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Wednesday, June 4, 2014

HFA (Highly Functioning Alcoholics)

I fit into this category, as do many people. I personally feel that this is one of the riskiest types of addicts because the disease progresses and goes on for a long time without any intervention. Along with that are copious doses of denial by the alcoholic. Prior to surrendering, I would have been tempted to run you over with my car if you accused me of being an alcoholic. But instead, I would fire off all the reasons why I wasn't an alcoholic and point out my successes and responsibilities, as well as the fact that I had never had a DUI, missed a day of work and underperformed in any way because of drinking. I would point out that real alcoholics have fucked up their lives beyond repair and find themselves living under bridges and sleeping on park benches. This is why it's so tricky. I also think that there are a lot of online quizzes and surveys that let the HFA off the hook because the criteria for definition is mostly in very advanced stages of the disease. I could probably have done another ten years of heavy drinking standing on my head if I hadn't decided to stop. I think it's vital that these types of alcoholics get help. You don't need to run your car into a telephone pole to prove to society and to yourself that you are an alcoholic. All of the bullet points below apply to me and maybe you, too.

From addiction-intervention. com:
  • In the company of others who drink – The HFA surrounds himself with others who like to drink. This assimilation makes it difficult to pick out the HFA as being different from the rest. Besides, the HFA truly enjoys drinking and being around others with similar likes. 
  • Obsessing over alcohol – The thought of alcohol is never far from the mind of the HFA. Counting hours until the next drink, mentally savoring the mellowness and pleasure of the impending drink, calculating how much alcohol can be consumed without any outward signs of drunkenness – the HFA obsesses over alcohol. 
  • Consuming craving – One drink is never enough for the HFA. The lure is too strong, and the craving consumes the HFA until he or she can have the next drink – and the next, and the next. Before long, the HFA has lost control over total alcohol intake – even though he or she still may appear outwardly normal and in control. After all, they are masters of discipline and concealment. 
  • Alcohol is part of their lives – The HFA would no more give up alcohol than they’d give up their identity. Alcohol is so much a part of their lives that they cannot imagine a life without alcohol. 
  • Finishing drinks of others – If someone the HFA is with leaves a drink on the bar or the table, the HFA may pick it up and finish it. “Don’t want to let this go to waste,” he may say in a joking manner. Related to this is the example of the HFA downing his own drink when it’s time to leave – to go to the table at the restaurant after waiting at the bar, for example – and then quickly ordering another. If a family member or friend doesn’t touch his or her drink, the HFA often drinks it along with his own.
  • Experiencing shame over drunken behavior – Being such masters of concealment, the HFA does often experience remorse and/or shame over instances where their behavior has become sloppy after drinking. Such behavior isn’t part of their carefully crafted images and they consequently work even harder to avoid such mistakes in the future. But they won’t quit drinking. They’ll just watch their behavior more. 
  • Self-deluding – Some HFAs drink only expensive wine or liquor in the mistaken belief that this means they’re not an alcoholic. It’s a self-delusion that allows them to continue to drink with impunity. 
  • Fit life into compartments – Another familiar sign of HFAs is that they are able to conveniently separate their drinking lives from the rest of their existence. Who they are at home, on the job, or to casual acquaintances is totally different from their drinking routine and environment. 
  • Tried to quit but failed – At some point the HFA may have tried to quit drinking but failed in the attempt. This pattern may often be repeated, but still the HFA refuses to seek treatment. It is part of their personality makeup, their self-constructed identity that they feel they can handle their drinking on their own. Such refusal to get help is difficult to overcome. 
  • Excuses and rewards – HFAs feel they work hard and deserve a drink as a reward. Drinking, to the HFA, is both an excuse and a reward. The HFA may even use those words in defense of his actions – to himself and to others. 
  • Hiding and sneaking – When others are going to be around – and watching – the HFA may sneak a drink early, drink before going out, or drink alone. Such secrecy is part of the concealment of the HFA’s true problem. He or she has to get in the drinking, but can’t take the risk of others finding out or suspecting the real problem. 
  • Emotional and physical consequences don’t matter – Whether minor or severe, emotional and physical consequences of drinking don’t make a difference to the HFA – who will continue to drink, regardless. It’s only when things really spiral out of control that the HFA, or those closest to him, may seek help for the problem. 
  • Blackouts, memory losses, or worse – At the end of the HFA’s downward spiral – just as with any other alcoholic – blackouts, memory losses, increasing physical, emotional, psychological, social and/or legal problems intensify. It’s at this point that the HFA either gets treatment or continues to deteriorate.

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