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Ask HN: High functioning alcoholism – anyone?

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Ask HN: High functioning alcoholism – anyone?

#1
Hi,

I'm in my mid thirties, rather accomplished, with a very good job (tech) that I like, family with 2 kids etc. I drink way too much however and I fear I'm already borderline alcoholic. I've recently found this 'high functioning alcoholism' term and realized this is me. Which scares me a lot. I do know people that drink a lot in my family (I'm from eastern Europe...) and until recently I've never considered myself similar to them. For the record, I'm drinking on average 5 evenings per week, between half and a full bottle of wine (which is not that much, certainly I got used to it, so it doesn't put me in the drunk mode neither).

I keep an 'inner scorecard' which means I evaluate myself against what I used to be, and what I think I can accomplish (did I perform / accomplish something up to my potential, or did I just did a half-ass effort). Funnily enough, I always somehow discarded alcohol as a factor, justifying it (to myself) that it's not that influencing. Which is of course false. I should add that I work in the evenings very often (I love what I do btw) and most of those time, I drink too when working.

What made me realize this problem much more efficiently was running. I started quite recently and did some tests - how I perform, with the same training scheme, with and without alcohol for a period of time. Numbers don't lie. I run much better and also feel better.

As to why I'm drinking when I'm working alone, I don't really know (other than I like the taste). Not necessarily to forget problems or something. With perspective, this amounts to huge chunks of time, which certainly impacts my work on side projects / business. Sometimes I think I drink because I'm scared to actually succeed with this side stuff, and somehow unconsciously I sabotage myself.

Are / were you in this situation ? If you managed to stop, I would appreciate the 'how'.

Re: Ask HN: High functioning alcoholism – anyone?

#2
Jack Kerouac was a high functioning alcoholic and wrote some fairly well known books.

Until he died of bleeding oesophageal varices, a common complication of excess alcohol use.

Some beautiful images here : https://www.google.com.au/search?tbm=isch&q=esophageal+varic...

I know a number of alcoholics who attend AA and have been sober for decades.

My sincere best wishes. Please check out https://www.aa.org/

Re: Ask HN: High functioning alcoholism – anyone?

#3
5 nights a week half a bottle of wine isn't an alcoholic. It's drinking too much.

If you're at a bottle of wine s night that's certainly too much.

You've got a poor habit that's all. Just put a system in of deferring first drink, going to bed s bit earlier i.e. Before the last drink, and ensure you have a glass of water and a cup of tea between each glass. That'll reduce the amount you drink by s glass or two.

You're fine.

My good friend, who IS an alcoholic, drinks a 750ml bottle of vodka in a night.

Re: Ask HN: High functioning alcoholism – anyone?

#4
Current UK drinking guidelines are that you drink no more than 14 units per week.

750 ml of wine at 12% = 9 units per night. 9 * 5 = 45 units per week.

That's considerably more than the guidelines.

With excess drinking we tend to talk about problem drinking (drinking a bit too much); harmful drinking (drinking enough to cause harm, and you're certainly doing that) and dependent drinking (drinking enough to have a physical addiction).

It can be dangerous to -without supervision- stop drinking if you have a physical dependency.

Here's what you should expect from English treatment for alcohol misuse: https://www.nice.org.uk/guidance/cg115

Here's an interactive flowchart: https://pathways.nice.org.uk/pathways/alcohol-use-disorders/...

You need, and deserve, medical advice. Please go see a real professional.

Re: Ask HN: High functioning alcoholism – anyone?

#6

5 nights a week half a bottle of wine isn't an alcoholic. It's drinking too much. If you're at a bottle of wine s night that's certainly too much. You've got a poor habit that's all. Just put a system in of deferring first drink, going to bed s bit earlier i.e. Before the last drink, and ensure you have a glass of water and a cup of tea between each glass. That'll reduce the amount you drink by s glass or two. You're…

Alcoholism isn't defined in terms of how much you drink, but how much control you have over your drinking. If OP thinks he has a problem with drinking too much then probably he does have a problem.

Re: Ask HN: High functioning alcoholism – anyone?

#8
Best advice is to find healthy emotional alternatives. Spending time with family and friends. Volunteering, exercising. Above all try to appreciate that you deserve to be alive. Love thyself. IMHO, underlying a lot of these addictions is an underlying death wish caused by a deep sense of unworthiness.

All we know about drinking and yet we still do it. Or fentanyl and opioids. The death rate keeps rising. I can only imagine is that the people who are doing it are doing it as a subconscious act of suicide.

Re: Ask HN: High functioning alcoholism – anyone?

#9
I was in a very very similar situation, working as a software engineer on highly important safety critical systems I was at the peek of my career and very successful. But I was working way too hard, not sleeping and drinking more and more booze. It was OK but borderline. Then a couple of issues pushed me over the limit, and the booze intake got higher and higher. It took probably 3 years of gradual decline before I had just about shutdown, work was about to fire me and I was in severe mental shutdown. Luckily a friend helped me realise I had a problem, I got help and after a further 3 years I am much better. However it was a close run thing and I think if it had carried on I would have ended up dead. You have managed to realise you have a problem early enough that you can fix it.
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