Problematic alcohol consumption
POPULARITY
One-med-at-a-time sounds tidy on paper, but alcohol use disorder rarely behaves like a tidy problem. Dr. Reb Close and I sat down to discuss treating alcohol use disorder, and we've learned that many patients do better when we treat AUD the way we treat other chronic conditions: with a multimodal plan that targets more than one pathway and stays anchored to the person's real reason for drinking. We walk through how we think about combination medication strategies for alcohol cravings, including naltrexone, acamprosate, gabapentin, baclofen, and topiramate. You'll hear the practical “why” behind pairing meds, how we set expectations for naltrexone response, and how targeted dosing can give patients more control during high-risk moments. We also talk about monthly extended-release naltrexone (Vivitrol) and how we approach add-on oral dosing without overdoing it. Just as important, we keep coming back to the central clinical question: what does alcohol do for you? If drinking is driven by anxiety, insomnia, or trauma, the best AUD treatment may start with sleep, PTSD symptoms, nightmares, or triggers rather than another anti-craving pill. We close by zooming out to what best practice really looks like: therapy or groups, good sleep, nutrition, exercise, treatment of co-occurring mental health conditions, and more than one medication when it fits. Subscribe for more practical addiction medicine, share this with a clinician or friend who cares about recovery, and please leave a review so more people can find the show.To contact Dr. Grover: ammadeeasy@fastmailcom
Send us Fan MailSend us Fan MailIn this empowering episode of Living the Dream with Curveball, we sit down with Stephanie Hazard, a dedicated recovery coach, author, and speaker with 26 years of experience in recovery from alcohol use disorder and an eating disorder. Stephanie shares her personal journey of overcoming addiction and the lessons she has learned along the way, emphasizing the importance of making sobriety stick.Listeners will gain insight into:- The difference between simply stopping substance use and building a sustainable life of recovery- How environmental factors and support systems play a crucial role in long-term sobriety- The impact of co-occurring disorders and the holistic approach to recovery- Misconceptions about recovery and the various pathways available- Practical habits and daily decisions that can foster lasting changeStephanie also discusses her new book, *Making Sobriety Stick: A Recovery Coach's Guide to Sustainable Change*, which serves as a resource for individuals and families navigating the complexities of recovery. With actionable strategies and heartfelt advice, this episode is a must-listen for anyone seeking to understand addiction and support their loved ones on their recovery journey.For more information on Stephanie Hazard and to pre-order her book, visit www.pathtorecovery.comSupport the show
What Are The Risk Factors For Alcohol Use Disorder? If you've ever wondered why you seem to struggle with alcohol more than your friends—or why cutting back feels so much harder for you—the answer isn't simply that you need more willpower. There isn't one single reason someone develops alcohol use disorder. Your risk is shaped by a combination of genetics, mental health, life experiences, environment, stress, culture, coping skills, and your relationship with alcohol itself. And understanding those risk factors matters because the earlier you recognize that alcohol may be becoming a problem, the earlier you can do something about it. Dr. Harrison shares an incredibly hopeful statistic in this conversation: 75% of people with substance use disorders go on to recover. And she encourages us to think about alcohol use disorder the same way we think about other treatable health conditions. For the full show notes, kindly go to this podcast episode link: https://hellosomedaycoaching.com/know-the-risk-factors-for-alcohol-use-disorder/ 4 Ways I Can Support You In Drinking Less + Living More Join The Sobriety Starter Kit, the only sober coaching course designed specifically for busy women. My proven, step-by-step sober coaching program will teach you exactly how to stop drinking — and how to make it the best decision of your life. Save your seat in my FREE MASTERCLASS, 5 Secrets To Successfully Take a Break From Drinking Grab the Free 30-Day Guide To Quitting Drinking, 30 Tips For Your First Month Alcohol-Free. Connect with me for free sober coaching tips, updates + videos on YouTube, Instagram, Facebook, Pinterest and TikTok @hellosomedaysober. Love The Podcast and Want To Say Thanks? ☕ Buy me a coffee! In the true spirit of Seattle, coffee is my love language. So if you want to support the hours that go into creating this show each week, click this link to buy me a coffee and I'll run to the nearest Starbucks + lift a Venti Almond Milk Latte and toast to you! https://www.buymeacoffee.com/hellosomeday
Oral Semaglutide for Alcohol Use Disorder: A Randomized Clinical Trial The American Journal of Psychiatry Accumulating preclinical and observational evidence suggests that glucagon-like peptide-1 receptor agonists, including semaglutide, reduce alcohol consumption. This phase 2 double-blind, randomized, parallel-arm trial evaluated the effects of oral semaglutide on alcohol craving and consumption among treatment-seeking adults with alcohol use disorder (AUD). It found that semaglutide did not significantly reduce laboratory-assessed craving or drinks per day compared with placebo but significantly reduced heavy drinking days. Semaglutide also significantly reduced drinks per drinking day, naturalistic alcohol craving, and cannabis use days. Semaglutide reduced alcohol-related consequences at a significantly greater rate than placebo. Significantly more participants in the semaglutide group than the placebo group reduced their risk drinking level by one or more levels. These findings confirm previous results among non–treatment seekers with less severe AUD and suggest that continued development of semaglutide for AUD is warranted. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
In this episode, we explore three off-label but evidence-supported medications — gabapentin, topiramate, and baclofen — for alcohol use disorder, examining their mechanisms, dosing strategies, tolerability challenges, and which patients are most likely to benefit when first-line treatments have failed. Faculty: Kevin A. Sevarino, M.D.C.M., Ph.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1.25 CMEs: Pharmacotherapy of Alcohol Use Disorder Gabapentin, Topiramate, and Baclofen for Alcohol Use Disorder
This week on the Alcohol Minimalist podcast, I'm revisiting one of the most-downloaded episodes from the archives: a conversation about Alcohol Use Disorder (AUD), physical dependence, and why labels aren't always the most useful place to start.If you've ever wondered, Do I have a drinking problem? Am I drinking too much? Am I addicted? this episode will help you look at those questions with more clarity and less drama.Alcohol Use Disorder isn't determined simply by how much you drink. It exists on a spectrum from mild to severe and is based on how alcohol is affecting your behavior, health, relationships, and ability to control your drinking.In this episode, we talk about:How Alcohol Use Disorder is definedWhy comparing your drinking to someone else's isn't helpfulThe difference between alcohol misuse, AUD, and physical dependenceWhy withdrawal symptoms require medical guidanceHow labels can sometimes keep us from honestly evaluating our drinkingWhy the better question may be: Is alcohol creating results I actually want in my life?An important safety noteIf you regularly experience withdrawal symptoms such as shakiness, sweating, nausea, racing heart, or seizures when alcohol wears off, seek professional medical guidance before abruptly stopping drinking. Alcohol withdrawal can be serious.You don't need to wait for alcohol to become a severe problem before deciding to change.Pay attention to the data. Look honestly at the results alcohol is creating. Then decide what one small change could move you toward a more peaceful relationship with alcohol.Low risk drinking guidelines from the NIAAA:Healthy men under 65:No more than 4 drinks in one day and no more than 14 drinks per week.Healthy women (all ages) and healthy men 65 and older:No more than 3 drinks in one day and no more than 7 drinks per week.One drink is defined as 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor. So remember that a mixed drink or full glass of wine are probably more than one drink.Abstinence from alcoholAbstinence from alcohol is the best choice for people who take medication(s) that interact with alcohol, have health conditions that could be exacerbated by alcohol (e.g. liver disease), are pregnant or may become pregnant or have had a problem with alcohol or another substance in the past.Benefits of “low-risk” drinkingFollowing these guidelines reduces the risk of health problems such as cancer, liver disease, reduced immunity, ulcers, sleep problems, complications of existing conditions, and more. It also reduces the risk of depression, social problems, and difficulties at school or work. ★ Support this podcast ★
Editor's Summary by Linda Brubaker, MD, and Preeti Malani, MD, MSJ, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from August 15-21, 2026.
Naltrexone, acamprosate, disulfiram, and topiramate are effective but underused medications for treatment of alcohol use disorder. Author Stephen Holt, MD, MS, of Yale School of Medicine joins JAMA Deputy Editor Kristin Walter, MD, MS, to discuss first-line pharmacotherapy for alcohol use disorder and important safety, efficacy, and hospital initiation considerations. Related Content: Medications for Alcohol Use Disorder
In this episode Dr. Gillian Beauchamp sits down with Dr. Stephanie Weiss to discuss research examining GLP-1 receptor agonists in the treatment of Alcohol Use Disorder.
In this episode, we explore how naltrexone — the most widely used medication for alcohol use disorder in the US — works, how to dose it safely, and why liver disease may not be the barrier you think it is. Can a medication that doesn't target abstinence still be a game-changer for your patients? Faculty: Kevin A. Sevarino, M.D.C.M., Ph.D Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1.25 CME: Pharmacotherapy of Alcohol Use Disorder Naltrexone for Alcohol Use Disorder: Dosing, Monitoring, and Liver Safety
I want to tell you about my friend Larry. Larry is pretty well known in the podcast world as a content creator, a consultant, and a subject matter expert for journalists. I've seen lots of times where he's appeared on local and national TV shows, talking about podcasting as well as AI – he's been on the forefront of how to use AI for personal and business productivity. And he's been a sought-after keynote speaker at lots of organizations where he talks about these things. A few years ago, Larry and I were in Los Angeles during a podcasting conference. One evening during that week there was a big podcast awards show, and there was an after party. I don't usually go to those things, but for some reason I was there. It was a private party but lots of people were there and it was on a rooftop bar, I don't even remember the name of it. Of course the music was loud, and you would never guess who the DJ was – Paris Hilton. It was pretty crazy. And of course I would see Larry every year in January in Orlando, at the conference called Podfest. But this past January I didn't see Larry. I didn't know why he wasn't there, and honestly I didn't think about it a lot. It's always a busy week and there are a couple thousand people there. But what I didn't know was that Larry was in rehab at that time. He was trying to overcome Alcohol Use Disorder. Maybe better known as alcoholism. Larry's life is very different now. His addiction to alcohol means he no longer has his business, his house, his cars, his wife – all gone. He's working on his comeback now, and he told me the whole story which you're about to hear. I also need to include a content warning for discussion of suicide. What Larry didn't know at the time was - when he missed that Orlando conference because of being in rehab – he had not yet reached his rock bottom. If you'd like to contact Larry or follow his journey: Instagram: @thelarryroberts Facebook: @thelarryroberts website: https://LarryRoberts.com Full show notes and pictures for this episode are here: https://WhatWasThatLike.com/263 Graphics for this episode by Bob Bretz. Transcription was done by James Lai. Want to discuss this episode and other things with thousands of other WWTL listeners? Join our podcast Facebook group at WhatWasThatLike.com/facebook (many of the podcast guests are there as well) Get every episode ad-free, AND get all the Raw Audio exclusive episodes to binge, by joining the other listeners at What Was That Like PLUS. Try What Was That Like PLUS free: iPhone: at the top of the What Was That Like podcast feed, click on “Try free” Android: on your phone, go to WhatWasThatLike.com/PLUS and click to try it free on any app Sponsor deals: Quince - Go to Quince.com/whatwas for free shipping on your order and 365-day returns! Boll & Branch - get 15% off your first order AND free shipping: BollandBranch.com/WHATWAS Nutrafol - Get $10 off your first month's subscription, and free shipping: use promo code WHATWAS at Nutrafol.com Try Mint Mobile for 3 months, for just 15 bucks a month - MintMobile.com/WHAT Learn more about your ad choices. Visit megaphone.fm/adchoices