Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

Stress: Is it time to expose the alcohol con?

Michaela Weaver
Conditions and Diseases
November 10, 2021
Share
Tweet
Share

If you find yourself reaching for a bottle or sighing with relief at a well-deserved glass of wine at the end of a stressful day, then you are not alone.

Far more people than you can imagine do the same thing, and many of them feel ashamed that they do.

Those same people are often baffled to learn that alcohol causes the very feeling that they are drinking to alleviate. Most busy professionals who drink regularly do so to relieve stress.

When I was a busy executive, I drank nightly to relieve stress, reward myself, and relax. Unbeknownst to me, drinking was causing me huge amounts of stress and anxiety, and not just from waking up at 3 a.m. wracked with regret and shame.

I now work with professional women who want to break free from the daily cycle of misery caused by alcohol. When these women first enter my world, I ask them a question, “Do you drink alcohol to alleviate stress?” I have asked over 15,000 professional women that same question in the last two years, and 97 percent of them have said, “yes.”

You may therefore be excused from concluding that alcohol does actually help alleviate stress. After all, it’s one of the main reasons people drink it.

Only alcohol doesn’t relieve stress. Alcohol causes stress, and I’m here to share with you the scientific evidence for that.

Alcohol works as both a stimulant and a depressant, and it is primarily a depressant, which means that it slows down the function of the central nervous system.

One basic feature of us as human beings is that the body always seeks balance. This is called homeostasis. And so, in response to the depressant effects of alcohol, approximately five hours after the last drink was consumed, there is a rush of adrenaline and cortisol in the body as the body tries to speed things back up.

Adrenaline increases heart rate and increases blood pressure, and cortisol is the primary stress hormone. This means that alcohol triggers the human stress response. This is why you wake up feeling anxious after drinking. Apart from anything you may have said or done after a few drinks that makes you feel stressed, your body has gone into a fight or flight stress response. This is where hangover anxiety comes from. It’s real!

But it’s what happens next that is really significant in this remarkable con that has fooled the intelligent world of drinkers.

We wake up feeling awful and promising ourselves that it’s all over. We’re breaking up with alcohol, and today is the day we’re going to crack it! We start off full of resolve and determination. We use the same strength of will that enabled us to become high-achieving, successful people. But it doesn’t work in the alcohol world!

As the day wears on, often supported by caffein because alcohol plays havoc with our REM sleep, the adrenalin and cortisol in our system start to make us feel jittery.

ADVERTISEMENT

You can think of it like a car alarm going off outside the window. At first, you don’t notice it. A little while later it’s mildly irritating, but you’re busy, so you carry on with what you are doing. By mid-afternoon, it’s really getting on your nerves. When you get home you realize that the car alarm has come with you, and now it’s really irritating. In fact, it’s driving you up the wall. Will it just stop?!

You go straight to the fridge with your coat on, all willpower gone, pour a glass, and as it touches your lips, the car alarm goes off. There is peace. There is a huge sigh of relief, and you feel calmer than you have all day. Who wouldn’t?

But alcohol is a con. You are the mark, and it’s making its play. The alcohol temporarily turns off the car alarm only to simultaneously set a timer to turn it back on again five hours later, and this time it makes it slightly louder.

Make no mistake here. Alcohol causes the stress that you seek to relieve.

Apart from the “car alarm” cycle, alcohol causes stress by making us feel guilt and shame and occupying our thoughts and taking up space.

This is especially true when we try to moderate and cut down, and to control our drinking. Let me give you an analogy. Imagine a pie. We’ll call it the Stress Pie.

Your day has challenges. All our days do.

When you finish work you may well have a full Stress Pie: traffic, clients, colleagues, children, and partners. Many things contribute to the pie.

When we drink alcohol, two things happen. Firstly, the pie gets bigger, and secondly, it never gets eaten! We can’t manage stress when we are causing ourselves daily stress. It’s not possible, and no amount of mindfulness or working out can do that.

The pie grows because after we start to become concerned about alcohol, we start feeling guilty and inauthentic. We upset our loved ones at home. We find it all exhausting. We think there’s something wrong with us (there isn’t), and we get more stressed.

Stress is just part of the alcohol con trick. And the truth is that every benefit we have ever imagined alcohol giving us it doesn’t. It is a drug, and it works the same way as all other drugs.

Many of my clients are doctors and nurses, and some are in the role of advisor for alcohol issues, and yet are themselves caught in the alcohol trap. This shows how endemic the problems are and how little is understood.

The great news here is that when you start waking up to the truth, you are beginning to get wise, and that gives you the power to get wiser still.

Michaela Weaver is an alcohol coach.

Image credit: Shutterstock.com

Prev

Direct primary care is an answer to volume-based insurance reimbursement models

November 10, 2021 Kevin 0
…
Next

Surviving medical school with depression [PODCAST]

November 10, 2021 Kevin 0
…

Tagged as: Physician Burnout and Mental Health

< Previous Post
Direct primary care is an answer to volume-based insurance reimbursement models
Next Post >
Surviving medical school with depression [PODCAST]

 

ADVERTISEMENT

More by Michaela Weaver

  • Unveiling the inner dynamics behind high achievers’ success

    Michaela Weaver
  • The high achiever and the motivated drinker

    Michaela Weaver

Related Posts

  • How cartoons can alleviate medical stress

    Dan Rosandich
  • Doctors: It’s time to unionize

    Thomas D. Guastavino, MD
  • Finding happiness in the time of COVID

    Anonymous
  • A medical student’s reflection on time, the scarcest resource

    Natasha Abadilla
  • Pass-fail in medical school. But the stress remains.

    Orly Farber
  • It’s time to ban productivity from medicine

    Robert Centor, MD

More in Conditions and Diseases

  • Shift work and circadian rhythms shape the 24/7 workplace

    Deepak Gupta, MD
  • Telehealth and postpartum psychosis defy simple blame

    Rabia Cheema, MD
  • Underage online gambling needs more than a checkbox

    Kayvan Haddadan, MD
  • Why must fourth trimester care begin after delivery?

    Allison P. Boyle, DPA, PA-C
  • Nutrition during cancer treatment is more than calories

    Dr. Manjari Chandra
  • Why witnessing death outside the hospital felt different

    Denise Moulton, RN
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Stress: Is it time to expose the alcohol con?
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...