What Is a High-Functioning Alcoholic?
A high-functioning alcoholic (HFA) is someone who appears to function normally in their daily life, despite having an addiction to alcohol. When people picture an alcoholic, they envision someone who may stumble when they walk, slur their speech or lose their temper with friends or coworkers.
HFAs actually present a completely different image. The addiction usually is kept a secret, making it look as if they are doing fine and have their lives together.
Types of High-Functioning Alcoholics
HFAs exist in two categories:
- They either sneak drinks all day long, keeping their blood alcohol level high.
- Or they stay sober during the day and binge drink at night or on weekends.
Both scenarios are damaging to not only themselves, but to those around them.
Since HFAs are particularly good at hiding their addiction, years can drift by before family and friends notice the signs. Unfortunately, because HFAs have become so savvy at sneaking around and hiding the truth, their instinct is to continue concealing the problem.
There are also cultural stereotypes and myths facing HFAs that can cause them to avoid seeking treatment. Here are some myths about HFAs to think about when looking for help for yourself or a loved one:
Myth 1: High-Functioning Alcoholics Can’t Hold a Job or Be Successful
Many high-functioning alcoholics have great jobs and successful careers backed by warm and loving families. They may seem like they have their lives together with a home, friends and kids. All this success can undermine the grim reality that the person is suffering from alcohol use disorder. The truth is HFAs end up battling emotional problems and are often in denial that there is a problem at all.
About 20 to 32 percent of alcoholics actually fall into the high-functioning alcoholism category. Those in the HFA category are often middle aged and well educated with stable jobs and families.
About one-third of HFAs have a genetic predisposition to alcohol use disorder, and a quarter of them have suffered from a major depressive disorder at some point during their lives. These underlying conditions lead to feelings of low self-esteem and depression, masked by alcohol use.
Myth 2: HFAs Don’t Have a Problem
For people suffering from HFA, denial is often a factor. They often think that because they can function and hold a great job, there is no problem with their drinking. If you are concerned about a loved one, stop and take a look at how much drinking happens in a 24-hour period.
Excessive alcohol use is:
- More than three drinks a day for women;
- More than four drinks per day for men;
- Or a total of more than seven drinks per week for women or 14 or more drinks per week for men.
Anyone who drinks more than this is putting himself or herself at risk. While the effects might not show up immediately, prolonged use will take a toll.
Myth 3: HFAs Don’t Show Signs of Alcoholism
HFAs might present symptoms differently than people with more obvious signs of alcohol dependency, but they still suffer from the same signs of abuse. Signs of functional alcoholism might be more subtle, but they are there.
Anyone showing signs of alcoholism (which we will get to in a moment) may try to hide them or to isolate oneself in order to avoid detection. Just because the person is successful at disguising them to the world does not mean these symptoms do not exist. High-functioning alcoholics’ relationships with friends and family can become strained due to the behaviors they use to avoid facing the truth.
Myth 4: HFAs Don’t Need to Seek Help
Many HFAs can lead normal lives for years. Because they can hold a job and still handle normal daily tasks, they continue down the same path, never stopping to get help for their substance abuse.
Drinking large amounts of alcohol on a regular basis builds tolerance, meaning you need more alcohol to continue feeling the same effects as time goes on. What may have started as an innocent relationship with alcohol can spiral out of control to a place where the alcoholic doesn’t know how to get out. At first, the drinking may seem benign, or like a social obligation, but as the body builds tolerance, HFAs will continue drinking to keep the feeling going.
Seeking help and treatment is the only way to recover. HFAs will usually not seek treatment by themselves. Often, they need friends or family members to encourage them to take the next step.
Myth 5: HFAs Are in Control
The illusion HFAs portray shows them as highly educated with good jobs and a stable life. This sometimes tricks friends and family into believing that the HFA is in control of the drinking.
Any recovering alcoholic will tell you that this is not the case. They only seem like they are in control because they have managed to hide the drinking from those around them. They conceal the problem by consciously masking the signs in order to appear in control at all times.
Just because HFAs are great at concealing the signs of alcoholism does not mean there are no signs. The signs may just be more subtle and harder to see from an outside perspective.
A few of the signs of alcoholism include:
- Using alcohol to relax and feel more confident
- Drinking in the morning
- Drinking too much
- Blacking out after drinking
- Needing a drink for every situation, good and bad
- Joking about an alcohol problem
- Drinking alone
- Missing school or work because of drinking
- Continuing to drink even though it brings feelings of anxiety or depression
- Becoming angry when confronted about alcohol abuse
- Having a record of DUI arrests or other alcohol-influenced charges
Help for High-Functioning Alcoholics from Reflections Recovery
If you or a loved one is suffering from any of these symptoms of alcoholism, it is time to get help. HFAs experience a wide variety of long-term health effects, making it more dangerous as time continues.
Contact the compassionate team at Reflections Recovery Center in Prescott, Arizona to talk treatment options. Our rehabilitation facility is the perfect place to begin long-term recovery.