πŸ“– Glossary of Alcohol and Alcohol Abuse Terms

Term Definition Example
12 Concepts Rules for the administrative structure and decision-making of 12-step groups like AA, emphasizing leadership and democracy. AA's 12 Concepts guide how the organization handles finances. πŸ“œ
12 Step Meeting A gathering for mutual support in recovery using the 12-step program. Attending a weekly 12 Step Meeting to share sobriety progress. 🀝
12 Steps Guiding principles of AA for overcoming addiction, established in 1939. Working through the 12 Steps to make amends. πŸ“–
12 Traditions Principles guiding the functioning of 12-step groups, ensuring autonomy and anonymity. Following the 12 Traditions to keep AA self-supporting. πŸ“œ
12-Step Program A mutual support group for addiction recovery, like AA, founded in 1935. Joining a 12-Step Program to build a sober network. 🀝
13th Step Inappropriate romantic or sexual advances by an experienced 12-step member toward a newcomer. Warning newcomers about the risks of 13th Stepping. 🚫
7th Tradition AA principle that groups are self-supporting, declining outside contributions. Passing a basket for donations at an AA meeting. πŸ’Έ
AA Group A self-funded group of alcoholics meeting to support recovery. Forming a local AA Group for weekly meetings. 🀝
AA Meetings Regular gatherings for AA members to share recovery experiences. Attending open AA Meetings to hear sobriety stories. πŸ—£οΈ
AA Member An alcoholic attending AA meetings to recover. Becoming an AA Member by working the steps. 🀝
Abstinence Completely avoiding alcohol consumption. Maintaining abstinence for over a year in recovery. 🚭
Abuser Someone using alcohol unhealthily, potentially as a coping mechanism. Recognizing oneself as an abuser during stressful times. 😞
Acamprosate (Campral) Medication supporting abstinence by modulating glutamate activity. Taking Campral to reduce alcohol cravings. πŸ’Š
Acceptance Acknowledging inability to manage addiction alone, key to recovery. Reaching acceptance in Step 1 by admitting powerlessness. πŸ™
Acute alcohol withdrawal Severe symptoms when stopping alcohol suddenly. Experiencing tremors during acute alcohol withdrawal. 🀯
Acute Care Immediate medical care for severe withdrawal symptoms. Receiving acute care in a hospital for withdrawal. 🩺
Addict Someone with an unhealthy dependence on alcohol, even in recovery. Identifying as an addict in AA meetings. πŸ˜”
Addiction A chronic brain disease with compulsive alcohol use. Battling addiction through therapy and support groups. 🩺
Addiction Counselor Professional aiding recovery with counseling and plans. Consulting an addiction counselor for recovery strategies. πŸ—£οΈ
Addiction Medicine Physician Doctor specializing in addiction diagnosis and treatment. Visiting an addiction medicine physician for treatment. 🩺
Addiction Psychiatrist Psychiatrist treating addiction and related mental health issues. Seeing an addiction psychiatrist for mental health issues. 🧠
Addiction Tourism Traveling for rehab, often to exotic or affordable locations. Traveling abroad for a luxury rehab facility. ✈️
Adverse Determination Insurance or government cutting addiction service benefits. Receiving a letter ending rehab coverage. πŸ“œ
Aftercare Ongoing support following detox or rehab, such as check-ins or groups. Attending weekly aftercare meetings post-rehab. 🀝
Al-Anon Support group for friends and family of alcoholics. Attending Al-Anon to support a loved one’s recovery. 🀝
Alateen Support group for young family members of alcoholics. Teenagers joining Alateen to cope with parental alcoholism. πŸ‘Ά
Alcohol Organic compound in intoxicating drinks, linked to alcoholism. Consuming alcohol in moderation to avoid dependence. 🍺
Alcohol and Drug Partnership (ADP) Local strategic body in Scotland coordinating prevention, treatment, and recovery. An ADP planning local alcohol awareness campaigns. πŸ“Š
Alcohol Brief Intervention (ABI) A short conversation to promote awareness and behaviour change. Receiving an ABI from a nurse about cutting down drinking. πŸ—£οΈ
Alcohol Care Team (ACT) NHS staff in hospitals helping people admitted with alcohol-related conditions. An ACT supporting a patient admitted with alcoholic hepatitis. 🩺
Alcohol dependence Strong desire to drink despite harmful consequences. Diagnosing alcohol dependence based on cravings. 🍺
Alcohol harm Physical, mental, or social harm from alcohol use. Addressing alcohol harm through community education. 🚨
Alcohol Use Disorder A relapsing brain disorder from problematic alcohol use. Treating alcohol use disorder with therapy. 🩺
Alcohol-use disorders Mental health problems from hazardous or harmful drinking. Screening for alcohol-use disorders with tests. πŸ“‹
Alcoholic facies Puffy face, red cheeks, and visible capillaries in long-term drinkers. Noticing a puffy, flushed face in someone who drinks heavily daily. 😣
Alcoholic hepatitis Liver inflammation caused by chronic alcohol use. Diagnosed with liver pain from prolonged heavy drinking. 🩺
Alcohol-induced depression Depressive symptoms caused or worsened by alcohol. Feeling deeply sad after heavy drinking sessions. 😞
Alcohol-induced psychosis Hallucinations or delusions due to high alcohol intake. Seeing things that aren’t there after heavy drinking sessions. πŸ˜΅β€πŸ’«
Alcohol-related liver disease (ARLD) Liver conditions including fatty liver, hepatitis, and cirrhosis. Detecting ARLD during a medical check-up for a heavy drinker. 🩹
Alcoholics Anonymous (AA) Fellowship for recovery from alcoholism, founded in 1935. Attending AA meetings daily during early recovery. 🀝
Alcoholism Chronic disease with impaired control over drinking. Seeking treatment for alcoholism after hitting rock bottom. πŸ˜”
Anhedonia Loss of interest or inability to experience pleasure. No longer enjoying hobbies like sports due to alcohol dependence. 😞
Anxiety disorders May develop alongside or be aggravated by drinking. Experiencing panic attacks worsened by alcohol use. 😰
Ascites Swollen abdomen caused by fluid buildup from liver disease. A patient with a distended belly due to liver damage from chronic drinking. 😷
Assessment Interview to evaluate addiction treatment needs. Undergoing an assessment to determine rehab needs. πŸ“‹
Asterixis Flapping hand tremor seen in hepatic encephalopathy. Noticing a flapping tremor in a patient with advanced liver disease. 🀯
AUDIT NHS Scotland's screening tool for alcohol risk assessment. Completing the AUDIT questionnaire at a GP visit. πŸ“‹
AUDIT-C Three-item alcohol screening tool derived from AUDIT. Using AUDIT-C in a quick health check to assess drinking habits. πŸ“‹
Bevvy Alcoholic beverage (Scottish slang). Fancy a bevvy at the pub tonight? 🍺
Bevvied Intoxicated; drunk (Scottish slang). Getting bevvied after a few pints at the local. πŸ₯΄
Bez Beer (Scottish slang). Grabbing a bez after work. 🍺
Binge drinking Heavy drinking in a short period, increasing harm risk. Engaging in binge drinking during a night out. 🍻
Blackouts Periods of memory loss during drinking episodes. Forgetting conversations from a night of heavy drinking. πŸ•³οΈ
Blood Alcohol Level or Concentration Alcohol concentration in blood, tested by breath. Having a blood alcohol level above the legal limit. 🍺
Blootered Very drunk (Scottish slang). Getting blootered at the Hogmanay party. πŸ₯΄
Breathalyser Device measuring breath alcohol to estimate BAC. Using a breathalyser during a roadside sobriety check. 🚨
Brief intervention Short conversation to reduce harmful drinking. Receiving a brief intervention from a GP about drinking. πŸ—£οΈ
Bucky Buckfast, a tonic wine popular in Scotland. Drinking Bucky on a Friday night. 🍷
CAGE questionnaire Four-question screening tool for alcohol problems (Cut down, Annoyed, Guilty, Eye-opener). Using the CAGE questionnaire during a health assessment. πŸ“‹
Campral Medication to reduce alcohol cravings. Taking Campral to manage alcohol cravings. πŸ’Š
Care plan Collaborative plan outlining recovery goals and support. Creating a care plan for long-term sobriety. πŸ“‹
Carer’s assessment Evaluation of a carer’s needs by social services. Requesting a carer’s assessment to support a relative. πŸ“‹
Carry-oot Takeaway alcohol bought from an off-licence (Scottish slang). Buying a carry-oot for a house party. 🍺
Case Management Coordinated approach to deliver addiction services. Using case management for rehab and housing. 🀝
CDT Carbohydrate-deficient transferrin; marker of sustained heavy drinking. Testing CDT levels to confirm chronic alcohol use. 🩺
Chaser Drink taken immediately after a shot of spirits. Following a whisky shot with a soda chaser. 🍺
Child in need Child requiring services to achieve health or development. Assessing a child in need due to parental alcoholism. πŸ‘Ά
Child protection Actions to protect children from significant harm. Implementing child protection for families affected by alcoholism. πŸ›‘οΈ
Chlordiazepoxide (Librium) Prescribed medication used during alcohol detoxification. Taking Librium to manage withdrawal symptoms safely. πŸ’Š
Cirrhosis Scarring of liver tissue due to long-term damage. Developing cirrhosis from years of heavy alcohol consumption. 🩺
CIWA-Ar Scale to assess severity of alcohol withdrawal symptoms. Using CIWA-Ar to monitor withdrawal in a detox unit. πŸ“‹
Clatty drunk Messy or sloppy state of drunkenness (Scottish slang). Spilling drinks and slurring words while clatty drunk. πŸ₯΄
Co-occurring conditions Having both alcohol misuse and another condition. Treating co-occurring depression and alcoholism. 🧠
Codependency Unhealthy emotional reliance on someone with addiction. Constantly covering for a partner’s drinking habits. 🀝
Common mental health conditions Depression, anxiety, and other disorders linked to alcohol. Managing anxiety exacerbated by alcohol. 😰
Community Addiction Team (CAT) Multidisciplinary NHS team providing assessment and treatment for substance problems. Working with a CAT for outpatient addiction support. 🩺
Complex needs Significant issues like mental health or homelessness with alcohol use. Addressing complex needs in rehab. 🩺
Continuum of Care Integrated system of addiction care services. Providing continuum of care from detox to aftercare. 🩺
Controlled drinking Drinking within recommended limits. Attempting controlled drinking after abstinence. 🍺
Cultural competence Delivering services meeting diverse cultural needs. Ensuring cultural competence in alcohol treatment. 🌍
DAISy Scotland’s national digital tool tracking outcomes in alcohol and drug care. Using DAISy to monitor progress in addiction treatment. πŸ“Š
Day programme Structured non-residential therapy attended during the day. Attending a day programme for group therapy sessions. 🀝
Delirium tremens (DTs) Severe and potentially fatal alcohol withdrawal symptoms. Experiencing hallucinations during severe alcohol withdrawal. 🀯
Denial Refusing to acknowledge an alcohol problem. Overcoming denial to accept treatment needs. πŸ™ˆ
Dependence Needing alcohol to function normally. Developing dependence after daily heavy drinking. 🍺
Depressant Drug like alcohol that sedates the central nervous system. Using alcohol to calm nerves. 😴
Designated driver Person who abstains to drive others safely. Volunteering as the designated driver for a night out. πŸš—
Detoxification (Detox) Medically supervised removal of alcohol from the body. Entering detox to safely withdraw from alcohol. 🩺
Disinhibition Reduced self-control and increased risk-taking while intoxicated. Making reckless decisions while drunk at a party. 😈
Disulfiram (Antabuse) Aversive medication causing reaction if alcohol is consumed. Taking Antabuse to deter drinking during recovery. πŸ’Š
Driver Alcohol Education (DAE) Program for first-time drunk driving offenders. Completing a DAE course after a DUI. πŸš—
Drucken Drunken (Scottish). Being drucken after too many pints. πŸ₯΄
Druckenness The state of being drunk (Scottish). Waking up with druckenness from the night before. 😡
Dual diagnosis When someone has both alcohol misuse and a mental health condition. Treating both alcoholism and bipolar disorder simultaneously. 🩺
DUI or DWI Driving under the influence of alcohol. Getting charged with DUI after drinking and driving. 🚨
Easy bruising Tendency to bruise due to impaired clotting in liver disease. Noticing frequent bruises from minor bumps due to heavy drinking. 😷
Emotional lability Sudden mood swings or unpredictable emotional reactions. Crying unexpectedly after a few drinks. 😒
Enabling Unintentionally supporting someone’s alcohol misuse. Buying alcohol for someone to avoid conflict. πŸ™ˆ
Ethanol Beverage alcohol in beer, wine, and spirits. Measuring ethanol content in drinks. 🍺
Extended brief interventions Enhanced motivational interventions over multiple sessions. Participating in extended brief interventions for drinking. πŸ—£οΈ
Family interventions Support and education offered to relatives or carers of alcoholics. Joining a family intervention session to learn about supporting recovery. 🀝
FAST Fast Alcohol Screening Test used in UK clinical settings. Completing the FAST test during a routine check-up. πŸ“‹
Fatty liver (steatosis) Early, reversible stage of liver damage. Diagnosed with fatty liver after moderate but consistent drinking. 🩺
FibroScan Transient elastography to assess liver stiffness (fibrosis). Using a FibroScan to check for liver damage in a clinic. 🩺
Formulation Framework to understand an alcohol problem’s development. Developing a formulation to identify drinking triggers. πŸ“‹
Fou Drunk (Scottish). Getting fou at the local pub. πŸ₯΄
FRAMES Components of brief intervention (feedback, responsibility, advice, menu, empathy, self-efficacy). Using FRAMES in a counseling session. πŸ—£οΈ
Fu' Drunk (Scottish slang). Feeling fu' after a night of drinking. πŸ₯΄
Gait disturbance Unsteady walking or coordination problems, even when sober. Stumbling while walking despite not drinking that day. πŸšΆβ€β™‚οΈ
GGT Gamma-glutamyl transferase enzyme, often elevated in heavy drinking. Detecting high GGT levels in a blood test for alcohol misuse. 🩺
Gynecomastia Breast enlargement in males caused by hormonal changes in chronic liver disease. Noticing breast enlargement in a male heavy drinker. 😷
Hair of the dog Drinking alcohol to relieve hangover symptoms. Taking a morning beer as hair of the dog after a heavy night. 🍺
Half-cut Partly drunk; tipsy (Scottish slang). Feeling half-cut after a couple of drinks. πŸ₯΄
Harm reduction Reducing negative consequences of alcohol without requiring abstinence. Providing clean needles as part of harm reduction. 🩺
Harmful drinking Alcohol consumption causing mental or physical damage. Recognizing harmful drinking leading to liver damage. 🍺
Hauf and a hauf Traditional Scottish combo: a half-pint of beer with a whisky. Ordering a hauf and a hauf at a Glasgow pub. 🍺
Hazardous drinking Alcohol consumption increasing risk of harm. Advising on risks of hazardous drinking levels. 🍺
Heavy Drinking Consuming 8+ drinks/week (women) or 15+ (men). Engaging in heavy drinking exceeding weekly guidelines. 🍻
Hepatomegaly Enlarged liver felt on examination due to liver disease. Detecting an enlarged liver during a medical exam of a heavy drinker. 🩺
Higher-risk drinking Regularly consuming over 50 units/week (men) or 35 (women). Intervening in higher-risk drinking to prevent dependence. 🍺
Impaired judgement Poor decision-making due to the effects of alcohol. Starting an argument while drunk due to impaired judgement. 😈
Inpatient Treatment 24-hour hospital-based addiction services. Admitting to inpatient treatment for severe alcoholism. 🩺
Integration Coordinating general and behavioral health care. Promoting integration of alcohol and mental health services. 🀝
Intervention Program to prevent or treat substance misuse. Staging an intervention to encourage rehab. πŸ—£οΈ
Irritability Increased irritability during intoxication or early recovery. Snapping at others while hungover from drinking. 😣
Irritable mood Low tolerance and mood swings associated with misuse and withdrawal. Feeling irritable during alcohol withdrawal. 😣
Jagged bottle Cheap bottle of strong cider or fortified wine (Scottish slang). Buying a jaggy bottle from an off-licence for a quick drink. 🍷
Jaked Drunk (Scottish slang). I was jaked after the party. πŸ₯΄
Jake(y) A homeless alcoholic (Scottish). Seeing a jakey begging for change. πŸ˜”
Jaundice Yellowing of the skin or eyes, due to liver damage. Developing yellowed skin after years of excessive alcohol consumption. 😡
Korsakoff’s syndrome Long-term memory disorder following untreated Wernicke’s. Struggling to remember recent events due to alcohol-related brain damage. 🧠
Legless So drunk you can barely stand (Scottish slang). Stumbling home legless after a night out. πŸ₯΄
Loss of interest Withdrawal from hobbies, social life, and daily activities. No longer attending family events due to drinking. πŸ˜”
Mad wae it (MWI) Comprehensively drunk (Scottish slang). Getting mad wae it at the festival. πŸ₯΄
Malnutrition Inadequate nutrition caused by poor eating habits or absorption issues. Losing weight due to prioritizing alcohol over proper meals. 🍽️
Managed Alcohol Programme (MAP) Structured support including measured alcohol for people with severe, chronic dependence. Joining a MAP to stabilize severe alcohol dependence. 🍺
MCV (macrocytosis) Enlarged red blood cells, often seen in chronic alcohol misuse. Detecting macrocytosis in a blood test of a heavy drinker. 🩺
Memory impairment Short-term memory problems caused by intoxication or long-term misuse. Forgetting recent events after heavy drinking sessions. 🧠
Mortal Totally drunk; incapable (Scottish slang). Being mortal after too many drinks at a wedding. πŸ₯΄
Mutual aid Peer-led support groups such as AA and SMART Recovery. Joining a mutual aid group for peer support in recovery. 🀝
Nalmefene (Selincro) Opioid modulator used to help reduce drinking. Taking Selincro to cut down on alcohol consumption. πŸ’Š
Naltrexone Opioid antagonist that reduces rewarding effects and cravings. Using Naltrexone to support sobriety in treatment. πŸ’Š
Neglect of responsibilities Avoiding work, relationships, or self-care due to alcohol use. Missing work deadlines because of hangovers. πŸ“…
Nip Small measure of spirits, especially whisky. Having a quick nip of whisky at the bar. πŸ₯ƒ
Off-licence (offie) Shop licensed to sell alcohol for consumption off the premises. Buying a bottle of wine from the local offie. 🍷
On the lash UK slang for going out drinking heavily. Going on the lash with mates on a Saturday night. 🍻
Onit Drinking alcohol (Scottish slang). We're onit tonight at the bar. 🍻
Pabrinex High-potency parenteral thiamine used to treat deficiency. Receiving Pabrinex injections during detox to prevent complications. πŸ’‰
Palmar erythema Reddening of the palms associated with chronic liver disease. Noticing red palms in a patient with long-term alcohol misuse. 😷
Paralytic Extremely drunk; almost non-functional (Scottish slang). Being paralytic after a heavy night of drinking. πŸ₯΄
Parotid enlargement Swelling of the parotid glands seen in long-term heavy drinking. Observing swollen glands near the jaw in a chronic drinker. 😷
Peers / lived-experience workers People with personal recovery experience providing support. Working with a peer worker to navigate recovery challenges. 🀝
PEth Phosphatidylethanol; direct biomarker indicating recent ethanol exposure. Testing PEth to confirm recent alcohol consumption. 🩺
Peripheral neuropathy Numbness or tingling in hands and feet due to nerve damage. Feeling persistent tingling in fingers from long-term alcohol use. πŸ–οΈ
Pished Drunk (Scottish slang). Coming home pished after the match. πŸ₯΄
Plastered Drunk (Scottish slang). Getting plastered on whisky. πŸ₯΄
Post-traumatic stress disorder (PTSD) Trauma-related condition that may co-occur with alcohol misuse. Managing PTSD symptoms worsened by heavy drinking. 😰
Pre-loading Drinking at home before going out socially. Drinking a bottle of wine at home before a night out. 🍷
Pub crawl Visiting multiple pubs or bars in one outing. Going on a pub crawl through the city centre. 🍻
Rat-arsed Drunk (Scottish slang). Let's get rat-arsed tonight! πŸ₯΄
Recovery Process of improving health and wellness post-addiction. Celebrating one year in recovery from alcoholism. πŸŽ‰
Relapse Returning to alcohol use after abstinence. Experiencing a relapse after six months of sobriety. πŸ˜”
Remission Elimination or reduction of addiction symptoms. Achieving remission from alcohol use disorder. πŸŽ‰
Residential rehabilitation Abstinence-based, structured live-in treatment setting. Entering residential rehabilitation for intensive recovery support. 🏠
Residential Treatment 24-hour non-hospital addiction services. Staying in residential treatment for 90 days. 🏠
Round One person buys drinks for the group in turn. Buying a round of beers for friends at the pub. 🍻
Safeguarding Processes to protect children and vulnerable adults where alcohol misuse poses risk. Implementing safeguarding measures for a child in an alcoholic household. πŸ›‘οΈ
SBIRT Screening, Brief Intervention, and Referral to Treatment approach. Using SBIRT in a clinic to identify and address alcohol misuse. πŸ“‹
Scooby Slang for being drunk and confused (Scottish, β€˜don’t have a scooby’). Not knowing where you are after getting scooby at a party. πŸ₯΄
Secret drinking Hiding or denying alcohol consumption from others. Hiding bottles to drink alone without others knowing. πŸ™ˆ
Session / Sesh A night out drinking (Scottish slang). Having a hoora sesh with the boys. 🍻
Shandy Beer mixed with lemonade or soft drink; lower alcohol. Ordering a shandy for a lighter drink at the pub. 🍺
Skint drink Cheap, often poor-quality alcohol (Scottish slang). Buying skint drink from a corner shop on a budget. 🍷
Sleep disorders (insomnia) Persistent sleep difficulties linked to alcohol use and withdrawal. Struggling to sleep during early alcohol recovery. 😴
Sleep disturbance Difficulty falling or staying asleep; common in heavy use and withdrawal. Waking up frequently at night after heavy drinking. 😴
SMART Recovery Secular, CBT-based mutual-aid programme for behaviour change. Joining SMART Recovery for science-based addiction support. 🀝
Snakebite UK mix of lager and cider, sometimes with blackcurrant cordial. Drinking a snakebite at a student bar. 🍺
Spider naevi Red, spider-like blood vessels on the skinβ€”linked to liver damage. Observing spider-like marks on the chest of a heavy drinker. πŸ•ΈοΈ
Standard Drink Contains 14 grams of pure alcohol (e.g., 12 oz beer). Counting standard drinks to stay within limits. 🍺
Steamin Drunk (Scottish slang). Feeling steamin after too many drinks. πŸ₯΄
Substance Psychoactive compound like alcohol causing health issues. Alcohol as a substance leading to addiction. 🍺
Substance Misuse Harmful use of alcohol in any situation or amount. Preventing substance misuse through education. πŸ“š
Substance Misuse Problems Health or social issues from alcohol misuse. Dealing with job loss from substance misuse. πŸ˜”
Suicidal ideation Thoughts of self-harm or suicide, often linked to alcohol use. Having thoughts of self-harm during heavy drinking episodes. 😒
Swally Alcohol or to drink (Scottish slang). Gon fur a wee swally doon the pub? 🍺
Tanned Drunk (Scottish slang). I tanned ten pints last night! πŸ₯΄
Teetotal Choosing not to drink alcohol at all. Staying teetotal for health and personal reasons. 🚭
Thiamine deficiency Common nutritional problem linked to brain and nerve damage. Receiving thiamine supplements to prevent Wernicke’s encephalopathy. πŸ’‰
Third-sector recovery services Charities or community organisations offering recovery support. Accessing counselling through a third-sector recovery charity. 🀝
Tremors Involuntary shaking, especially handsβ€”common in withdrawal. Experiencing hand tremors during alcohol detox. 🀯
Vasodilation Widening of blood vessels resulting in flushing and warmth of the skin. Feeling warm and flushed after a few drinks. 😳
Wee dram Scottish phrase for a small measure of whisky. Enjoying a wee dram by the fire. πŸ₯ƒ
Weight loss Unintentional loss of weight from poor nutrition and illness. Losing weight due to alcohol replacing meals. 🍽️
Wernicke’s encephalopathy Acute confusion and coordination issues due to thiamine deficiency. Experiencing confusion and eye movement issues during withdrawal. πŸ˜•

In Memory of my son Sean Tierney

and all those lost to Alcoholism