In Secondhand Drinking, Alcohol Misuse, Prevention Resources

Raising employee awareness about alcohol misuse can save employers billions of dollars annually.

Helping employees affected by secondhand drinking understand it and its cause, alcohol misuse, can save employers billions of dollars annually.

Are You Affected by Secondhand Drinking?

Secondhand drinking refers to the negative impacts of a person’s drinking behaviors on others. Drinking behaviors occur with a variety of drinking patterns: binge drinking, heavy social drinking, alcohol abuse and alcoholism.

Lisa Frederiksen helps reduce the impacts of secondhand drinking in the workplace.Generally, drinking behaviors (see side bar) are not “intentional,” unless that’s how the person behaves when sober. Rather they are the result of brain changes caused by the ethyl alcohol chemical in alcoholic beverages interrupting the brain’s electro-chemical signaling process and thereby changing how the brain works.


  • how the body processes alcohol via specific enzymes in the liver which metabolize [rid the body of] the ethyl alcohol chemicals in alcoholic beverages at an average rate of 1 standard drink per hour;
  • standard drink sizes;
  • staying within normal or moderate drinking limits; and
  • the other variables listed in the side bar

can help a person avoid exhibiting drinking behaviors. It can also help a person protect themselves from secondhand drinking.

Two-thirds of the people whose drinking patterns cause drinking behaviors are not alcoholics. They are the binge drinker, heavy social drinker or alcohol abuser. Persons who are not alcoholics – don’t have the brain disease of addiction, aka a dependence on alcohol – have the potential to change their drinking patterns to fall within low-risk, normal or moderate limits.

A person with alcoholism, however, cannot drink any amount – ever – due to brain mapping around the characteristics of this brain disease, which include: cravings, tolerance, physical dependence and loss of control, as well as any untreated, underlying risk factors, such as mental illness or childhood trauma. Alcoholism is a fully treatable disease, however.

Why is Secondhand Drinking a Serious Concern?

Two reasons: the sheer numbers of people affected and its connection to stress.

The primary consequence of SHD’s impacts on a family member or close friend is stress. Coping with drinking behaviors triggers the fight-or-flight stress response system (FFSRS) centered in the limbic system, the reactionary part of the brain.

The FFSRS was “designed” in the human species to prepare a person to fight or run when faced with physical danger, and it causes a number of physiological changes to occur. For example, blood vessels to the skin constrict to lessen blood loss in the event of injury; the digestive system shuts down to conserve glucose needed for energy to run or fight; and heart rate increases to push blood flow to large muscles to allow a person to run more quickly.

The FFSRS also leads to dysregulation of the cerebral cortex (the thinking part of the brain) so that a person reacts immediately without considering the options when confronted with danger. As a result of another brain design feature – “neurons that fire together, wire together” – the brain “maps” the reaction (fight or flight) that kept the person safe. This map becomes a person’s default reaction the next time a similar triggering event occurs. This was especially important back in the day when early man’s only immediate threat was physical danger.

Today, however, and especially in families with untreated alcohol misuse, the FFSRS is more often than not triggered by things other than physical danger – emotional cues, for example, such as simmering fear, anxiousness or anger, memories and constant worry.

What Happens to the Person Affected by Secondhand Drinking?

Coping with drinking behaviors causes ongoing activation of the FFSRS. When a person doesn’t fight or run, all of those physiological changes described above sit – “marinate” – in body organs, like the brain, heart and muscles, resulting in physical and emotional ailments, such as: sleep disorders, migraines, headaches, stomach ailments, changes in eating habits, dizziness, distracted “thinking,” depression, anxiety, memory impairment, heart disease and digestive problems.

In addition to these physical and emotional impacts, the chronic activation of the FFSRS causes a person to wire unhealthy coping skills, because their brain maps the behaviors that kept them “safe” when confronted with the drinking behaviors. These can include:

  • shutting down emotionally, retreating inside one’s mind when confronted with abusive or scary behaviors
  • being hyperaware of others’ feelings or actions and adjusting one’s own accordingly
  • yelling, crying, blaming, shaming or verbally lashing out
  • carrying pent up, explosive rage that spills out in other situations because it cannot be expressed to the person exhibiting the drinking behaviors
  • attempts to be especially good to make up for or fix the problem
  • withdrawing from family, friends or activities out of embarrassment over the drinking behaviors.

These reactionary coping skills and the physical and emotional consequences change the family member and interfere with their work, school, relationships and ability to see, let alone enjoy, the pleasures in everyday life. All of which explains why family members need help – not a one-size-fits-all kind of help – rather the kind of help that addresses their bio-psycho-social issues in order for them to reclaim their lives in long-term secondhand drinking recovery.

Recovering from Secondhand Drinking

In essence, recovering from secondhand drinking is about repairing and healing the brain and rewiring new brain maps in order to change those compromised by the ongoing stress of coping with drinking behaviors. It is primarily centered around:

  • chemically rebalancing the brain (nutrition, exercise, sleep);
  • becoming aware of one’s cues and current brain maps (mindfulness);
  • fully committing to eating nutrient-rich foods, exercise and sleep; and
  • taking steps to change how one reacts to cues in order to wire new brain maps.

To help readers with these efforts and a more thorough understanding of SHD, I wrote a short eBook, Quick Guide to Secondhand Drinking: A Phenomenon That Affects Millions. [It comes in all eReader formats – the one linked here is to the Kindle version.] Another quick read resource is the Quick Series Publishing pocket guide, Secondhand Drinking.

Additional Employee Training and Resources

To give you an example of one of my online video educational programs, please check out Solution to Reduce Workplace Impacts of Alcohol Misuse and Secondhand Drinking.

To discuss this and other program offerings, please contact me.


Lisa Frederiksen
Lisa Frederiksen has a 39-year career in executive management, consulting, speaking, training and writing and is the founder of and SHD Prevention. She has spent more than 14 years studying 21st century brain research in order to write, speak, and consult on substance use disorders prevention, intervention and treatment; mental disorders; addiction (aka substance use disorders) as a brain disease; adolescent addiction treatment vs adult addiction treatment; effective treatment for co-occurring disorders (having both a substance use and mental disorder); secondhand drinking | drugging; help for the family; and related subjects. Lisa is the author of hundreds of articles and eleven books, including, "Addiction Recovery: What Helps, What Doesn't," "Secondhand Drinking: The Phenomenon That Affects Millions," and “If You Loved Me, You’d Stop!” She is a national keynote speaker with over 25 years speaking experience, consultant, trainer, and frequent guest on radio, TV, and Internet radio shows.
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