12/28/2020
Is “Dry January” something worth thinking about?
Do you drink a glass of wine with dinner every night? That puts you in the top 30 percent of adults in terms of per-capita alcohol consumption. If you drink two glasses, that would put you in the top 20 percent. It seems shocking but Philip J. Cook’s study using the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) data tells us that the top 10% of American adults consume on average 74 alcoholic drinks per week. It would seem that a small percentage of people consume the majority of the alcohol sold. It is that top ten percent that present the most concern for addiction professionals.
For problem drinkers “Dry January” can offer either a wake up call or, more dangerously, a false sense of security. Most people who come to me for help with their drinking describe an ability to abstain for periods of time. I remember, years ago, swearing off booze for the month of February (the shortest month!) just to prove to myself that I didn’t have a problem only to begin drinking again in March. Substance use disorder or alcoholism occurs on a continuum. Like cancer, for instance, some cases are more severe than others. Contrary to popular belief, the majority of people accessing treatment for alcoholism are not homeless and drinking out of a brown paper bag. Like cancer, it makes no sense to just treat the most severe cases and ignore the rest. Patients who haven’t reached the far end of the continuum respond very well to treatment. The prescribed treatment for patients doesn’t, therefore, focus as much on how not to drink as it does on discovering why someone drinks and what they can learn to do differently without having to reach for the bottle. Holding their breath for a month might only serve to tell the problem drinker where they are on the continuum. It ought not be confused with a green light to continue drinking with impunity.
If you, someone you love, or someone you work with has a problem with alcohol then “Dry January” might be the perfect way to begin discussing healthy change. That’s never a bad thing.
Darrin Taylor MTC CCAC CIP