Alcohol: The Overlooked Drug in Our Midst

Most of us are taught from a young age to avoid drugs. Yet, we often overlook that alcohol—legally and chemically a drug—is deeply woven into social rituals, from casual happy hours to celebratory toasts. But if alcohol is a drug, why don't we treat it like one? Let's explore what kind of drug alcohol is, how it affects us, and how it compares to other substances.

How Drugs Are Classified

According to the CDC, a drug is any substance that changes how your mind or body works. Drugs are grouped by their effects, dependency risk, and chemical makeup. Here are the main categories:

• Depressants: Slow down brain-body communication. Examples: sleep aids, anxiety meds.
• Stimulants: Speed up messaging. Examples: caffeine, ADHD medications.
• Opioids: Used for pain relief; can cause euphoria. Examples: morphine, oxycodone.
• Inhalants: Inhaled for psychoactive effects. Examples: aerosols, nitrites.
• Hallucinogens: Alter perception and cause unreal experiences. Examples: LSD, psilocybin.
• Dissociatives: Create feelings of detachment. Examples: ketamine, DXM.
• Cannabinoids: From the cannabis plant. Examples: THC, CBD.

So, What Type of Drug Is Alcohol?

Alcohol is a central nervous system (CNS) depressant. It slows down signals between your brain and body, which is why speech, coordination, and judgment suffer when you drink.

Why Alcohol Is Considered a Drug

Alcohol alters your mental and physical state by changing neurotransmitter activity. It boosts calming signals (via GABA) and suppresses stimulating ones (like glutamate), while also increasing dopamine and serotonin—creating temporary pleasure and reinforcing repeat use. These changes can lead to psychological and physical dependence, hallmark traits of a drug.

How Alcohol Affects Your Body and Brain

• Brain: Disrupts neurotransmitters, affecting mood, behavior, and thought processes.
• Heart: Raises heart rate and increases long-term risks of heart disease and stroke.
• Lungs: Irritates tissue, causes inflammation, and weakens respiratory reflexes.
• Liver: Metabolizes alcohol into toxic byproducts, leading to damage, cirrhosis, or fatty liver disease.
• Pancreas: Triggers inflammation, raising risks of pancreatitis and fibrosis.
• Immune System: Weakens immune response, making you more vulnerable to infections.
• Digestive System: Irritates the GI tract, worsening acid reflux, IBS, and gastritis.
• Cancer Risk: Linked to higher risks of many cancers due to toxins and immune suppression.

How Alcohol Compares to Other Drugs

Despite its risks, alcohol isn’t regulated like other drugs. Key factors make it especially dangerous:

• Legality: No legal barriers to misuse unless a crime is committed.
• Availability: Easily accessible, even via delivery apps.
• Social Acceptance: Often encouraged in social settings.
• Direct Health Impact: Directly causes numerous diseases and cancers.
• High Death Toll: Contributes to over 140,000 U.S. deaths annually—more than all other drugs combined.

Signs of Alcohol Dependence

• Needing more alcohol to feel the same effect (increased tolerance).
• Drinking in secret due to shame or fear of confrontation.
• Choosing alcohol over work, family, or other responsibilities.
• Ignoring negative health or behavioral consequences.
• Experiencing withdrawal symptoms when cutting back or stopping.

Next Steps: Moderation or Sobriety

To avoid dependence, practice moderation or explore sobriety. Enjoy alcohol-free activities, try mocktails, and seek support if you're concerned about your drinking. Tools like the Quitemate app can help you build a healthier relationship with alcohol.

The Bottom Line

Alcohol is a drug, plain and simple. Cultural norms have masked its risks, but understanding its effects empowers you to make intentional choices. Whether you cut back or quit entirely, a mindful, healthier life is within reach.