Addiction and Recovery

By Bob Gaydos

Summertime is fast approaching. It can be a fun time for teenagers. For starters, there’s no school for most of them. Even if they’ve got a job, and, Covid or no, there’s plenty of time to hang out with friends. Go to the beach. Parties.

But lots of free time and limited responsibilities can also come with risks, especially if the fun often revolves around drinking. The legal drinking age may be 21 in this country, but underage drinking is still defined by the Centers for Disease Control and Prevention as “a major public health problem.”

The CDC, monitoring several different surveys, says alcohol is the most commonly used and abused drug among youth in the United States and is responsible for some 4,000 annual deaths among underage youth. According to the CDC, even though drinking by persons under the age of 21 is illegal, people aged 12 to 20 years drink 11 percent of all alcohol consumed in the United States. Much of that is binge drinking (five or more drinks on one occasion for males, four for females).

The government conducts regular surveys of teenagers to gauge alcohol use and other risky behavior. The CDC notes that the 2019 Youth Risk Behavior Survey (the most recent one) found that among high school students, during the past 30 days:

— 29 percent drank alcohol 

— 14 percent binge drank 

— 5 percent of drivers drove after drinking alcohol.

— 17 percent rode with a driver who had been drinking alcohol.

Along with those deaths, there are tens of thousands of alcohol-related emergency room visits by teenagers each year. Perhaps not surprisingly, but worth pointing out, the CDC notes that “studies show a relationship between underage drinking behaviors and the drinking behaviors of adult relatives, adults in the same household, and adults in the same community and state.” One example cited: “A 5 percent increase in binge drinking among adults in a community is associated with a 12 percent increase in the chance of underage drinking.” And drinking often leads to other risky behaviors. Something for communities concerned about underage drinking to consider.

But it’s not all on the adults. Parental indifference to their children’s behavior and the friends they choose or ignorance of the harm alcohol can do to young minds and bodies are certainly key factors in the way many teenagers spend their free time. But teens aren’t wholly clueless about their behavior. In fact, it’s not unthinkable that a teenager whose social life revolves around alcohol has asked himself or herself if, just maybe, drinking is becoming a problem. 

What follows may help answer that question. For teens wondering about their use of alcohol or other drugs, the National Council on Alcoholism and Drug Dependence has prepared a self-assessment test to help determine if they — or someone they know — is at risk and in need of help.

Remember, this test is for teens. Read each question carefully and be honest. Consider your actions over the past 12 months. Answer yes or no and be sure to answer every question. 

 

A Self-Test for Teenagers

Do you use alcohol or other drugs to feel more self-confident, more sociable, or more powerful?

YES NO

 

Do you ever drink or get high immediately after you have a problem at home or at school?

YES NO

 

Have you lost friends because of your alcohol or drug use, or started hanging out with a heavy drinking or drug-using crowd?

YES NO

 

Do you feel guilty or bummed out after using alcohol or other drugs, or ever wake up and wonder what happened the night before?

YES NO

 

Have you gotten into trouble at home or school, missed school, or been busted or hospitalized because of alcohol or other drugs?

YES NO

 

Do your friends use “less” alcohol and/or other drugs than you, or do you consume alcohol or other drugs until your supply is all gone?

YES NO

 

Do you think you have a problem with alcohol or other drugs?

YES NO

The NCADD states: “The results of this self-test are not intended to constitute a diagnosis of alcohol or drug dependence and should be used solely as a guide to understanding your alcohol and drug use and the potential health issues involved with it. The information provided here cannot substitute for a full evaluation by a health professional.”

That’s their disclaimer. But obviously, the more “yes” answers, the more cause for concern. This is not a test to cheat on.

More information:

https://ncadd.org

http://www.cdc.gov/alcohol/index.htm

Bob Gaydos is a freelance writer and retired award-winning journalist.

rjgaydos@gmail.com

Addiction and Recovery

Note: In light of the recent testimony and controversy over the youthful drinking and behavior of Brett Kavanaugh, Donald Trump’s Supreme Court nominee, I thought I would post my most recent Addiction and Recovery column on alcohol-induced blackouts on this blog.  I hope it answers some questions.

By Bob Gaydos

 There are two enduring views about alcohol-induced blackouts:

1. They don’t exist. They’re just an excuse for inappropriate behavior.
2. They exist, but they’re just a harmless, often humorous, occasional price to pay for a night of fun.

Both views are wrong — dangerously so — for the same reason: Denying the existence of blackouts or minimizing their significance could lead to serious consequences (health, legal, personal, professional) for the persons experiencing them and others. If you’ve experienced blackouts or know someone who has and are not concerned about them, you should be.

To start with, blackouts are not the same as passing out. That’s a common misconception. People who drink too much and pass out stay put. They wake up in the same place they passed out and remember, maybe with a hangover, how they got there. People in blackouts can wind up in different states, strange beds, wrong apartments or behind bars when they come to and not know how they got there. “How did I get home last night?” is a common question for blackout veterans. “Where’d I leave my car?” is another.

Many recovering alcoholics who recall their drinking history in Alcoholics Anonymous meetings point to blackouts as one of the “healthy fears’’ that help them stay sober. After all, it can be frightening to find out about some reckless behavior that happened apparently in a blackout and to wonder what else may have happened without your being aware of it.

Some local examples:

— Jordan, a 50ish man from Orange County, who has been sober more than five years, says he once spent a four-day business trip in Texas in a blackout. Airport-to-airport. He did come out of it briefly, he says, to call his boss on Day 2 to tell him he wasn’t feeling well.

— Whitey (all names used are fictitious), who drives for a living, says he regularly drove between New York and Virginia in blackouts.

— John, retired in Sullivan County and sober more than two decades, says he’s positive he was fired from an excellent job because of remarks he made to his boss’s wife while in a blackout.

— Marie, a chef sober less than a year, says she has no recollection of a phone call in which she was extremely rude and insulting to her husband’s sister, other than what her husband and sister-in-law told her. She’s embarrassed by the incident.

— Sunshine, a nurse sober half her life, recalls with a mix of horror and shame coming out of a blackout “as a guy was trying to have sex with me.” She says she fought him off. But she didn’t immediately stop drinking.

That’s often the case — not stopping drinking despite risky or embarrassing consequences. As an isolated incident, a blackout may not signify anything except drinking too much, too fast. Something you might want to avoid because of potential embarrassment or worse. As a pattern, it could be a sign of a more serious problem.

While it’s not just alcoholics who experience blackouts, the connection between blackouts and alcoholism or alcoholic use disorder is real and knowing some facts about the symptom could help dispel some of the myths and avoid more serious problems.

For a long time — most likely from whenever humans first discovered the mood-altering effects of wine until modern science started doing research on the brain and behavior — blackouts were regarded as just one of the possible side effects of drinking alcohol. A little fuzzy memory. No big deal. Just drink less.

When researchers began studying blackouts, however, they soon discovered that persons experiencing them didn’t have just a little amnesia. Rather, they had no recollection of certain events and, try as they might, even when told the details many times over, they had no memory of them. Their subjects didn’t forget, researchers concluded; they never formed a memory in the first place.

The prevailing accepted science, as cited by the National Institute on Alcoholism and Alcohol Abuse and other similar agencies, is that persons experiencing a blackout can function and appear to be “normal” to others because their brain is operating on stored, long-term, procedural memory, but the short-term memory of what they are experiencing never gets to the hippocampus, the part of the brain that processes long-term memory. Alcohol — especially a lot of it in a short period of time — short-circuits the process.

According to the NIAAA, “As the amount of alcohol consumed increases, so does the magnitude of the memory impairments. Large amounts of alcohol, particularly if consumed rapidly, can produce partial or complete blackouts.”

More about blackouts:

— It’s not what you drink, it’s how much alcohol gets into your bloodstream and how fast it gets there. This means it’s possible for anyone to black out if he or she drinks enough alcohol quickly enough.

— People who have a low tolerance for alcohol are not necessarily more likely to black out. On the other hand, those with a high tolerance for alcohol are often able to drink heavily and carry on conversations, drive, etc. while in blackouts.

— Women may be more susceptible since they tend to be smaller than men, meaning each drink has a greater effect on the body’s blood alcohol content.

— Drinking on an empty stomach can make blackouts more likely, again because of a more acute impact on the blood alcohol concentration.

— People sometimes have glimpses of memory of an event, but not total recall. These partial lapses are called “brownouts.”

— Blackouts are the product of consumption of an amount of alcohol that affects motor coordination, balance, impulse control and decision-making. This is bad enough when someone is not in a blackout, never mind being unable to recall any risky, self-sabotaging behavior that may have caused serious harm to others.

— Some researchers suggest that people in blackouts, operating on procedural memory and little more, have little impulse control and are more likely to do things they would not otherwise. (See examples above.) This presents embarrassing, sometimes dangerous situations for the person in a blackout, family, friends and even strangers.

— Blackouts are often the unrecognized explanation for someone’s uncharacteristic actions. “Why did you (say/do) that last night?”

— Because of a shortage of evidence-based science on the subject, there is considerable difference of opinion on the use of blackouts as a defense in criminal trials.

So, what to do if you have blackouts? Take them seriously. Maybe talk to a professional health provider who knows about them. While blackouts are not solely the result of years of heavy, alcoholic drinking, they can be a sign of an existing or potential alcohol problem. Even one or two — perhaps the product of binge drinking in college — should be enough to cause concern since not being aware of what one has done is not considered acceptable to most people.

Being the unaware “life of the party” may be tolerable as a one-time experience, but repeated bizarre behavior of which you have no memory is nothing to laugh at.

rjgaydos@gmail.com