High-Functioning Alcoholic

An HFA is an alcoholic who is able to maintain his or her outside life, such as a job, home, family, and friendships, all while drinking alcoholically. HFAs have the same disease as the stereotypical “skid-row” alcoholic, but it manifests or progresses differently. These are just a few of the stereotypes about alcoholics that are pervasive throughout society. These stereotypes increase denial and prevent many alcoholics from getting proper diagnosis and treatment. High-functioning alcoholics (HFAs) defy these stereotypes and often go undetected because they do not fit the image of the “typical” alcoholic. In this article, learn more about why the term “functioning alcoholic” is outdated and the impact of living with untreated alcohol use disorder.

  1. As alcohol use increases, high-functioning alcoholics may begin to cancel appointments or other engagements in an effort to hide hangovers, withdrawal symptoms, and other indications of addiction.
  2. Express an openness to talk about their drinking, provide support and establish boundaries.
  3. A growing number of events and venues will not provide alcohol or even outright block alcoholic beverages.
  4. They drink alcohol with every meal and often carry alcohol with them.

Alcohol and Cialis: Risks, Side Effects & Treatment

The most in-depth care allows you to live full time at a treatment facility. These setups can also work along with 12-step programs such as Alcoholics Anonymous. Relating to other people with substance abuse issues may help someone break through denial and begin to recover. A “functional alcoholic” (or “high-functioning alcoholic”) isn’t a formal medical diagnosis, but a term used colloquially to describe a person who is dependent upon alcohol but can still function in society.

How to Help a High-Functioning Alcoholic

This is part of our ongoing commitment to ensure FHE Health is trusted as a leader in mental health and addiction care. Express an openness to talk about their drinking, provide support and establish boundaries. Make it clear to him that you will not support their drinking or unhealthy behaviors, and you will not share in the consequences. For anyone who’s concerned about a loved one’s drinking, please find a community of support like Al-Anon.

High-Functioning Alcoholic

By comparison, a non-functioning alcoholic just seeks out alcohol without as much regard to such limitations. There are many rehab centers and support groups, both online and in-person, for people who are working to achieve sobriety. If you’re ready to get started, contact a treatment provider today to learn more about your treatment options. According to a government survey, about 20% of alcoholics in America are high-functioning alcoholics. They take care of their families, always pay their bills, and avoid trouble with the law.

Drinking alcohol at unconventional times—such as early in the day or at gatherings where nobody else is drinking—is another hallmark of this disease. One sign that someone may have alcohol use disorder is that they consume excessive amounts of alcohol. This can look like binge drinking (drinking a lot over a short period) or heavy drinking (drinking a lot over a more extended period).

What are the risk factors for high-functioning AUD?

While they may seem OK to the outside world, it’s likely that warning signs and symptoms are appearing elsewhere. People should note that the term “high functioning alcoholic” is no longer in use within the medical community. This is due to the potentially stigmatizing language around the word “alcoholic”, which may also prevent someone from seeking help and support. There are a lot of shared traits between functional alcoholism and more severe problems with alcohol, so it’s important that you talk to a healthcare professional or encourage your loved one to do so.

Functional alcoholics are often in deep denial about their problem. After all, they have managed to maintain the appearance of success despite their addiction. But most high-functioning alcoholics have friends or loved ones who help them cover up the consequences of their drinking.

It passes slowly when times are tough and moves too quickly when life is smooth. Although I have not drunk alcohol in two decades, images and sensations of the experience are one thought away. When the dopamine rush left, the night turned to morning, the music died down, and the crowd left—the reality of my powerlessness over alcohol was waiting for me. It waited patiently for my recognition for 12 years until that morning when my consciousness and the truth collided undeniably.

Outpatient programs offer more flexibility regarding the schedule but provide the support and recovery resources needed. Other options that could be part of treatment for high-functioning alcohol use disorder include group or individual therapy and participation in support groups. Some high-functioning alcoholics do recognize that they have a problem with drinking. They take steps toward sobriety or even remain sober for a notable amount of time. However, addiction is a constant urge, so they sometimes relapse and return to old habits. This can become a cycle of quitting alcohol, relapsing, and then abstaining again.

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Thousands of people have conquered alcoholism and you can do it too. Unfortunately, high-functioning alcoholism, as a secret or undiagnosed disorder, can be more dangerous than obvious, debilitating alcoholism. This is because high-functioning alcoholics are often in denial about their addiction, so they are less likely to seek treatment. Since they’re not stereotypical alcoholics, they do not know or they will not admit that they have a serious problem with alcohol. There is a difference between someone who suffers from high-functioning alcoholism and someone who simply enjoys drinking alcohol.