Key Takeaways

  • Alcohol withdrawal can become noticeable when someone who has been drinking consistently goes without alcohol.
  • Shaking, sweating, irritability, anxiety, and agitation are among the changes discussed in connection with withdrawal.
  • A high alcohol tolerance can make it harder to judge intoxication based only on how someone appears or feels.
  • Alcohol dependence and withdrawal are different from simply having a high tolerance.

Alcohol withdrawal is both uncomfortable and dangerous.  For those witnessing someone in a state of withdrawal, it’s often easy to tell that something is very wrong.  But it’s not uncommon for people who don’t know what’s going on in the person’s life, to miss the fact that these are signs or symptoms of alcohol withdrawal.

What are some symptoms of alcohol withdrawal?

Alcohol is a drug.  While it does take significant alcohol abuse to develop a physical addiction to alcohol, alcohol addiction is very real, and medical treatment is often needed to avoid life threatening dangers that can result from withdrawal in a person who has alcohol dependence.  Some common symptoms observed during an alcohol detox are irritability, anxiety, agitation, tremors, and of course DT’s and seizures.

Alcohol withdrawal is both uncomfortable and dangerous.

Alcohol facts:

It’s important to identify several facts about alcohol.  Excessive alcohol consumption on a regular basis can lead to alcohol dependence.  Continued alcohol intoxication leads to alcohol tolerance, which often leads to greater consumption.  Alcohol percentage in someone’s blood is identified as BAC, which is measured to determine the level of alcohol intoxication.  As people build a tolerance, it’s possible that they will not feel the effects of the drug, yet their BAC level will still be elevated.  This is a common contributor to drunk driving incidents.  It’s also possible to suffer from an alcohol overdose, which can be fatal.

2 hours

Withdrawal symptoms can begin as little as 2 hours after the last drink, depending on the level of alcohol dependence.

As a person engages in more consistent alcohol consumption, the risks for alcohol dependence increase.  As the body and mind become addicted to the alcohol, the neurotransmitters are suppressed.  During withdrawal, the neurotransmitters become hyperactive, which leads to the symptoms listed above.  These symptoms are essentially the opposite of what alcohol does to someone when they use.

What are the solutions?

Alcohol awareness month is April.  Each year, The National Council on Alcoholism and Drug Dependence (NCADD) takes measures to educate people on the dangers of alcohol.  It’s important that family and friends are aware of the risks associated with alcohol withdrawal, as there are many fatalities each year that result from seizures related to withdrawal without medical supervision.

If someone has alcohol dependence, it’s probable that the signs will include shaking, sweating, irritability, anxiety, agitation, etc.  These symptoms show up when the person is away from alcohol for a period of time, and the body starts to enter withdrawal.  We have heard many stories in which initial symptoms were noticed first at family events, as the person with alcohol dependence does not want to drink when it’s not socially acceptable.  Depending on the level of alcohol addiction, the symptoms can show up in as little as two hours from the last drink.  When symptoms are present, it’s best to enlist medical help and seek out an alcohol detox.  Of course, if the symptoms become very severe, calling 911 is the best option.

There are many alcohol detox programs available.  Some are affiliated with alcohol and drug treatment centers, while others are independent detox facilities, or affiliated/connected to hospitals.

To learn more about alcohol addiction, signs, and symptoms, we encourage you to visit the CDC site dedicated to Alcohol Awareness Month at http://www.cdc.gov/features/alcohol-awareness/

Frequently asked questions

Shaking, sweating, irritability, anxiety, agitation, and tremors are among the signs described here. More severe withdrawal can also involve serious complications.

Some changes may first appear when the person has gone without alcohol for a period of time. Families may notice that something is wrong without immediately connecting the behavior to alcohol use.

Yes. A person may feel less affected by alcohol as tolerance increases even though alcohol is still present in the bloodstream. How someone feels is not always a reliable reflection of their BAC.

No. Heavy or frequent drinking does not automatically mean someone is physically dependent on alcohol. Dependence refers to the body becoming accustomed to regular alcohol use in a different way than tolerance alone.

Alcohol detox programs may operate independently, as part of treatment centers, or in connection with hospitals. The type of setting varies from one program to another.

Paul Gardner, Co-Founder & Managing Director of Tharros House
Written by

Paul Gardner

Paul Gardner is Co-founder and Managing Director of Tharros House, and interfaces with clients and families on a daily basis. Read more →

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