There are many reasons why someone develops an Alcohol Use Disorder (AUD). For some, it may be due to leading a bad lifestyle or a social routine. Like Mary in the video opposite, she would follow a daily routine. She was drinking every night on her way home from work, not because she wanted to, but because this is what she always did. Her life revolved around the need to be with others and to be seen to be sociable. Others may have experienced a traumatic event in their lives, for which alcohol is used as a form of self-medication. I classify many of these people as being “Victims of Circumstance”. This is where a person can become emotionally damaged due to the actions of others. A rape, or being in a horrendous car crash. Witnessing a murder. The loss of a loved one. We are all susceptible to these emotional situations that life can throw at us. All of which are none of our own making. There are many other causes as to why a person may abuse alcohol. My history of alcohol abuse was due to my being an undiagnosed dyslexic. A child who struggles with learning difficulties, maybe ridiculed and laughed at by other children. They can often be made to feel different and subsequently be picked on and bullied. They can feel ostracised and made to feel inadequate. Teachers can become frustrated by the child's inability to learn. In the past, they would regard a child as being a dunce, a slow learner, an idiot, thick or just plain stupid. Home life too could also be traumatic, as a child may be made to feel a failure, inadequate, or a disappointment. You're thick, you're stupid, you're useless, you’re an embarrassment to the family name. A child may well go on to develop psychological issues in adult life. All this conditioning can be seen as a form of mental abuse. Feelings of guilt, failure, being subnormal, and dejection only fuel anxiety and depression. In addition to this, some dyslexic people may go on to develop ADHD (Attention-Deficit/Hyperactivity Disorder), which in itself is a mental health disorder. (It should be noted that Dyslexia isn’t a mental health condition, but a learning disability.) Over time, a person with dyslexia may find it hard to mix and socialise with others. They feel inadequate and fear others will wrongly acknowledge their condition. Dyslexic people are often seen as being lazy, unintelligent,   and   ‘faking   it’   for   attention.   They   can   become   stigmatised.   People   with   dyslexia   may   experience   emotional distress, including aggression and harbour suicidal thoughts. When I joined the RAF at the age of 17 years of age. I found that alcohol would allow me to lose those inhibitions and enable me to socialise with others. It helped me gain confidence and became my coping mechanism for life. The worst life lesson I ever learnt while in the RAF was that the best cure for a hangover was “The Hair of the Dog that Bit You”. This led me down the “Bender” pathway (A “Bender” involves continuous drinking for two or more days).
Ask any person with an addiction problem, whether it be drugs or alcohol, and they’ll tell you that alcohol is the hardest form of addiction to deal with. But you are NOT powerless; it just takes support and a willingness to succeed. It has nothing to do with religion; it’s about willpower and having that determination. Having said that, not all people who have an alcohol problem have an addiction issue. There are many local support groups out there, and some people have become put off by the “Alcoholics Anonymous” approach. But, having said that, I fully understand that if a person finds this approach helpful, then that can only be a good thing, as a lot of people have found a life of total sobriety using this method of recovery. If, on the other hand, you are put off by this spiritualist approach, don’t give up; there are other options available to you. Another thing I want to try and get across is the definition of two widely used words these days called “BingDrinking”, and an alcohol “Bender”. Sometimes the term "binge drinking" is confused with "bender". Some people believe that warnings against binge drinking are warnings against going on multiple-day bouts of intoxication, but that is not what binge drinking is all about. Binge drinking is drinking five or more drinks in any one drinking session for both men, and women alike, It’s the Friday night culture mindset thing, that takes place in nearly every town and city in the country, I’m going out tonight and I’m going to get totally off my face”, or “I’m getting completely bladdered tonight”. Harmful drinking can occur long before it reaches the level of a bender. While going on a bender might be considered self-destructive behaviour, simply drinking five beers or a bottle of wine in one day is considered hazardous drinking. An alcohol bender is a multiple-day drinking spree during which the person does not eat and gets very little sleep. If you're on a bender, you might pass out for a short time, wake up and start drinking again. A bender does not refer to one evening of intoxication. It refers to a drinking spree that is extended over at least two or more days.

Understanding

The Alcohol Mindset.

Many people who go on to develop a serious liver condition through alcohol abuse may have only two options left. In the cold light of day, it comes down to being a choice between life or death. Total abstinence from alcohol may be the only real-life option. This is a make-or-break wake-up call. This will often come as a complete shock, as many just can’t imagine a life without alcohol. Surprisingly enough, the alcohol mindset just cannot get their head around this and, some people still prefer the latter option even though they realise their life will be over. “At least I’ll die happy” Sadly, this selfish option never makes them feel happy, and death due to liver failure is never going to be a comfortable exit. There needs to be that willingness to accept, fight and beat this. This is where family and the support of others are so important. “This is the problem. Now, what are WE going to do to make things right?” This shows a person that they are not alone and that they can beat this. It shows that others, too, are willing to share in this journey. We can beat this. It’s a time for sorting out your life and seeing who those friends really are. The one who says, “Go on, have a drink, one’s not going to kill you. Have a proper drink”. This person is not a real friend as they don’t have your interests at heart. “If I so much as see you with an alcoholic drink in your hand, I’ll kill you myself”. This is the real friend, the one who has your back and wants to see you get better and beat this. It can be done; it takes a willingness to want to overcome this and take control of your life again.

Alcohol-Related Liver Disease (ArLD) - Victims of Circumstance

For many years, I have been offering help, advice and support to people over on a highly respected “HealthUnlocked” website: https://healthunlocked.com/ Over time, it has brought home to me the many reasons why a person goes on to develop an alcohol-related medical condition in the first place. It is reckoned that some 84% of people who go on to develop a serious liver condition drink alcohol because they choose to. The remaining 16% are those who now have an alcohol addiction; they are now drinking because they have to. So, Alcohol abuse falls into two categories. Those who have an alcohol problem, and those who have an alcohol addiction. Sadly, many local alcohol support services don’t differentiate between the two categories. They find it easier to just label everyone the same and call them “Alcoholics”. This just adds to stigmatising and alienating people. For many, this title becomes an invisible badge of shame. Where to Start To start, I often like to use what I refer to as the “Cause and Effect” analogy. For many people who go on to develop a drinking problem, the reason behind their need to drink can become lost over time. Most often or not, there is a deep-rooted past issue in their life that makes them want to feel better about themselves. To help blank out a traumatic experience, or to help someone gain confidence from within, even to try and help deal with feelings of guilt, despair, and loneliness. I have borrowed these two podcast videos taken from the "School of Rock Bottom": https://www.youtube.com/@OliverMason1 to illustrate how people use alcohol as a form of self-medication/coping mechanism to try to deal with the feelings of guilt, blame, and loneliness. Many of these harrowing experiences are often caused by the actions of other people. They can become unprocessed memories that continue to haunt them. An abusive relationship, a rape, an emotional trauma, these experiences can make a person what I like to refer to as being “Victims of Circumstance”. These are where a situation occurs through no fault of their own. They are victims. These two videos highlight the deep connection between trauma and alcohol use as a form of coping mechanism. Sadly, alcohol just becomes yet another problem, as alcohol in itself is a depressant and will only make those feelings worse, and drive the need to drink even more. Thus, a vicious life cycle begins, leading to addiction. More about Serena can be found here: https://www.serena.consulting/ she also has her book entitled, “ My Two Brains and Me” available on Amazon. More about Madeline can be found here: https://madeleineblack.co.uk/about Her book is also available on Amazon, “ Unbroken - Used, beaten, but never broken. My story of survival and hope”: https://www.amazon.co.uk/Unbroken-beaten-never-broken-survival-ebook/dp/B0D7HGPBJT?ref_=ast_author_mpb But what makes for a good sobering thought, on the "School of Rock Bottom" site, is that all these people have overcome not only their alcohol problem, but also share and openly talk about their experience. Sharing those experiences can be the first step in recovery. That wakeup call moment, and the need to want to make a change, needs to be there. “This is what’s broke in me. Now what do I need to do to make things right?” These two ladies have used their experinces to help others. They are heros in my book. There are plenty of other podcasts to be found on this site. After all, behind every person who has an AUD (Alcohol Use Disorder) is a story waiting to be told. The other issue I’ve recently discovered is just how common it is for people who have ADHD or other neurodivergent conditions to use alcohol just so they can feel normal and be able to socialise and interact with others. I, for my part, have gone through my life not knowing why I abused alcohol. At the ripe old age of 71 years, I discovered that I have been dyslexic all my life and did not know it. This has been such a revelation. Just knowing this has given me an understanding and acceptance of my life, as I finally realise I wasn’t so much a thick idiot, but rather a lateral thinker, a visionary who tends to look more outside the box. This should have been seen as a gift and not a deformity. BBC Panorama 25 November 2024 “Binge Drinking and Me” Alcohol-related deaths from liver disease among women under 40 have risen sharply over the last decade – but why? Thirty-two-year-old BBC journalist Hazel Martin goes on a personal journey to find the answer. She is one of a growing number of young women who have experienced alcohol-related liver damage, despite not regarding herself as being dependent on alcohol. Talking to doctors, patients and experts in the drinks industry, Hazel discovers that a key cause is Britain’s binge-drinking culture and explores what can be done about it.
A missed opportunity
One of the problems associated with having Liver Disease is the lack of understanding within the population that the liver doesn't have any pain receptors. As we all get older, we learn from a young age that if something becomes damaged or infected, it will hurt and need medical treatment or advice. A toothache, a headache, a sprained ankle or a broken leg, etc. All these conditions are recognised due to the pain signals our brains receive. Many people believe that if their liver were to become damaged, they would receive some form of pain. Many times I’ve been out with the British Liver Trust’s “Love Your Liver” roadshow, trying to entice people to come and have a free fibroscan of their liver, only to get the same response, “Oh, it’s okay, my liver’s fine”. Many people expect to feel some form of pain or discomfort if their liver is damaged, but because they don’t feel anything unusual, their liver must be fine. Right? This message is repeatedly being missed, and people are still unaware that their liver doesn’t have any pain receptors. I often explain that if their liver did, we’d all be doubled up in constant agony as the liver processes all those toxic chemicals and the buildup of fatty acids in the liver. “Come and have your liver checked, and if nothing untoward is found, then you’ll at least have peace of mind”. This normally does the trick. Maybe a national campaign of greater awareness of this could be explained when talking to the general public about liver disease and liver-related issues.
Serena Palmer - Story
Madeleine Black’s harrowing experience