24/07/2025
Beyond the Buzz: The Hidden Cost of Alcohol on Young and Adult Brains- an article by Dr Bikash Kumar Mishra
We've all heard the phrase: “Just one drink won’t hurt.” It’s echoed at parties, weddings, weekend get-togethers, and even among teenagers now. But as the laughter fades and the glasses empty, what’s left behind is something far more serious especially for the human brain. While the social culture around drinking grows stronger, the neurological consequences are often brushed under the carpet, with devastating outcomes for both adults and, shockingly, school-aged children.
Alcohol: A Social Lubricant, A Neurological Threat
Biologically speaking, alcohol is a neurotoxin. It interferes with the brain’s delicate chemistry by disrupting neurotransmitters the messengers that allow our neurons to communicate. Just a few drinks are enough to impair judgment, slow reaction time, and distort emotional control. Over time, chronic drinking starts to erode key brain structures. The frontal lobe, essential for decision-making and impulse control, shrinks. The hippocampus, the brain’s memory center, becomes dysfunctional leading to blackouts and memory gaps. Even the cerebellum, which coordinates movement and balance, suffers, which is why intoxicated people stagger or fall.
For adults who drink frequently, this cumulative damage presents as poor memory, emotional instability, lack of motivation, and, in the long run, serious conditions like alcohol-related dementia, stroke, and irreversible brain shrinkage. The Global Burden of Disease Study has classified alcohol as a leading cause of premature neurological disorders globally a trend mirrored in India, including Odisha.
Odisha’s Rising Alcohol Dependence
In Odisha alone, the statistics are sobering. A state-wide survey conducted in 2023 revealed that approximately 21 lakh people in Odisha require some form of medical intervention due to alcohol use disorders. That's one in every 25 individuals a staggering number that continues to rise year after year. Government hospital data and de-addiction centre records also show an increase in alcohol-related neurological issues, including tremors, early-onset memory loss, and alcohol-induced neuropathy (nerve damage).
A study by the Social Justice and Empowerment Department of India ranked Odisha among the top states where treatment for alcohol abuse was sought. While the availability of cheap liquor and local brews has been part of the problem, a cultural shift toward casual and social drinking has widened the net of those affected including women and young professionals.
When Children Start to Drink: A Growing Menace
Perhaps most disturbing is that alcohol is no longer an adult-only issue. Children, some as young as 11 or 12 are now entering the world of alcohol consumption, often unsupervised and unnoticed. According to the Odisha State Commission for Protection of Child Rights (OSCPCR), a 2023 field survey found that children in Classes 6 to 10 across urban slums, tribal belts, and even semi-urban schools reported regular access to alcohol, to***co, and inhalants.
Several students admitted that they began drinking because they saw adults at home doing it, or because older peers pressured them. In some communities, children were even able to purchase alcohol themselves, especially local liquor, due to lack of enforcement and awareness. This early exposure is particularly alarming from a neurological perspective.
The Adolescent Brain: Under Construction and Vulnerable
The human brain continues to develop until the age of 25, with adolescence being a critical window. During this phase, the prefrontal cortex the area responsible for logic, planning, and self-regulation is still wiring itself. Alcohol exposure during this stage can severely interrupt these processes, resulting in long-term consequences such as reduced IQ, attention problems, mood disorders, and increased susceptibility to addiction.
Unlike adults, adolescents don’t just get drunk faster their brains are far more sensitive to alcohol's toxic effects. A 2022 report in The Lancet Psychiatry indicated that even occasional binge drinking in teens can result in detectable structural changes to brain tissue, particularly in areas involved in memory and executive functioning. In other words, alcohol doesn’t just make them act out; it rewires their brains for worse.
A Double-Edged Sword: Social Culture and Neurological Risk
We now live in a society obsessed with metrics from step counts and screen time to calorie trackers and productivity hacks. Yet, when it comes to alcohol, most people rely on guesswork. We mix drinks, skip meals, drink on empty stomachs, and forget to hydrate, often unaware that the liver can only metabolize one standard drink per hour. Until that’s done, alcohol circulates freely through your bloodstream with the brain bearing the brunt of its effects.
Sleep is also profoundly affected. Alcohol disrupts REM cycles, the deep sleep stages where learning and memory consolidation occur. The result? Brain fog, irritability, and poor concentration the next day. Long-term, this creates a cycle of poor sleep, increased alcohol use, and worsening mental health, particularly anxiety and depression.
What Can Be Done?
The answer isn’t to demonize alcohol but to promote awareness, especially among youth and families. For teens, it’s critical to create safe, shame-free environments to talk about peer pressure, curiosity, and stress. Parents should model healthy behaviour including drinking in moderation or abstaining altogether, and monitor their children's exposure to alcohol both at home and outside.
For adults, tracking consumption, staying hydrated, eating before drinking, and taking regular breaks from alcohol (like alcohol-free weeks) can help reset brain chemistry. More importantly, if someone is struggling, seeking help is not a sign of weakness, it’s a decision to reclaim mental clarity and protect one’s most precious asset: the brain.
Think Before You Drink
Alcohol may bring a temporary high, but the long-term neurological cost is steep, not just for you, but for the younger generation watching and learning. Whether you’re a college student, a working adult, or a parent, the next time you raise a glass, remember: your brain never gets a break from what you put into your body. And when the brain is affected, everything else, from emotions and memory to decision-making and health, follows.
In a state like Odisha, where both adult dependence and child exposure are on the rise, awareness is not optional. It’s urgent.
Because when the mind suffers silently, the damage isn’t just private, it’s generational.
