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Alcohol use disorder

Alcohol Use Disorder (AUD) is a chronic brain condition where a person has a hard time controlling or stopping their drinking, even when it causes problems.

 

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We’re talking liver health. Stigmas. Silence.

We’re making space for what’s been hard to say.
About our health, our habits, and the weight we carry.
No one’s lifestyle should be shamed. We’re here to learn, heal, and move forward.

Real info. No shame.

More resources are on the way. We’ll keep you posted.

What is Alcohol-Use-Disorder?

Alcohol Use Disorder (AUD) is a chronic brain condition where someone loses control over how much they drink, when they drink, or why they drink — even when they know it’s causing harm.
It’s not about how often you drink.
It’s about how drinking affects your:

  • judgment

  • relationships

  • mental health

  • ability to stop, even when you want to

AUD can range from mild to severe, and it doesn’t always look like what you’d expect.

This page is educational. It’s not a substitute for medical care. If you’re worried about your liver or have symptoms, talk to your provider. You deserve real answers and support.

Before you judge, you should know

AUD changes the brain. It affects the same pathways tied to reward, impulse control, and emotional regulation. It’s not about weakness — it’s biology.

You don’t need to drink every day to have a problem.
Binge cycles, emotional dependency, and “functioning” patterns can still be dangerous — especially for your liver.

Many people with AUD are masking pain.
Anxiety, trauma, depression, and grief often sit quietly underneath. Alcohol becomes the coping tool — not the root cause.

It hits younger than you think.
Liver damage and mental health spirals linked to alcohol use are rising in young adults — even in people who don’t “look” sick.

Shame delays care.
Too many people wait until it’s a crisis, not because they don’t care — but because they’re scared of being blamed or judged.

If any of this resonates—even a little—you’re not alone. AUD is common, treatable, and nothing to be ashamed of. You don’t need a diagnosis to ask for help. Start with a trusted provider, harm-reduction space, or support group that understands the mental and physical sides of alcohol use.

This page is educational. It’s not a substitute for medical care. If you’re worried about your liver or have symptoms, talk to your provider. You deserve real answers and support.

How do you get it?

AUD develops over time — and it’s often tied to stress, mental health, trauma, or using alcohol to cope.

Common risk factors:

  • Using alcohol to manage emotions or social pressure

  • Binge drinking or drinking regularly to “take the edge off”

  • Family history of addiction

  • Depression, anxiety, PTSD, or untreated emotional distress

  • Brain changes that rewire your reward system

It’s not a lack of willpower. It’s something deeper — and treatable.

How do you know you have it?

Here are some signs that drinking might be more than “just a habit”:

  • You’ve tried to cut back but can’t

  • You drink even when it causes problems with work, school, or relationships

  • You use alcohol to deal with stress, anxiety, or sleep

  • You drink alone or in secret

  • You need more alcohol to feel the same effect

  • You feel withdrawal symptoms when you stop (sweating, shaking, anxiety)

If these feel familiar, you’re not alone — and there’s help.

This page is educational. It’s not a substitute for medical care. If you’re worried about your liver or have symptoms, talk to your provider. You deserve real answers and support.

How it Affects Your Liver

Your liver breaks down alcohol — but it can only handle so much.

When drinking becomes frequent or excessive, it overwhelms your liver. Over time, this can lead to:

  • Fatty liver

  • Inflammation (hepatitis)

  • Scarring (fibrosis or cirrhosis)

  • Liver failure

Your liver doesn’t heal easily. The earlier you stop the damage, the more it can recover.

This page is educational. It’s not a substitute for medical care. If you’re worried about your liver or have symptoms, talk to your provider. You deserve real answers and support.

How To Prevent It

There’s no totally “safe” amount, but regular binge drinking or daily drinking (even small amounts) can raise red flags. If alcohol feels hard to go without, or you’re drinking to feel

You can protect your liver — and your peace — by making small shifts:

  • Set limits on how often and how much you drink

  • Learn healthier ways to cope with stress

  • Avoid using alcohol as a reward or emotional escape

  • Talk to a doctor or mental health provider early

And remember — prevention isn’t just about avoiding alcohol. It’s about understanding why you drink.

This page is educational. It’s not a substitute for medical care. If you’re worried about your liver or have symptoms, talk to your provider. You deserve real answers and support.

How Detox Works?

Physical signs of AUD may include:

  • Cravings

  • Shaking when not drinking

  • Sleep disruption

  • GI issues or liver pain

  • Mood swings, anxiety, or foggy thinking

Diagnosis is typically based on:

  • Your symptoms

  • Your drinking patterns

  • How it affects your life

A doctor or therapist can help you figure out where you are on the spectrum — and what steps to take next.

Common Questions about AUD

Can I have AUD even if I don’t drink every day?

Yes. AUD is about your relationship with alcohol. Not just frequency.

 

No. AUD is a brain-based disorder. Blame doesn’t help. Treatment does.

 

 

Start by getting curious. Track your drinking. Talk to someone. The first step doesn’t have to be the final one.

 

If you or someone you love is living with liver disease and starts acting “off,” don’t wait. HE is reversible in early stages—but only if it’s caught.

Ask a doctor about:

  • Blood ammonia levels

  • Liver function panels

  • Mental status tests or a referral to a specialist

There are treatments (like lactulose and rifaximin) that help reduce the toxin buildup, but early intervention is key. Waiting too long can lead to hospitalization—or worse.

In many cases, yes — especially if caught early. But the longer AUD continues, the harder it becomes. Now is better than later.

Yes — and you should.
There are FDA-approved medications that can help reduce cravings, block the reward of alcohol, or make drinking feel less compulsive.

These include:

  • Naltrexone (oral or injectable)

  • Acamprosate (helps restore brain balance after quitting)

  • Disulfiram (creates sensitivity to alcohol — less common but still used)

You don’t need to wait until things are “bad enough.”
If you’re struggling to cut back, this is a valid medical conversation — not a moral failing.

Tip: You can say something like..
“I’ve been thinking about cutting back. Are there any meds that could help with cravings or withdrawal?”

This page is educational. It’s not a substitute for medical care. If you’re worried about your liver or have symptoms, talk to your provider. You deserve real answers and support.

References

  • National Institute on Alcohol Abuse and Alcoholism (NIAAA).
    Treatment for Alcohol Problems: Finding and Getting Help.
  • Substance Abuse and Mental Health Services Administration (SAMHSA).
  • Medications for Substance Use Disorders.
  • Mayo Clinic.
    Alcohol Use Disorder – Diagnosis and Treatment.

Real info. No shame.

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