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Comment on Researching alcohol interventions for a friend. I’ve seen more ads for alcohol than ever in my life

I quit smoking years ago and I really felt like the world wanted me to quit. Indoor smoking at restaurants was being banned. No more smoking section on flights. Movies were no longer depicting everyone with a cigarette in their mouth all the time like they did in the 60s. Many hotels stopped offering smoking rooms. Nicotine patches and gum were available to help.

I felt like trends in the world were behind me and it helped.

Alcohol is a totally different story. Alcohol is not being banned. It is still someone almost everyone does. It is allowed at restaurants and virtually everywhere else. Everyone I know drinks. They haven’t cracked down on advertising in the same way.

If someone has an alcohol problem and needs to quit, they’re really going to have a much harder time than quitting smoking.

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medgremlin@lemmy.sdf.org ⁨10⁩ ⁨months⁩ ago
Unfortunately, the medications that help with alcohol withdrawal are somewhat dangerous in their own right and need to be fairly tightly controlled. Delirium tremens (the shakes) from withdrawal are usually managed with benzodiazepines like Valium for emergent use and Ativan for prolonged control. The other main maintenance drug for alcohol withdrawal is Librium, and that one is also a benzodiazepine. It would be amazing if there were safe OTC options, but because of the serious damage alcohol does and the dangerous nature of withdrawal from it, it really needs to be closely medically managed. Opiate withdrawal sucks…alcohol withdrawal can very easily kill you outright.

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- scarabic@lemmy.world ⁨10⁩ ⁨months⁩ ago
  You’re right. Serious alcohol addiction can be an in-patient thing. All the more reason it’s strange how we demonize smoking but not alcohol. They both have quite negative long term health impacts, but I don’t think nicotine withdrawal can be fatal. And the whole drunk driving thing…
  
  I know there is a long history of temperance movements and things aren’t as bad as they once were in history. But I think our current age is really lacking a much needed awakening about alcohol.
  
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- RBWells@lemmy.world ⁨10⁩ ⁨months⁩ ago
  Yeah it’s so hard because for most of us, alcohol is food culture, not so much a drug. I drink one cocktail 2 - 3 times a week, only ever one because I don’t enjoy being drunk, and make drinks at parties BUT also always make sure there is something adult, delicious, and not alcoholic plus plenty of soda and pitchers of water because I know not everyone can just pick it up and put it down like that. But most people can & do. Fewer people just smoke a couple times a week.
  
  Humans have been fermenting things to get alcoholic drinks for a really long time.
  
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  - medgremlin@lemmy.sdf.org ⁨10⁩ ⁨months⁩ ago
    Something I’ve seen at some restaurants (ranging from casual to Michelin star) is the increasing prevalence of mocktails. If you mix non-alcoholic ingredients with the same kind of style and objective as mixed drinks, you can make some really tasty stuff.
    
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    RBWells@lemmy.world ⁨10⁩ ⁨months⁩ ago
    Exactly. Not fruit punch. I try to make something complex, with some bitter, some sour, some sweet. Young pineapple tepache or ginger beer, before they get at all boozy are good if you aren’t serving actual recently recovering alcoholics as they are non-intoxicating and delicious and complex. Grapefruit juice non alcoholic cocktails are also good and complex.
    
    Chinotto soda or Malta can also be good adult choices for a party.
    
    Usually even the drinkers at a party like the non alcoholic fancy drinks. And Diet Coke is always popular too.
    
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untrainedtribble@lemmy.world ⁨10⁩ ⁨months⁩ ago
I just had my 2 year sobriety birthday this month and I completely agree with you, however, I do think the culture in America is shifting. Millennials aren’t drinking AS much and Gen Z much much less. The social pressure to drink is waning somewhat and I live in a state that has the most drinking per capita in the country.

There’s a lot of N/A beers that have gotten much better to give people quitting an alternative (like nicotine gum or patches). Long way to go but I do think it’s trending in a positive direction for people struggling. I understand this isn’t something some people feel comfortable with - I was very hesitant to try one for the first time after quitting because I wasn’t sure if it would spark the urge to drink real beer more but it’s been great for me.

I don’t see a world where alcohol is restricted as much as public smoking but having alternatives is a big thing for me to feel less awkward in drinking social settings where i still feel like I’m participating in a healthy way for me.

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- scarabic@lemmy.world ⁨10⁩ ⁨months⁩ ago
  Good to hear about the youth trends. The industry has gotten creative in going after them with all manner of sweet alcoholic coolers and such. I guess that’s been going on for a long time.
  
  It does seem that young people these days are doing considerably less drinking, fucking, and fast driving than when I was their age. As a parent, I suppose I am glad for this, even though it seems to come along with some bad stuff like spending less time outside and social media zombification.
  
  Glad to hear that near beer helps you. I have tried it and didn’t find it sparked anything for me, but it also didn’t do anything for me either, and I felt conspicuous with it in my hand. Maybe that’s all better now with more options that are higher quality.
  
  Congratulations on your anniversary! I will raise a La Croix to you today.
  
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  - SCB@lemmy.world ⁨10⁩ ⁨months⁩ ago
    
    the youth
    
    Gonna make us both feel old but Gez Z is increasingly old enough to drink legally. My daughter is tail end of Z and she’s 18.
    
    Thumbs up to the rest of the post tho, that just caught me by surprise so I had to spread that crazy-seeming message.
    
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    scarabic@lemmy.world ⁨10⁩ ⁨months⁩ ago
    I don’t really have a grip on the names folks give these generations, and that’s getting more and more the case as time goes on!
    
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GillyGumbo@lemmy.world ⁨10⁩ ⁨months⁩ ago
Tbf, most of the reasoning behind the “help” you got for smoking was because it actively endangers those around you. Alcoholism, by an extremely large margin, affects those around you much less.

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- captainlezbian@lemmy.world ⁨10⁩ ⁨months⁩ ago
  That’s very much not true. Smoking will always negatively impact those around you, and drinking can be done fine. But when you’re getting to the point where you’ve decided to quit drinking you’ve likely been reflecting on the damage you’ve done to others. Alcoholics in the heat of their addiction range from unpleasant to deadly. Hell that’s why America had a prohibition movement once.
  
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- RBWells@lemmy.world ⁨10⁩ ⁨months⁩ ago
  Alcohol abuse absolutely affects everyone around you. We had a friend who used to say “there is no problem in the world that can’t be made worse with alcohol!”
  
  Even setting aside things like car crashes under the influence and violence under the influence - lost days at work affect your coworkers, hung over parent who can’t help out, alcohol abuse harms others, not just the abuser.
  
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- themajesticdodo@lemmy.world ⁨10⁩ ⁨months⁩ ago
  That last sentence was one of the dumbest things I’ve ever read.
  
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- Sandman89@lemmy.world ⁨10⁩ ⁨months⁩ ago
  With the understanding that I don’t have the knowledge to say that you’re anything but absolutely right, I do think that the damage assessment would be tricky when taking mental health and social wellbeing into account.
  
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zikk_transport2@lemmy.dbzer0.com ⁨10⁩ ⁨months⁩ ago
Indeed. And consequences of alcohol to other people are way more significant than from smoking. Drunk drivers, drunk fights, drunk workers, aggression, depression and so on.

Myself I don’t smoke, but vape. Tabacco smoke stinks really bad that I can’t even stand the smell. My gf who don’t smoke or vape says that my vapor is basically nothing, can’t even smell most of the time, but cigarettes are just disgusting…

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- scarabic@lemmy.world ⁨10⁩ ⁨months⁩ ago
  I know what you mean about consequences to other people. It is significant that second hand cigarette smoke can give other people cancer, though. I think that’s one of the big reasons why cigarette smoking gets banned in lots of places while drinking does not.
  
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