Taylor Swift’s new song “Fortnight” has caused a stir due to its lyrics that include the line “I was a functioning alcoholic.” While Swift has not confirmed if she is referencing her own experiences in the song, she has spoken openly about giving up alcohol in recent months. Swift revealed that she stopped drinking to prepare for her physically demanding Eras Tour, which features long concerts with a 44-song setlist and intense choreography. She expressed a desire to avoid performing with a hangover, highlighting the importance of maintaining a healthy lifestyle.
The term “functioning alcoholic” is informally used to describe individuals who drink heavily but are able to maintain their day-to-day responsibilities such as work and relationships. However, Dr. Lewis Nelson, an expert in addiction medicine, notes that this term is a misperception of reality. While some individuals may appear to be functioning well despite their alcohol use, the consequences of excessive drinking can catch up with them over time. People with alcohol use disorder may develop a tolerance to alcohol, leading them to consume larger amounts without displaying outward signs of impairment.
Research indicates that about 20% of individuals with alcohol dependence were considered “functional” in a 2007 study. However, the National Institute on Alcohol Abuse and Alcoholism now recognizes that the term “functional alcoholic” is misleading as it implies that a person can maintain functionality despite excessive drinking. The agency emphasizes that functionality is relative and that someone may appear to be functioning well in one area of their life while experiencing problems in others. It is essential to understand that alcohol use disorder is a serious condition that can have far-reaching effects on a person’s health and relationships.
Alcoholism is characterized by compulsive alcohol use despite negative consequences. Symptoms of alcohol use disorder may include cravings for alcohol, loss of control over drinking, and withdrawal symptoms when not drinking. To assess if someone may have an issue with alcohol, doctors may use questionnaires such as the CAGE questionnaire, which helps identify problematic drinking behaviors. It is important to recognize that alcoholism can manifest in different ways, and seeking help is crucial for addressing the underlying issues and achieving sobriety.
Help for alcohol addiction is available through medical professionals, addiction specialists, and behavioral therapies. The National Institute on Alcohol Abuse and Alcoholism offers resources such as an alcohol treatment navigator and a “Rethinking Drinking” guide to support individuals in their recovery journey. Alcohol addiction can have profound impacts not only on the individual but also on their relationships and overall well-being. Recognizing the signs of alcohol use disorder and seeking appropriate treatment is a crucial step towards healing and recovery.
