Alcoholism, often described as alcohol addiction or alcohol use disorder, is when someone struggles to control their drinking despite harm to their health, relationships, work, finances or daily life.

Recovery Scotland is an information and referral support service. We do not operate a residential rehab centre and we do not provide clinical treatment directly. We help people understand alcohol rehab, detox and treatment options and, where appropriate, connect with suitable treatment providers.

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Recovery Scotland can offer confidential guidance and referral support to help you understand alcohol rehab options and discuss suitable providers where appropriate.

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Warning Signs Of Alcoholism

There are several warning signs of alcoholism. The main symptoms of alcoholism that you can look out for include the following:

  • They drink alcohol alone or secretly drink alcohol
  • They won’t be able to control how much they drink
  • They will need more alcohol to feel the effects
  • They will have relationship problems, work problems, or problems with the law due to drinking
  • They may black out and won’t be able to remember certain things
  • They will drink very quickly to feel good
  • They may have rituals and become irritated if someone else comments on them, such as drinking before meals or immediately after work
  • They may store alcohol in unlikely places
  • They may lose interest in hobbies
  • They will feel irritable when drinking times are approaching
  • They will feel a constant urge to drink
  • They will engage in regular binge drinking

Alcoholism Causes And Risk Factors

It’s not always possible to determine what exactly causes alcohol addictions.

Some people will use alcohol as a way of escaping certain feelings of stress or other negative feelings and will become addicted to the temporary high.

There are some risk factors that may make someone more likely to become addicted to alcohol, including the following:

Genes

Some genetic factors can make some people more likely to develop an alcohol addiction, and people with addiction in the family are usually more likely to develop addictions themselves.

The age of their first alcoholic drink

Studies suggest that people who start drinking before the age of 15 may be more likely to have drinking problems later in their lives.

Easy access

If you have easy access to alcohol, this can make you more likely to develop a drinking problem.

Stress

When someone is very stressed or anxious, they may start to consume alcohol as a way of coping with these feelings.

Peer drinking

People who are surrounded by friends or family members who drink regularly or excessively may eventually have alcohol-related problems themselves.

Low self-esteem

It is suggested that people with low self-esteem are more likely to consume too much alcohol.

Depression

People who have depression may use alcohol as self-treatment; however, consuming alcohol can increase the risk of depression.

There is no specific reason why people become addicted to alcohol. Every addict has a different story about how they got to the position they’re in.

The Effects of Alcohol and Binge Drinking

Alcohol can have many effects on both your physical health and mental health. This can include the following:

Brain effects

Alcohol dependency interferes with the communication pathways in your brain and can affect how the brain works. The changes can affect a person’s mood, behaviours, and can make it harder for them to think clearly.

Heart effects

Heavy drinking over a long time can cause damage to the heart and various issues can come such as an irregular heartbeat, cardiomyopathy, a stroke, or high blood pressure.

Liver effects

Heavy drinking can have a bad effect on the liver and can cause effects such as steatosis, fibrosis, cirrhosis, and alcoholic hepatitis.

Pancreas effects

Drinking alcohol causes the pancreas to produce toxic substances and this can lead to dangerous inflammation and swelling of the blood vessels within the pancreas and prevents proper digestion.

Cancer risks

Alcohol abuse can increase the chances of cancers such as head and neck cancer, liver cancer, oesophageal cancer, colorectal cancer, and breast cancer.

Immune system problems

Drinking too much can weaken the immune system and make it harder for your to overcome illnesses or make you more likely to pick up illnesses.

Mental health issues

Alcoholism can cause various mental health problems such as depression, anxiety, and stress.

Alcohol Withdrawal Symptoms

People who are physically dependent on alcohol may experience withdrawal symptoms if they suddenly stop or reduce drinking. Symptoms can vary in severity and may include:

  • Nausea
  • Vomiting
  • Anxiety
  • Shaky hands
  • Sweating
  • Insomnia
  • Headache
  • Hallucinations
  • Seizures
  • Delirium tremens
  • Dehydration
  • Rapid heartbeat
  • High blood pressure
  • Confusion
  • Loss of consciousness
  • Angry or nervous behaviour

Alcohol withdrawal can be medically risky. Suitability for detox should be assessed by an appropriately qualified professional or treatment provider. If someone is in immediate danger or needs urgent medical help, call 999. For non-emergency medical advice in Scotland, contact NHS 24 on 111 or speak to a GP.

Alcohol Addiction Treatment Options

Treatment options for alcohol addiction vary by person and provider. A suitable provider may recommend one or more of the following:

Behavioural treatments

These may include counselling, cognitive behavioural therapy, relapse prevention work or other structured therapies.

Medications and detox support

Medication may be considered by an appropriately qualified professional where clinically appropriate, including during alcohol detox.

Support groups

Peer support and mutual aid groups can help some people feel less isolated and maintain progress alongside professional support.

Recovery Scotland can help you explore available pathways, but clinical diagnosis and treatment should be provided by an appropriately qualified healthcare professional or treatment provider.

How Recovery Scotland Can Help

If you are worried about alcohol use for yourself or someone else, Recovery Scotland can help you understand the treatment options that may be available.

We do not provide clinical treatment directly and we do not operate a rehab centre. Where appropriate, we can discuss suitable alcohol rehab and detox providers and support the referral or enquiry process.

Frequently Asked Questions

What happens during alcohol detoxification?
When detoxing, you will experience a range of negative withdrawal symptoms. In rehab, you will be constantly monitored and may be given medication to help ease the withdrawal symptoms.
How do I convince a friend to get help?
You should never blame your friend or force them to get help. Instead, explain to them about the negative effect that their addiction is having on them and those around them and provide them with some information on the benefits of a rehab treatment plan. You may even want to show them some rehab treatment centres so they can physically see what rehab is like.
How do I achieve long term sobriety?
The most effective way to stay sober is through rehab treatment for alcohol, followed by an aftercare plan that focusses on preventing relapse.

John Gillen - Author - Last updated: June 17, 2026

John has travelled extensively around the world, culminating in 19 years’ experience looking at different models. He is the European pioneer of NAD+ (Nicotinamide Adenine Dinucleotide) treatment to Europe in 2010; and recently back from the USA bringing state of the art Virtual Reality Relapse Prevention and stress reduction therapy. His passion extends to other metabolic disturbances and neurodegenerative diseases. The journey continues. In recent times, John has travelled to Russia to study and research into a new therapy photobiomudulation or systemic laser therapy working with NAD+ scientists and the very best of the medical professionals in the UK and the USA, together with Nadcell, Bionad Hospitals own select Doctors, nurses, dieticians and therapists. Johns’ passion continues to endeavour to bring to the UK and Europe new developments with NAD+ Therapy in preventive and restorative medicine and Wellness. In 2017 John Gillen was made a visiting Professor at the John Naisbitt university in Belgrade Serbia.