this post was submitted on 13 Jul 2025
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it's called a high-functioning alcoholic and it's not based
Yeah, I lived like this for maybe thirty years, in between being a junkie. Gave up pretty much all my indulgences the past couple of years because I'm just too old for that shit and the health debt is coming due. I still smoke weed and take the occasional valium. My addictions saw me through a lot of rough patches, and being mostly sober is hard work - but booze and drugs is not a great way to deal with your problems.
Edit - closer to forty years actually. Oops.
yep. needing 4 drinks to get right, that sounds quite severe too. even needing 1 is a massive red flag. when the body shakes the morning after drinking, it can be a sign that your body is no longer able to function without alcohol.
detox will need to be medically managed at that point as cold turkey is now life threatening; quitting drinking will seem impossible and yet has now become more urgent than ever
Not even close. 4 drink base-line does not need to be medically managed. Two day sweat out and you're reset. You could even have 2 beers the second night and still reset to 0 within the two days.
You don't hit medically managed territory till your at a bottle or liquor everyday for more than a few days territory.
Excuse me, NO, this is deadly medical misinfo. Detox is individualized, first and foremost. We don't know what an individual patient is going to experience when they detox or what complications they could have.
Furthermore, we have no idea what this person is drinking in a day. All we know is that they're having two to four times the alcohol than the average person drinks when they get sent to detox while drinking in the mornings before their appts with me. 4 just to get to baseline is indicative of severe use disorder, though we cant tell without more info.
You have to remember, someone drinking four drinks in the middle of work is easily drinking "a bottle" a day as-is. Work is when they tone it DOWN.
Getting fucked up before going to work? Hell yeah. Shaking and sweating by noon? Not so fun.
Yeah, usually by the time you're in the morning drinking (and not on vacation or something lol).
You're also in the physical withdrawal symptoms, which can kill people or fuck up their brains
If you don't mind me asking, by that stage do you drink to get drunk or just to feel 'normal'/not sick?
I mean, more than a few drinks a week will fuck up your brain.
More than 0. There is no save amount of alcohol. But almost nothing we do is save. Go outside in the sun? Cancer! Eat fat/sugar? Heart/Liver failure! Stress from work and doomscrolling? Depression and anxiety!
Choose your poison, but know it is poisonous! Cheers 🍻
For sure, but in the context of "fucking up your brain" I'm talking about the line where you move from "increasing your risk of certain problems" to "actively developing lesions in your brain".
What constitutes "more than a few" here?
About 1 a day -- if you're going over that, you'd be considered a "heavy drinker"
But even that much is still "bad" for you, just not as bad.
My wife worries about my drinking. I might have 18 cans of beer in a year if I'm really going crazy.
The other comment is a pretty good baseline (1 a day), but there is some nuance to it. Gender/body size/age, etc all play a role. And it matters if youre literally doing 1 a day or averaging 1 a day. Having 7 drinks every saturday is not the same and have 1 drink with dinner every day.
The best answer is, consult your medical professional
And even then, if you're having 1 a day, you are right up at the edge of being a "heavy drinker".
New recommendations are something like 2 per week max.
Lol. You're right. I'll try to be more careful
It's just good advice
Relevant username I guess
Pff, thats just hypoglycaemia. I need a cookie.. or I'm gonna collapse.
It's far more rampant than even the experts recognize. Hiding alcohol use is simple.
Wake and bake and chronic thc has also been rampant for decades.
That describes me and I will never drink before or during work.
yeah there's lots of criteria
It's based as hell dude
Based in reality, yes. Based as in the common colloquialism to mean something cool and relatable, no.
It's very relatable though
Cool? No. Relatable? Unfortunately yes for many.