Everything You Need To Know About Alcohol Withdrawal

On an annual basis approximately 14 million Americans are diagnosed with an Alcohol Use Disorder, and tens of millions more engage in binge drinking, problem drinking, and have an unhealthy relationship with alcohol.  Of all the drugs that people abuse, alcohol is one of the most fatal.  Approximately 100,000 Americans die from alcohol-related problems on an annual basis, making it the third leading preventable cause of death in the United States.  Many of these deaths result from alcohol withdrawal, which can be extremely unpleasant, dangerous and life-threatening.  As such, it is imperative to be mindful of signs and symptoms of alcohol overdose and withdrawal, and when and how to seek out treatment if needed.


How Do I Know If I Have an Alcohol Use Disorder?


If you believe that you or a loved one has a dependence to alcohol, or abuse or misuse alcohol, you should seek out a mental health professional specializing in addiction.  A substance abuse specialist will be able to appropriately assess you, diagnose you, and guide you to the appropriate level of care that meets your needs and affords you with safety and increased chances for a successful outcome.  While one should never attempt to self-diagnose, some symptoms of an alcohol use disorder include:



What Is Alcohol Overdose?  What Are The Signs of Alcohol Overdose?


Alcohol use causes impairment to motor coordination, decision-making, impulse control, among other basic life functions.  When alcohol is consumed in excess, it can result in overdose, sometimes also termed alcohol poisoning.  An alcohol overdose occurs when there is so much alcohol in the bloodstream that the brain is no longer able to function properly, thereby threating ones basic life functions such as breathing and heart rate.  Some of the common signs of alcohol overdose include:



What Is Alcohol Withdrawal?  What Are The Signs of Alcohol Withdrawal?


Whereas alcohol overdose involves the resulting negative effects of the overconsumption of alcohol, alcohol withdrawal involves the resulting negative effects of the abrupt stoppage or reduction of alcohol consumption.  Even infrequent mild to moderate alcohol users can experience mild withdrawal symptoms; it is in essence what a “hangover” is.  The term withdrawal simply means the resulting physical and mental effects on an individual when they stop or reduce their alcohol intake.  It is a normal biological response to the body metabolizing and excreting alcohol.


The greater the level of alcohol abuse in terms of quantity of alcohol consumed, frequency of alcohol consumption, and duration of alcohol consumption all play a role in determining the onset of alcohol withdrawal symptoms, the severity of alcohol withdrawal symptoms, and the duration of alcohol withdrawal symptoms.  There are also important physiological factors that will determine withdrawal symptoms, such as the individuals body mass index, gender and age.  Furthermore, alcohol withdrawal symptoms can vary from individual to individual, but they often include some of the following symptoms:



What Is Alcohol Withdrawal Syndrome?


Alcohol Withdrawal Syndrome is the clinical diagnosis used for an individual experiencing alcohol withdrawal.  Symptoms of Alcohol Withdrawal Syndrome include:


When Does Alcohol Withdrawal Begin, Peak, and End?


As mentioned above, the onset and duration of alcohol withdrawal varies from individual to individual based on a variety of factors.  That being said, on average alcohol withdrawal can begin within as little as 3 to 6 hours of the last drink, peak at 24 to 72 hours, and last for up to over 10 days.  Furthermore, post-acute withdrawal, which are less severe withdrawal symptoms, can last for months.


Can Alcohol Withdrawal Be Fatal?


YES!  Of all the various substances that individuals abuse and go into withdrawal from, alcohol is one of the most dangerous.  The more severe of a dependence to alcohol an individual has, the more dangerous alcohol withdrawal can be for them.  Individuals should also be mindful of an increased risk for individuals with underlying health conditions such as high blood pressure, epilepsy and cardiovascular disease.  The risk for fatality is greatest within as little as 12 hours for severe drinkers and can occur even several days into alcohol withdrawal.  If an individual is experiencing any concerning withdrawal symptoms it is always best to err on the side of caution and seek out a medical professional.


How Is Alcohol Withdrawal Treated?


If you are experiencing alcohol withdrawal or at risk for experiencing alcohol withdrawal seek out a medical professional specializing in alcohol and drug detoxification.  Alcohol withdrawal is predominantly treated at an inpatient setting such as a hospital, detoxification clinic, or rehabilitation center with a detox unit.  Some providers allow for safe at home detox under the supervision of a doctor or nurse.  In all scenarios, patient’s vitals are closely monitored to ensure safety, and medications are administered to help minimize unpleasant and unwanted withdrawal symptoms.  Some common medications used in the alcohol detoxification process may include Acamprosate, Disulfiram, Diazepam (Valium), Clonidine (Catapres), Haloperidol (Haldol), Lorazepam (Ativan), Clonazepam (Klonopin), Chlordiazepoxide (Librium), and Naltrexone.  Treatment may include intravenous medication and/or intravenous fluids to help prevent dehydration.  It is important to drink plenty of fluids, maintain electrolyte balance, and eat nutritious foods and consider taking micronutrient supplements.

What Are Some Resources For People Who Have An Alcohol Dependence Or Are At Risk Of Experiencing Alcohol Withdrawal?


If you believe you are at immediate risk of experiencing life-threatening withdrawal symptoms, call 911.


In order to find an alcohol treatment center or alcohol detoxification center you can:



For more information on NYC addiction treatment and to find the best addiction counselor, or for general therapy and mental health, or to inquire about Family Addiction Specialist’s private concierge sober coach Manhattan, recovery coach Manhattan, sober companion Manhattan, Manhattan addiction therapy services and/or our Manhattan teletherapy services (online therapy/virtual therapy), as well as our Manhattan hypnosis services in New York City please contact our undisclosed therapy office location in the Upper East Side of NYC today at (929) 220-2912.

Lin Sternlicht & Aaron Sternlicht

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