The Denver Post

In the new year, reimagine your relationsh­ip to alcohol

- By Julia Bainbridge

Seven years ago, Laura McKowen started a drinking journal. She knew alcohol was an issue for her — she knew it when her 4-year-old daughter helped her clean up the morning after a blackout, and she knew it the

10th time she drove to work hungover — but she needed to see it.

“Something very interestin­g happens when we put things on paper,” McKowen said, “because we have a lot of cognitive dissonance around drinking.” She couldn’t deflect around what she saw on the page, though: two bottles of wine a night. She got sober and went on to help others do the same through coaching and teaching workshops.

Last January, McKowen published “We Are the Luckiest: The Surprising Magic of a Sober Life,” and in March, she began hosting free sobriety support meetings on Zoom. By May, she had 12 employees and a company called the Luckiest Club, which offers classes and community support.

It’s no surprise McKowen found an eager client base. According to the 2019 National Survey on Drug Use and Health, more than 14 million American adults have alcohol use disorder, or AUD, a term medical profession­als prefer to alcoholism.

You don’t need a diagnosis to find your drinking problemati­c, though. Alcohol can impair sleep, cause weight gain, aggravate anxiety or subtly change your personalit­y. A study conducted by the RAND Corp. in September suggests Americans are drinking 14% more often in response to pandemic-related stress, especially women, whose heavy drinking days (defined as four or more drinks within a few hours) increased by 41% in 2020.

“When we go to work every day during nonpandemi­c times and don’t have an inordinate amount of stress, it’s fairly easy” to limit drinking to Friday nights, said James Murphy, a psychology professor and researcher at the University of Memphis who published a paper in November about alcohol and drug use during the pandemic. “When all of that structure is ripped away — when you’re worried about fiperson nances and your kids’ homeschool­ing and you don’t have to be anywhere in the morning, so no one will see if you’re hung over — alcohol can be way more difficult to manage.”

This is one reason you might be seeing more Dry January hashtags on social media this year. One month off from drinking can be an opportunit­y for the sober curious to examine their alcohol use.

If any of this sounds familiar, here are some suggestion­s to help navigate your relationsh­ip with alcohol or bring it to an end.

Get curious. Take note of how much you’re drinking, as well as the pros and cons of that consumptio­n. Are you opening that bottle of riesling because it pairs well with your Chinese takeout, or are you hoping the third glass will drown out those voices in your head that are telling you you’re mediocre? Study your own habits — and be honest about them.

To give you some perspectiv­e, the 2020-2025 Dietary Guidelines for Americans, issued by the federal government, recommend no more than one drink per day for women or two for men, and Murphy suggests the free alcohol screener at the website CheckUp & Choices. Take the questionna­ire, which is used by health care providers, and assess your drinking with its score. Similarly, Drinks Meter is an app with a daily calculator that could helps you put your own behavior into perspectiv­e using an anonymous database of over 6,000 people’s drinking habits worldwide.

“You don’t have to have things figured out, aside from wanting to make a change,” said Holly Whitaker, author of “Quit Like a Woman: The Radical Choice to Not Drink in a Culture Obsessed with Alcohol” and creator of an online recovery program called Tempest. “You’re doing it right now, by being brave enough to read this article.”

Clear out the alcohol. If you’ve decided alcohol is having a negative impact on your life, try distancing yourself from it. Remove bottles from your physical spaces and booze-related content from your virtual ones. Cleanse your phone and computer of anything that might tempt you to drink.

It’s not about having a siloed existence or avoiding anything that creates an urge to drink, McKowen said, it’s about dismantlin­g the myth that drinking is what makes life fun. “You want your online world to reflect the energy of where you’re going,” she said.

Then try not to drink for a month. Pick a date and stick with it. Experts say this is the best way to evaluate your alcohol use, and it’s a jump-start on reducing your consumptio­n, if that’s what you decide to do.

“Detoxifica­tion literally means removing the toxin,” said George Koob, director of the National Institute on Alcohol Abuse and Alcoholism. This can be done on your own unless you have moderate to severe AUD, in which case you should seek medical help. Untreated severe alcohol withdrawal can be fatal.

But fill the space with something else. Alcohol does have positive effects: It squashes tension and lowers inhibition­s. Remove it and you will miss it, at least initially.

Identify other activities you love and increase them, like exercise or spending time with friends.

“We need another outlet to fill the void that alcohol leaves,” Murphy said.

Find your people. You are more likely to successful­ly abstain from alcohol if you have support. “Tell as many of your friends and family members who feel safe as you can about this,” Murphy said.

It also helps to connect with others who share your goal. Insupport meetings have become difficult to gain access to in the pandemic, but help has proliferat­ed online. Free sobriety support communitie­s with virtual meetings include Alcoholics Anonymous, SMART Recovery, She Recovers Foundation, In the Rooms, Eight Step Recovery, Refuge Recovery, Recovery Dharma, and Life Ring, among others. Good lighting and charisma are not required or expected; join from your phone while walking in a park or sitting in your car.

“I go to two meetings a day now,” said Braunwyn WindhamBur­ke, a reality TV star whose sobriety journey is playing out on Season 15 of “The Real Housewives of Orange County.” “It’s so easy, because it’s in my bedroom.”

Understand what recovery means for you. If your month of sobriety was relatively easy to accomplish, then simply consider it a reset. But if you’re having trouble sticking to your plan, you may have AUD, which is a disease, not a moral failing, and it requires treatment like any illness. The most effective form of recovery usually involves long-term behavioral therapies and community support as well as medication, if needed.

The NIAAA navigator can help you find the right treatment for you. The Substance Abuse and Mental Health Services Administra­tion at the Department of Health and Human Services also has an online treatment locator.

Be flexible. If you decide you want to maintain your sobriety long-term, understand that treatment plans may vary over time. “The same practices that helped you quit drinking might not keep you sober later on,” Whitaker said. Maybe you’ve unlocked a trauma along the way, maybe you’re going through a divorce, or maybe you’re living in the midst of a pandemic.

You haven’t done anything wrong; you just need a fresh set of tools.

Murphy recommends continuing to keep a log of alcohol use. Apps like Drink Control and Drinks Meter can help, but even using a pen and paper to make note of any benefits you see can keep your momentum going.

 ?? Jordan Awan, © The New York Times Co. ?? For many, January is a month to rethink how much they imbibe, whether they are worried about heavy drinking or just looking for a reset.
Jordan Awan, © The New York Times Co. For many, January is a month to rethink how much they imbibe, whether they are worried about heavy drinking or just looking for a reset.

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