What makes a person an alcoholic? It may not be as obvious as some expect. An alcoholic is an individual who has an alcohol addiction. An addiction means that they understand that their continued use of alcohol is going to cause complications in their life, such as problems with health, reckless behavior, and even death. Yet, they cannot seem to stop using. A person who is in this situation may want to stop using, but they cannot. They often need help.

If you believe a loved one in your life is struggling with alcoholism, it is critical to take action. Encourage them to get help by calling America’s Rehab Campuses to learn more about our alcohol treatment programs. For many people, this is critical.

Behavior of an Alcoholic Explained

A person who is intoxicated is likely to have some outward signs of being under the influence of alcohol. For example, they may not speak clearly, or they may not be able to focus. Some are unable to make decisions, while others are aggressive and even violent. Some people seem totally normal, yet they have been drinking heavily for years. A person who’s intoxicated is not necessarily an alcoholic. Instead of focusing on just one or two experiences, consider how a person with alcohol use disorder is likely to behave.

Changes in Behaviors

It is common to see changes in behavior over time. Here are some examples:

  • A person who was once well put together and always on time for work is no longer able to make it to work on time and often looks disheveled or unorganized.
  • The things a person used to love to do no longer seem important to them. That often means pulling out of hobbies or experiences they used to enjoy all the time.
  • Some people isolate themselves more often because they know their loved ones would not understand their use of alcohol.
  • The person who used to come to all of your family’s events no longer does and prefers to spend time with other people. A change in friends can also be an indication of a growing problem.

Changes in Health

It is also important to see what is happening to their health while this is occurring. A person who is an alcoholic may have new behaviors due to their health complications:

  • When not able to use alcohol, they may be ill, sometimes struggling with vomiting, nausea, aches, and pains that are otherwise not explained.
  • Sleep habits have changed significantly. They may need to sleep all the time.
  • An inability to eat foods properly can also be an indication of a health problem, especially if they are not eating much at all any longer.

Changes in Emotions

Also, look for the way a person behaves as it relates to their emotional well-being. Some examples may include:

  • Aggressive behavior when they cannot use it may occur, sometimes putting other people at risk.
  • Many people struggle with high levels of anxiety when they are unable to use.
  • They may be more overwhelmed and fearful, especially in situations where trauma is a factor.

Behavioral Traits of a High-Functioning Alcoholic

Not everyone who struggles with alcoholism shows obvious signs. In fact, some individuals are what experts call high-functioning alcoholics. These individuals may seem to manage their careers, relationships, and social responsibilities while secretly dealing with a growing dependence on alcohol. Because they continue to meet many of life’s obligations, it is easy to overlook their alcohol use as problematic.

However, subtle changes often emerge. They may become irritable if drinking is delayed or skipped, start isolating socially unless alcohol is present, or use drinking to manage stress in ways they once didn’t. They may even drink in secret or downplay how often they consume alcohol. Over time, their physical and mental health can decline—even if their outward life appears “normal.” Recognizing this quiet form of alcoholism early can make a major difference in getting them help.

What Is Happening to Your Loved One?

Alcoholism can cause a lot of changes in a person. Some people are still able to go to work, meet family responsibilities, and even seem okay mentally. Yet, there are still some signs that things are not right, such as not being around as much or simply hiding their alcohol use. These changes all occur because of the way alcohol impacts the brain. It is likely to worsen unless help is obtained.

Alcohol use disorder affects more than just a person’s ability to stop drinking; it changes their personality, values, and priorities. While some people with alcohol addiction appear outwardly functional, others may slowly withdraw, shift social circles, or begin hiding their drinking altogether. These changes are rooted in how alcohol disrupts brain chemistry, making it harder to make rational decisions, control impulses, and manage emotions. If left untreated, these behaviors can worsen and lead to serious physical and mental health issues. Early intervention with compassionate support can offer hope and healing before the damage deepens.

How Alcoholism Affects Relationships and Responsibilities

As alcohol dependence grows, it often damages the relationships and responsibilities that once meant the most to someone. They may start missing work deadlines, skipping family events, or lashing out at loved ones in ways they never did before. Parents struggling with alcohol may become less emotionally present, and partners may begin to feel like strangers. Trust erodes quickly, and guilt or denial often takes its place. Even personal hygiene, hobbies, and financial obligations can fall by the wayside as alcohol becomes the focus.

This emotional and practical breakdown can leave families feeling helpless, but it’s important to understand that these shifts are symptoms of a larger problem—not a reflection of a person’s worth. The good news is that with the right treatment, individuals and families can begin to rebuild what was lost.

America’s Rehab Campuses can offer the help you need. With a wide range of treatment options, including medical detox for chronic alcoholism sufferers, our team can help many people stop living a life focused on alcohol. As difficult as it often seems, there are treatment options that can make a big difference in your future.

To learn more about them, contact our team today. Our compassionate counselors can offer recommendations for treatment and get you into care right away.

Frequently Asked Questions

What are the first signs of an alcoholic?
Early signs include increased tolerance, frequent justifications for drinking, secrecy about alcohol use, and mood swings when alcohol is not available.

Can an alcoholic still hold a job or raise a family?
Yes. High-functioning alcoholics often maintain appearances but still experience health issues, emotional instability, and relationship strain due to their drinking.

What if someone refuses help for their alcohol problem?
If direct conversations haven’t worked, a structured intervention with professional support may be necessary. Denial is a common barrier to treatment, but it can be overcome with consistent support.

author avatar
Dr. Paul R. Valbuena, M.D. Chief Medical Officer
Paul R. Valbuena, M.D., is a double-board-certified psychiatrist practicing in the Phoenix Metro area since 2009. Licensed in Arizona, he specializes in behavioral health, child and adolescent psychiatry, and addiction psychiatry. A diplomate of the American Board of Psychiatry and Neurology, Dr. Valbuena has been a practicing physician since 2003.