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Chapter Three: Are you ready to act now?

Question Six: Are you aware that for the rest of your life you will remain at high risk of relapsing to damaging levels of alcohol consumption within a matter of days after taking you first drink?

Question one asked whether you were honestly committed to a total cessation of alcohol use for a period of months following detox. I noted that researchers have discovered that those who stay dry for longer are less likely to relapse to damaging levels of alcohol use than those who have their first drink shortly after detox. Unfortunately, that's not the whole story. Now, I am not one of those doctors who say 'You absolutely have to stay off alcohol for ever, otherwise you will definitely return to drinking at alcoholic levels'.

However, if you do have another drink at some point in the future, remember this - you will always be much more likely than someone who has never had a drink problem to start drinking at dangerous and addictive levels. I can say this with certainty for two reasons. Firstly there is a very simple rule of thumb that you can use when trying to predict what is going to happen to someone in the future; that is - 'The best predictor of the future is past'. Someone who has become depressed in the past is statistically more likely than an 'average' member of the population to become depressed again in the future. Someone who has been divorced in the past is more likely than an 'average' member of the population to find their second marriage ending in divorce. Equally, someone who has had a drink problem in the past is much more likely than someone who has never had such a problem, to start drinking heavily again.

The second reason is due to the brain changes that occur following extended periods of heavy drinking. I talked above (Question 1) about the brain adapting to a world full of alcohol. I also mentioned that some of these brain changes will slowly but surely start to reverse in time. The problem is that they will never completely reverse - your brain will never be exactly the same as it was before you started to drink heavily. And because of this, it will always be more difficult for you than others who have never experienced a drink problem, to avoid a relapse to alcoholic drinking. Yes, this gets less likely to occur the longer you go without drinking, but it will always be more likely to occur to you than to others.

It is probably because of your permanent high risk of a return to heavy drinking that many doctors will tell you that you must never drink again. Personally, I prefer to give people the facts and then let them make their own decisions, and I would be lying to you if I said that you will 100% definitely return to alcoholic drinking if you ever have another drink again. So in summary here are the facts:

  • The longer you go without drinking after detox, the less likely you are to relapse to heavy drinking.
  • However, you will always (for the rest of your life) be much more likely to return to heavy drinking if you have a single drink, than someone who has never had a drinking problem.
  • Probably only 25% of people who have been detoxed are still dry after one year.
  • Many of those people who have relapsed have been through several detoxes already.
  • The only way to be sure that you will never return to heavy drinking is to commit yourself to never drinking again.


Next page .. Chapter Three - Question Seven

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