Are Heavy Drinkers Alcoholics?

The term “alcohol use disorders” refers to a spectrum of disorders, and it’s rare that two people’s drinking behaviors and the harms caused by their drinking will be defined in exactly the same way. “Heavy drinking” is an especially ambiguous term because it can refer to binge drinking, or it can reference a chronic drinking problem – or some may use it interchangeably with “alcoholic.” But are all heavy drinkers alcoholics? And are all alcoholics heavy drinkers?

What Is A Standard Drink?

In the United States, one "standard" drink contains roughly 14 grams of pure alcohol. In UK, One unit is 10 ml of pure alcohol. New UK government guidelines state that the alcohol limit for men and women is the same. Both should not regularly drink more than 14 units per week to keep health risks from drinking alcohol low.If you do drink up to 14 units a week, it's best to spread these evenly across a few days and to have at least two drink-free days a week.

Heavy Drinking

Almost all alcoholics do drink heavily, but not all heavy drinkers are alcoholics. Binge drinkers, for example, are defined by the practice of drinking more than four (for women) or five (for men) drinks in about a two-hour period. On average, about one in six American report binge drinking, and those who say that they binge drink ingest an average of eight drinks per binge about four times per month, according to the Centers for Disease Control (CDC). Despite the fact that so many Americans indulge in the behavior regularly, it is far from healthy. Binge drinking is associated with such issues as unintentional and intentional injuries, a range of cardiovascular disorders, liver disease and neurological damage.

Chronic drinking is defined by drinkers who drink more than the recommended one (for women) or two (for men) drinks a day, or more than seven (for women) or 14 (for men) drinks in a week, according to the National Institute of Alcohol Abuse and Alcoholism (NIAAA). How this shakes out in terms of daily drinking – whether it’s drinking three drinks at lunch every day during the week or drinking cocktails plus a bottle of wine at dinner – adds up to drinking that is harmful to the drinker’s health, and potentially puts their safety and the safety of others at risk.

Alcoholism

According to the National Institutes of Health (NIH), alcoholism is defined by:

Tolerance: The need to drink more and more in order to feel a buzz or get drunk is one of the hallmarks of alcoholism.
Physical dependence: After tolerance develops, many drinkers find that when they are without a certain amount of alcohol in their systems, they go into detox characterized by withdrawal symptoms.
Cravings: Additionally, when without alcohol, many drinkers crave alcohol and cannot stop thinking about getting a drink until they have one in their hands.

Compulsive drinking: Alcoholics are unable to stop drinking once they start. It’s almost impossible to have just one.

Treatment for Alcohol Use Disorders

One of the major differences between alcoholism and heavy drinking is the need for treatment. Most alcoholics will benefit most from an inpatient alcohol rehabilitation program that offers medical detox and long-term follow-up care in therapeutic treatment. Heavy drinkers, on the other hand, may need different types of alcohol treatment services depending upon:

Their ability to moderate their alcohol intake or stop drinking on their own

The nature of the consequences they experience due to the choices they make while drinking

Whether or not they are also living with co-occurring mental health issues

If they ever get behind the wheel after drinking or hurt others when under the influence