Mental Health

What Is A Dry Drunk? Understanding and Managing Dry Drunk Syndrome

Medically Reviewed By:

Dr. Po-Chang Hsu, M.D., M.S.

Last medically reviewed July 15, 2024

Dry Drunk

Key Points

  • Dry drunk syndrome describes persistent dysfunctional behaviors and attitudes in sobriety despite abstaining from alcohol.
  • The causes of dry drunk syndrome stem from unresolved psychological issues, lack of effective coping mechanisms, denial, social and environmental influences, neurobiological changes, lack of comprehensive treatment, and mental health disorders.
  • The warning signs of dry drunk syndrome include emotional distress, continued destructive behaviors, lack of personal growth, denial, and unresolved issues, among others.
  • Ways to manage dry drunk syndrome include participation in therapy, joining support groups, adopting a healthy lifestyle, addressing mental disorders, setting achievable goals, building supportive relationships, and seeking specialized treatment.
  • You can support someone struggling with dry drunk syndrome by encouraging participation in professional treatment options, educating yourself, offering emotional support, promoting participation in support groups, setting healthy boundaries, being patient and persistent, and encouraging constant self-care.
  • Recovery from dry drunk syndrome is achievable with a commitment to personal growth, professional help, and ongoing support.

The term ‘dry drunk syndrome’ was coined by Alcoholics Anonymous. It is used to describe a set of symptoms that affect someone who has stopped drinking alcohol but continues to display the same dysfunctional behaviors and attitudes as they did during the height of their alcohol addiction.[1]

The Causes of Dry Drunk Syndrome

Dry drunk syndrome has many potential causes. Here are some possible contributing factors:[2]

  • Unresolved psychological issues: Alcoholism and other substance abuse are often the products of using alcohol as a way to cope with underlying psychological issues such as trauma, anxiety, depression, and low self-esteem. Even after you stop drinking, these issues may go unresolved. This can result in the continued emotional instability and dysfunctional behaviors characteristic of dry drunk syndrome.
  • Lack of coping mechanisms: Alcohol is often used as a coping tool for stress and anxiety. When you stop drinking, you may not have developed the healthier coping strategies and self-care methods required to manage these negative emotions effectively. This can result in the persistence of the negative behaviors that are hallmarks of dry drunk syndrome.
  • Denial and defensiveness: You may still deny your alcohol problem or be defensive when confronted about your behavior, even after stopping your use of alcohol. The reluctance to acknowledge the need for growth or to seek professional help can hinder your recovery.
  • Social and environmental influences: The factors that contribute to alcohol abuse may persist even after you stop drinking alcohol. These influences could include stressors at work, dysfunctional relationships, or environments where alcohol use was rampant.
  • Neurobiological changes: Prolonged alcohol use can lead to changes in the brain. These changes can result in issues with mood regulation, decision-making, and impulse control and may persist even after you quit drinking.
  • Lack of comprehensive treatment: Successful recovery from alcoholism requires a multifaceted approach that addresses its physical, psychological, and social aspects. If you don’t participate in an ongoing, comprehensive treatment plan that includes therapy, support groups, and lifestyle changes, you may continue to struggle with these unresolved issues.
  • Mental health disorders: In addition to alcoholism, you may also have simultaneously occurring mental health disorders such as depression, anxiety disorders, and personality disorders. If these disorders are not properly diagnosed and treated alongside alcoholism, they can exacerbate your symptoms of dry drunk syndrome.

The Warning Signs of Dry Drunk Syndrome

Symptoms of dry drunk syndrome can last up to two years after sobriety is achieved.[3] These are a few of the symptoms of dry drunk syndrome:[4]

  1. Emotional distress: You may still struggle with emotional volatility, irritability, and mood swings under the influence of dry drunk syndrome. You may experience difficulty managing your stress levels and may display intense emotions like anger or resentment.
  2. Behavioral patterns: When afflicted with dry drunk syndrome, you may continue to engage in the same destructive behaviors you did during your drinking days. Examples include dishonesty, impulsivity, or manipulation. These behaviors may strain your relationships with friends and loved ones and affect your recovery from alcohol addiction. This can negatively affect your well-being, as well.
  3. Lack of growth: You may stagnate in personal development when under the influence of dry drunk syndrome. This could include avoiding the therapy or support groups that could play crucial roles in your recovery.
  4. Denial: You may be in denial about your issues with alcohol or defensive when confronted about your behavior. This is very similar to the behavior you may have displayed when participating in the original addictive behavior. This may make it challenging to acknowledge the need for further treatment.
  5. Unresolved Issues: The unresolved issues that cause dry drunk syndrome can further perpetuate your emotional and behavioral struggles.

Managing Dry Drunk Syndrome

Managing Dry Drunk Syndrome

Managing dry drunk syndrome requires you to address the underlying issues that contributed to your alcoholism in the first place. Here are some useful strategies for you to help manage your symptoms:[5]

  1. Participate in therapy: Engaging in therapy like cognitive-behavioral therapy or psychotherapy can help you identify and address the cause of your addictive behavior. Therapists can also assist you in developing healthy coping mechanisms.
  2. Join support groups: Support groups can provide a supportive environment with peers who understand your challenges.
  3. Make lifestyle choices: Adopting a healthy lifestyle that includes regular exercise, balanced nutrition, adequate sleep, and stress management techniques will improve your well-being and reduce the likelihood of relapse or participation in other negative behaviors.
  4. Address other disorders: If you suffer from underlying mental health issues like depression, anxiety, or trauma, it’s crucial to seek professional help for proper diagnosis and treatment. Treating these disorders will improve your dry drunk syndrome symptoms.
  5. Set goals: Setting and working towards achievable short-term and long-term goals can give you a sense of purpose. This helps you maintain your motivation and focus on your growth and recovery.
  6. Build relationships: Developing positive, supportive relationships with friends, family members, loved ones, and peers who encourage sobriety can provide essential social support and prevent the feelings of isolation or loneliness that sometimes accompany recovery.

You Don’t Have To Do This Alone. Treatment and Support Are Available

If you or a family member is suffering from dry drunk syndrome or any substance use disorder, help is available. There are treatment centers and addiction treatment options all over the United States. Prioritize your health and wellness by getting the specialized care and attention you need and deserve.

Frequently Asked Questions

What is the biggest risk of dry drunk syndrome?

The biggest risk of dry drunk syndrome is the increased likelihood of relapse into previous alcohol use. Without addressing the underlying issues and developing healthier coping mechanisms, you remain vulnerable to triggers that could lead you back to substance abuse.

How can you support someone suffering from dry drunk syndrome?

Supporting someone who is suffering from dry drunk syndrome involves providing encouragement, understanding, and assistance. Here are some ideas that may be helpful[6]:

  1. Encourage treatment: Seek professional help via therapy or counseling. Offer to help research therapists or treatment programs that specialize in addiction recovery as well as mental health issues.
  2. Educate yourself: Learn about dry drunk syndrome and its various symptoms. This can help you understand what the person is going through and offer better support. Try to avoid judgment and provide empathy and encouragement, even when it’s challenging.
  3. Provide emotional support: Listen when people want to talk about their feelings and experiences. Offer emotional support by validating their experiences and reassuring them that they are not alone in their journey and that you are with them.
  4. Encourage support group attendance: Suggest attending support groups like Alcoholics Anonymous. These groups provide an environment where people who struggle with dry drunk syndrome can share experiences, receive encouragement, and learn from others who are also in recovery.
  5. Set boundaries: It may seem counterintuitive, but it’s important to set healthy boundaries to protect your well-being. Consider establishing limits on negative behaviors or avoiding environments where alcohol is present.
  6. Be patient: Recovery from alcoholism and dry drunk syndrome is a long journey that demands continued patience and persistence. Offer ongoing support and encouragement even during setbacks or relapses. Remember that setbacks are a normal part of the recovery journey.
  7. Encourage self-care: Remind your friend to prioritize self-care and relaxation techniques that promote well-being and reduce stress.

Can you fully recover from dry drunk syndrome?

You can recover from dry drunk syndrome. To do so, you must adopt the right approaches and commit to your personal growth and recovery. It’s a process that requires ongoing effort and commitment. Your path to recovery will be unique, and the timeline for achieving full recovery may vary.

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Sources

[1][4][6]Medical News Today. (n.d.). Dry drunk syndrome: Symptoms and treatment. Medical News Today. Retrieved July 19, 2024, from https://www.medicalnewstoday.com/articles/dry-drunk-syndrome#symptoms

[2]WebMD. (n.d.). What to know about dry drunk syndrome. WebMD. Retrieved July 14, 2024, from https://www.webmd.com/mental-health/addiction/what-to-know-dry-drunk-syndrome#1-2

[3]National Center for Biotechnology Information. (2015). Post-acute-withdrawal syndrome: Epidemiology, clinical manifestations, and treatment. Psychiatric Annals, 45(7), 341-345. Retrieved July 22, 2024, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553654/

[5]Medical News Today. (n.d.). Post-acute withdrawal syndrome (PAWS): How long it lasts. Retrieved July 22, 2024, from https://www.medicalnewstoday.com/articles/post-acute-withdrawal-syndrome#how-long-it-lasts