Alcohol many parts of the human body. How does alcohol affect the gastrointestinal tract, pancreas, liver, and the immune system?
Category Archives: substance use disorders
Learning About Alcohol Vieo 11 – The environment.
Learning About Alcohol Video #9- The Disease of Alcoholism
Why is it so hard to stay quit?
By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.
“Quitting is easy. I’ve done it a thousand times.”
This old joke has been applied to drinking, smoking, and gambling, and has been attributed to Mark Twain, W.C. Fields, and others. It still rings true. While many people try to quit, relatively few stay quit. For most people who use substances, that use has become a habit, and under times of stress, good or bad stress, humans tend to revert to their usual default behaviors. For recovery skills to work, they need to be over practiced until they become automatic.
Three factors are involved in a return to using substances or to behaviors like gambling. We often call this return to old behavior relapse. Triggers are events or feelings which place the idea of using back into your consciousness. Urges are strong desires or impulses. Cravings are those intense feelings driving you towards a return to active use.
Relapses begin with thoughts rather than actions.
You may have heard the saying, “relapse begins in the mind,” which is sometimes referred to as stinking thinking. There has been a tendency recently to blame addiction or alcoholism on the substance. Certain drugs may have more severe withdrawal symptoms than others, but addiction is more complicated than merely getting the drug out of the body. Many people go through detox and then go without the drug for a long enough time. That the drug is no longer in their system, yet they still relapse. Without long-term treatment, most people, who go through detox, eventually returned to using the drug of choice. Sometimes this relapse happens after months or even years of being clean and sober.
Cutting down doesn’t work.
Many people with a drug or alcohol problem try the approach of cutting down. Instead of finishing off a six-pack of beer each night, they try to limit themselves to two or three beers. Trying to control your use rarely works over an extended period. If your drinking or drug use has reached the point where you need to cut down, you’re far down the path to addiction.
Using alcohol and drugs instrumentally, to celebrate, to cope with emotions, is a dangerous path. Very few people stay “cut down” for very long. If you’re drinking or using, even a little, you’re at high risk to end up with a substance use disorder again.
Trying to control your addiction puts the drug in control of you.
Normal people don’t try to control their use of drugs and alcohol. If you are doing something enough that you need to cut down, that activity has become a problem. Loss of control is one of the characteristics of the disease of addiction.
Addicting drugs and behaviors have three characteristics that bring you back.
Over time, as you use substances, you build tolerance, meaning it takes more and more of the substance to produce the same effect, or if you use the same amount you get less and less effects. Where you used to get a buzz on after one or two beers now, you need six.
When an addicting substance leaves the body, you will develop withdrawal symptoms. Even relatively mild substances such as caffeine have withdrawal effects. Go a couple of days without your coffee, and you will probably have headaches and be irritable. Withdrawal symptoms can be either physical or psychological, such as irritability or depression.
When you are deprived of your addicting substance, you’re likely to experience cravings. Giving in to those cravings reinforces addiction. Every time you give in to the cravings, the addiction grows stronger. The challenge in quitting is to go without the substance long enough for the cravings to subside.
If you’ve developed a problem with a substance, consider seeking help. Without help quitting and staying quit is a challenging task.
Staying connected with David Joel Miller
Seven David Joel Miller Books are available now!
My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.
Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.
Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.
As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.
Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.
Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.
Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.
Planned Accidents The second Arthur Mitchell and Plutus mystery.
Letters from the Dead: The third in the Arthur Mitchell mystery series.
What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?
Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.
For these and my upcoming books; please visit my Author Page – David Joel Miller
Want the latest blog posts as they publish? Subscribe to this blog.
For videos, see: Counselorssoapbox YouTube Video Channel
Learning About Alcohol Video 8- Alcohol Use Disorders
Learning About Alcohol Video Part 7
Learning About Alcohol Video 6 Acute Effects
Learning About Alcohol Video Part 5 Alcohol and the Body
Alcohol and the Body Alcohol Video #5
Thinking that causes relapses.
By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.
Your automatic thoughts may be unhelpful.
Practice doesn’t make perfect it makes things permanent. I forget where I read that, but I’ve learned there’s a lot of truth in that statement. When you tell yourself something over and over, you start to believe it. Many people practice their unhelpful thoughts so frequently that they have convinced themselves they have no other choice. Let’s take some common automatic thoughts which may be making your problems worse and setting you up for relapse. I’ll illustrate this with statements about alcohol, but it could equally be true of drugs, behaviors, or mental health problems such as anxiety and depression.
I need a drink.
This unhelpful thought is baked into our society. You will hear it repeatedly on television, in the movies, or in statements made by those around you. The premise here is that the only way to cope with difficult life circumstances, problems, or unpleasant feelings, is to reach for a substance that will temporarily make you forget those problems. When you use a drug or alcohol to avoid feeling that avoidance is only temporary. Once the brief diversion wears off, you will have to face the problem, and it’s likely the problem has gotten worse while you were avoiding it.
If I stop drinking or using, I won’t have any friends.
People who are trying to get clean and sober may discover that all their current friends are drinkers and users. That doesn’t mean you can’t have friends. More than half of the adults in the U.S. have not had a drink in the last 30 days. You’ll probably make lots of friends in sobriety, and you’ll also find it’s an opportunity to reconnect with some of those clean and sober friends you haven’t talked to in a long time.
If I give up drugs and alcohol, I won’t have any more fun.
For a large segment of society fun for adults equates to drinking, using drugs, or having sex. It comes as a shock to many people how much fun you can have clean and sober when your senses are not dulled by substances. There are many enjoyable activities that do not include drugs or alcohol. Learning to have fun without substances can be a challenge if you’ve never done it. Make an effort to connect with people and to attend events that are clean and sober, and you will be surprised how much fun you can have.
Without alcohol, I’ll be miserable all the time.
One of the things we hear people in recovery say is that they were sick and tired of being sick and tired. Chemicals may temporarily change the way you feel, mainly by keeping you from feeling what you’re feeling, but once the chemicals wear off, you will find you feel better than when you had those drugs in your system.
Alcohol helps me get more done.
This used to be a common belief among news reporters and writers. The result of this belief was a lot of alcoholism, physical illnesses, and early deaths. Alcohol may temporarily disinhibit you, allowing you to do things that your brain is telling you not to do, but alcohol is a depressant, not a stimulant. Alcohol damages muscles in virtually every other part of the body. Using alcohol to get more done can result in an alcohol use disorder. Once alcohol has moved from being your solution to being your problem, you will get very little done.
How can you celebrate without alcohol?
Far too many alcohol-fueled celebrations end unhappily. Give sobriety a try. You will find plenty of ways to celebrate that don’t require alcohol or drugs. Using chemicals to celebrate impairs your ability to accomplish anything in the future.
Everybody else drinks, why can’t I?
This is one of those grand lie’s drinkers tell themselves. Everybody does not drink. Not even all the adults drink. One-third of the adult U.S. population doesn’t drink at all. Half of the people in America have not had a drink in the last 30 days. Having even one drink per day moves you into the top 20% heaviest drinkers. Heavy drinkers, particularly alcoholics, deceive themselves with the excuse that everybody else drinks the way I do. The truth is if you drink regularly, you drink way more than most other Americans.
You need a beer on a hot day.
For many people, this is a conditioned response, like Pavlov’s dogs. What you need on a hot day is plenty of water to prevent dehydration. The other thing you need is to get out of the heat whenever possible. Drinking alcohol on a hot day can result in you getting nothing done that day except drinking. Recovering from alcohol consumption can interfere with your functioning for several days after each episode of drinking.
Alcohol just goes with watching sports.
This is another excuse, not a reason. If you enjoy watching sports, you will pay more attention without the depressant drug alcohol in your system. You train your brain to connect these two items you can train your brain to disconnect them. When you do two things together, you condition your mind to expect to do both at the same time. Whatever you have learned, you can unlearn. Learn to pair your recreation with nonalcoholic pleasures.
Staying connected with David Joel Miller
Seven David Joel Miller Books are available now!
My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.
Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.
Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.
As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.
Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.
Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.
Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.
Planned Accidents The second Arthur Mitchell and Plutus mystery.
Letters from the Dead: The third in the Arthur Mitchell mystery series.
What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?
Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.
For these and my upcoming books; please visit my Author Page – David Joel Miller
Want the latest blog posts as they publish? Subscribe to this blog.
For videos, see: Counselorssoapbox YouTube Video Channel


