Are you thinking about joining the millions of people around the world who take part in Dry January, or the practice of abstaining from alcohol for the first month of the year? While this trend has gained international popularity over the last decade as a way to reset one's relationship with alcohol, it's important to know that there are potential risks involved, especially for those who are physiologically dependent on alcohol.
So, what are the dangers of alcohol withdrawal syndrome (AWS)? And is it worth the risk to take part in Dry January? Here's what you need to know:
Who's at risk for AWS?
Most people who abstain from drinking for a month will not develop AWS. However, those who drink regularly (daily or near daily) and are dependent on alcohol are at a higher risk. About half of the 14% of adults in the US who have an alcohol use disorder will develop AWS when they reduce or stop drinking. Most will experience mild symptoms, but about 1 in 5 will progress to moderate or severe AWS.
Factors that increase the risk of AWS include the amount and duration of alcohol consumption, a history of complicated withdrawal, underlying medical conditions (such as seizure disorders, traumatic brain injury, eating disorders, liver disease, heart disease, and certain psychiatric conditions), and the use of other substances.
What are the symptoms of AWS?
Mild AWS symptoms usually occur 6 to 12 hours after someone's last drink and can include tremors, anxiety, insomnia, palpitations, headaches, stomach upset, and sweating. Moderate withdrawal generally occurs 12 to 24 hours after the last drink and may include more concerning changes in vital signs and visual, auditory, or tactile hallucinations.
Severe symptoms usually occur 24 to 72 hours after the last drink and may include seizures and delirium tremens (DTs), which consist of disorientation, worsening hallucinations, and agitation. Between 10 and 30% of people with AWS experience seizures, and fewer than 5% experience DTs. These withdrawal symptoms can be life-threatening and may require a trip to the emergency room and hospital admission.
It's important to note that the timeline for AWS can vary greatly from person to person, so it's important to discuss the potential risks and treatment options with a healthcare professional before attempting Dry January or any other period of alcohol abstinence.
Why do some people get AWS?
Withdrawal occurs when the chronic effects of alcohol in the brain and body are suddenly removed. This can cause a variety of physical and mental symptoms as the body readjusts. The severity of these symptoms depends on the amount and duration of alcohol consumption, as well as other factors such as age, underlying medical conditions, and the use of other substances.
How is AWS treated?
AWS can be managed and treated with medications and supportive care. This can include medications to control seizures and DTs, as well as to manage other withdrawal symptoms such as anxiety, insomnia, and tremors. It's important to discuss the treatment options with a healthcare professional before attempting Dry January or any other period of alcohol abstinence.
So, is Dry January worth the risk?
If you're considering Dry January, it's important to be aware of the potential risks and to discuss them with a healthcare professional. For most people who drink moderately, the risks of AWS are low, and the benefits of taking a break from alcohol may outweigh the risks. However, for those who are physiologically dependent on alcohol, the risks of AWS may be higher, and it's important to have a plan in place to detox safely and effectively.
Whether or not you decide to take part in Dry January, it's always a good idea to be mindful of your alcohol consumption and to drink in moderation. If you're concerned about your relationship with alcohol, or if you're experiencing negative consequences as a result of your drinking, it may be helpful to seek support from a healthcare professional or a support group such as Alcoholics Anonymous.
If you do decide to take part in Dry January, there are several things you can do to support your sober journey:
- Use habit tracking apps such as Strides or I Am Sober to help you change your behaviour and break old routines
- Make delicious and complex mocktails with textured ingredients like sugar, gomme syrup, teas, and egg whites
- Support your sober friends by serving fancy bottled water and plenty of other non-alcoholic beverages when you host
- Read more tips, tricks, and recipes for sober living
In conclusion, Dry January can be a great opportunity to reset your relationship with alcohol, but it's important to be aware of the potential risks, especially for those who are dependent on alcohol. It's always a good idea to discuss your plans with a healthcare professional and to have a plan in place to detox safely and effectively. Whether you decide to take part in Dry January, it's important to be mindful of your alcohol consumption and to drink in moderation.
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