery Journey.

6. Set Healthy Boundaries

Prioritize yourself and your wellbeing while helping your loved one. It is a difficult process, so remember to take a break when needed. It’s okay if you are unable to be involved in every aspect of their healing. If a situation becomes heated, consider setting a boundary such as taking a break from the conversation to reflect and come back to it in a more peaceful mindset. 

7. Have Realistic Expectations

Change doesn’t happen overnight. Be patient and supportive of your family member/friend’s journey of recovery. Celebrate each step of progress they make and encourage them to keep going. Don’t expect instant results, as change takes time and effort. Remind them that with perseverance, anything is possible. Be their source of hope and strength.

8. Offer resources

Suggest helpful resources or support groups that may be beneficial. Your loved one may want to look into different groups like Alcoholics/Narcotics Anonymous3, Women for Sobriety4, or SMART Recovery5. They can also explore our resource center with different articles to learn more about their condition or recovery in general.

9. Research Treatment and Recovery Resources

One of the biggest ways you can help your loved one is by getting them professional treatment. Rehab, outpatient programs, and/or therapy all teach clients the tools they need to regulate their emotions and behaviors to reinforce their sobriety. 

What Not To Do:

This is a sensitive time, and there are some things you might want to avoid to keep the recovery journey on track.

1. Don’t Enable

While you want to support your loved one, there’s a fine line between support and enabling. Don’t give your loved one money or a place to stay if their predicament results from drug use. Don’t tolerate negative behavior. And don’t rescue them every time they mess up. Instead, hold them accountable and practice tough love.

2. Don’t Blame Yourself or Them

Many factors go into how addiction forms, and you could end up wasting a lot of energy trying to pinpoint the cause. Instead, you can focus on taking action and moving forward to overcome this struggle.

3. Don’t Force Them To Quit

If your loved one feels like they can’t trust you because you demand they quit, that could make matters worse. They might start sneaking around or lying about their actions. And the less you know about their addiction, the less likely you’ll know how to help.

Offer to help them, but don’t demand sobriety immediately.

4. Don’t Ignore The Problem

Pretending an issue doesn’t exist doesn’t make it go away, especially for addiction. By ignoring it, you’re enabling it. You can take concrete steps to better your loved one’s life.

Find a Treatment Program For Addiction

So your loved one admits they need help, now what?

Doing some research to find the best kind of treatment for their needs is a great start. 

A good, and often necessary, first step in the healing journey is detox. Medically monitored detox safely rids your body of drugs and alcohol and can help you feel clear minded and ready to tackle treatment.

Many people then need residential rehab to overcome their addiction. Residential care can help them replace their unhealthy coping mechanism, substances, with positive habits. They’ll learn new techniques with therapies like cognitive behavioral therapy (CBT) to be well equipped to face the uncomfortable feelings that come with addiction recovery. And they’ll likely engage in holistic activities like yoga for well-rounded healing.

If you’re a family member, you may want to look into a program that offers family therapy. Usually, you’ll work with a therapist and your loved one. Or, they might offer a family weekend for on-site visits. Another key component of family therapy is addiction education. You’ll learn more about the addiction and recovery process, so post-treatment your loved one will have a healthy environment to come home to.

Post-residential care, sober living homes offer more flexibility while providing a comfortable place for your loved one to focus on their sobriety. They’ll likely attend an outpatient program, go to work or school, and grow with other peers in recovery. This is especially great for those who need a stable environment to heal in.


Recovery starts with a single step. You can make an impact in your loved one’s life by reaching out to addiction treatment centers.

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How Long It Takes to Rewire the Brain From Addiction and What to Expect

When you stop using drugs and alcohol, it takes time to rewire your brain. The exact timeframe depends on several factors. For example, certain drugs lengthen the rewiring process. Some practices can also help you recover faster. Learn about what influences this aspect of healing.

The Brain and Addiction: How Addiction Rewires the Brain

Addiction hijacks your brain’s reward system. Specifically, it affects dopamine. This neurotransmitter relates to feelings of happiness and achievement. Activities like exercise, spending time with friends, and engaging in a hobby can all trigger the release of dopamine. 

When you have an addiction, your brain associates a certain activity with the release of dopamine. Whether you’re using drugs, drinking, gambling, or something else, the connection gets stronger every time you do it. 

Over time, your brain adjusts. It becomes less sensitive to dopamine flooding your system. As your tolerance goes up, you’ll need a higher dose just to feel the same effect. This cycle disrupts your brain’s natural reward system.1 Since your brain is producing less dopamine on its own, activities you used to enjoy won’t be as satisfying. Only your addiction will provide the dopamine boost your brain craves.

What Affects the Timeframe for Brain Rewiring From Addiction

It usually takes up to 14 months for the brain to rewire from addiction.2 But there’s no one-size-fits-all timeline for recovery. Certain factors impact the speed of this process:

  • The substance you abused: Some drugs change your brain chemistry more dramatically than others. For example, cocaine releases up to 10 times the amount of dopamine3 your body can naturally produce. The more intensely a drug affects your brain, the longer it might take to rewire it again.
  • The severity of your addiction: The longer you use drugs or alcohol, the more your brain changes.4 People with years of drug abuse may recover more slowly than those who get help sooner. Plus, the more addictive substances you use, the greater the impact on your brain chemistry.5
  • Other mental health factors: Addiction is just one component of mental health. When you’re also healing from a co-occurring disorder, recovery may take more time.
  • Proper treatment: Rewiring your brain is hard work. In rehab, you’ll get support throughout this process. Therapy, medication, and other treatments can make a huge difference during recovery.

With these variables in play, it can take your brain anywhere from weeks to months to heal from addiction. For some people, it takes even longer. And it’s nearly impossible to predict your exact timeline in advance. 

The Stages of Brain Rewiring From Addiction

At any pace, you’ll probably progress through certain stages on your way to recovery. You may need different types of support during each phase.

Stage 1: Withdrawal

When you first stop using drugs or alcohol, your body will enter withdrawal. You may experience physical and emotional symptoms during this process. For most people, this is an uncomfortable time.

In some cases, detox can be life-threatening. Medical detox programs can keep you safe until you complete this stage. For most people, withdrawal symptoms go away in a week or less.6 

Stage 2: Active Rewiring

Drug cravings might not end when you complete withdrawal. But once your body starts to heal, they may feel less urgent. In this stage, you’ll have the space you need to focus on your mental health

Longer-term treatment, like rehab or ongoing therapy, lets you dig into the root cause of your addiction. You’ll identify your triggers and learn to respond without drinking or using drugs. For most people, this active stage of rewiring the brain can take up to a year.7

Stage 3: Maintenance

Recovery is often a life-long process. Some people continue to have cravings for years after detox. They may never subside completely. But with the right support, you can develop the skills you need to navigate your triggers.

Strategies for Accelerating Brain Rewiring From Addiction

When you put in the work to rewire your brain from addiction, you leverage your brain’s adaptability. Before, your brain’s neuroplasticity fed into your addiction. Now, it can help you build routines that support recovery. While your brain may heal naturally, there are a few ways to speed up the process.

Practice Mindfulness

Mindfulness helps you practice awareness of the present moment, which can make using substances less reflexive. That’s because mindfulness gives you more emotional space. Instead of responding to triggers impulsively, you’ll have time to remember your coping skills. 

Data shows that mindfulness can help people stop using drugs. One study found that mindfulness-based relapse prevention8 was more effective than other common treatments.

Exercise and Eat Well

Exercise releases dopamine9 in your brain. As it travels through your reward system, it reinforces new neural pathways. In essence, this undoes some of the damage addiction causes. Exercise also promotes cell regeneration, which helps your brain heal faster. 

Eating well is a big part of physical fitness. Studies link a balanced diet with ongoing sobriety and better mental health.10 

Find the Right Therapy for You

Therapy is another powerful tool for rewiring your brain from addiction. Individual therapy helps you recognize your behavioral patterns, empowering you to change them. 

Cognitive behavioral therapy (CBT)11 is a powerful strategy here. In this type of therapy, you’ll learn practical skills that help you respond to your triggers and cravings. 

In addition to 1:1 therapy, group therapy sessions can be very helpful. Groups let you practice new coping skills and share mutual support with other people in recovery. 

Realistic Expectations for Brain Rewiring From Addiction

While certain treatments can help with addiction recovery, there’s no quick fix here. It takes time and effort to rewire your brain from addiction. Think of this process as an investment in your long-term treatment goals.


If you’re ready to find support, you can browse rehab programs for addiction.

Frequently Asked Questions About Rewiring the Brain From Addiction

How long does it take to rewire the brain from addiction?

The timeframe for rewiring the brain from addiction varies, but it typically takes up to 14 months. Factors such as the substance involved, severity of the addiction, presence of co-occurring mental health disorders, and quality of treatment influence the brain’s speed of recovery. While some progress can be made in just a few weeks, recovery is a lifelong process.

What are the stages of brain rewiring during addiction recovery?

The stages of brain rewiring in recovery include withdrawal, active rewiring, and maintenance. During withdrawal, physical and emotional symptoms occur as a result of stopping substance use. Active rewiring entails addressing mental health and triggers through rehab or therapy. Maintenance is an ongoing phase in which cravings may persist, but proper support can help you navigate triggers effectively.

How can I accelerate brain rewiring from addiction?

Mindfulness practices promote awareness of triggers and coping skills, while exercise releases dopamine and promotes brain healing. Eating a balanced diet contributes to ongoing sobriety and better mental health. Ongoing therapy can help you recognize behavioral patterns and develop practical skills for managing triggers and cravings. Rewiring the brain from addiction requires time and dedication to long-term treatment goals.

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Alcohol Cravings in Recovery: How Long Do They Last?

Craving alcohol is a normal part of addiction recovery. When you first quit drinking, your cravings might be especially intense. As you heal, you’ll learn how to recognize and control cravings. Still, the temptation might never completely disappear. Cravings might even be a lifelong challenge. But there are ways to cope with them and reduce your risk of relapse.

Understanding Alcohol Cravings

Alcohol cravings are physical and emotional urges to drink. You might feel a loss of control or an overwhelming desire to consume alcohol, even if you know it would have negative consequences. There are some clear neurochemical reasons you might experience cravings. 

Alcohol addiction changes your brain,1 most noticeably in the reward center. Once drinking becomes a habit, your brain gets used to the good feelings that come with alcohol. It can grow harder to feel good without drinking. So when you quit, you might still crave that sense of reward. 

Alcohol cravings can have physical and emotional symptoms.2 For instance, you could have vivid fantasies about alcohol. Physically, you might start sweating3 or feel on edge.

Several factors can trigger alcohol cravings. Some triggers are internal, like memories and emotions. For example, if you used to drink to cope with stress at work, you may start to crave alcohol whenever you have a looming deadline. 

People, places, and situations can also be triggers. You might walk by a restaurant that was your go-to happy hour spot and suddenly get the urge to drink. Triggers are unavoidable at times. But once you understand them, you can learn how to curb alcohol cravings.

Timeline: How Long Do Alcohol Cravings Last?

Detox and Withdrawal

When you stop drinking and go into acute alcohol withdrawal, your cravings will be at their most intense.4 Medical detox programs can help you manage these symptoms. In this phase of recovery, your body needs to readjust to functioning without alcohol.

Alcohol detox can be difficult and even dangerous, especially if you drank heavily for a long time. It’s crucial to get medical care when you first quit drinking. You might feel physical withdrawal symptoms,5 like restlessness, shakiness, sweating, and nausea, for the first couple of weeks after you quit drinking. Your care team will keep you safe as these symptoms subside. 

Treatment and Early Recovery

Cravings often last well beyond the initial detox. It’s important to remember that everyone’s timeline is unique. While these urges usually lessen over time, you may never learn how to stop alcohol cravings entirely. Some people also develop post-acute withdrawal syndrome (PAWS),6 in which intense cravings can last up to 2 years. 

During initial treatment, you can develop coping skills to manage these urges. You’ll also learn to recognize triggers before they overwhelm you. While cravings are uncomfortable, they don’t have to result in relapse.

Manage Cravings in Ongoing Recovery

By the time you leave rehab, you’ll have plenty of practice responding to triggers. And over time, as you continue to stay sober, you’ll develop more confidence in your ability to manage cravings. While your urges may not disappear, you’ll get better at living with them. 

Coping Strategies for Alcohol Cravings

No matter how long your cravings last, there are many ways to cope with the urge to drink. Sometimes you can avoid triggering situations—but that’s not always possible. You can also learn how to navigate triggers without giving in to your cravings. In treatment, your care team might suggest several different strategies.

Choose Fulfilling Alternatives

No feeling lasts forever—even alcohol cravings come and go.7 Sometimes all you need to do is wait them out. During that time, you can distract yourself with an engaging alternative to drinking. You might go for a walk, listen to music, or try a new sober hobby. 

Meditate to Reduce Stress

Meditation and similar activities can reduce stress,8 helping you manage alcohol cravings. Studies show that mindfulness can even reduce the amount you drink.9 These activities promote self-acceptance and a sense of calm. When you accept that even intense cravings are temporary, waiting for them to pass might get a little easier.

Lean on Your Support System

Social support is a vital part of recovery10 from alcohol addiction. When you have cravings, you can ask loved ones for encouragement. You might also attend a support group or schedule an extra session with your therapist.

Professional Support and Treatment

Therapy and medication can play an important role throughout addiction recovery. A few types of treatment are especially helpful for alcohol addiction.

Cognitive Behavioral Therapy (CBT)

In cognitive behavioral therapy (CBT),11 you’ll start by identifying the triggers and behaviors that contribute to your addiction. Then, your therapist will teach you specific techniques to use when cravings arise. 

Prescription Medications

Your treatment might include medications to help you stop craving alcohol.12 Prescriptions like acamprosate, disulfiram, and naltrexone can decrease the urge to drink. This approach is especially helpful for people healing from long-term alcohol abuse.

Peer Support Groups

Support groups, like SMART Recovery or 12-Step groups, can help you connect with your peers. These programs offer fellowship, encouragement, and accountability as you move forward in recovery. 

Lifestyle Changes for Long-Term Sobriety

Positive lifestyle changes13 can set you up for long-term sobriety. It’s important to create a daily routine that includes both self-care and fun activities. Maybe you used to have a drink every day at 6. You can take your mind off those memories by filling the same time slot with a new activity. Focus on what you are doing, like having coffee with a friend, instead of what you’re not doing, like going to a bar.

Recovery is a chance to build a life you love, sustainably. You can fill your time with activities you find meaningful, and ones that have immediate positive effects:

  • Picking up a new hobby
  • Eating well
  • Exercising
  • Spending time with loved ones
  • Expressing yourself through art, music, or writing
  • Learning a new skill

As you continue to heal, these new habits can become part of your daily practice. And data shows that strong routines support addiction recovery.14 You can develop a schedule that includes activities you love, and then stick to it—even when you’re craving alcohol.

Relapse Prevention

There will probably be times when you can curb alcohol cravings and times when you feel like you can’t. When you can recognize the warning signs of relapse,15 you’ll be able to get help more quickly: 

  • Isolating yourself
  • Skipping meetings you usually attend
  • Reminiscing about drinking
  • Letting go of your routine
  • Spending time with people who encourage you to drink

When this happens, you can reach out to people you trust. For example, you might call your therapist or your original treatment program. Certain programs can also help you stay sober after treatment:

Managing alcohol cravings is a vital part of maintaining sobriety. Connect with an alcohol rehab to get the support you need to meet your recovery goals.

Frequently Asked Questions About Alcohol Cravings in Recovery

What are alcohol cravings and why do they occur?

Alcohol cravings are intense urges to consume alcohol, both physically and emotionally. These cravings are a result of the changes that occur in the brain’s reward center during alcohol addiction. When alcohol becomes a habit, the brain associates it with feelings of pleasure and reward. As a result, when you stop drinking, cravings can occur as your brain seeks that sense of reward.

How long do alcohol cravings last during recovery?

The duration of alcohol cravings varies for each individual. Initially, during acute alcohol withdrawal, they can be very intense. However, cravings may persist beyond the detox phase and throughout early recovery. Some people experience post-acute withdrawal syndrome (PAWS), where cravings can last for several months or longer. Everyone’s timeline is unique, and cravings usually lessen over time.

What are effective strategies for coping with alcohol cravings?

Coping with alcohol cravings requires a multi-faceted approach. Choosing fulfilling alternatives to drinking can help manage and reduce their intensity. These can include new hobbies or activities, practicing mindfulness meditation to reduce stress, leaning into your support network, attending support groups, seeking professional treatment, and making positive lifestyle changes. These strategies can empower you to navigate cravings and maintain long-term sobriety. Planning for relapse prevention can begin as soon as you enter recovery.

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How Long Does It Take to Detox?

Detox usually lasts at least a couple of days, but many factors can affect how long detox lasts and your side effects. Getting proper care during this sensitive time is vital. Licensed professionals will help you understand how long the detox process is and safely guide you through it.

These days can provide an opportunity to start a healthier life, and detox can help lay the foundation for success. Residential or outpatient treatment can further equip you with necessary skills to maintain sobriety. To begin your journey towards a healthier life, explore the various detox services available.

Factors Affecting Detox Duration

Here are 4 things to consider when talking with a doctor about what your detox process will look like:

  • How long you’ve been using the substance
  • To what extent you’ve been using the substance
  • If you’ve been using just one substance vs multiple substances
  • Individual factors, such as overall health, mental health conditions, and metabolism
Caption here.

Detox Timeline for Common Substances

Every substance, and every person, is different, but this is what you can expect to encounter during detox for each substance. 

Alcohol

Alcohol detox usually lasts 2 – 10 days1. Symptoms appear within 6 – 24 hours after quitting drinking and are most severe during the 36 – 72 hour period. Symptoms include:

  • Anxiety
  • Sweating
  • Tremors
  • Dehydration
  • Increased heart rate and blood pressure
  • Insomnia
  • Nausea and vomiting

Severe withdrawal may involve complications like:

  • Seizures
  • Hallucinations
  • Delirium tremens
  • Extreme agitation

Alcohol detox can be life threatening, so doing this with medical care is vital.

Opioids/Heroin

Opioids are drugs such as heroin, opium, morphine, codeine, and methadone. Detox can last 4 – 20 days, depending on the opioid used1. Quick-acting opioids like heroin typically have a shorter duration than long-acting opioids like fentanyl. Withdrawal symptoms usually appear in 8 – 12 hours after quitting. Symptoms include:

  • Nausea and vomiting
  • Anxiety
  • Insomnia
  • Hot and cold flashes
  • Sweating
  • Muscle cramps
  • Diarrhea

Opioid withdrawal can be safely worked through as long as you are detoxing with medical supervision. 

Benzodiazepines

Benzodiazepines are psychoactive drugs that act as central nervous system depressants. Doctors prescribe them to treat anxiety and sleeping disorders. This drug is relatively easy to become addicted to, so if you are prescribed benzodiazepines, you should use them with caution.

Detox typically lasts 2 – 8 weeks, depending on the benzodiazepine. Quick acting benzodiazepines, like oxazepam, have a shorter detox period1, while clonazepam and other long acting ones have longer detox periods. Symptoms include:

  • Anxiety
  • Insomnia
  • Restlessness
  • Agitation
  • Poor concentration and memory
  • Muscle pains

Benzodiazepine withdrawal could be fatal, so it’s important to taper off these with guidance from medical professionals.

Meth/Stimulants

Stimulants are drugs such as methamphetamine, amphetamine, and cocaine. Detox usually lasts 3 – 5 days1, and symptoms begin within 24 hours of quitting. Symptoms include:

  • Agitation and irritability
  • Depression
  • Increased sleeping and appetite
  • Muscle aches

Particularly those who use methamphetamine can develop hallucinations, paranoia, or depressed thoughts during detox.

Meth and stimulant withdrawal can be safely worked through as long as you detox with medical support. 

Barbiturates

Barbiturates are depressant drugs prescribed for sleep aid, muscle spasms, anxiety relief, and seizure prevention. Detox usually lasts around 2 weeks, and symptoms appear 2 – 4 days after stopping the medication2. Symptoms include:

Barbiturate detox can be life-threatening, so it’s vital to do so under medical supervision.

Marijuana

Marijuana detox typically lasts 1 – 2 weeks1, and the symptoms are relatively mild compared to other detoxification processes. However, this can still be an uncomfortable experience. Symptoms include:

  • Anxiety 
  • Feelings of fear or dissociation
  • Restlessness
  • Irritability
  • Poor appetite
  • Disturbed sleep
  • Gastrointestinal upsets
  • Night sweats
  • Tremors

Marijuana withdrawal can be safely worked through as long as you detox with medical supervision. 

Your Unique Experience Detoxing

Taking all of this into account, detox duration and experience can vary from person to person.

The detox process can negatively affect your co-occurring disorder(s)4 or vice versa. This could apply to medical disorders or mental disorders. Agitation, depression, or hallucinations can appear during detox, so if your mental health issues include these, they may be heightened during this process.

Be sure to tell your doctor about any medical conditions you have. It’s very important that they take these into account when deciding what medication to give you, your tapering timeline, etc.

Medical Detox vs. Other Forms of Detox

Detox is a broad term, and the general definition is to rid the body of toxic things. When we hear “detox,” we may first think of using dandelion tea to cleanse our bodies, or holistically-based cellular detox. 

Medical detox, what we’ve been covering in this article, involves ridding the body of drugs or alcohol under the supervision of licensed medical professionals. Often, this involves using medication to assist the detoxification, like methadone and diazepam. 

Coming off of any substance could have negative or life threatening effects, so this process shouldn’t be taken lightly. Your detox beyond dandelion tea needs to be medically monitored for your own safety and well being.  

Detoxing Safely With Professional Guidance

Substance detox is a complicated process that requires professional guidance 24/71. Doctors can help you safely rid yourself of the substance. You could risk harming yourself if you detox without proper care. You might also relapse without the guidance of a doctor. Having professionals there helps make this uncomfortable experience as comfortable as possible. 

Post-Detox Transition and Treatment

Detox is a great start to recovery, but most of the time people will relapse if that’s the only care they receive1. The next part of your journey can include attending a residential or outpatient program to build your recovery toolkit with essential coping skills. In fact, SAMHSA emphasizes this as their 3rd pillar of detoxification5. These 3 components are 

  • Evaluation: testing how substance use has affected your body and creating a plan
  • Stabilization: medically assisted detox to get you to a stable, substance-free state
  • Fostering the patient’s entry into treatment: emphasizing the importance that you follow through with a substance abuse program to maintain your sobriety

During detox, you usually won’t participate in talk therapy because you’re in a susceptible, healing state. The real work and self growth comes after detox. During residential or outpatient care, you’ll work in individual and group therapy sessions using a variety of methods, including cognitive behavioral therapy (CBT). CBT is a highly effective treatment for addiction6. This is because it targets the thoughts, feelings, and behavior patterns that are common in substance use disorder.

You can build a support network with your therapists, peers, and family. You’ll learn to identify the early warning signs of relapse. You can even participate in relapse prevention groups. And in treatment, you’ll have more time to solidify your new coping skills. 

Addiction is more than just using substances, and recovery is more than just detoxing from those substances. It’s impacted your perspective and how you think. Treatment can guide you back to a better place by shifting how you view yourself, your surroundings, and your future. 

 A Step Forward You can try your best to plan for what your detox may look like, but the bottom line is that there are a lot of variables. Detoxing safely with medical professionals ensures that the bumps along the road during this process can be molehills instead of mountains. Explore where your new journey will take you by starting with detox.

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The Most Common Addictions in the United States

Both drug and behavioral addictions are extremely common in the United States. And drug addiction is steadily on the rise. 

In 2021, the Substance Abuse and Mental Health Services Administration (SAMHSA) found that nearly 50 million Americans have drug or alcohol addictions.1 Behavioral addictions, like gambling and internet use, are also a growing concern. 

If you’re wondering how to overcome addiction, you can start by learning about the most abused drugs in the United States. 

Alcohol Addiction

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), 11.3% of adult Americans have alcohol addiction.2 A report from the National Council on Alcoholism and Drug Dependence even calls alcohol “the most commonly used addictive substance3 in the United States.”

Causes:

There are several possible causes of alcohol addiction:4 

Alcohol is widely available, and many people feel social pressure to drink.5 This can also contribute to addiction.

Effects: 

According to the CDC, long-term excessive drinking puts you at risk6 of physical health problems:

  • High blood pressure
  • Liver disease
  • Cancer

Alcohol addiction also affects mental health.7 It can lead to depression, memory problems, and even antisocial behavior.

Treatments:

There are many treatments for alcohol addiction. Experts report that a few specific types of therapy are especially helpful:8

  • Cognitive behavioral therapy (CBT)
  • Motivational enhancement therapy (MET)
  • Contingency management
  • Couples therapy
  • 12-Step programs

Opioid Addiction

There is currently an opioid addiction crisis in the United States.9 These drugs play a role in nearly 75% of all overdose deaths. According to SAMHSA, 1% of all Americans over the age of 12 had opioid addiction in 2020.10 

Causes:

Many factors contribute to opioid addiction,11 like genetics and mental health issues. Childhood trauma also makes you more vulnerable. Chronic pain is a major risk factor,12 especially if you manage it with an opioid prescription. 

Effects:

Opioid abuse has many health risks.13 As your tolerance goes up, you may need higher and higher doses to manage physical pain. This addiction also cuts into the time you spend with loved ones, damaging your relationships.

Opioid use can be life-threatening. Overdose causes respiratory depression, in which you can stop breathing. Without immediate medical attention, this is often fatal.

Treatments:

Opioid addiction treatment normally includes more than one type of care: 

Marijuana Addiction

In 2020, marijuana addiction was one of the 3 most common addictions in the United States.16 As cannabis becomes more socially acceptable, rates of this addiction may continue to rise. 

Causes:

The younger you are when you start using marijuana,17 the higher your risk of addiction. The drug’s potency also plays a role.

As more states legalize cannabis, scientists are developing more potent strains. According to Tom Freeman, Director of the Addiction and Mental Health Group at the University of Bath, high-potency marijuana has 4 times the risk of addiction.18 

Effects:

There’s a relationship between marijuana use and mental health issues,19 but we need more data to determine which one causes the other. Research shows that marijuana addiction shares symptoms with anxiety and depression. Long-term marijuana use also causes memory problems.20 

Treatments:

Most marijuana rehabs focus on counseling. During treatment, you might engage in a few types of talk therapy:21

  • MET
  • CBT
  • Contingency management

Scientists are still researching medications to treat cannabis addiction. 

Cocaine Addiction

SAMHSA estimates that 1.3 million people have cocaine addiction22 in the United States. Nearly 25% of these people are teenagers. Some studies suggest that teens are more vulnerable to cocaine addiction23 than adults. 

Causes:

In addition to age, genetics play a role in cocaine addiction.24 What’s more, ongoing cocaine use can change your brain activity, so your reward system responds only to the drug. Over time, that increases your risk of addiction.

Effects:

Cocaine causes a wide range of physical symptoms. Snorting cocaine harms your nasal passages,25 causing nosebleeds, sinus issues, and respiratory problems. Smoking crack cocaine causes lung damage. Cocaine also impacts your cardiovascular system, reducing blood flow throughout the body. 

Treatments:

Most rehabs treat cocaine addiction with behavioral therapy. Contingency management and various types of CBT are especially beneficial treatments.26 There are currently no FDA-approved medications for this condition. 

Methamphetamine Addiction

Reports show that in 2019, over 2 million American adults used methamphetamine,27 up from 1.6 million in 2015. In the same time period, the number of deaths and arrests related to methamphetamine skyrocketed.

Causes:

Several experiences increase your risk of meth addiction:28

  • Drinking
  • Smoking
  • Attention deficit and hyperactivity disorder (ADHD)
  • Family history of legal issues
  • Family history of drug use

Effects:

Meth addiction causes many physical and mental health symptoms:29 

  • Paranoia and hallucinations
  • Anxiety
  • Organ damage, especially to the lungs, liver, and kidneys
  • Dental problems
  • High blood pressure
  • Permanent neurological changes

Treatments:

In treatment for methamphetamine addiction, you’ll probably engage in behavioral therapy. According to the National Institute on Drug Abuse (NIDA), CBT and contingency management are “the most effective treatments30 for methamphetamine addiction.”

Gambling Addiction

Because research into this condition is so new, it’s hard to accurately assess how many people have a gambling addiction. But some reports estimate that “roughly 1 percent of American adults, or about 2.5 million people, have a severe gambling problem.”31

Causes:

Men are at a higher risk for gambling addiction.32 You might also be more vulnerable if you were raised by a single parent or a parent with an addiction. 

Effects:

Unlike substance use disorders, behavioral addictions rarely have physical symptoms. Even so, the effects of gambling addiction33 can be overwhelming:

  • Anxiety which is only relieved by gambling
  • New or worsening depressive symptoms
  • Financial hardship
  • Strained family relationships

Treatments:

When you’re ready to recover from gambling addiction, your care team will help you choose the right treatments. That means something different for everyone. Most programs recommend at least one type of talk therapy to treat gambling disorder:34

  • CBT
  • Psychodynamic therapy
  • Group therapy
  • Family therapy

In rehab, you might also attend a 12-Step group like Gamblers Anonymous (GA).

Internet and Gaming Addiction

At least 93% of Americans are internet users.35 One study found that within that number, 63% of teenage internet users go online every day, and 36% go online several times each day.36 

While we have clear data about internet use, we need more about internet and gaming addiction. Various studies claim that anywhere from 38-90% of internet users have internet addiction.37 Another survey reports that 3.3% of people who play video games have a gaming addiction.38 

Causes:

Gaming and internet addiction are more common among men.39 Several factors make these conditions more likely: 

  • Depression
  • Anxiety
  • ADHD
  • Social isolation
  • Aggressive behavior
  • Low self-esteem

These issues can lead to internet addiction—and vice versa. Unchecked internet use makes the same symptoms even more severe. 

Effects:

Excessive gaming can have serious health effects:40 

  • Back pain
  • Eye strain
  • Carpal tunnel syndrome
  • Sporadic eating habits
  • Sleep problems

Internet addiction also isolates you from loved ones. In extreme cases, it can interfere with work or school.

Treatments:

A growing number of rehabs treat internet and gaming addiction. However, this is a new area of study. Researchers warn that until we have more data, we should approach all treatments for these addictions as experimental.41 

Despite these concerns, mental health professionals recommend a few types of therapy for internet and gaming addiction:42 

  • CBT
  • Wilderness therapy
  • Family therapy

Food Addiction

Various reports estimate that anywhere from 5.8-56.8% of Americans have a food addiction.43 Experts also note the overlap between food addiction and eating disorders44 like bulimia nervosa. 

Causes:

Food addiction and drug addiction45 often co-occur. Either one might make the other more likely. Severe childhood abuse can also lead to food addiction46 in adulthood. This condition is more likely for people with depression, anxiety, and low self-esteem.

Effects:

While food addiction can make you gain weight,47 that’s not true for everyone. More consistently, it leads to overwhelming feelings of guilt and shame. 

Treatments:

Food addiction recovery can include weight loss, but that’s not always the right approach. To treat the root cause of this condition, experts recommend approaching it like a binge eating disorder. CBT and interpersonal psychotherapy (IPT) are popular treatments for food addiction.48

Shopping Addiction

Between 1.8-16% of adults in the United States have a shopping addiction,49 also called compulsive buying.

Causes:

Several co-occurring conditions are common for people with shopping addiction:50

Effects:

Excessive shopping impacts more than your mental health.51 It can also have serious external consequences:

  • Debt
  • Legal issues
  • Relationship problems

Treatments:

Rehab for shopping addiction usually focuses on talk therapy. Data supports CBT and group therapy52 as helpful treatments for this condition.

Pornography Addiction

Like any other behavioral addiction, excessive pornography use can be very serious. But we don’t yet understand the scope of the issue in the United States. That’s partly because news sources commonly circulate false statistics about online pornography.53 

Causes:

Porn addiction is more likely54 for people with certain characteristics:

  • Male
  • Younger age
  • Religious
  • Novelty-seeking

It’s also more common among people who spend a lot of time online. 

Effects:

One study links excessive porn use with anxiety,55 depression, and sexual dysfunction. Porn addiction might cause these symptoms, or vice versa. Porn use also affects relationships.56 This condition can make it easier to objectify your partner. Over time, that disconnect can drive a wedge between you. 

Treatments:

Most rehabs for porn addiction offer several types of therapy. However, researchers say that CBT “might be the most effective technique57 for such patients addicted to pornography.” Some people also attend 12-Step groups like Porn Addicts Anonymous.

To learn more about treatment options for various addictions, search our collection of rehabs to take virtual tours, read reviews, see pricing, and more, and reach out to centers directly.

Frequently Asked Questions About Common Addictions in the U.S.

What are the most common addictions in the United States?

The most common addictions in the U.S. include alcohol addiction, opioid addiction, marijuana addiction, cocaine addiction, methamphetamine addiction, gambling addiction, internet and gaming addiction, food addiction, shopping addiction, and pornography addiction.

What are the causes of alcohol addiction?

Genetic predisposition, a family history of alcohol abuse, co-occurring mental health issues, easy availability of alcohol, and social pressure to drink can all contribute to problem drinking.

How is opioid addiction treated?

Rehabs typically treat opioid addiction through a combination of medications (such as methadone) and talk therapy. Medications help alleviate cravings, while therapy addresses the underlying psychological factors that led to the addiction in the first place.

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The Signs of Drug Use in Teens

Drug use in teens is an increasing problem in the U.S. It’s important to recognize the signs of drug use in order to intervene and help teens struggling with addiction. Common signs of drug use in teens include changes in behavior, including mood swings, attitudes, and school performance. Additionally, physical signs can include red eyes, changes in sleep patterns, and changes in physical appearance. Finally, teens with drug addiction may show signs of financial or legal trouble, including stealing money or getting into trouble with the law.

If your child is using drugs, this recovery journey you’re about to embark on can not only help your teen, but it can also make your whole family grow closer. Getting teen treatment can set your child on the path to success. 

Signs, Symptoms, and Behaviors of Drug Use in Teens

If you know what to look for, you can discover if your teen is using drugs or drinking alcohol. Be on the lookout for these signs:

Changes in mood:

  • Irritable
  • Withdrawn
  • Unable to focus
  • Depressed or hyperactive

Changes in appearance:

  • Unkempt appearance
  • Bloodshot eyes
  • Flushed cheeks

Changes in behavior:

  • Sneaking out
  • Secretive about their phone or their whereabouts
  • Missing school or work
  • Hanging out with a new crowd of friends

How to Spot Drug Use in Teens

If you have a hunch your kid is using drugs, but you want to be sure, there are some things you can do to get a better idea of the situation:

  • Have eye contact conversations, and see if their eyes are bloodshot.
  • Smell for smoke.
  • Pay attention to their emotional state, this may be out of the norm.
  • Go through their belongings: This can be a sensitive topic. Giving your children the privacy they deserve is important, but if you are concerned about your teen’s safety and well being due to possible drug use, you may want to consider this option.

Teen Drug Use Statistics

 According to the National Institute on Drug Use, since the start of COVID-19, reported drug use has decreased1. This is likely due to school closure and social distancing (i.e. less peer pressure). Luckily, the downward trend has continued through the last couple of years; however, substance use still poses a threat.

The Most Commonly Used Drugs Amongst Teens

The most commonly used drugs reported in 2022 were nicotine/vaping, cannabis/marijuana, and alcohol. (Keep in mind that these are only the reported statistics. More teens likely use these substances and just don’t report it.)

  • 20.5% of 10th graders vaped
  • 19.5% of 10th graders ingested cannabis
  • 15.2% – 31.3% of 10th graders drank alcohol

While this downward trend provides some hope, research findings show dramatic and rising death rates in youth between the ages of 14-18. 

Also, it’s important to know that fentanyl, amongst other dangerous players, has contaminated the U.S. and worldwide drug supply2. This substance is extremely potent, meaning even the tiniest drop can make the user overdose. Fentanyl could be found in drugs like cocaine, MDMA (ecstasy), and heroin because it’s cheaper to cut these drugs with fentanyl than sell the pure substance.

Educating yourself on these dangers, and knowing how to help your child, is crucial for prevention, awareness, and recovery if/when needed.

Reasons Why Teens Use Drugs

Each teen has their reasons for using drugs. Here are some common factors that can push them to experiment.

  1. Peer Pressure: Being a teenager is hard, and they just want to fit in with their peers. If their best friend, or someone they admire, offers them drugs or alcohol, they’ll likely take it to feel accepted. 
  2. Media: TV shows, movies, and especially social media nowadays can show drug use as glamorous, normal, or fun. This can appeal to impressionable teens.
  3. Self-Medication: Mental health issues start to pop up around adolescence, and some teens may see the escape of drugs as a way to avoid these complex feelings.
  4. Experimentation: Teens are curious and ready to try new things, especially as they start to gain some freedom.
  5. To Feel Grown Up: Wanting to be a grownup and assert their independence can lead them to drinking or doing drugs.

Find Help for Teen Drug Use

So you’ve had the conversation with your teen about their drug or alcohol use. Now is the time to start gathering resources on how to help them.

  1. Gather Information: Begin by browsing programs for teens. Think through what you want to get out of this experience—for your child and your family. You may want to look for gender-specific care. These programs address hardships that boys and girls uniquely experience by giving them tools to face uncomfortable emotions and experiences. Gender-specific care also helps them focus on treatment without distractions. 
  1. Engage in Family Therapy: Family therapy will likely be an important part of the recovery process, for your teen and your whole family. Addiction education for loved ones is usually offered with this, as well. This gives clarity on your teen’s journey with substances and recovery. So when your child comes home after treatment, everyone will have the skills they need to maintain a healthy recovery environment.
  1. Be Supportive: Most importantly, be a rock for your child. They’re likely going through a confusing time, so having your support will make this process easier and improve their chances of success.
  1. Make Sure You Have Support: Give yourself grace through this journey. Helping your child through addiction recovery can be emotionally draining. You will have support from medical professionals, but other family members or friends can also provide support in this process. 

4A. Remember to prioritize your own self-care. Engage in activities that bring you joy and practice stress-reducing techniques.
As your kids grow older and start making their own decisions, you can act as a compassionate guide and lead by example. What you do from here on out is what matters most. A bright future awaits for your child with the right teen treatment.

find help for teen drug use
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Alcohol vs. Marijuana: Is One Safer Than the Other?

Alcohol and marijuana use are both socially acceptable, and they can both be dangerous. But is one safer than the other? That’s a complicated question—partly because “safety” means something different for everyone. No matter how safe a substance seems, addiction is always possible.

Alcohol Use 

It may feel like almost everyone you know drinks alcohol. Around the world, this is one of the most socially acceptable substances. In 2021, more than 78% of Americans aged 12 and older reported using alcohol at least once in their lifetime.1 

How Addictive Is Alcohol?

Alcohol addiction is more common2 than other drug addictions in the U.S. There’s no fixed timeline for how quickly or easily this condition develops. Depending on your genetics, your drinking habits, and other factors, it could take several years or just a few months for you to need treatment.

Several factors can give you a greater risk of addiction. For one thing, it depends on how long alcohol stays in your system. Some people get drunk faster than others, or have a naturally low tolerance to alcohol. If you keep drinking regularly, your tolerance will go up. That means you’ll have to drink more and more to feel the same effects. This cycle can quickly lead to addiction.

Binge and heavy drinking also play a significant role in developing alcohol use disorder. For many people, it’s perfectly safe to have a drink or 2 with friends on occasion. But if you’re getting drunk every day, or blacking out every time you go to the bar, you may be more vulnerable to addiction.

Risk Factors of Alcohol Use Disorder 

It’s easy to overlook the short and long-term consequences of excessive drinking.3 Alcohol abuse impairs your judgment, and it can lead to impulsive decisions. Experts note a few common short-term risks of heavy drinking:

  • Injuries like car crashes, burns, and falls are common when you’ve been drinking. In the U.S., 1 person dies in an alcohol-related car accident4 every 45 minutes.
  • Alcohol poisoning is a medical emergency5 that can cause vomiting or seizures, and even be life-threatening. 
  • Risky sexual behavior may result in accidental pregnancy. It can also expose you to sexually transmitted infections (STIs), like herpes or HIV.

With ongoing alcohol abuse, you’ll also face certain long-term risks:6

  • Health conditions like heart disease, high blood pressure, digestive problems, stroke, and liver disease
  • Cancer, including breast, throat, esophageal, and colon cancer
  • Mental illness such as depression and anxiety
  • Weakening of the immune system, which increases your likelihood of getting sick and makes it harder to heal from any illness
  • Memory and learning problems, which can cause problems at school or work
  • Relationship problems with loved ones, colleagues, and your wider community

When to Seek Help for Excessive Drinking 

Alcohol affects everyone differently. It might be hard to notice when your drinking becomes a problem. So how do you know when you cross the line?

This question is very personal. Drinking might not cause any major problems in your life at first, or ever. But if you’re wondering whether you need help, you might be onto something. In a sober moment, you can take an inventory of your behavior by answering a few questions:

  • Do you usually drink more than you planned? 
  • Can you go a whole day without drinking alcohol?
  • Do you drink at inappropriate times (at work, first thing in the morning, etc.)? 
  • Does drinking interfere with important parts of your life? 
  • Do you hide your drinking from other people?
  • Do you often make poor decisions when you drink?  
  • Are your loved ones concerned about your drinking habits?
  • Do you think you have an alcohol addiction?

With a clearer sense of your own drinking habits, you can decide on next steps. However, only a professional can diagnose you with alcohol use disorder. If you think you need help, you can contact a rehab or share your thoughts with a specialist.

Marijuana Use 

Between alcohol and cannabis, many people see marijuana as the lesser evil. You might not even know that weed is addictive.7 As legalization becomes more widespread in the U.S., so do studies shedding light on cannabis use, weed’s potential risks and benefits,8 and addiction.

Medicinal Benefits of Marijuana

When you use it safely, marijuana has many medicinal benefits.9 It’s especially helpful for people with chronic pain. Some see cannabis as a safer alternative to prescription opioids and other narcotics. Natural chemicals like THC and CBD, which appear in most strains of marijuana, also have several other effects.

For example, CBD oil can help with anxiety10 and depression. It can also protect against neurological issues like Parkinson’s disease, Alzheimer’s disease, and multiple sclerosis. 

There’s no doubt marijuana can help people. But it’s up to you to decide if marijuana products will benefit you in the long run. Thinking about your relationship with substances is always a great place to start.

Is Marijuana More Addictive Than Alcohol? 

Whether marijuana is more addictive than alcohol is a complex question, and there’s no simple answer. On the surface, cannabis might seem like a medicine that does more good than harm. But just about any substance can be addictive11—even seemingly harmless ones like caffeine or ibuprofen. And marijuana is no exception. 

The health effects of marijuana use, however, are generally less risky than those of alcohol. Many studies suggest cannabis has a lower risk for health-related harms12 like cancer, death from severe withdrawal, and liver damage. And one study found that marijuana has a much lower risk of overdose than alcohol. Still, we need more data on weed and addiction.

Effects of Excessive Marijuana Use 

Abusing marijuana has both short and long-term impacts13 on your health. Some of its short-term effects might be enjoyable, but others are dangerous:

  • Enhanced sensory perception and euphoria: You may feel happy, and sights and sounds may become more profound.
  • Drowsiness and relaxation: Some strains of marijuana have more powerful sedative effects than others.
  • Slowed reaction times: Marijuana makes activities like driving more dangerous.
  • Problems with balance and coordination: Marijuana can make you feel dizzy or lightheaded.
  • Anxiety: Marijuana can increase anxiety levels over time—not just while you’re using it.

Continuing marijuana use over time also has long-term effects:

  • Chronic cough and frequent respiratory infections: The more you smoke marijuana, the more harmful toxins go into your lungs. Over time, this can lead to serious physical problems.
  • Learning and memory problems: Studies show regular marijuana use alters memory,14 learning, and impulse control. 
  • Mental health issues: Excessive ongoing marijuana use can lead to anxiety,15 depression, and psychosis.

When to Seek Help for Marijuana Abuse 

It can be even harder to recognize marijuana addiction than alcohol abuse. If you think you might need help, you can start by answering these questions:

  • Do you usually use high doses of marijuana?
  • Is it hard to go a day without using marijuana? 
  • Do you use marijuana at work or school?
  • Is marijuana use causing problems in your life? 
  • Are you detaching from the people closest to you or spending most of your time with other friends who use marijuana?
  • Have you ever had a relapse after trying to stop using marijuana? 
  • Do you drive while high?
  • Are your loved ones concerned about your marijuana use?
  • Do you think you have a marijuana addiction?

If you answered yes to some or all of these questions, you might want to share your responses with a clinical expert. They’ll be able to give you a proper diagnosis and help you plan for the future.

Treatment Options for Marijuana Abuse

Treatment for marijuana abuse16 normally includes a combination of therapies. Depending on where you go to rehab, you may have access to a variety of options: 

It’s important to find a program that can support your personal goals for recovery. If you need help with marijuana addiction, learn more about treatment at marijuana rehabs.

Treatment Options for Alcohol Abuse 

When you start treatment for alcohol addiction, you’ll probably need to attend detox first. Without proper medical care, alcohol withdrawal can be dangerous or even fatal. Healthcare professionals can help you safely begin recovery.

Once you complete detox, your rehab may provide a variety of alcohol addiction treatment options:17

  • Cognitive behavioral therapy 
  • Motivational enhancement therapy (MET)
  • Family counseling
  • Medications
  • Peer support groups

Browse alcohol rehabs that offer these therapies and more.

Frequently Asked Questions About Alcohol vs. Marijuana

Is alcohol or marijuana safer to use?

Both alcohol and marijuana can be dangerous substances, and addiction is a potential risk regardless of perceived safety. It’s important to exercise caution and make informed decisions about substance use to minimize potential risks and harms.

How addictive is alcohol compared to marijuana?

Alcohol addiction is more common than marijuana addiction. The development of alcohol use disorder (AUD) depends on various factors like genetics, drinking habits, and individual traits. Marijuana, though generally considered less risky, can still be addictive (as any substance can be). Further research is needed to better understand the relationship between marijuana use and addiction.

When should I seek help for alcohol or marijuana abuse?

Recognizing when to seek help for marijuana or alcohol abuse can be challenging. If you find either substance interfering with your life, or if you find yourself questioning your substance use, talking to a professional can be helpful.

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Why Is Alcohol Considered a Drug?

By definition, alcohol is a drug because it impacts the way your brain works. Not everyone sees it that way, partly because we no longer use alcohol for medical reasons. Today, people drink to celebrate, socialize, and relax. But like any other drug, alcohol can lead to addiction.

Alcohol: What Makes It a Drug?

Alcohol is a psychotropic central nervous system (CNS) depressant.1 Here’s what that means: 

  • Psychotropic drugs affect the way you think and feel. In other words, alcohol can change your mood, thoughts, and behavior. Other psychotropic drugs include cocaine, marijuana, and nicotine. 
  • Central nervous system depressants slow down your brain activity. This relaxes your muscles and makes you feel at ease. Other depressants include prescription drugs like Xanax, Valium, and Klonopin. 

How Alcohol Affects Your Brain and Body

When you drink, alcohol slows down communication between your brain cells.2 This makes you feel more relaxed as early as 15 minutes after you start drinking. Your unique metabolism determines how long alcohol stays in your system. 

For most people, the liver can only process about 1 drink an hour.3 If you drink more than that, you may feel more intense side effects. These can include lower inhibitions, intense emotions, and a loss of muscle coordination. You might even black out—which is when your brain stops recording memories due to binge drinking. If you drink beyond your body’s capacity, you can even get alcohol poisoning.

Alcohol also has long-term effects4 on your brain and body. For example, alcohol is a carcinogen, meaning it causes cancer. Long-term drinking wears down the immune system, which makes you more likely to get sick. According to the CDC, excessive drinking contributes to “high blood pressure, heart disease, stroke, liver disease, and digestive problems.” There’s also a link between alcohol and certain mental health issues, like anxiety and depression.

Alcohol Is Classified as a Depressant

The term “depressant” refers to slowing neural activity,5 not depression as a mental health issue. Certain prescription depressants can even treat anxiety and insomnia. Not every depressant makes you feel depressed. 

However, experts point out a link between alcohol and the feeling of sadness.6 According to one study, 1 out of 3 people with alcohol addiction have “experienced episodes of intense depression and/or severe anxiety.” This data suggests that alcohol addiction might indeed cause depression.

Is Alcohol Addictive?

Alcohol is highly addictive.7 However, not everyone with alcohol use disorder develops physical dependence. To find the right type of treatment, you can learn about the difference between physical and psychological addiction.

Physical Addiction

Drinking releases endorphins8—neurochemicals that make you feel euphoric. The more often and heavily you drink, the more your brain will associate good feelings with drinking. So any time you want to feel good, you’ll start craving alcohol. This cycle can quickly lead to addiction.9 

Because alcohol is a depressant, suddenly quitting drinking reactivates your central nervous system.10 This leads to physical withdrawal symptoms which can range from being uncomfortable to life-threatening. For some people, fear of these symptoms becomes a barrier to long-term treatment. 

Psychological Addiction

Many people abuse alcohol to self-medicate11 anxiety, trauma, and other mental health conditions. This doesn’t always lead to physical dependence. But if you keep drinking in spite of negative consequences, it can still constitute addiction.

According to the National Institute of Health,12 this strategy doesn’t work in the long term: 

“Drinking to cope with stress—while it may provide temporary relief from emotional discomfort—tends to enhance negative emotional states between bouts of alcohol consumption. These changes can motivate further drinking and cause an individual to become stuck in an unhealthy cycle of alcohol consumption.”

While alcohol is considered a drug, it still has cultural and economic value in the U.S. In fact, alcohol is a $363.33 billion industry.13 Alcohol was illegal in the U.S. during Prohibition, from 1920-1933.14 But the ban didn’t last long. Illegal alcohol was a public health threat, and creating a black market for drinking didn’t serve the economy. This is similar to the recent change in policy around marijuana legalization. When drugs are legal, the government can regulate them for safety and tax them to boost the economy. 

How Alcohol Abuse Affects Your Loved Ones

Alcohol addiction doesn’t only affect you. It can also impact your wider community:

  • Drinking takes up time. You might spend long nights away from home, or be too hungover to enjoy other activities with family.
  • Alcohol causes conflict. Because alcohol impairs judgment, you might act very differently when you’re drinking. On top of that, abusing alcohol can make you more aggressive.15
  • Drinking can damage trust. Many people try to hide their alcohol abuse.16 You might want to avoid consequences at work or protect your loved ones from the truth. If you have high-functioning alcohol addiction, this could go on for some time. But eventually, your loved ones will realize something’s wrong and feel betrayed as a result.
  • Alcohol addiction is expensive. Drinking can drain your finances, which puts stress on partnerships and families. 
  • Alcohol affects your work. Drugs, including alcohol, can make it hard to focus. Being drunk, hungover, or sleep deprived at work might damage your professional relationships. You might even risk losing your job, which could affect your family.
  • Drinking can cause legal problems. Alcohol abuse impairs your judgment. If you drive drunk, for example, you could get in an accident or get arrested. Even if no one gets hurt, that can damage your reputation and your closest relationships.

Signs and Symptoms of Alcohol Abuse

If you think you might be addicted to alcohol, it’s important to get a professional diagnosis. As you plan to speak to an expert, take stock of your drinking habits. The Diagnostic and Statistical Manual of Mental Disorders (DSM) defines alcohol addiction17 by a few specific criteria:

  • Do you often drink more than you planned to?
  • Do you spend excessive amounts of time drinking or recovering from drinking?
  • Have you ever tried to quit drinking and failed? Has this happened more than once?
  • Have you ever wanted a drink so intensely you couldn’t think about anything else?
  • Does drinking or being hungover often interfere with your other responsibilities (family, friends, work, school, etc.)?
  • Have you ever given up activities you cared about in order to drink instead?
  • Does drinking make you feel depressed, anxious, or otherwise unwell? If so, do you continue to drink anyway?
  • Does alcohol have less of an effect on you than it used to? If so, does this make you drink more?
  • Do you ever feel shaky, nauseous, or have trouble sleeping when the effects of drinking start to wear off?

When to Seek Professional Help for Alcohol Use

It’s never too early to ask for help. If you think you have alcohol use disorder, you very well might. An addiction expert can help you decide which type of treatment will best suit your needs. 

Treatment Options

Everyone’s experience with alcohol addiction is unique. What works for someone else might not be a good fit for you. However, there are a few common treatments for alcohol abuse:

  • Alcohol detox: Quitting drinking abruptly can cause potentially dangerous withdrawal symptoms.18 These can even be life-threatening. In a medical detox program, your care team will keep you safe throughout this process. Some rehabs require you to attend medical detox before you start longer-term treatment.
  • Residential rehab for alcohol addiction: In these programs, you’ll live on-site at a treatment center. Your length of stay in rehab could be anything from a few days to several weeks, or even longer. Most programs offer a combination of treatments, such as 1:1 therapy, support groups, and medical care.
  • Partial hospitalization program (PHP): Also known as day treatment, in a PHP, you’ll live at home but follow an intensive schedule of treatment. Most programs require you to be on-site for about 40 hours per week.
  • Intensive outpatient program (IOP): An IOP provides structured, intensive therapy and support services for people who don’t require all-day treatment. Outpatient care is often used as a step-down approach after residential treatment, and could be a good option if you need to keep working or going to school while attending intensive therapy. 
  • Sober living: Sober living environments help you transition out of residential addiction treatment. You’ll live with other people in recovery, but have plenty of access to the outside world. 

Alcohol addiction recovery is an ongoing process. With the right type of care you can detox safely, learn to recognize triggers, and start building a meaningful life without alcohol. To find the right program for you, explore luxury rehabs for alcohol addiction.

Frequently Asked Questions About Alcohol Use

Is alcohol considered a drug?

Yes, alcohol is a drug because it affects the brain. It’s classified as a psychotropic central nervous system (CNS) depressant. While it’s commonly used for socializing and relaxation, it’s important to recognize its addictive properties and potential risks.

What are some long-term effects of alcohol?

Long-term alcohol use can have detrimental effects on both the brain and body. Prolonged drinking weakens the immune system, making you more susceptible to illness. Excessive alcohol consumption can also lead to high blood pressure, heart disease, cancer, stroke, liver disease, digestive problems, and mental health conditions like anxiety and depression. Getting professional help is crucial to address these long-term effects and mitigate their impact.

When should I seek professional help for alcohol use?

It’s important to seek professional help if you’re unable to quit drinking on your own. If you often drink more than intended, have intense cravings for alcohol, have mood swings as a result of drinking, or if drinking interferes with your responsibilities, it’s time to consult an addiction expert. Early intervention can lead to effective, long-term recovery.

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What Is The Most Addictive Drug?

The most addictive drug varies from person to person. Some genetic mutations make certain drugs more addictive than others. Or, you might find yourself drawn to a seemingly “less addictive” drug, like nicotine, that feels just as powerful as a narcotic. 

With that said, scientists have narrowed down a few of the top addictive drugs. Their addictive potential comes from reactions, communications, and changes in the brain. 

But for each addictive drug, you have resources for recovery. You can speak with your care team to decide which route of treatment works best for you—like going to rehab. 

Heroin

Heroin comes from certain poppy plants. As an opioid, heroin is highly addictive and can change the structure of your brain1 over time. It usually comes from South America. Dealers often cut heroin with starches, sugars, or sedatives—some of which can have unpredictable and unwanted effects. 

Pure heroin looks like a white powder and tastes bitter. Impure heroin is called “black tar” for its sticky feel and dark color (from impurities). 

You can snort powdered heroin or smoke it. For black tar heroin, you can inject it into your veins or muscles once it’s been dissolved and diluted.

Heroin absorbs into mucous membranes in your nose and lungs—or, if you inject it intravenously, it dissolves directly into your bloodstream. 

Once ingested, heroin bonds to mu-opioid receptors in your brain and activates them2, which turns off GABAergic neurons. GABAergic neurons keep dopamine from rushing along your reward circuit. Once the opioid receptor turns GABAergic neurons off, dopamine runs free, which causes a rush of euphoria and a strong sense of general well-being. 

Activating the reward system like this tells your brain opioids are about as great as it gets. Add in the distressing withdrawal symptoms, and getting more can feel like an urgent need. And as you keep taking heroin, you’ll need higher doses to feel the same high as your first time2—which means you’ve built up a tolerance. 

Much of heroin’s danger lies in this rapid high-low pendulum swing.  Soon, you might need high doses to keep from feeling sick. Trying to chase your first high, you might accidentally overdose. 

Taking too much could cause your breathing to slow to null3. You might also feel constipated, nauseous, and extremely itchy. Long-term use can knock your neuronal and hormonal systems off balance4—sometimes permanently. 

Alcohol

As a depressant, alcohol suppresses the central nervous system. And, alcohol is both socially accepted and easy to get—a tricky combination. Alcohol causes a sense of happiness and well-being5, which activates your brain’s reward system. It sees alcohol as medicine and, eventually, as something you inherently need to survive. 

Because of its addictive nature and easy access, alcohol is one of the most dangerous substances to abuse6. Over half the visits to emergency rooms have something to do with alcohol. It’s also one of the 2 most-used substances, the other being nicotine. 

Different alcoholic drinks have different levels, or percentages, of alcohol. For example, an alcoholic seltzer drink is usually 5-8% alcohol; in something like vodka, the rate goes up to 40%. 

As with illicit drugs, you can build a tolerance to alcohol. So, you might need to add a splash of vodka to your seltzer or have an extra glass of wine to feel how you’re used to feeling on alcohol. The longer this continues, the more you’ll need to drink. 

Withdrawals include insomnia, anxiety, tremors, and seizures. For many, safely detoxing from alcohol requires medical supervision. 

Nicotine

Nicotine, like many other drugs, causes a release of dopamine7. But with nicotine, the rush isn’t quite as intense as something like heroin. Nicotine has such addictive power because of its repetitive nature7 and because you can use it with other activities (and substances). 

Smoking a cigarette or vaping can enhance the pleasure of other activities7, like watching a movie, partying, having a cup of coffee, or listening to music. Even though nicotine only adds to these activities, your brain still associates it as the source of joy in those situations. And so, you learn to keep smoking, subconsciously chasing satisfaction.

What used to be fun and motivating might seem boring or too mundane without the added boost from nicotine, so stopping can be challenging7. You might even feel like nothing’s enjoyable without smoking. That’s because nicotine represses your natural dopamine-release functions, and once they’ve been suppressed for so long, it can take time for your brain to adjust and provide its own. 

Though unpleasant, nicotine withdrawals won’t hurt you8. You may have a bad headache and experience cravings. You might also feel more anxious and hungry. But all withdrawal symptoms pass with time. 

Benzodiazepines

Benzodiazepines, or benzos, subdue the central nervous system. They’re usually prescribed to help with anxiety, panic disorders, and insomnia9 for their calming, sedative effects. But benzos can also be highly addictive.

Some benzodiazepines can cause dependence faster than others. But usually, people use them with another drug9 to balance or complement other effects. Alcohol and benzos, for example, produce an enhanced calm but can dangerously suppress the central nervous system.

The benzodiazepine Rohypnol, AKA roofies, acts as a powerful sedative. Some misuse benzos like Rohypnol against others. But usually, benzodiazepines appeal for their countering effects against opioids and for self-sedation.

Benzodiazepine withdrawals9 can feel extremely uncomfortable. You could experience nightmares, anxiety, insomnia, psychosis, hyperpyrexia (extremely high fever), and convulsions. For those reasons, detoxing under medical supervision is a safer option. 

Methamphetamines

Doctors may prescribe the psychostimulant methamphetamine, or metamfetamine, to treat attention deficit hyperactivity disorder (ADHD)10. In healthy doses (for those who need it), methamphetamine’s effects resemble the brain’s fight-or-flight response10. This response  increases energy, alertness, and focus. But it’s also a drug of abuse with a high potential for addiction.

Methamphetamine looks like a white powder11 or crystal-like rocks. It’s relatively easy to make and cheap to buy. Many pseudo-scientists make methamphetamine in discreet labs, usually hidden off the beaten path.  But most meth comes from larger labs in Mexico and overseas countries. 

Methamphetamine releases dopamine, serotonin, and norepinephrine10, which contribute to pleasure, satisfaction, and alertness. Using methamphetamine for pleasure can cause binges, since the desired effects only last a few minutes. And because meth is one of the cheaper stimulants and easy to get, feeding the binges might not seem like a problem. 

But, as with other drugs, your brain changes with repeated doses. You might build up a tolerance12, prompting higher doses. Your brain may also stop producing dopamine and serotonin on its own. 

Methamphetamine withdrawals12 can cause cravings, depression, anxiety, violent behavior, confusion, insomnia, hallucinations, delusions, and psychosis. 

Cocaine

Cocaine is another highly addictive stimulant13. It’s also one of the most common illicit drugs14 in America. 

Cocaine prevents the reuptake of dopamine14, meaning dopamine stacks up on dopamine receptors. This sends an intense rush of pleasure and stimulates the entire reward pathway15, causing your brain to see cocaine use as intrinsically rewarding. Even the sights, sounds, and places associated with cocaine use can trigger the need for a dose. 

As with many other drugs, you can become used to the effects of cocaine, or “tolerant”. You’ll need more and more to feel the same high as your first time. This puts you at risk for an overdose. New dangers also lie in adding vermisol to cocaine15, which is used as a cutting agent. Sometimes, fentanyl even makes its way in. 

The withdrawals from cocaine16 include insomnia, tremors, cravings, and hyperactivity. 

Crack Cocaine

Crack cocaine is a smokeable version of regular cocaine17. So it’s also a stimulant, and addictive, but even more potent due to how it’s ingested. Before it’s smoked, crack cocaine looks like small rocks or crystals. 

The membranes in your lungs absorb crack cocaine18 easily and quickly, resulting in an almost immediate high. The high goes away faster than powder or liquid cocaine, which could prompt a binge—smoking until you run out of crack or money.  

The reinforcing action is even more powerful in crack cocaine17. Your brain thinks it’s a good idea to keep having more more often, trying to realize the pleasure it knows crack can give.

Barbiturates

Similar to benzodiazepines, barbiturates are a depressant19 generally used for anxiety, headaches, seizure prevention, and insomnia. Those who misuse this prescribed medication usually do to counter the effects of other drugs—typically stimulants like cocaine.

You can take barbiturates as a pill or liquid. Barbiturates make you feel sleepy, relaxed, and at ease19. They can also impair your memory and judgment, and make you irritable. You might also feel paranoid and suicidal.  

Overdosing on barbiturates19 causes your heart rate to rise, your breathing to slow, and your body temperature to lower. Overdoses can also cause comas and death.  

Methadone

Doctors prescribe methadone, a synthetic opioid20, to treat opioid use disorders (OUDs). It relieves cravings, reduces withdrawal symptoms, and doesn’t provide the same “rush” of euphoria as other opioids. At the correct dosage, these factors make methadone a valuable treatment element20 for OUDs. 

Part of what makes methadone maintenance treatment (MMT) effective is the low risk for addiction. And, in MMT, you don’t have to share needles or risk taking heroin, cocaine, etc., of unknown purity20. Doctor oversight adds another element of safety. 

But methadone does have an addictive element. The usual dose for OUD management ranges from 60+mgs20. Sometimes, patients in treatment buy extra doses from others or hoard doses to eventually get a euphoric effect from methadone. 

Taking too much methadone can cause dangerous effects, especially if you’re on other medications. Signs and symptoms of an overdose20 include dizziness, slurred speech, unconsciousness, slow pulse, shallow breathing, tiny pupils, and frothing at the mouth. 

Naloxone reverses the overdose effects of methadone20, as it does with other opioids. 

Marijuana

Marijuana, or weed, comes from the marijuana plant. Its addictive psychoactive properties lie in the THC21 (delta-9-tetrahydrocannabinol) in marijuana. You can ingest marijuana in many ways21—smoking the leaves, drinking it in tea, eating foods with weed, and smoking concentrated weed in the form of a sticky resin.

Weed produces a sense of relaxation22 and a milder feeling of euphoria. Weed can also make you pretty hungry (or, give you the munchies) and laugh easily. You’ll experience these effects right away if you smoke weed. 

Eating it slows the onset by a half hour or more, which could prompt you to redose, thinking it’s not working. Taking too much can cause anxiety, fear, paranoia, and panic22—the opposite of what weed usually feels like. Extremely high doses can even cause acute psychosis.  

Marijuana activates the reward system23 in your brain, causing a flood of dopamine to course along your reward pathway. After continued use, your brain teaches you to keep having weed as a way to feel reward and satisfaction. Continued usage can also impair your memory, learning abilities, and balance23.

Starting weed at a young age leads to a higher risk of addiction24. But anyone at any age can find themselves addicted, meaning they’d feel withdrawal symptoms and be completely unable to stop—even when they know they should. In states that don’t monitor distribution, the potency of THC continues to rise too. This creates consequences scientists and health professionals haven’t fully realized yet. 

But for each substance and its potential for addiction, you have opportunities to recover. 

Find Effective Drug Addiction Treatment Near You

The most addictive drug could vary widely from person to person. While you can’t stop smoking cigarettes, someone else might not feel able to stop drinking—but drinking isn’t a problem for you. 

Fortunately, treatment for drug addiction caters to this variance. You can get the care you need at a residential rehab, outpatient facility, or detox unit. Your care team can help you decide which type and level of care will best meet your needs. 
To see a comprehensive collection of rehab facilities, you can browse our list of drug addiction rehabs to see photos, prices, reviews, insurance information, and more.