Plenty of people enjoy a social drink, but how do you know when social drinking becomes a problem? The expat community faces a unique set of risk factors for alcohol dependence or alcoholism in Hong Kong. This is according to LEE HAWKER-LECESNE, Clinical Director at respected rehab facility The Cabin Chiang Mai.
Hong Kong fosters a “work hard, play hard” culture, where heavy drinking after long hours is seen as a way to unwind. Expats may also struggle with being apart from friends and family back home, or with the stress of adjusting to a new culture and work environment – all of which can prompt self-medication with alcohol.
Finally, the easy accessibility and affordability of alcohol in Hong Kong further contributes to the risk of excessive consumption. Here, Lee outlines some of the signs of alcoholism in Hong Kong, what alcohol dependence looks like, and how The Cabin can help.
What is the difference between social drinking and alcohol dependence?
Social drinkers can control their intake and stop when they choose; their lives aren’t dictated by alcohol. Alcohol dependence isn’t about occasional indulgence; it’s about a fundamental shift in brain chemistry. The disease hijacks the brain’s reward system, creating an uncontrollable urge to drink despite negative consequences. It’s a chronic condition that requires professional treatment for lasting recovery.
Why are expats vulnerable to alcoholism in Hong Kong?
Expats are often caught in a perfect storm. The pressure to succeed at work, coupled with feelings of isolation and loneliness, can create a strong desire to numb the emotional pain with alcohol. What starts as a casual drink after work can quickly spiral into dependence. It’s crucial for expats to be aware of these risk factors and to seek help if they find themselves relying on alcohol to cope.
Is alcohol addiction a disease?
Absolutely. Alcohol addiction is a chronic and progressive brain disease. It alters the brain’s chemistry and function, leading to cravings, impaired control over drinking, and withdrawal symptoms. This is why willpower alone is often insufficient to overcome addiction. It’s imperative that effective treatment approaches address the underlying changes in the brain.
What are the signs and symptoms of alcoholism in Hong Kong?
It can manifest through a variety of signs and symptoms. While the intensity of these indicators may vary from person to person, some common themes emerge.
One of these is an increased tolerance; this means that over time, individuals may require progressively larger amounts of alcohol to achieve the same desired effect.
Another hallmark sign is the presence of withdrawal symptoms when attempting to stop or reduce alcohol intake. These symptoms can range from physical discomfort like anxiety, sweating and tremors to more severe manifestations in the form of seizures. A critical sign is a loss of control over drinking. Individuals struggling with dependence may find it difficult to limit their consumption or stop altogether once they begin. Furthermore, dependence can be characterised by continued drinking despite negative consequences. This commonly involves problems in relationships, work performance, or even physical health, yet the urge to drink persists.
Preoccupation with alcohol is another significant indicator. This manifests as spending a significant amount of time thinking about, planning for, or obtaining alcohol. You can think of this as craving. As surveillance increases by those close to them, individuals may begin to hide their drinking; this can lead to feelings of fear and shame as they engage in a spiral of more secretive drinking habits.
Finally, dependence can lead to the neglect of responsibilities. Work tasks, hobbies or social activities may be disregarded in favour of drinking. This neglect highlights the disruptive impact alcohol dependence can have on daily life; over time, it can inform a sense of identity loss and a feeling of diminishing control.
Early intervention can make a significant difference in overcoming alcohol dependence and leading a healthier life. A defining characteristic of addiction is its linear and progressive course. If you recognise any of these signs in yourself or someone you care about, it’s crucial to seek professional help.
How do you treat alcohol dependence?
Alcohol dependence is a treatable condition. The Cabin offers a comprehensive programme addressing the addiction’s physical, psychological and social aspects. Their treatment includes medically supervised detoxification to manage withdrawal symptoms safely, individual and group therapy to address the underlying causes and develop coping mechanisms, support groups for peer connection and encouragement, and medication to manage cravings and reduce the risk of relapse.
Why consider The Cabin for alcohol rehab?
Our holistic approach tackles the physical, psychological and social aspects of addiction. We also utilise evidence-based practices, ensuring proven and effective therapy techniques are employed. Crucially, at The Cabin we tailor treatment plans to each client’s specific needs, maximising the programme’s impact. We also ensure that caseloads never surpass the 4:1 ratio for each therapist.
Beyond treatment itself, there is long-term aftercare support to empower individuals to maintain their recovery journey.
What is life after treatment like?
Overcoming addiction is a remarkable feat, and it will bring a deep sense of accomplishment, boosting your self-esteem and confidence. We see this regularly at The Cabin.
As someone who has overcome alcohol dependence through treatment, a world of exciting possibilities awaits. You can expect significant improvements in both your physical and mental health. With restored clarity and a renewed sense of well-being, you’ll be better equipped to navigate the challenges and embrace the joys of living abroad. Rebuilding trust and fostering healthy communication can strengthen your relationships with loved ones back home and help you build a strong support network in your new environment.
Recovery empowers you to take control of your life in your new home. You can pursue your goals and aspirations, free from the constraints of alcohol. This journey paves the way for a more fulfilling life as an expat. Imagine experiencing a renewed sense of purpose, newfound happiness, and a zest for living that allows you to fully embrace your adopted culture and community.
Any advice for someone considering addressing their relationship with alcohol?
There’s no time like the present to address alcohol dependence. The sooner you start treatment, the better your chances of a
full recovery. Addiction can have a serious impact on your health and wellbeing, so early intervention is key to minimising those damages.
We understand the unique challenges expats face in recovery. Cultural and social obstacles can make the process more difficult. Here at The Cabin, our experienced team is sensitive to these issues and provides targeted support to help you overcome them. We offer a safe haven for healing.
Our environment is non-judgmental and supportive, with a team of professionals dedicated to your success every step of the way.
Remember, your life is worth living to its fullest potential. Don’t let addiction steal your happiness and health. You deserve a fulfilling life abroad, free from the constraints of alcohol.
What are some potential health issues associated with alcoholism?
Excessive alcohol consumption can lead to a range of serious health problems, including liver damage (cirrhosis), heart disease, stroke, various cancers, pancreatitis, mental health problems like anxiety and depression, a weakened immune system and brain damage.
If you suspect that you or someone you know is struggling with alcohol dependence, reach out to The Cabin Chiang Mai at thecabinchiangmai.com.
This article about when social drinking becomes a problem and treating alcoholism in Hong Kong first appeared in the Autumn 2024 issue of Expat Living magazine. Subscribe now so you never miss an issue!
Want to take a look inside The Cabin? Check out our article about it here.
