The effect of alcoholism varies from one person to the next. But the most common effects are changes in emotional state or stability, behaviour, and personality. Alcoholics may become angry and argumentative, or quiet and withdrawn or depressed. They may also feel more anxious, sad, tense, and confused. They then seek relief by drinking more, not help with their drinking problem, though treatment is readily available.

The condition, delirium tremens (known primarily to heavy drinkers), causes hallucinations along with loss of control of muscular functioning. When this condition develops and the alcoholic slows their drinking, withdrawal syndrome can and often does occur. This may include agitation, tremors, seizures, and hallucinations. Alcoholism also cause's damage to the brain; alcoholics may suffer from lack of concentration. The alcoholic may also experience blackouts, occasional onsets of memory lapses, and possibly complete memory loss. They may also suffer from more serious forms of brain damage.

Detoxification or 'detox' involves taking a short course of a medicine which helps to prevent withdrawal symptoms when you stop drinking alcohol. Benzodiazepine medicines such as chlordiazepoxide are used for detox. Many GPs are happy to prescribe for detox from alcohol. A common plan is to prescribe a high dose of medication for the first day that you stop drinking alcohol. You then gradually reduce the dose over the next 5-7 days. This usually prevents, or greatly reduces, the unpleasant withdrawal symptoms. You must agree not to drink any alcohol when you are taking the detox medication. Your GP or practice nurse will usually see you quite often during the time of detox. Also during this time, support from family or friends can be of great help.

Problem (harmful) drinking: This is where you continue to drink heavily even though you have caused harm, or are causing harm or problems to yourself, family, or society. For example, you may: Have cirrhosis or another alcohol related condition. Binge drink and get drunk quite often. This may cause you to lose time off work, or behave in an antisocial way when you drink. But note: not everybody with problem drinking binges or gets drunk. Many people with an alcohol related condition such as cirrhosis drink small amounts frequently, but do not get drunk. Spend more money on alcohol than you can afford. Have problems with your relationships or at work because of your drinking. Many problem drinkers are not dependent on alcohol. They could stop drinking without withdrawal symptoms if they wanted to. But, for one reason or another, they continue to drink heavily.

Exercise, diet, hormones, stress: keeping up with all the health issues facing women is a challenge. Alcohol is yet another health issue for women. Drinking, even in small amounts, affects women differently than men. And heavy drinking, in some ways, is much more risky for women than it is for men. With any health issue, accurate information is key. There are times and ways to drink that are safer than others. Every woman is different. No amount of drinking is 100 percent safe, 100 percent of the time, for every individual woman. With this in mind, it's important to know how alcohol can affect health and safety.

Young women in their 20's and early 30's are more likely to drink than older women. No one factor predicts whether a woman will have problems with alcohol, or at what age she is most at risk. However, there are some aspects of a woman's life experience that seem to make problem drinking more likely. Heavy drinking and drinking problems among white women are most common in younger age groups. Among African American women, however, drinking problems are more common in middle age than youth. A woman's ethnic origins-and the extent to which she adopts the attitudes of mainstream vs. her native culture-influence how and when she will drink.

Older women need to be aware that alcohol will "go to their head" more quickly than when they were younger. Also, caregivers need to know that alcohol may be the cause of problems assumed to result from age. These include depression, sleeping problems, eating poorly, heart failure, and frequent falls. An important point is that older persons with alcohol problems respond to treatment as well as younger persons. Those with shorter histories of problem drinking do better in treatment than those with longer-term problems with drinking.
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