You can use the sections below to go deeper, or jump using “On this page”.
When drinking becomes a health problem
Concern can arise because of quantity, loss of control, physical or mental health effects, accidents, relationship conflict, work problems or increasing reliance on alcohol to cope.
Alcohol dependence
Dependence can include difficulty controlling drinking, giving alcohol increasing priority, tolerance and withdrawal symptoms. Severity varies, and treatment should reflect that.
If you get symptoms such as morning anxiety, sweating, tremor, nausea or vomiting when you cut down, get medical advice before stopping suddenly. Severe withdrawal can cause confusion, hallucinations or seizures.[NHS]
Treatment
Depending on severity and individual circumstances, treatment may include a planned medically supported withdrawal, psychological treatment, relapse-prevention work, peer support and medication. NICE recommends supportive, non-judgemental care and treatment choices matched to the person's needs.[NICE]
What this page is anchored to
We summarise guidance in original plain English. Open the primary sources if you want to check the underlying recommendations.
Where to start
A GP or local alcohol service can assess drinking, physical health, withdrawal risk and treatment options. Many local services accept self-referral.
This page provides general educational information and does not replace assessment or advice from a healthcare professional. If you are worried about severe withdrawal, overdose, immediate danger or a mental health emergency, use our urgent help guidance.
Frequently asked questions
No. You can ask for support because drinking is affecting your health, relationships, work, mood or sense of control even if you do not have physical dependence.
No. If you may be physically dependent on alcohol, sudden stopping can be dangerous. Withdrawal risk should be assessed and some people need medically supported withdrawal.
Yes. Psychological approaches can help with motivation, triggers, coping strategies, relapse prevention and wider emotional or relationship difficulties. The right treatment depends on the person and severity.