Alcoholism Test

Find out if your Husband is a Functioning Alcoholic?

Alcoholism Test for the Alcoholic Marriage

Neill Neill, Ph.D., R.Psych., D-CEP
 
 
"Denial is the major line of defense for
most problem drinkers."

Why do we need yet another test for alcoholism? The answer is simple: You will find that most such tests aren’t very practical because they are aimed at the wrong person. They are designed for someone who is wondering, "Do I have an alcohol problem?"

The Alcoholism Test is designed for anyone who suspects their partner is a functioning alcoholic. It is aimed, not at the partner with the drinking problem, but at you who cares for him.

The irony is that serious problem drinkers probably won’t take the test because they don’t want to have their suspicions confirmed. The typical functioning alcoholic isn’t interested in questioning his alcohol abuse or seeking rehab. And if the signs of alcoholism are more advanced, no test is necessary to recognize the alcoholism.

I have added my comments after each item so that you can understand why I included the statement or group of statements. Most other tests don’t tell you why the statement or question is included. You decide what is useful to you and what is not. If it resonates with you, great! If a question doesn’t fit, just be curious about it and then move on. The references are to chapters in the book, Living with a Functioning alcoholic, a woman’s Survival Guide

Alcoholism Test

1. Your husband sometimes admits he has a drinking problem. He quipped about being a functioning alcoholic.

Neill: If he sometimes thinks he has a drinking problem, he probably has. Intuition is usually right. See Chapter 4.

2. He has sought help for his drinking at least once that you know of. He may have even joked about going to an alcohol addiction treatment center. He has sought professional help for emotional problems where drinking was probably part of the problem. He has attended an AA meeting. He has tried to quit more than once.

Neill:  If he has gone beyond talk and has sought help or tried to quit, he knows he has a problem. The extent of the problem is the big question. See Chapter 4.


3. You sometimes think he has a drinking problem. You have asked someone for advice about his drinking.

Neill: Your intuition about the drinking may be dead on, just like his. Pay attention, but don’t jump to conclusions just yet. See Chapter 4.

4. He comes from an alcoholic family.

Neill: Growing up in an alcoholic environment does a lot of emotional damage. Some children grow up to be total abstainers; others become drinkers. Alcohol helps to mask the memories of abuse. However, sometimes using only a little bit of alcohol can bring up such fearful memories that he thinks he is becoming an alcoholic. So just because someone comes from an alcoholic family, it doesn’t mean he has an alcohol problem. See Chapter 18.

5. He often has a drink in the morning. Sometimes you find him drinking by himself. He sometimes gets drunk without meaning to. He sometimes can’t remember what he did or said during the previous evening of drinking.

Neill: These are very tell-tale signs of alcoholism. The first three statements suggest that drinking has become a compulsion. That is to say, there is a loss of control, and that is suggestive of addictive drinking. The last item describes alcoholic blackout, again characteristic of longer-term alcohol abuse. See Chapters 4 and 7.

6. He has sometimes denied drinking when he obviously was drinking. You know that he hides alcohol so others won’t see it. He gets resentful, defensive and angry if anyone comments on his drinking.

Neill: Denial is the major line of defense for most problem drinkers. The reality of his alcoholism is not changed by his denial. See Chapters 11, 17 and 21.

7. Your husband has lost days at work or school because of drinking. He has gotten into fights when drinking. He has lost friends over his drinking. There has been a charge of driving under the influence.

Neill: These and many other negative things begin to happen when the drinking has become a compulsion. Often there are accompanying financial and marital strains. Judgment deteriorates. What counts is not the individual incident, but whether there is a pattern of such events. See Chapter 5.

8. He says he needs alcohol to reduce tension or stress, and a drink helps him build his self-confidence.

Neill: Many high-functioning alcoholics have low self-esteem. Perhaps most do. The real issue is whether or not your husband has become dependent on the alcohol to overcome another mental health problem, low self-esteem. See Chapters 6 and 14.


9. He has accused you or others of “making him drink.” He drinks more heavily after a quarrel. He sometimes becomes verbally or physically abusive when drinking.

Neill: Blaming others or justifying his behavior, rather than taking responsibility, is a common emotional problem in relationships, but it can be especially exaggerated in alcoholic families. If his drinking is accompanied by abuse, verbal or physical, you are not in a safe place. Take it seriously. See Chapter 24.

10. You often worry about his drinking and lose sleep over it. You feel responsible for his actions. You make threats that you don’t follow through on. You get him to make promises he will likely break. You sometimes make excuses for him or cover for him when he has been drinking.

Neill: These behaviors on your part strongly suggest you have entered into the “alcoholic dance.” Your partner may well be a functioning alcoholic, but you have become codependent. All of these behaviors, no matter how well-intentioned, do more to support his alcoholism than to remedy it. See Chapter 16.


11. You feel alone, fearful and anxious a lot of the time. You are beginning to lose self-respect and hate yourself. You sometimes question your own sanity.

Neill: These are the normal mental health consequences of staying a long time in a codependent relationship, with or without alcohol abuse.  Codependence helps no one. As long as you are safe from violence, you may not need to leave the relationship to break out of the codependence. You may be able to break the cycle of codependence with self-help strategies, but you could need professional help. See Chapters 22 and 23.

Final Comments

As I hope you have concluded from going through this exercise, understanding whether or not your partner is an alcoholic is not simply a matter of counting drinks or counting answers to a questionnaire. The issue is quite complex. My hope is, however, that the exercise has helped you to see more clearly what you are dealing with.

Help is available when you are ready. Help is also available for him when he is ready. Reading my book, Living with a Functioning Alcoholic-A Woman’s Survival Guide  will help you to help him, and at the same time care for yourself, and maintain hope for yourself and your family. Read more about his book on alcoholism.

Copyright © Neill Neill. All rights reserved. Dr. Neill Neill maintains an active psychology and life-coaching practice on Vancouver Island, BC, Canada. He is a member of the treatment team at Sunshine Coast Health Centre , a drug and alcohol addiction treatment center for men. He writes regular newspaper and magazine articles on practical psychology. To read  articles by Dr. Neill on alcoholism, click here. To read about his Book, click here.

{ 215 comments… read them below or add one }

Dr. Neill Neill June 19, 2010 at 8:21 am

Yes, Susan, I have lots of thoughts about your situation. He’s drinking an amount that could eventually disable or kill him. The most loving thing you could do for him, the thing that might save his life, might be to leave him, because nothing else is catching his attention. Do whatever you need to do to take care of yourself, because with or without him, you may be carrying the load. You’ll fin a lot of help for this in the book.

Janette July 1, 2010 at 5:28 am

I think the term functioning alcoholic needs to be re-visited, as far as i am concerned it is the same as being a little bit pregnant, you either are pregnant or you are an alcoholic. No excuses and no get out of jail free cards. Once these people admit it, and society recognises the harm they do, the better

Dr. Neill Neill July 2, 2010 at 2:32 pm

Hi Janette,

I discussed the very issue in an earlier article: The Functioning Alcoholic: Part One/ I use it because so many people think of the “alcoholic” as the street drunk. In fact an alcoholic is someone who compulsively acquires and consumes alcohol, whether a twenty-something party-boy or a supreme court judge. The term usually carries the added meaning of addicted.

Lynn July 2, 2010 at 2:33 pm

Hi Dr. Neill,
I need some advice as to how to deal with my husband who is clearly a functional alcoholic, admits it at times, says he needs help, cleans up his act for awhile and then the drinking ratchets back up again. He now has crossed the line in my opinion to not so “functioning” as he has embarrassed himself in a few social situations, where he used to be able to hide it.

I was clearly enabling him, as I drink with him (not to excess, but I do drink), I have looked the other way because he is successful, runs his own company, never missed work, etc…and a good dad. However, my 18 year old son just came to me and told me to stop covering for him and that he knows when he drinks too much.

He now shows signs of forgetfulness, doesn’t seem as sharp etc…He is almost 50, has been drinking since his twenties. Says it is something to relieve stress after a hard day at work. The thing that fooled me was that he can also go for days without drinking if he is with certain clients etc…that do not approve, or when he knows he has to remain sharp and disciplined.

Do I have to stop drinking completely around him, so as to not justify his drinking; i.e., we usually drink red wine with our dinner on weekends watching movies……I know your book is supposed to be of benefit, but this is not the “typical” alcoholic situation. In a way it is more dangerous, because he is so bright, and clever and successful that he has pretty much been able to hide from the world until recently. He says he knows he needs help, but does not want anything on a doctor’s record of alcoholism, because of his business, protecting his family, life insurance etc…He found someone who does private counseling and gives medication to kill the urge to drink, but has yet to actually go in for the appointment.

Any thoughts please…now that my son came to me, I am so ashamed, and cannot believe how I have enabled this. I guess I felt like a hypocrite because I do drink socially, but should I stop completely around him and hope he sees that I am not going along with it anymore? The hard booze is the problem for him, and he knows it, but can’t seem to just stick with wine or beer. Thanks so much.

Dr. Neill Neill July 2, 2010 at 3:36 pm

Hi Lynn,
Your drinking responsibly is NOT enabling him. But as your son pointed out, covering for him is. Your husband knows when he drinks too much and it’s his responsibility to do something about it. It’s your responsibility to live a non-enabling lifestyle with good self-care. The book would help you with that.

I work with men and women who want to conquer an alcohol problem, but whose public profiles require complete confidentiality and privacy. That includes no medical records, no groups, and no time off work. For some, it also means appointments in the local jurisdiction. If he has found someone who “gives medication,” there will be a record. He can contact me to discuss, if interested.

Jill July 4, 2010 at 6:00 am

Hi Dr Neill Neill,
My name is Jill and my husband has been drinking now for four years, he is completely out of control and has just lost yet another job. We have a 15 year old son who I’m starting to get very worried about. My husband blames me for everything that has gone wrong in his life and now threatens me when I will not supply him with money to buy alcohol. He used to be able to function but now just drinks and sleeps. He comes from an alcoholic home and his family blames me as well for his drinking.

I have been to Alanon and also private sessions and nothing seems to work for me. I feel so lost and feel I have no where to turn. Do you have any suggestions for me?

Thanks,
Jill

Dr. Neill Neill July 4, 2010 at 8:26 am

Hi Jill,
Read what I just wrote to Lynn, below. I consider that work to be coaching rather than therapy. But please understand that I also privately coach a few select women (and men) in relationships with alcoholics. Usually they are feeling stuck and lonely, but are facing their unwillingness to let things go on much longer as they are. In other word, they are motivated. Contact me if you wish to discuss.
Best wishes,
Neill

Daniele July 6, 2010 at 7:48 am

Dr. Neill Neill,
My husband and I have been together for 6 yrs and have a 3yr old we just got married a few months ago and he lost his job a month before the wedding. Now it seems like he has no ambition all he does is drink with our neighbors every night as I stay at home to tend to our daughter and one day he says that me telling him he cant drink anymore has made him realize he has a problem and he loves me for bringing it to his attention as his dad and grandfather died of acholizism and he doesnt want to go down that root and as a 28 yr old he gets the shakes and cant eat after 3 days of no drinking but when the next day comes along and he is drinking and i get upset cause im taking care of our daughter by myself he tells me that he has always drank this way (which he has not) and that he doesnt have a problem and blah blah blah well please help me get him help as I dont know what to do and am finding myself wanting to give up but am sick of always being labeled the bad guy from his family (I do not drink I quit when I got prego with our daughter)

Please please tell me what to do before another person asks me how i could even think about leaving him when he is such a great father (as everything was great when he had a job he was proud of what we have at such a young age as I’m 24 and yet now he wont even do anything around the house when he is sitting there all day while i work and then go to school after work and our daughter goes to daycare so he is literally home all day by himself)

Dr. Neill Neill July 6, 2010 at 6:15 pm

Hi Daniele,

You are not the bad guy, but he has no absolutely incentive to change his life as long as you go along with his directionless, alcoholic lifestyle. You can spend the next ten years supporting him and then leave him, or…

The bottom line is you deserve a better life. Demand it.

Yvette July 8, 2010 at 9:38 pm

Dear: Dr. Neill Neill

I often find myself worried about my boyfriend’s drinking habits as my father is a functioning alcoholic. I sometimes wonder if I am just being paranoid or if I am really seeing signs of a future problem. As we don’t yet live together it is hard for me to really know the depth of his drinking habits. He is employed in a respectable trade but has admitted to drinking heavily before a day of work, drinking to the point of blacking out and he has hinted that drinking by himself for “fun” is sometimes enjoyable for him. I myself often work odd hours and am not often around during any parties or drinking incidences so I really don’t know how he is when he is drunk. I have noticed that his friends do drink more frequently and consume more alcohol than any of my friends, but are they just content young professionals enjoying some drinks, or does he have a problem that I should seriously address?

Dr. Neill Neill July 14, 2010 at 6:22 pm

Hi Yvette,

He might very well have a serious alcohol problem already. The signs are there. Ignore it, and you could be in for years of heartache. Confront the issue now. Reading my book would arm you with some knowledge about alcoholism, which can be very helpful to you.

Take care of yourself.
Neill

J July 22, 2010 at 5:01 am

Dr. Neill Neill

My husband has a drinking problem, has admitted the problem, and even gone to counseling twice. Both times he stopped going. The second counseler he said he did not like so I told him that if he did not like her it was not going to work. He has not gone back. As far as I can see he has gone from 15-18 beers a day to about 6 a day. I ask him if he has more and he looks at me and tells me no. I want to believe him and it is killing me inside to think he might be lying to me. I have talked to him about it, and he gets “better” for a few days, then its back to the same old thing. I almost feel like leaving and telling him to get himself together but don’t know if that will work. He is in no way abusive, and is a great dad to our boys. I wish there was medicine to take to help the craving away kind of like cigarettes. Should I urge him to seek counseling again???

Dr. Neill Neill July 22, 2010 at 7:07 am

Hello J,

There is medication he could take to reduce cravings; he would have to see a medical doctor for that. As to the counseling issue, see what i wrote to James, above.

Mark July 28, 2010 at 7:55 pm

What is the success potential of someone quitting cold turkey?
I drank 15 – 20 beers daily for over 20 years, blacking out almost daily as my drinking increased in the last few years… I quit cold turkey on New Years Eve but often, almost daily, still crave it… I’m doing this on will power alone, can’t do meetings because it would drastically hurt my career and family.
I thought the cravings would be gone, I know it’s got to be just in my head but when I just smell beer there is an overwhelmingly strong feeling of ‘I can have just one’…

Mark

Dr. Neill Neill July 29, 2010 at 6:16 pm

Hi Mark,

Congrats on making a decision to quit and just doing it. That’s what I did three decades ago from about the same amount of alcohol. Consuming that amount of alcohol for any length of time is bound to create metabolic/hormonal/nutritional imbalances. I developed a whole bunch of food allergies for a few years after I quit. That may account for the physical part of the cravings. So do your research, perhaps starting with your family doctor.

The psychological component of the cravings will fade as you reinvent yourself and your life, as you pursue things that excite you.

I have helped men and women with this part of the recovery. Usually they are people like you who must avoid groups because they can’t risk public exposure of their problem.

Neill

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