Sober Living

Why Do Some People Become Alcoholics and Others Don’t?

By December 31, 2025January 9th, 2026No Comments

It’s a chronic disease marked by an inability to control alcohol consumption. However, these numbers can vary depending on your alcohol tolerance and other biological responses. The good news is they’re more likely to seek treatment than those in other groups at 66%. They also have high rates of cigarette, marijuana, and cocaine addiction. There are many reasons why someone might develop drug and alcohol dependence.

  • An important question in alcoholism treatment is how long abstinence must last before recovery can be considered secure.
  • Alcoholism is caused by a combination of genetic, psychological, environmental, and social factors, including family history, mental health conditions, stress, and early exposure to alcohol.
  • There’s no one way to describe a ‘typical alcoholic’ since alcoholism develops differently from person to person.
  • If you find that your drinking habits are influenced by these factors, there are many treatment options available.
  • In contrast, atypical alcoholics either maintained a relatively stable pattern of alcohol abuse or returned to controlled drinking.
  • The teenage brain is still developing, and alcohol can interfere with this process.

Physical alcohol addiction occurs when the body becomes dependent on it and requires more alcoholic substances to experience its effects. The more a person drinks, the likelier they are to become dependent on alcohol to manage stress and emotions. Alcohol interacts with these circuits and can cause long-term changes to brain function that contribute to the development of alcohol addiction.2 The term “alcoholic brain” describes a group of syndromes that arise from both acute and chronic alcohol use. Peer pressure, societal norms, or growing up in a heavy-drinking culture can normalize unhealthy habits.

The Core City sample was particularly useful for studying the influences of ethnic background on drinking behavior, because the parents of more than 60 percent of the subjects were born outside the United States. The Core City study’s prospective design allowed researchers to determine whether sociopathy could lead to alcoholism (i.e., whether alcoholism was a symptom of the underlying behavioral disorder) or whether sociopathic symptoms were a consequence of alcoholism. Thus, in most patients, alcoholism appears to be an independent disorder that does not develop secondary to other psychiatric disorders, such as depression. Researchers reached similar conclusions when investigating the associations of alcoholism with other disorders (e.g., generalized anxiety disorder). Most studies investigating associations of alcoholism with psychiatric disorders have focused on depression, because both alcoholism and depression tend to run in families and frequently occur together in the same person (Merikangas and Gelernter 1990).

What Factors Contribute to Alcoholism?

This causes increased unpleasant side effects that may put us off from drinking alcohol — lowering the risk of AUD. Many physical and psychological risk factors contribute to alcohol addiction. Most people get addicted to alcohol by drinking alcohol. Over time, repeated drinking can mean you develop a physical tolerance to alcohol.

Impact on your safety

Although the Core City subjects were originally selected because they did not exhibit antisocial behavior, 25 subjects eventually met the minimal criteria for sociopathy. Several studies have indicated that sociopathy2 is a predisposing factor for alcoholism (e.g., Cloninger et al. 1988). Prospective studies thus enable researchers to establish the temporal order in which two diseases (e.g., alcoholism and depression) occur. Prospective longitudinal studies are particularly well suited to address this question, because they begin following subjects before the onset of a disorder.

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the younger the age of drinking onset, the greater the chance of you developing an alcohol use disorder in the future. These alcohol statistics also show that 60% of people in alcohol addiction treatment also need mental health treatment for co-occurring conditions. Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. While one person might stick to social drinking, another might develop a pattern of heavy drinking or alcohol use disorder (AUD) based on these influences.

In fact, many people consume an excess of alcohol and never experience addiction. goodbye letter to addiction More specifically, drinking too much alcohol. You can find our more about our addiction treatment options – including programme formats, settings and pricing – on our dedicated addiction services page. A study reported by the CDC found that in 2019, 7% of men had an alcohol use disorder, compared with 4% of women.

Our liver uses these two enzymes to digest alcohol, first converting it to acetaldehyde — a toxic byproduct responsible for many of alcohol’s harmful effects — with the help of alcohol dehydrogenase. Specifically, differences in genes that code for enzymes involved in alcohol metabolism might be responsible for differences in how we metabolize alcohol. As for social media, the best thing to do is to “click with caution” and opt out of following or engaging with anything that stirs up cravings. The key is to work with your brain rather than against it by tapping into the power of neuroplasticity — the brain’s ability to rewire itself. It triggers the brain’s reward system and keeps us coming back for more. To put it simply, alcohol is addictive.

Consequences of Abstinence

“Warm” and cohesive environments and close relationships were most characteristic of the men who did not become alcoholics. For example, 29 percent of the Core City men with alcoholic ancestors (i.e., family members who were not part of the subject’s environment) became alcoholic, whereas only 14 percent of the men without alcoholic ancestors developed alcoholism. It is difficult, however, to separate genetic and environmental effects of alcoholic family members on the development of alcoholism in a study subject. In the College sample, 26 percent of the men with alcoholic relatives, but only 9 percent of the men without alcoholic relatives, became alcoholics themselves. Most strikingly, alcohol abuse and dependence were five times less common in men of Italian and other Southern European descent compared with other ethnic groups (e.g., Irish).

Is Alcohol Addiction Genetic?

The subjects most commonly cited marriage and/or an increase in family responsibilities as reasons for their change in drinking behavior. As previously indicated, alcoholism does not progress inexorably in all patients, and possible long-term outcomes of alcoholism include a return to abstinence; a return to controlled, or asymptomatic, drinking; and continued alcoholism. This comparison found that only 9 of the 260 men who were nonalcoholic at age 47 had developed alcohol abuse or dependence at age 60. Furthermore, although the disorder progresses continuously in some alcoholics, it remains stable or even regresses spontaneously in others. Furthermore, although alcoholism generally is not the consequence or symptom of an underlying psychiatric disorder, an antisocial personality may lead to alcoholism. When examining factors that might predispose a person to alcoholism, researchers also have investigated subjects’ childhood environments.

About Our North Carolina Addiction Treatment Programs

Our certified medical reviewers are licensed in the mental health and addiction medicine fields and are dedicated to helping readers and prospective clients make informed decisions about their treatment. Our therapists work closely with you to treat the underlying causes and risk factors for alcoholism. Treatment for alcoholism addresses the common risk factors to reverse old behaviors that led to alcoholism and instill new ones that promote sobriety. However, even with this awareness many people still become alcoholics. Being aware of the risk factors for alcoholism helps to identify if you or a loved one are more susceptible to alcoholism.

During economic downturns, some people turn to alcohol as a coping mechanism. How does a bad economy affect drinking habits? Genetics plays a role in how our bodies metabolize alcohol and how our brain responds to it. Is genetics one of the causes of alcoholism?

At Carolina Center for Recovery, we work with family members, co-workers and other professionals, as well as directly with the individual in need of support to provide comprehensive care and treatment for addiction. Getting started with addiction treatment may feel intimidating at first. If you or a loved one is suffering from alcoholism, call today. Getting over alcoholism isn’t easy, but it is possible with a little help. Carolina Center for Recovery is an accredited drug and alcohol treatment center. In addition to working through past traumas and current issues, individuals learn new coping mechanisms that include healthy behaviors to reduce the risk of relapse.

  • Understanding why people become addicted to alcohol requires a multifaceted approach, as various factors contribute to the development of alcohol use disorder (AUD).
  • These genes play a major role in how our body breaks down and processes alcohol.
  • Thus, subjects with stable social adjustment apparently could recover on their own after receiving initial treatment, whereas subjects with social instability appeared to require frequent AA attendance to achieve abstinence.
  • The stress and trauma that surround these types of events may lead you to try to self-medicate with alcohol, which can lead you to develop a harmful addiction.
  • Chronic severe alcoholics include the highest percentage of people struggling with co-occurring psychiatric disorders and other substance abuse issues.
  • This group also experiences the highest alcohol-related emergency room visits, work and social problems, and withdrawal.
  • The young antisocial alcoholic subtype starts drinking at 15 and develops an AUD around 18.

If you’re concerned about someone who drinks too much, ask a professional experienced in alcohol treatment for advice on how to approach that person. You might not recognize how much you drink or how many problems in your life are related to alcohol use. Unhealthy alcohol use includes any alcohol use that puts your health or safety at risk or causes other alcohol-related problems. This disorder also involves having to drink more to get the same effect or having withdrawal symptoms when you rapidly decrease or stop drinking.

It might also be that these nature and nurture elements both have an impact on the likelihood of you developing an addiction. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. You don’t have to face this alone — reach out today and start your path to recovery with us. Therapy helps uncover underlying causes and builds coping skills, while group support fosters connection and accountability, which are vital for sustained recovery. These programs combine evidence-based therapies, group counseling, and holistic approaches like mindfulness and wellness activities to address the whole person — not just the addiction. Alcohol use disorder is a complex condition that is difficult to overcome without professional support.

These subjects were four times more likely to become alcohol dependent than the subjects who did not develop antisocial behavior; the rates of alcohol abuse, however, did not differ between the two groups. Thus, alcoholism can be viewed as one end of a continuum of drinking behaviors ranging from social drinking to severe dependence. Based on this information, the investigators documented the subjects’ family histories of criminality, mental health, and alcoholism for three generations. In retrospective studies, researchers select subjects with a specific disorder (e.g., alcoholism) and, using interviews, medical records, and other sources of information, try to determine the factors that contributed to the disease’s development. In an effort to how to store a urine sample increase our understanding of alcoholism and develop more effective prevention and treatment programs, alcohol researchers are studying the development and course of the disease in people of various ages.

It is considered a brain disorder and can be mild, moderate, or severe. AUD can be caused by an interplay of many factors including genetics, environment, psychological factors, and social and cultural influences. No matter where we are in alcohol use disorder symptoms and causes our relationship with alcohol, we can work on developing a healthier one through prevention and intervention.

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