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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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The 79th World Health Assembly, convened in Geneva, Switzerland, brought together government delegations, United Nations agencies, international organizations and civil society actors to discuss global public health priorities. As the highest decision-making body of the World Health Organization, the Assembly serves as a key platform for international health diplomacy and cooperation on issues related to health systems, universal health coverage, mental health, pandemic preparedness and sustainable development. Held at the Palais des Nations from 18 to 23 May 2026, the Assembly provided an important opportunity for governments, experts and civil society organizations to exchange views on current global health challenges and strengthen international cooperation in the field of public health. Within this framework, the IFGC participated in the 79th World Health Assembly with a particular focus on addiction prevention and public health approaches. Representing 70 Country Green Crescent organizations, IFGC followed discussions related to public health policies and engaged in meetings and side events concerning addiction and preventive health services. A key highlight of IFGC’s participation was its contribution to the panel titled “From Commitment to Coverage, Integrating Substance Use into Universal Health Coverage,” hosted by the International Federation of Red Cross and Red Crescent Societies on 20 May 2026. The panel brought together a wide range of stakeholders, including international organizations, public health experts and civil society organizations working in the field of chemical and behavioral addiction. Speaking on behalf of IFGC, Secretary General Ambassador Dr. Mehmet Güllüoğlu described addiction as a growing global public health challenge and emphasized that harm reduction approaches alone are not sufficient. IFGC shared recommendations including integrating addiction services into primary healthcare systems, recognizing prevention as an essential health service and strengthening protective public health policies. Throughout the Assembly, IFGC also held courtesy meetings with diplomatic representatives of Türkiye in Geneva. Within this scope, meetings were conducted on 21 May with Türkiye’s Permanent Representative to the World Trade Organization Hakan Çakıl and Consul General of Türkiye in Geneva Salih Boğaç Güldere. The International Cooperation and Federation Management Director Ergin Beceren of the The Turkish Green Crescent Society and Manager of the International Federation of Green Crescent, Sara Evli Özhan also met on 22 May with Alex Mejia, Director of the Social Development Division at the United Nations Institute for Training and Research. In addition, a courtesy meeting was held with Deputy Director of the Social Development Division Prof. Dr. Ebru Canan-Sokullu to assess ongoing and potential collaborations. Turkish Green Crescent Society also participated in WHA79 through the official delegation of the Ministry of Health of the Republic of Türkiye. The delegation followed developments related to tobacco and alcohol control policies, mental health and addiction, engaged with international civil society organizations and member state representatives, and participated in side events focusing on scientific developments and good practices in the field of addiction prevention. Members of the Scientific Committee of Türkiye Yeşilay Cemiyeti, Prof. Hakan Coşkunol and Associate Professor Dr. Perihan Torun, also took part in the Assembly as part of the delegation.  

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