How Alcohol Affects the Brain

The rationale was that ethanol is such a small nondescript molecule that it is unlikely to have specific binding sites on proteins and is likely to nonspecifically enter the cell membranes and alter the physical properties of the lipids found in these membranes. Indeed, evidence emerged that ethanol could disorder brain membranes and that chronic alcohol treatment resulted in tolerance to this action (Chin and Goldstein 1977). This was an exciting development—a neurochemical action of alcohol that resulted in tolerance! However, rather large concentrations of alcohol were required to produce small changes in membrane structure. Moreover, it was difficult (perhaps impossible) to show a link between the lipid changes and changes in the functions of one or more proteins that could account for altered neuronal excitability. These considerations lead to a paradigm shift and the search for alcohol-responsive sites on brain proteins (Franks and Lieb 1987; Harris et al. 2008).

Alcohol: Effects on Neurobehavioral Functions and the Brain

The researchers noted that men who had more than 2.5 drinks per day showed signs of cognitive decline up to six years earlier than those who did not drink, quit drinking, or were light-to-moderate drinkers. Scar tissue impairs the liver’s ability to create proteins, filter the blood, and other bodily functions. Over time, excessive drinking can lead to mental health problems, such as depression and anxiety.

How Alcohol Affects the Brain

The Adolescent Brain

In concert with studies on chronic alcoholics and populations at risk, studies using acute alcohol challenge are important since they may help to parse out the effects of alcohol neurotoxicity, genetic susceptibility, and environmental factors. The importance of such evidence derives from its direct applicability to driving situations, work-related hazards, and other societally-relevant concerns. Degradation of brain structure appears to underlie alcoholism-related alterations in the selection of cognitive strategies to execute a task, and the new neural pathways taken can be identified with fMRI. These analyses found that a change in processing strategy occurs, where alcoholics use inefficient neural systems to complete a task at hand because the preferred neural nodes or connecting fiber tracks are compromised.

Limbic system structure and function

Thus, excessive alcohol use impairs the executive and motivational functions that determine self-regulation and goal-directed behavior and can, in turn, result in a further increase in alcohol intake, tolerance, and dependence. Consequently, impulsivity seems to mediate alcohol abuse Drug rehabilitation both as a dispositional risk factor and as a consequence of excessive drinking. Even though structural and functional brain damage is partially reversible after several weeks of abstinence (Crews et al. 2005; Nixon 2006; Rosenbloom et al. 2003), the underlying mechanisms are poorly understood. It is clear, however, that the locus and extent of brain damage, as well as the type and degree of impairment, differ across individuals. Such differences suggest that certain factors increase the likelihood of developing cognitive, sensory, or motor impairments with alcohol misuse.

The Immediate Effects of Alcohol on the Lungs

How Alcohol Affects the Brain

In the U.S., data from the 2019 National Survey on Drug Use and Health (NSDUH) shows that over 85 percent of adults aged 18 and older admitted to drinking alcohol at some point in their life, with more than 25 percent engaging in binge drinking. And although light-to-moderate drinking may bring some health benefits, including lowering the risk of heart disease and reducing stress, long-term excessive drinking can wreak havoc on the brain. Researchers have been taking a hard look at the impact alcohol has on these neurotransmitters. A study in Nature looked at how alcohol use disorder (AUD) changes the brain at a genetic level. Scientists compared brain tissue samples from people with AUD to those without, as well as from animals exposed to alcohol.

  • Most agree, however, that executive functions are human qualities, including self-awareness, that allow us to be independent individuals with purpose and foresight about what we will do and how we behave.
  • Alcohol abuse can increase your risk for some cancers as well as severe, and potentially permanent, brain damage.
  • In alcoholics, longer sway path length correlated with smaller volumes of the anterior vermis of the cerebellum, circled in turquoise on magnetic resonance images (correlation plot).
  • The fMRI method is sensitive to metabolic changes in the parts of the brain that are activated during a particular task.

How Alcohol Affects the Brain

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How Does Alcohol Affect the Brain?

At first, you tend to become more confident as alcohol acts as a depressant in the cerebral cortex (which controls inhibition) and reaches no-go receptors in the brain, inducing the release of dopamine – the chemical responsible for pleasure. Many of the effects of heavy alcohol use are reversible or can at least be is alcoholism considered a mental illness significantly improved. Professionals such as physicians, neurologists, addiction specialists, dietitians, psychiatrists, cardiologists, physical therapists and others can all help the recovery process.

For more information about alcohol’s effects on the body, please visit the Interactive Body feature on NIAAA’s College Drinking Prevention website. For more information about alcohol and cancer, please visit the National Cancer Institute’s webpage “Alcohol and Cancer Risk” (last accessed June 6, 2024). Understanding how alcohol affects your brain is key to recognizing its long-term consequences.

How Alcohol Affects the Brain

Problem Solving and Cognitive Control Processes: Then and Now

Sobriety isn’t just about avoiding alcohol—it’s about rediscovering what your brain can do when it’s at its healthiest. Alcohol is one of the most widely consumed substances globally, but its effects on the brain are often underestimated. Understanding how alcohol affects your brain—and the benefits of sobriety—can be a game changer for anyone questioning their relationship with alcohol.