Why some people can’t stay away from alcohol, even when they know it’s hurting them

Why some people can’t stay away from alcohol, even when they know it’s hurting them

CNNhealth

Key Points:

  • Dr. Chris Knowles, now a surgery professor, struggled with alcohol use disorder after early heavy drinking, inspiring his research and new book on alcohol's impact on the body and culture.
  • Alcohol stimulates brain reward centers similarly to essential needs, but excessive drinking increases stress neurotransmitters, creating a cycle of dependence and misery when not drinking.
  • Risk factors for problematic drinking include biological wiring for reward and risk, psychological conditions (e.g., ADHD, PTSD), and drinking motivations beyond fun, such as stress relief or confidence boosting.
  • Drinking behavior exists on a continuum from abstinence to severe alcohol use disorder, with many "gray area" drinkers experiencing unhealthy patterns without full clinical diagnosis.
  • Reducing alcohol intake or abst