Do I Have a Drinking Problem?

The standard tools that flag high-risk imbibing don’t always send the right people for help

David H. Freedman
Elemental

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Illustration: Sammy Stein

JJoe drank regularly, but never seemed to run into trouble. He became sarcastic sometimes when he went to bars with friends, they said, but otherwise, they didn’t notice anything amiss. There were no ugly confrontations, no violence, no illness, no run-ins with the law. He didn’t think he had a problem.

Friends often told Frank, on the other hand, that he became sloppy and boisterous when he drank. He’d end up with crippling hangovers, and several times he drank until he vomited and passed out. There were embarrassing incidents some evenings with co-workers. He sometimes argued about his drinking with his longtime partner, and one night of particularly heavy drinking at a party so upset her that the resulting clash precipitated the permanent breakup of the relationship.

Frank was setting off several of the standard alarms for problem drinking, alarms that weren’t being raised for Joe. But it was Joe who eventually realized he was an alcoholic, and who now credits his 12-step program with helping him to remain sober for years. Frank, on the other hand, has remained a moderate drinker for years, and he, his friends, his new partner, his colleagues, and even his physician, and a family counselor…

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