[Podcast] Addiction in Emergency Medicine and Acute Care

Binge drinking can look harmless right up until it doesn’t. If you only drink on weekends, vacations, or big nights out, it’s easy to tell yourself you’re fine because you’re not drinking every day. But the consequences of one high-risk night can be life-changing, and clinically, intermittent heavy drinking can still meet criteria for an alcohol use disorder.I’m joined by Colleen Clifford, a former binge drinker who spent 36 years working at sea as a commercial fisherwoman and is now transitioning into health coaching to help clients manage binge drinking and binge eating. Colleen shares the personal grief that shaped her mission, the stories she used to justify “normal” partying, and the turning-point moment that made her drop alcohol for good. We also get practical about what actually counts as a binge, including how “one drink” is often smaller than the glass in your hand.We discuss the DSM-5 criteria for alcohol use disorder, how many people who binge drink do not think they have a problem, and why cravings can still show up years later. Colleen explains how she handles urges by observing them, naming the discomfort, and playing the tape forward. I also share a harm-reduction option many people don’t know about: medications like naltrexone that, for some patients, can be taken before drinking to reduce binge episodes. We wrap with trends like alcohol-free wine and shifting drinking culture across generations, plus Colleen’s core message: it only takes one moment of drinking too much to change your life forever.Subscribe, share this with someone who’s questioning their relationship with alcohol, and please leave a review so more people can find the show.To learn more about Colleen and her work: https://purepotential.health/To contact Dr. Grover: ammadeeasy@fastmail.com