American drinking: Do you drink to feel good, or to take the edge off of feeling bad?

“From 1999 to 2017, the number of alcohol-related deaths in the United States doubled, to more than 70,000 a year—making alcohol one of the leading drivers of the decline in American life expectancy…” — “Alcohol-related deaths increasing in the United Statesby the National Institutes of Health, January 2020

“The damage done by alcohol is profound: impaired cognition and motor skills, belligerence, injury, and vulnerability to all sorts of predation in the short run; damaged livers and brains, dysfunction, addiction, and early death as years of heavy drinking pile up.” — “Drinking Too Much in America” in The Atlantic

I was raised by two serious alcohol drinkers. I have always wondered if my Mom’s tendency to drink to deal with her anxiety and depression led to breast cancer at an early age. Her brother died of alcoholism. I admit it, after watching my parents drink so much, I developed an aversion to that level of intoxication. I have never found it attractive or funny, perhaps partially because I don’t get drunk, I just fall asleep.

As a part of my counseling training, we spent time learning about alcoholism and addiction. At the first meeting I raised my hand and said, “I only have one question. I cannot get drunk, I fall asleep instead. Why is that?” There I learned exactly how genetic alcohol addiction is. Certain genetic groups can tolerate far higher levels of alcohol and therefore can drink more to achieve intoxication. The normal response to alcohol, which is a depressant, is tiredness and sleep.

Yes, I know. Some of us now us THC products to deal with anxiety and depression. I am one of them, and I see no reason to argue about which is better for you. But I would argue that THC kills a lot less Americans than alcohol, and yet drinking is also one of our favorite topics to joke about. To me, alcohol addiction is not funny. It’s deadly to both the alcoholic and those around them, especially on the highway.

Studying addiction and counseling was my first choice as a new college kid at Colorado College. But then the discussion always comes up, do you have to be a addict to help addicts? I still have no answer to that one except to say few of us aren’t addicted to something, even if it’s sugar, salt or something else. That’s how our brains work.

This fascinating article looks at why we drink as an evolutionary adaptation to stress, and why American drinking has increased quite a bit, especially since 9/11: The Atlantic: “Drinking Too Much In America”