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Updated September 16, 1998

Dear Dr. Bill,

Not too long ago a counselor came to our school to talk about drugs and alcohol. He answered a lot of questions for us but didn't have time to answer a question my girlfriend asked. Here it is: You talked about genetics having a lot to do with somebody getting addicted. My girlfriend has no history of addiction in her family. I don't either. Does that mean that if we drink or use other drugs that we won't get addicted?

Interested High School Student

Dear Interested High School Student,

Even if there is no known history of addiction that you know of in your family, there may well be someone who did or does have a problem that is never talked about.... Someone like an "Uncle Joe" who always seems to drink too much at weddings or other family gatherings, yet nobody really talks about it... or the parents of relative who always seems to fall asleep in front of the TV after a few too many beers or comes home most nights after work with the smell of booze on his or her breath, has dinner, and goes to bed (the parents who most nights is just not "there" for you).

Alcoholism (or any other drug addiction, for that matter) is a shame based illness... most families will do anything to keep this type of family history a secret... especially from the kids. These families are awfully goos at hiding problems suggestive of alcoholism, they often go to great lengths to call it something else... I tried to make a point of this during my talk.

So, asking if you can drink without any cause for concern is like handing you a gun with a few empty chambers but with the rest loaded, then telling you to spin the barrel, put the gun to your head and pull the trigger... you never know which chamber is loaded when you fire.

A child of an alcoholic is five times as likely to become addicted as is a peer who had no family history... that does not mean that you have no bullets in your gun, you simply have less! What I mean is: you can't be sure...so , if you do drink or use, you are taking some degree of chance. For some folks, at any age addiction can be almost immediate...for some it may take years to develop a full blown, out of control problem. The catch is, there is no sure way to know how alcohol or other drugs will affect you personally...just as you can't be absolutely sure that there's no addiction hidden in your family tree.

While I'm at it, another of your fellow students asked this of me: Can we have non-alcoholic beer the night before the game?

So called "non-alcoholic" beer still has a small percentage of alcohol (read the label). This actually makes it a low dose alcoholic beverage (dubbed by some in the addiction field as "the future beer drinker's training drink").

For non-alcoholics who are calorie conscious, it's a viable substitute. For an alcoholic, the smell, the feel or sight of t he bottle and all of the other triggers associated with former drinking patterns are often enough to eventually send alcoholics back to the "real thing."

As an aside, why is it so important for you, as a high school student to drink "non-alcoholic" beer or any kind of beer prior to a game? Perhaps beer is already giving you a problem. Think about it!


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Dr. William Van Ost, M.D., F.A.A.P. is a Co-Founder of The Van Ost Institute for Family Living, a non-profit outpatient center for the treatment of addictive illnesses. The center, located in Englewood, NJ offers continuing, free weekly educational lectures.

Dr. Bill welcomes question from readers about addiction and the effects on the family.

Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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