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ALCOHOL ADDICTION

According to the World Health Organization (WHO), alcohol  addiction is defined as a disorder resulting from the repeated or continuous use of alcohol. According to the diagnostic criteria of the American Psychiatric Association’s DSM-5, alcohol addiction is a problematic pattern of alcohol use leading to clinically significant distress or impairment in daily functioning, as manifested by at least two of the following symptoms within a twelve-month period.

What Health Problems Does Alcohol Addiction Cause?

Use of alcohol is one of the leading global health risk factors and contributes to numerous diseases, creating significant social and economic burdens on communities. Alcohol addiction often occurs alongside various psychological and physical problems. Individuals diagnosed with alcohol addiction may have an increased risk of dependence on other substances and experience mental health issues such as mood disorders, depression, anxiety, schizophrenia, and personality disorders. Physically, alcohol addiction can lead to liver enlargement, fatty liver, jaundice, cancer, cirrhosis, high blood pressure, heart

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Alcohol use also impairs brain function, resulting in frequent difficulties such as balance problems, challenges in performing skill-based tasks, alcohol-related dementia, and memory impairment. 

Alcohol lowers testosterone levels (male hormone) while increasing estrogen levels (female hormone). It disrupts vitamin balance in the body, causes dehydration, and promotes fat accumulation, which can lead to weight problems, muscle loss, and weakness.

Alcohol use damages the nervous system, potentially causing tremors in the hands and tingling or numbness in the legs.

Some individuals use alcohol believing it positively affects or facilitates sexual activity; however, contrary to this perception, it often causes multiple problems.
Alcohol consumption during pregnancy can lead to growth and developmental delays in the fetus.

Research shows that alcohol use is responsible for approximately 3 million deaths worldwide each year. The harms caused by alcohol affect not only the individual consuming it but also their family members and those around them, leading to various health disorders and social problems.

 

Distinguishing alcohol addiction from occasional alcohol consumption can be challenging since alcohol is widely accepted and consumed in many cultures. Symptoms of alcohol addiction include:

Development of Tolerance: The need for increasing amounts of alcohol to maintain the same effect.

Withdrawal Symptoms: Mental and physical distress resulting from reducing or quitting alcohol use, alleviated by resuming alcohol consumption.

Loss of Control: Exceeding planned amounts of alcohol use.

Time and Energy Expenditure: Excessive time and energy spent on obtaining, using, or recovering from alcohol effects.

Social and Occupational Issues: Decreased or complete abandonment of significant social and professional activities due to alcohol use.

Failed Attempts: Unsuccessful attempts to control or quit alcohol use.

Conscious Harmful Alcohol Use: Continuing alcohol consumption despite awareness of its harmful effects.

Recognizing early warning signs is crucial, considering the worsening trend of alcohol addiction over time. Early diagnosis and treatment can help individuals avoid negative consequences. If you know someone struggling with alcohol addiction, providing support is essential. Avoiding shame or guilt can help reduce the individual's resistance to seeking help.

Alcohol addiction causes physical and psychological damage by affecting different parts of the central nervous system. Some effects include:

  • Esophageal, laryngeal, gastric, and pancreatic cancers.
  • Impaired brain functions such as thinking, decision-making, and movement.
  • Sleep disorders, headaches, eye damage.
  • Heart and circulatory diseases.
  • Impaired blood clotting.
  • Severe liver damage.

 

Acknowledging alcohol misuse or the development of alcohol addiction can take time due to alcohol's social nature as a psychoactive substance. Many individuals continue social alcohol use while developing alcohol addiction. Those using alcohol and seeking treatment, along with their families, can seek treatment from addiction treatment centers and psychiatric clinics associated with hospitals. Treatment should be tailored to the individual's needs, with the main goal being sobriety, requiring long-term follow-up after treatment.

Differential diagnosis and treatment of accompanying psychiatric disorders are crucial. Long-term follow-up after treatment is necessary, as relapses often occur within the first 6 months. The family of individuals with alcohol addiction plays a significant role in the addiction treatment. If the individual continues drinking, the spouse stating that they cannot stay with them as long as they continue may be a sufficient reason for the individuals with alcohol addiction to attempt quitting alcohol. If the individual refuses to undergo an original treatment program for alcoholism, the relationship between the doctor and the individual with alcohol addiction should not be severed, and a psychosocial crisis where the individual accepts treatment should be awaited.

Some considerations for the relatives of a substance-using person include:

• Helping the individual with alcohol addiction see the consequences of their behavior.

• Showing genuine interest and remembering that alcohol problems are an illness.

• Acquiring knowledge about addiction treatment methods

•Being prepared for the individual with alcohol addiction to accept help.

• Pre-arranging with the treatment center for necessary organization.

• Recognizing early warning signs, considering the worsening trend of addiction over time.

For more detailed information on the topics covered in this section, you may refer to the following sources:

  • American Psychiatric Association (2014). DSM-5: Diagnostic and Statistical Manual of Mental Disorders (Trans. E. Köroğlu). Ankara: Hekimler Publishing House
  • 101 Questions on Addiction (2019). [Link: 101 Soruda Bağımlılık | Yeşilay (yesilay.org.tr)]
  • Organisation for Economic Co-operation and Development (OECD) (2023). Health at a Glance 2023. [Link: https://www.oecd.org/content/dam/oecd/en/publications/reports/2023/11/health-at-a-glance-2023_e04f8239/7a7afb35-en.pdf ]
  • World Health Organization (2025). ICD-11 for Mortality and Morbidity Statistics: Disorders due to Use of Alcohol. [Link: https://icd.who.int/browse/2025-01/mms/en#1676588433 ]
  • World Health Organization (2020). Alcohol and Cancer in the WHO European Region: An Appeal for Better Prevention. [Link: https://iris.who.int/bitstream/handle/10665/336595/WHO-EURO-2020-1435-41185-56004-eng.pdf ]
  • World Health Organization (2024). Alcohol Fact Sheet. [Link: https://www.who.int/news-room/fact-sheets/detail/alcohol ]

More Latest News

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Ambassador Dr. Mehmet Güllüoğlu, Secretary General of the International Federation of Green Crescent (IFGC), visited Pakistan from 19 to 23 July 2026 together with Ergin Beceren, Director of the International Federation of Green Crescent, to meet with representatives of government institutions, Turkish organizations, international organizations and civil society in order to strengthen international cooperation in the field of addiction prevention and recovery. The programme began with participation in the roundtable titled "State of Drugs in Pakistan: Issues, Challenges & Response," hosted by the Karim Khan Afridi Welfare Foundation (KKAWF). The meeting brought together representatives of public institutions, educational organizations, international organizations, civil society organizations, experts, diplomats and members of the media. Discussions focused on the current situation of substance use in Pakistan, the key challenges in addressing addiction, prevention-oriented approaches, treatment and rehabilitation services, and opportunities for international cooperation. In his remarks, Ambassador Dr. Mehmet Güllüoğlu emphasized that addressing addiction should not be limited to treatment services alone, highlighting the critical importance of strengthening prevention efforts and enhancing inter-institutional cooperation to achieve sustainable solutions. He also shared IFGC's experience and ongoing initiatives in different countries, presenting examples of international best practices. During the visit, the delegation also met with Major General Abdul Moeed, Commander of the Pakistan Anti Narcotics Force (ANF). The meeting provided an opportunity to learn about Pakistan's efforts in combating narcotic drugs while exchanging views on prevention strategies, opportunities for international cooperation and potential areas for future collaboration. The programme also included separate meetings with Ms. Saliha Tuna, TİKA Islamabad Programme Coordinator; Mr. Harun Küçükaladağlı, Pakistan Country Representative of the Türkiye Maarif Foundation; and Mr. Eren Miyasoğlu, Pakistan Country Coordinator of the Yunus Emre Institute. The discussions focused on education, prevention initiatives, capacity building and institutional cooperation, while exploring opportunities to develop joint projects in the field of addiction prevention and recovery. The delegation also visited the Greenfield Hospital of Psychiatry Rehabilitation Centre, where they received information on the institution's addiction treatment and rehabilitation services and exchanged views on good practices in the field.  

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The Green Crescent Addiction Prevention Practitioner Training Program (TBM) was successfully held in Baku, Azerbaijan, from 22 to 25 June 2026, through the collaboration of the International Federation of Green Crescent (IFGC), the Turkish Green Crescent Society, the Turkish Cooperation and Coordination Agency (TİKA), the Turkish Maarif Foundation, and the Green Crescent Azerbaijan (Zərərli Vərdişlərə Qarşı İctimai Birliyi). Conducted in Turkish over four days at the Baku International Maarif Schools Youth Campus, the training program brought together 81 participants, including teachers, school psychologists, orphanage volunteers, and dormitory supervisors, with the aim of strengthening their knowledge and practical skills in addiction prevention. The comprehensive curriculum covered a wide range of topics, including the The Green Crescent Addiction Prevention Training Program (TBM), contemporary trends in addiction, adult education methodologies, principles of effective prevention practices, and substance- and behavior-related addictions, including alcohol, tobacco, drugs, technology, and gambling. The program also featured practice-oriented training sessions designed to enhance participants' capacity to implement prevention activities within their communities. Coordinated by the International Federation of Green Crescent and delivered by expert trainers from the Turkish Green Crescent Society, the program provided an important platform for strengthening professional competencies, promoting evidence-based prevention approaches, and encouraging the exchange of knowledge and experience among practitioners. Beyond enhancing individual capacities, the training represented another significant milestone in fostering international cooperation in the field of addiction prevention. By bringing together institutions and practitioners from different sectors, the program contributed to the development of a shared prevention perspective and reinforced collaborative efforts to build healthier and addiction-free communities. The trained practitioners are expected to deliver addiction prevention awareness sessions across Azerbaijan, helping to strengthen prevention efforts at the community level.

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