To abstain or not to abstain, that is the question?
Posted , 11 users are following.
I read a book some years back (I will look it up if anyone asks) by a psychiatrist specialising in helping people with Alcohol Use Disorder. His guidance for deciding if you should abstain completely was to ask his patients to set a limit for how much they drink on any single occasion. If they broke this more than two or three times in a year, then he advised they should consider abstention as the only option. Is this setting the bar a little too high, and if you think it is, what would make you consider abstaining completely from alcohol?
0 likes, 51 replies
Thomas1234
Posted
Mixed report on first fortnight. The issue is the week-ends and two or three binge evenings. Without these I would be fine. Habit of a lifetime really. So about 40 units each week in total, which may not seem much to some here, but I don't feel in control. A bit like a car with faulty brakes. Not a good feeling and I just lost half a night's sleep. Usually I'm a good sleeper but that is the effect of last night's binge.
DeeDB Thomas1234
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I did really well this past weekend. Had a "girls" weekend Fri night to Monday. Friday from 3 pm to midnight I had about 8 beers and some sipping on tequila. I know that is definitely over the limit and I felt it the next day but wasn't terrible as it was mostly beer. The next 2 nights I was able to keep it at 2 cocktails each night and felt fabulous the rest of the weekend. I now feel more resolved to keep at this pace or maybe even stop altogether......
Sometimes I think that as my psychologist says, it happens when it's supposed to happen, and it comes naturally at that time. I sure wish that had happened sooner as I am 57 years old, but it's never too late I guess. Feeling optimistic. Tired of the merry go round that alcohol has been in my life.
Thomas1234
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I am pretty clear on the issue for me. Two or three drinks and stop - fine (say 5-6 units). More than that and it is an open question on where it ends up. Usually in double figures. That's a binge. I think the short term enjoyment of the binge is often to compensate for other stuff bringing me down. Some of these may be running in our lives for decades. But, of course, adding alcohol use disorder to whatever other disorder there is in life just makes for one more issue to resolve. So I enjoyed the beer and the bottle of wine with dinner last night but it shortened my sleep and leaves me full of regret this morning. It does feel like a merry go round that isn't very merry; and on one or two binges per week, I need to get off.
Robin2015 Thomas1234
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Thomas1234 Robin2015
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Thanks Robin. I do dry days but I have never been able to face up to complete abstention. Frankly, I doubt I could do it after decades of drinking. 'Staying sober for a week' is an interesting expression. Most days I am sober. Just a couple of hours when the units creep up (always with food) on maybe one, occasionally two, evenings at week-ends. I don't even have a hangover the next day. So I'm reluctant to commit to something I couldn't achieve as that would probably be a bit demoralising too. Anyway, I appreciate your thoughts and I will keep weighing up the options.
DeeDB Thomas1234
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Hi Thomas! I'm curious as to what issues you encounter while binging as I can't imagine a binge without a hangover. Tou said you are regretful the next day.....is that from becoming unruly the night before or just feeling low from the over intake?
Robin2015 Thomas1234
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Thomas1234 DeeDB
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Hi Dee. My binges may not be high up the scale compared to others but I just don't like not being in control. I don't really encounter issues. I just enjoy the buzz and with a tendency to depression, I find alcohol alleviates that in the short term. I know it can also contribute to depression in the long term too.
Thomas1234 Robin2015
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Thomas1234
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Thomas1234
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Not a good week so far. 2 dry days and 2 'binges' which lost me sleep. Over 6 units or so and I wake after 3-4 hours sleep and then just doze so it costs me half a night's sleep. Yesterday I had a couple of beers - even counted the units on my Drinkaware app - and then made a bad decision to buy a bottle of white wine at the local shop which I shared, but had two-thirds. Units in double figures and another half night's sleep. I know whole bottles of white are a bad idea but something just said: 'I don't care. I'm going to enjoy this.' Which I did! Till I woke at 4 am. This feels like addiction or a habit that I seem to just want to give in to at times. And yet I know the consequences. Very odd behaviour. I suspect something underneath it all - I get depressed at times - is causing me to look to alcohol for relief. And, of course, in the short term it works. So drinking too much is not entirely irrational.
DeeDB Thomas1234
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Well I'm having issues also ugh. A binge once each week past two weeks. Taking the bull by the horns and going AF. Seeing a counselor and doing a lot of reading. Good book This Naked Mind by Annie Grace I think is her name. Very interesting and different from the few other books I have read. I won't tell myself never again… But I am telling myself that I need to do this and definitely to see what the outcome is in my heart and soul and mind. I'm posting mainly in the FB page Club Soda now; check it out.
Thomas1234
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Not a good week-end but if the week has lapses then the total for the whole week is usually too high. Getting on for 50 units. If only I could always stop at 5 or 6 units. I do sometimes but I feel like a car with faulty brakes and you wouldn't want to go for a drive in one of those! And another half night of sleep. For me too much wakes me up although I know others in these forum find alcohol helps them to sleep. I discovered what is happening to me on 6+ units is called glutamine rebound where the liver counter acts the effect of too much alcohol by producing something to keep the system going. It's like strong coffee and I can feel it buzzing through me lying awake in bed. It can last all through the second half of the night so it's 3 or 4 hours poor quality sleep followed by dozing in between buzzing. Honestly, why would anyone want to put themselves through this just for an extra two or three glasses of wine? I guess that is why it is called a disorder.
DeeDB Thomas1234
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I am going to go AF. Joined the group on FB called Club Soda and love it. Reading This Nake Mind - excellent book on why we drink....so much good and new information to me in there. Some of it makes me pretty angry about how we are conditioned and about the alcohol industry. Think about going AF? I'm giving it a go.
Thomas1234 DeeDB
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I hope it goes well for you. I'm persevering with my original plan. Keep us posted how you get on.