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Alcohol

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Psychologist who specialises in alcohol and drug use.

Denise Metcalfe

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696 Sessions

Psychologist

4.9

696 Sessions
Updated on 28 Mar 2025

Having a drink is a social norm in Australia—it’s part of barbeques, social outings, weddings, and even after-work catchups. But sometimes, what starts as casual or social drinking slowly becomes something harder to control. When alcohol begins to impact your daily life, relationships, or overall wellbeing, it may be time to look more closely at your drinking habits.

At Talked, we offer private, professional support online to help you explore your relationship with alcohol, understand the reasons behind it, and take steps toward lasting change. Click here to find therapists experienced in supporting people with substance use issues.

What is Alcohol Use Disorder?

Alcohol Use Disorder (AUD) is a medical condition marked by ongoing, harmful patterns of drinking that are hard to control. It’s not just about how often someone drinks—it’s about how alcohol impacts their life, relationships, physical health, and mental health.

People with AUD may drink to manage or escape emotions, and they struggle to stop even when they want to. Some people also use the terms alcohol dependence, alcohol abuse, and alcoholism to refer to AUD.

If you or someone you know is in crisis, you can also contact Lifeline on 13 11 14 or Beyond Blue at 1300 22 4636.

Who’s more vulnerable to AUD?

AUD can affect anyone, but some groups face higher risk:

  • Those with a family history of addiction

  • People living with mental health conditions, such as depression or PTSD

  • Young adults and teens, especially those who start drinking early

  • Individuals under high stress or experiencing trauma

  • People who feel socially isolated

  • Men, who are statistically more likely to drink at risky levels

Signs of alcohol dependence

Drinking problems can creep in slowly. Common warning signs include:

  • Regularly drinking more than intended

  • Feeling anxious or unwell without alcohol

  • Neglecting responsibilities or relationships

  • Trying to quit but struggling to follow through

  • Using alcohol to deal with stress or emotions

  • Feeling shame or hiding your drinking

Alcohol’s effects on mental health

While alcohol may offer temporary relief, it usually makes mental health symptoms worse over time. Regular use can lead to:

Alcohol is a depressant, meaning it slows brain activity and can worsen existing emotional challenges—even if it initially feels like a stress reliever.

According to the Australian Institute of Health and Welfare, 1 in 4 Australians exceeds the recommended alcohol intake guidelines, raising their risk of both mental and physical health issues.

Types of treatment for alcohol use

Recovery works best with a mix of support — from medical help to counselling and lifestyle changes. Here's what that can look like:

1. Therapy and counselling

Working with a therapist can help uncover triggers and develop new coping strategies. Approaches like CBT, motivational interviewing, and trauma-informed therapy are especially effective.

2. Medically supervised detox

For those physically dependent on alcohol, detoxing under medical care is essential to safely manage withdrawal symptoms.

3. Rehabilitation programs

These structured programs, inpatient or outpatient, offer therapy, education, and peer support to help build healthier habits and prevent relapse.

4. Medication

Doctors may prescribe medications to reduce cravings or create adverse reactions when drinking. Approved medications in Australia include Acamprosate, Naltrexone, and Disulfiram. These are most effective when paired with counselling.

5. Family counselling

Family counselling or family involvement can make a big difference. Therapy helps families improve communication, set boundaries, and reduce enabling behaviours. It also helps reshape household dynamics and minimise access to alcohol at home, making recovery more sustainable.

Helping a loved one who’s struggling

If someone close to you is drinking in harmful ways, supporting them can be hard. Here's how you can help:

  • Express concern without judgment

  • Encourage professional support

  • Set healthy boundaries

  • Avoid enabling behaviours

  • Seek counselling for yourself too

Change doesn’t happen overnight, but your support—combined with professional help—can make a powerful impact.

How Talked can help

Getting help doesn’t have to be overwhelming. At Talked, we connect you with mental health professionals who understand addiction and recovery.

With Talked, you get:

  • Online therapy from anywhere in Australia

  • Private, flexible sessions that fit your schedule

  • A choice of therapists based on your needs and preferences

  • Support for individuals and families navigating alcohol-related issues

Whether you're cutting back, trying to quit, or supporting a loved one, Talked offers a space to be heard and to heal.

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