Excessive and prolonged alcohol use can damage brain cells, reduce essential nutrient absorption, and lead to structural changes in the brain. Over time, these changes can impair the brain’s ability to function normally, impacting everything from memory to muscle coordination. Heavy alcohol users can develop alcohol-related dementia, a condition where alcohol use causes dementia. Dementia is a progressive memory loss that can range from mild, with minor effects on your ability to recall memory, to severe, affecting does alcoholism cause dementia your ability to perform tasks like eating and dressing yourself.
They will also take a patient’s history, perform a physical exam, and conduct lab tests. They will determine if a patient’s health status is consistent with the effects of substance misuse. The age of onset of alcohol-related dementia varies, but it’s often seen in middle-aged adults around 40 to 50 years old. However, it can occur earlier or later depending on the amount of alcohol a person consumes.
- These toxins may accumulate and reach the brain, causing hepatic encephalopathy—a condition marked by confusion, forgetfulness, and cognitive decline.
- Because people that chronically abuse heavy amounts of alcohol tend to suffer from a thiamine deficiency, the connection between alcoholism and WKS is strong.
- Korsakoff Syndrome is a form of dementia that might cause an individual to lie without even realizing it.
- Offer to help with logistics, such as transportation or scheduling appointments.
The symptoms of alcohol-related dementia and age-related dementia are fairly similar. To evaluate alcohol’s impact on the brain, Dr. Justo and his team examined brain tissue obtained through autopsies performed on more than 1,700 people who had died at 75 on average. Many studies support the strong link between alcohol use and Alzheimer’s disease. According to the Dietary Guidelines for Americans 2020–2025, drinking in moderation consists of no more than one or two drinks daily for females and males, respectively.
Alcohol-related dementia symptoms
Research considers alcohol neurotoxic, meaning it damages the brain. It can reduce the size of the hippocampus, the area of the brain responsible for learning and memory. Around one in six American adults drink to excess, and almost half of the United States population drank alcohol in 2020. Excessive drinking can cause long-term effects such as stroke, heart disease, and cancer. Alcoholic dementia typically develops in stages, progressing as the effects of alcohol take a greater toll on the brain. The symptoms of alcohol-induced dementia can vary from mild to severe.
Alcoholic Dementia Life Expectancy
Consumption of high levels of alcohol can also increase a person’s risk of dementia, but many observational studies suggest that consuming small amounts of alcohol will not increase the risk and may even reduce it. We’re not saying that this is happening for everyone who develops this, but it is possible that the drinking is the result of a medical condition that they don’t really have any control over. A small number of studies seem to suggest that drinking moderate amounts of alcohol reduces dementia risk compared to not drinking at all.
Mental Health and Loneliness
Drinking alcohol is linked to reduced volume of the brain’s white matter, which helps to transmit signals between different brain regions. Alcohol consumption above recommended limits drug addiction treatment (of 14 units per week) over a long period of time may shrink the parts of the brain involved in memory. Drinking more than 28 units per week can lead to a sharper decline in thinking skills as people get older. ARBD doesn’t always get worse over time, unlike common causes of dementia such as Alzheimer’s disease.
A Drug Addiction Treatment Boston program offering dual diagnosis care ensures that both conditions are treated simultaneously, improving long-term outcomes. Dementia is a broad term used to describe a decline in cognitive function severe enough to interfere with daily life. While all forms of dementia share common characteristics, alcohol-related dementia has distinct causes and outcomes compared to other types. Heavy drinking often leads to poor dietary habits and malabsorption of nutrients. Alcoholics are especially prone to thiamine (Vitamin B1) deficiency, which is critical for brain function. A lack of thiamine can result in Wernicke’s encephalopathy, a condition that causes confusion, lack of coordination, and eye movement abnormalities.
Guidelines for moderate drinking
A doctor needs to exclude these other causes first before they make a diagnosis of ARBD. Early signs include memory lapses, difficulty concentrating, poor coordination, irritability, and struggles with daily tasks. These symptoms often mimic general forgetfulness or stress but worsen over time if untreated.
What Are the Treatment Options?
They’ll likely start by doing a physical exam and asking about your physical and psychological symptoms. They may also ask you to complete a questionnaire about symptoms related to your memory and cognitive abilities. These changes can greatly impact your daily life and may make it difficult to perform simple tasks like cooking a meal or paying your bills.

Because he is a member of a support group that stresses the importance of anonymity at the public level, he does not use his photograph or his real name on this website. While drinking may have started out feeling good, tolerance builds over time, and you eventually drink to avoid feeling bad. Alcohol-related dementia can cause problems with memory, learning, judgment, and other cognitive skills. Some people recover quickly within a few months, whereas others may take several years to get back to a level where they are fully independent. For more information on the process of diagnosis and the sort of cognitive tests used, see our guide to dementia assessment and diagnosis.
Below, we lay out the effects of alcohol on the brain and identify the specific drinking behaviors that research says https://ecosoberhouse.com/ put individuals at the greatest dementia risk. Finally, after the results come back, the healthcare provider will lay out treatment options. Taking care of a person living with alcohol dementia can be a challenge.

As blood vessels harden and thicken, it becomes increasingly difficult for nutrients to get where they need to go as well as for accumulated toxins to get out—both of which can impair cognitive functioning. Drinking alcohol with Aricept (donepezil), a medication for certain types of dementia, can prevent it from working properly and increase the risk of side effects. These changes may hinder the brain from functioning properly, causing cognitive decline. Alcohol-related dementia and Wernicke-Korsakoff syndrome may develop due to regular excessive alcohol consumption over many years. The study defined moderate drinking as consuming 1–13 standard drinks per week, equivalent to 10–130 grams (g) per week. A 2020 study showed that moderate alcohol intake could lower a person’s risk of developing Alzheimer’s disease.