Problematic alcohol consumption
 
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In this minisode, Colleen distills emotional sobriety into its simplest form: learning to recognize when you're operating from your primal state versus your power state. Most of us spend our lives reacting to the world from old programming—patterns shaped by fear, pain, or the need for control—without realizing that we can pause, interrupt, and return to presence. She explains how to move from being controlled by your mind to consciously using it as a tool, how emotional energy drives every “problem,” and how the act of letting go—physically and mentally—is the real path to peace. This is more than nervous system regulation; it's a full reclamation of agency over your inner world.
In this minisode, Colleen unpacks the hidden link between insecurity and control — and how most of us try to manage our anxiety by managing other people's opinions. Through a grounded, body-based perspective, she reframes confidence not as something you “earn,” but as something you practice by returning to yourself again and again. She challenges the myth that insecurity means something is “wrong” with you. Instead, she explains that it's a call to turn inward — to redirect your energy from controlling perception to cultivating presence. The goal isn't to eliminate self-consciousness, but to move the needle toward self-possession, one thought, one feeling, and one moment at a time.
When I was in my 30s and 40s, I thought health was something you earned with discipline. I ate clean, drank tons of water, ran marathons and swallowed whatever supplements were trending. And even though I appeared to be doing everything right, my stress was through the roof and my body constantly ached. I was always looking for the next thing to fix. But here's what I didn't realize: I wasn't broken, or even unhealthy. I just wasn't listening to my body. I cared more about how things looked than how they felt. I thought I had to prove that I was healthy by doing hard shit–taking on more than I could actually handle. I didn't understand that relaxation isn't something you earn after you check all the boxes. It's an essential ingredient to success. In today's episode, I'm talking with Courtney Townley, host of Grace & Grit and author of The Consistency Code. Courtney helps women navigate the health maze of midlife—when your resilience to stress is naturally lower, and the load you're carrying has never been heavier, and the old strategies you've used to just keep going are no longer working. In this episode, you'll learn: Why doing more often makes you less healthy—and how your definition of self-care needs to change How to identify “integrity pain,” the tension between who you are and how you're living What to do when your motivation disappears and you literally don't have the energy to keep up with your damn self Being healthy isn't about external metrics…it's when you learn how to experience unconditional love for your body. If you are ready to get support from a community of women who are co-creating this change with intention and clarity— Click here to BOOK A DISCOVERY CALL. Do you want help from Colleen with a situation you're struggling with? Click here to submit your question for Colleen's NEW Q&A episodes. Your name will not be mentioned on air! You can find Courtney at Grace & Grit ---> Grab Her NEW Book, The Consistency Code, launching November 5th! Find me on: YouTube: @HangoverWhisperer TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer X (Twitter) : @NotAboutTheAlc
What does a healthy relationship with alcohol really look like? Dr. Nzinga Harrison, chief medical officer and co-founder of Eleanor Health, joins Natalie to break down the realities of addiction, substance use disorders, and how compassion and open conversations can transform families. With deep expertise in adult psychiatry and addiction medicine, Dr. Harrison shares actionable tools to recognize early signs, navigate stigma, and support loved ones—plus insights from her new book and experience as a parent. You'll learn how to use the powerful CAGE screening tool, why support systems are essential, and how addiction is influenced by both biology and environment. Discover the importance of self-compassion, how to talk with teens, and the value of the sober curious movement. Whether you're reevaluating your own habits or helping someone else, this episode equips you with practical strategies and hope for lasting wellness. Follow Natalie: Website: https://natalietysdal.com Instagram: https://instagram.com/ntysdal TikTok: https://tiktok.com/@ntysdal Facebook: https://facebook.com/natalietysdal Disclaimer: Natalie Tysdal is a health journalist, not a licensed medical professional. This podcast is informational only, not medical advice.
In this episode, Colleen introduces “future casting” — a mindset tool that helps you move from emotional reactivity into grounded awareness. She reframes every “problem” as an emotional one, reminding us that what keeps us stuck isn't the circumstance itself, but the stress response and beliefs we attach to it. Through this lens, future casting becomes a way to access perspective: to pause, regulate your nervous system, and imagine yourself on the other side of the obstacle — already having moved through it. From that calmer, wiser version of you, the next right thought and action become clearer. This practice is both deeply practical and profoundly empowering. It invites you to stop fighting your emotions, reconnect with the body, and use imagination not for worry or control — but for possibility and calm.
In this minisode, Colleen reflects on the stories we grew up with — the ones where the lost princess or overlooked heroine is finally discovered and restored to her rightful place. These stories shaped how many of us learned to wait: for validation, timing, permission, or rescue. She'll reframe that pattern through the lens of emotional sobriety. True power isn't something that arrives once circumstances improve — it's a mindset and a way of being that can exist even in the middle of the mess. Transformation doesn't come from fixing yourself or performing worthiness, but from believing in the person you're becoming before your life catches up. You are invited to examine where you might still be waiting for rescue, and to practice showing up today as the version of yourself who already knows she's capable, worthy, and ready.
Send us a textWelcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recent phase 2 trial looking at the effects of once-weekly semaglutide on alcohol consumption and craving in adults with alcohol use disorder (AUD). Here we go!Once-Weekly Semaglutide in Adults With Alcohol Use Disorder (0:00 – 10:28).Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods
You don't have a willpower problem. You have a nervous system problem. In this episode, I'm breaking down the eight principles of self-directed neuroplasticity—how to actually rewire your brain so drinking less stops being a battle and starts becoming automatic. Here's what most people don't understand: You can't change your drinking habits while you're operating in overwhelm. Your brain literally doesn't have access to the circuits required for behavior change when you're in survival mode. Which is why all the rules, commitments, and white-knuckling haven't worked. You've been trying to force change from a state that makes change neurologically impossible. In this episode, you'll learn: Why alcohol use disorder is a stress response pattern, not a character flaw The 5 steps of the stress response (and why recognizing The Wall changes everything) Why shame makes change impossible—and what to do instead The 8 principles that make lasting brain change possible Why short, gentle daily somatic practices work better than dramatic or intense lifestyle changes How to build new habits without fighting the old ones This isn't fluffy self-help. This is neuroscience. And once you understand how your brain actually works, you stop blaming yourself and start solving the real problem. Click here to BOOK A DISCOVERY CALL if you're ready to fully commit to your personal growth and do the work to get emotionally sober. Side effects include an 80 percent reduction in drinking. Want daily updates from me? TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer Twitter (X): @NotAboutTheAlc YouTube: @hangoverwhisperer Do you want coaching from Colleen on a situation you're struggling with? Click here to submit your question. Your name will not be mentioned on air!
Measures of General Intelligence and Risk for Alcohol Use Disorder JAMA Psychiatry This male Swedish cohort study that included 573,855 participants assessed if there is an association between IQ and risk for alcohol use disorder, and if so, what is the nature of this association. It found that IQ at age 18 years was associated with subsequent alcohol use disorder risk. Mendelian randomization analyses suggest a causal association, albeit with context-dependent differences; genetic liability for cognitive performance also predicted alcohol use disorder in a US-based sample. Results suggest that there was a clear impact of genetic liability for cognitive performance on alcohol disorder risk, but the association varies based on the sociocultural context. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
In this episode, Colleen explores how hidden beliefs quietly shape our choices, limit our vision, and create the illusion of safety at the expense of growth. Most of the obstacles we face aren't outside of us — they're thoughts we've stopped questioning. Through the lens of her own experience, she illustrates how well-intentioned reasoning can harden into self-protection, keeping us in familiar patterns that feel comfortable but constraining. This reflection challenges listeners to look beyond circumstances and into the conditioning that sustains them — and introduces a single, powerful question designed to reveal what's actually in the way of change.
In this episode, Colleen traces a quiet, familiar fear that surfaces whenever we step into new territory — the fear of becoming “too much.” What begins as a loving message to stay safe or small can become an inherited boundary that keeps us from expansion. Through her own reflection, she reveals how deeply patterned beliefs about worth, service, and visibility shape the nervous system's response to growth. This isn't a story about trauma, but about awakening — seeing how the rules we once followed out of love can quietly hold us back from the life we're ready to create.
Today I'm sharing a powerful conversation from The Period Whisperer podcast with host Bria Gadd. We talk about the hidden link between hormones, stress, and drinking—why so many high-achieving women end up using alcohol as a coping mechanism. You'll hear the truth about emotional sobriety, how the toxic cultural pressure to be “productive” leads to inevitable breakdown in midlife, and why you don't actually lose control of your drinking—you lose control of your thinking. If you use alcohol to quiet your mind or reward yourself for another exhausting day, this episode will shift your diagnosis of the problem so you can start working towards a solution that doesn't require you to stop drinking completely. Click here to BOOK A DISCOVERY CALL if you're ready to fully commit to your personal growth and do the work to get emotionally sober. Side effects include an 80 percent reduction in drinking. Want daily updates from me? TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer Twitter (X): @NotAboutTheAlc YouTube: @hangoverwhisperer Do you want coaching from Colleen on a situation you're struggling with? Click here to submit your question. Your name will not be mentioned on air!
In this episode, Colleen exposes one of the most dangerous lies we tell ourselves: “Whatever. I don't care.” It's the phrase that sneaks in at the very moment you're about to follow through on what matters, pulling you back into autopilot. Habits feel easy not because they're better, but because they're familiar—and this thought is the detour sign that keeps you circling the same old roads. She shows how to catch that phrase in real time, flip it, and reconnect with your real intentions. It's not about one big breakthrough—it's about interrupting the trance again and again until your brain learns a new path forward.
Your nervous system dictates how you think, feel, and act. The problem? The moments you most need perspective are the very moments your biology shuts it down. A racing mind, tense muscles, and cortisol surges aren't proof you're broken—they're proof your survival system thinks you're facing a predator, when in reality it's just an email, a bill, or a sideways glance at the grocery store. In this episode, Colleen explains how your sympathetic nervous system (fight/flight/freeze/fawn/flop) can hijack your focus in an instant—and why the real threat isn't the stressor, but your body's reaction to it. She shows how mindfulness gives you the skill to step into the observer role, notice the storm without fusing with it, and create the space to calm your body so your brain can come back online. True power lies in reclaiming your pause.
The emergency department offers critical access to health care in our broken system. An important skillset of the modern emergency medicine physician is a set of low-risk, low-time commitment, high-benefit interventions for the management of chronic diseases. In this episode, we discuss the diagnosis and management of hypertension, type 2 diabetes, asthma, alcohol use disorder, and tobacco use disorder from the emergency department.
Today I'm back with Sunnyside podcast host Mike Hardenbrook for a conversation that pops the hood on why willpower isn't enough to change your drinking habits. We talk about what's really happening in your brain and nervous system when you reach for a drink, why your desire to drink has nothing to do with alcohol. Your body craves relief from stress and anxiety and the pressure of everyday life. You'll walk away with the exact, science-backed shifts I teach my clients that make drinking in moderation a natural side effect of feeling more grounded and at ease. If you've ever wondered why wanting to change doesn't stop you from pouring another drink, this episode will show you how to break the cycle from the inside out. Click here to BOOK A DISCOVERY CALL if you're ready to fully commit to your personal growth and do the work to get emotionally sober. Side effects include an 80 percent reduction in drinking. Want daily updates from me? TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer Twitter (X): @NotAboutTheAlc YouTube: @hangoverwhisperer —Do you want coaching from Colleen on a situation you're struggling with? Click here to submit your question. Your name will not be mentioned on air!
In this episode, Colleen draws from Keira Bobinet's Unstoppable Brain to unpack how perfectionism wires the brain for shame and shutdown. The real shift isn't about tallying wins and losses—it's about adopting an iterative mindset, where results are just feedback and every moment is a new chance to adjust. When you stop chasing the highs to avoid the lows, you stop living on a scoreboard and start reclaiming your power. One of the biggest mistakes women make when they start changing their drinking is believing early wins mean they've “arrived.” A mindful weekend or a stretch of moderation feels like victory—but if you tie your worth to performance, a setback feels like failure. And that's the trap.
In this final chapter of her West Virginia series, Colleen shares a mysterious story about her daughter Anna—and what felt like a sign from Laura, reminding them both that their needs matter. Whether coincidence or something more, it revealed a deeper truth: your voice is your lifeline back to yourself. Choosing to name what you need is not selfish—it's how you stop living by others' expectations and start living by your own. When you use your voice, the truths that once ruled you quietly from the shadows lose their power.
Today, I'm sharing a conversation that first aired on the Sunnyside podcast—home of the #1 mindful drinking app. I sat down with co-founder and host Mike Hardenbrook to talk about how to change your thinking about drinking so that you can trust yourself with alcohol again. We cover my own personal journey about why I overcorrected my heavy daily drinking with three years of full sobriety, and how I arrived in the balanced, less-is-more life I live now. You'll hear the exact mental shifts that I teach my high-achieving female clients who want to cut their drinking by up to 80% without shame, rules or life long commitments. Whether you're sober-curious or simply tired of promising yourself that you're going to change and then not following through, this conversation will change how you think about both the problem and the solution. Click here to BOOK A DISCOVERY CALL if you're ready to fully commit to your personal growth and do the work to get emotionally sober. Side effects include an 80 percent reduction in drinking. Want daily updates from me? TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer Twitter (X): @NotAboutTheAlc YouTube: @hangoverwhisperer —Do you want coaching from Colleen on a situation you're struggling with? Click here to submit your question. Your name will not be mentioned on air!
Driving away from West Virginia, Colleen realized she no longer needs perfect conditions to feel like herself—because that version of her now lives within her. She explores how emotions are echoes of the past, and how clinging to them corrodes self-trust. Through the story of her sister-in-law Laura, she shares how denying your truth disconnects you from your voice—and how letting it surface is what makes healing possible.
After years of trying to fix her life by rearranging circumstances, Colleen finally stopped—and turned inward. This is the story of how admitting “I'm not okay” became the first real act of self-trust. Instead of solving her life, she began tending to herself like someone worth saving, and discovered that clarity comes from action, not overthinking.
I'd been a daily drinker for over a decade when somehow, I found the motivation to stay sober for an entire weekend. It was actually easy and felt so good that I took the whole next week off. And I remember feeling giddy, like, OMG, It's over. Apparently, I don't have to worry about that anymore! Sadly, habits don't just disappear overnight. I was soon back to drinking every day, wondering why I couldn't just snap my fingers and go back to being that version of myself who wasn't obsessed with alcohol. What happened to the willpower I had found that week and why couldn't I get it back? In today's episode, we're going to talk about the hidden habit that keeps you stuck in a cycle of overdrinking. I'll explain what actually causes alcohol use disorder—and why staying sober doesn't fix it. This isn't about willpower, or how much or how often you drink. It's how you respond to yourself when you make a mistake. Inside this episode, you'll learn: Why beating yourself up after a “bad night” locks the pattern in deeper How to retrain your brain to treat your hangovers with compassion instead of shame And what happens when you set realistic expectations and learn how to fail forward. This episode will give you a foundational perspective shift so you can finally make sense of why trying to rely on willpower doesn't work—and what actually does. Click here to BOOK A DISCOVERY CALL if you're ready to fully commit to your personal growth and do the work to get emotionally sober. Side effects include an 80 percent reduction in drinking. Want daily updates from me? TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer Twitter (X): @NotAboutTheAlc YouTube: @hangoverwhisperer Do you want coaching from Colleen on a situation you're struggling with? Click here to submit your question. Your name will not be mentioned on air!
