What is Alcohol Use Disorder?
Alcohol Use Disorder (AUD) is a medical condition where a person can’t stop or control their drinking, even when it’s causing serious problems in their life — like health issues, relationship struggles, or trouble at work or school.
AUD isn’t diagnosed by how much or often someone drinks, but instead looks at the inability to stop drinking despite negative consequences. Regular heavy drinking can lead to long-term addiction, serious health problems, and life-altering consequences.
Signs of Alcohol Use Disorder
- Drinking more than originally planned
- Failed attempts to cut back or quit
- Spending a lot of time drinking or recovering from hangovers
- Problems at work, school, or in relationships caused by drinking
- Needing more alcohol to feel the same effects (tolerance)
- Feeling anxious, shaky, or irritable when not drinking (withdrawal)
- Continuing to drink despite clear negative consequences
Dependence on alcohol changes how your brain works, making it harder to stop even if you want to.
Alcohol Addiction Treatment Options
Effective alcohol treatment doesn’t just target drinking — it also addresses mental health, physical health, and the daily stressors that can lead to relapse. ⓘ
Levels of Care For Alcohol Issues
Medical Detox
Medical professionals closely monitor your vital signs to ensure your safety and provide medications that ease withdrawal symptoms like nausea, anxiety, and discomfort. This controlled environment makes detox safer and gentler than attempting it alone. It also reduces the risk of relapse.
Alcohol Detox Program
Inpatient Rehab
Inpatient alcohol rehab provides a supportive environment with 24-hour care from medical and therapeutic staff. You’ll participate in intensive, personalized therapies to uncover and heal what is hiding behind the surface-level alcohol use. This immersive setting helps you focus completely on healing without external distractions or triggers.
Alcohol Rehab Program
Outpatient Programs
Outpatient programs offer flexible treatment options that fit around your daily life and responsibilities. Outpatient options include individual and group therapy, recovery education, and peer coaching to give you support in real-time.
Outpatient Alcohol Treatment
Medications for Alcohol Use Disorder
There are many medication options that make alcohol recovery easier – whether FDA approved specifically for alcohol issues or used off-label with varying degrees of proven research.
All medications are most effective when used alongside therapy, support groups, or professional counseling.
FDA-Approved
There are three FDA-approved medications for AUD: Naltrexone (Vivitrol), Acamprosate, and less commonly Disulfiram. These medications can help reduce cravings or make drinking less rewarding.
Off-Label
Other medications are sometimes used off-label in alcohol use issues including Topiramate (Topamax) and Gabapentin or even Baclofen (Gablofen, Lioresal), Ondansetron (Zofran), Setraline (Zoloft), Varenicline (Chantix), and more recently Semaglutide (Ozempic).
Dual Diagnosis
Medications like the antidepressant Bupropion (Wellbutrin) and anti-anxiety BuSpar (buspirone) don’t directly treat AUD, but can be equally crucial in stopping the mental health issues that lead back to alcohol.