Alcoholism

Medically reviewed byგიორგი (გუგა) სიხარულიძე · ფსიქიატრი MD, PHD· Last updated: May 20, 2026

Excessive alcohol consumption, like substance dependence, harms mental and physical functions. An alcohol-dependent person spends most of the day thinking about, finding, obtaining, and using alcohol. Often, the individual denies the problems caused by their dependence.

Signs of addiction include:

  • Irresistible craving for alcohol
  • Impulsivity, reduced self-control
  • Psychological and physical withdrawal syndrome
  • Increased tolerance
  • Unsuccessful attempts to quit drinking independently
  • Abstinence syndrome

When an alcohol-dependent person stops drinking, the following symptoms may appear:

Within 6-12 hours:

  • Anxiety
  • Trembling of hands
  • Shaking of the body
  • Nausea
  • Sweating
  • Headache
  • Vomiting
  • Insomnia
  • Irritability

Within 12-48 hours:

  • Rapid heartbeat
  • High blood pressure
  • Increased breathing rate
  • Severe mood swings
  • Decreased concentration
  • Hallucinations
  • Possible seizures

Within 48-72 hours:

  • Alcohol delirium (delirium tremens) may develop:
  • High fever
  • High blood pressure
  • Acute psycho-physical agitation
  • Hallucinations (visual, auditory, tactile)
  • Delusions
  • Altered consciousness

The severity of symptoms is determined by:

  • Type of alcohol
  • The daily amount of alcohol
  • Duration of consumption
  • The general physical condition of the individual
  • Individual factors

Closely related to mental health problems such as:

  • Depression
  • Anxiety disorders
  • Cognitive dysfunction
  • Increased risk of suicide
  • Psychosis...
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