Substance guides

Am I an alcoholic? Understanding alcohol use disorder

Published April 1, 2025 · 8 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

Beyond the label

The term alcoholic carries stigma. Clinically, the diagnosis is alcohol use disorder (AUD), which exists on a spectrum from mild to severe. The question is not whether you fit a stereotype but whether alcohol is causing problems in your life.

Self-assessment questions

Have you tried to cut back and could not? Do you spend a lot of time drinking or recovering from drinking? Have you continued despite problems it caused in relationships? Have you given up activities you used to enjoy? Do you need more than before to get the same effect? Do you experience withdrawal when you stop?

Diagnostic criteria

The DSM-5 lists 11 criteria for AUD. Meeting 2-3 = mild AUD. Meeting 4-5 = moderate. Meeting 6+ = severe. A healthcare provider can conduct a formal assessment.

What to do next

If you recognize yourself in these criteria, take our free substance use screening. Talk to your doctor. Call SAMHSA at 1-800-662-4357. You do not need to have lost everything to deserve help.

The key insight

If alcohol is causing problems and you continue anyway, that is the definition of a use disorder. You do not need to drink every day. You do not need to drink in the morning. You do not need to fit any stereotype.

Authoritative sources

This article references guidelines from: NIDA · SAMHSA · CDC

Frequently asked questions

How do I find help?

Call SAMHSA at 1-800-662-4357 for free confidential referrals, or search our directory.

Is treatment covered by insurance?

Most insurance covers substance use treatment under the Mental Health Parity Act.

Can I get help anonymously?

SAMHSA helpline is confidential. Many recovery meetings and resources maintain anonymity.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.