Taylor Swift’s song “Fortnight” has garnered attention for lyrics that include the line “I was a functioning alcoholic.” Swift, who co-wrote the song, has not confirmed if she is referencing her own experience in the track, the first single from her upcoming album. However, she has discussed her decision to give up alcohol in recent interviews. She stopped drinking to prepare for her physically demanding Eras Tour, which she described as requiring her to be in top shape and free from any hangovers.
The term “functioning alcoholic” is not a medical designation, as the correct terminology used in medicine is someone with alcohol use disorder or alcohol addiction. Dr. Lewis Nelson, an expert in addiction medicine, explains that a functioning alcoholic is someone who can appear to lead a normal life despite heavy drinking. However, this is often a misperception, as compulsive alcohol use will eventually take its toll. People with alcohol dependence may be able to hide their consumption initially, but it is only a matter of time before their struggles become apparent to others.
Research has shown that a significant percentage of individuals with alcohol dependence are considered “functional,” particularly those who are middle-aged, well-educated, and have stable jobs and families. However, the term “functional alcoholic” can be misleading, as it suggests that individuals can maintain normal functioning while engaging in excessive drinking. The reality is that alcohol use disorder can affect multiple aspects of a person’s life, even if they appear to be functioning well in some areas.
Alcohol use disorder comes with serious health risks, especially for women. Symptoms of alcoholism include craving for alcohol, loss of control over drinking, and experiencing withdrawal symptoms when not consuming alcohol. A doctor may use tools like the CAGE questionnaire to assess a person’s drinking habits and behaviors. It is important to recognize the signs of alcohol addiction and seek help when needed, as the condition can have damaging effects on both the individual and those around them.
Getting help for alcohol addiction is crucial, and starting with a primary care physician is often a good first step. Treatment options may include medication and behavioral therapies to address the underlying issues contributing to alcohol use disorder. The National Institute on Alcohol Abuse and Alcoholism offers resources such as the alcohol treatment navigator and the “Rethinking Drinking” guide to provide assistance and support for those struggling with alcohol addiction. It is essential to address alcoholism not only for the individual’s well-being but also for the sake of their relationships and overall health.