Alcohol-use disorder

Also called Alcohol dependence or Alcoholism

Alcohol-use disorder describes drinking that causes harm and becomes difficult to control. It ranges from harmful drinking to physical dependence, where stopping causes withdrawal symptoms. It affects physical and mental health, work and relationships, and help is available.

Last updated Nov 9, 2026

What it is

Treatment can include talking therapies, support groups, medicines that reduce cravings, and a supervised detox for people who are physically dependent. Stopping suddenly after heavy daily drinking can be dangerous without medical support.

Long-term heavy drinking increases the risk of liver disease, heart disease, several cancers and depression.

Common signs

  • Drinking more or for longer than intended
  • Strong cravings, failed attempts to cut down
  • Drinking despite problems at home, work or with health
  • Shaking, sweating or anxiety when not drinking

How it is usually diagnosed

  • A conversation with a GP or specialist, often with a questionnaire such as AUDIT
  • Blood tests of liver function and blood count

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Assessment and treatment letters from alcohol services
  • Liver blood tests and any scans
  • Discharge summaries from detox or hospital stays
  • A list of medicines prescribed for cravings or withdrawal

Questions to ask your doctor

  • Is it safe for me to stop drinking on my own?
  • Which treatments and support groups are available near me?
  • Which health checks do I need?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Seizures, confusion or seeing things after stopping drinking
  • Vomiting blood
  • Thoughts of harming yourself

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources