What Are Signs of High-Functioning Alcoholism?

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Alcoholism doesn’t always look the way people expect. Some individuals maintain successful careers, relationships, and social lives while struggling with alcohol dependence behind the scenes. This is known as high-functioning alcoholism, a term that describes individuals who appear to have their lives together but secretly battle alcohol addiction.

Recognizing the signs of a functioning alcoholic is crucial for early intervention. Left untreated, high-functioning alcoholism can lead to serious health risks, emotional distress, and even alcohol poisoning. If you or a loved one is struggling with alcohol use, professional alcohol detox in San Diego may be the first step toward recovery.

What Is a Functioning Alcoholic?

A functioning alcoholic is someone who meets the clinical criteria for alcohol use disorder (AUD) but continues to fulfill work, family, and social responsibilities. Unlike individuals whose alcohol addiction visibly disrupts their lives, a functioning alcoholic might excel at work, maintain relationships, and avoid legal trouble—at least for a while.

According to NIAAA, alcoholism exists on a spectrum, and functioning alcoholics often fall into the “high-functioning” or “young adult” subtype. Research suggests that nearly 19.5% of individuals with AUD are high-functioning, meaning they can hold jobs and maintain social connections while struggling with addiction.

Signs and Symptoms of High-Functioning Alcoholism

Functioning alcoholics often hide their struggles well, making it difficult for loved ones to recognize their drinking problem. However, there are several red flags to watch for:

1. Behavioral Signs

  • Drinking alone or in secret
  • Making excuses to drink (e.g., stress relief, social events)
  • Engaging in binge drinking but rationalizing it as “normal”
  • Neglecting responsibilities but managing to recover quickly
  • Struggling to control the amount of alcohol consumed

2. Physical Symptoms

  • Increased alcohol tolerance, requiring more drinks to feel the same effect
  • Experiencing mild withdrawal symptoms (e.g., sweating, shaking, irritability) when not drinking
  • Drinking in the morning or throughout the day to avoid withdrawal
  • Using alcohol to self-medicate for anxiety, stress, or sleep issues

3. Emotional & Mental Health Signs

  • Defensiveness or denial when confronted about drinking habits
  • Mood swings or unexplained irritability
  • Prioritizing alcohol over self-care, hobbies, or health
  • Anxiety or guilt about drinking, leading to promises to “cut back”

If you or someone you know displays these warning signs, seeking professional support—such as alcohol rehab in San Diego—can prevent the situation from worsening.

Risks & Long-Term Effects of Functioning Alcoholism

While high-functioning alcoholics may appear in control, prolonged alcohol use takes a toll on their health, relationships, and mental well-being. Over time, the consequences of alcoholism become more severe, including:

  • Liver damage and risk of cirrhosis
  • Increased likelihood of alcohol poisoning and blackouts
  • Worsening mental health issues, such as anxiety and depression
  • Strained relationships with family, friends, and colleagues
  • Higher risk of developing chronic diseases like high blood pressure and heart disease

For a deeper look into how alcohol affects the body, check out:

👉 Alcohol and Aging

👉 Alcohol and Inflammation

Why Choose Coastal Detox of Southern California Located in San Diego?

If you’re searching for alcohol detox in Southern California, Coastal Detox SC provides evidence-based, holistic treatment in a calm and private setting. Our San Diego location offers:

✔ A peaceful recovery environment near the California coastline

✔ 24/7 medical supervision for safe detox

✔ Holistic therapies, including nutrition support, yoga, and mindfulness

✔ Comprehensive dual diagnosis care for co-occurring disorders

For individuals in San Diego, Orange County, and surrounding areas, residential treatment at Coastal Detox SC provides a structured, supportive environment for recovery.

Take the first step today. Call us now or fill out our confidential form to learn more about our evidence-based alcohol treatment programs.

📞 Contact Coastal Detox Today

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Meet Our Team

Coastal Detox of Southern California is composed of an entire team of highly trained substance abuse professionals in recovery.
Phil Castagnola SUDCC program director at Coastal Detox of Southern California

Phil Castagnola, SUDRC

Program Director

Kay Saffe LPCC clinical director at Coastal Detox of Southern California

Kay Saffe, LPCC

Clinical Director

Jeff Swem SUDRC director of operations at Coastal Detox of Southern California

Jeff Swem, SUDRC

Director of Operations

Coastal Detox of Southern California is only a call away.

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Phil Castagnola

Case Manager

Philip Castagnola, SUDCC, is the Program Director for Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Phil has over 15 years of continuous sobriety and is an active Sponsor in the San Diego Alcoholics Anonymous (AA) community. He struggled with substance abuse issues throughout his youth. He started using drugs at the age of 15, having been raised in an environment that normalized heavy drug and alcohol use. He spent a lot of time in and out of various rehab programs before being incarcerated in federal prison, which is where he finally completed an 18-month treatment program and used that time to work the 12 Steps.

After completing his sentence and serving his debt to society, he vowed to continue to give back to others who are going through similar hardships. Phil is passionated about sharing his experience with openness and honesty so that others may find hope for their future and find the strength to break free from the bondage of addiction.

In addition to a successful career as a certified counselor, Phil is also reconnecting with his passion for surfing. Phil surfed professionally in competitions for a few years in his early 20s and even owned his own surf shop (Select Surf Shop) before losing everything to his addiction. Now in his sobriety he is able to once again surf recreationally and in contests, showing that it’s never too late to reclaim your own narrative, overcome substance use disorder, and pursue the life you were always meant to have.

Kay Saffe, LPCC

Clinical Director

Kay Saffe, LPCC,  is a Licensed Professional Clinical Counselor and Clinical Director at Coastal Detox of Southern California. She holds a Master’s Degree in Clinical Mental Health Counseling from the University of San Diego and a Bachelor’s Degree in Psychology from New College of Florida. 

Kay grew up in Miami, Florida and is a first generation American with Argentinian roots. Throughout her youth, she struggled with drinking and substance abuse. Today, she has been in recovery for over 4 years and strives to prioritize her spiritual, mental, and physical health.

A lifelong athlete and ocean lover, she moved to San Diego to pursue her Master’s degree and progress her surfing. She has spent years working as a surf instructor and therapist, working with local non-profits that treat at risk individuals and families in both English and Spanish. She incorporates a mindful and holistic approach to therapy. She is passionate about positive psychology and helping others through their recovery journey.

Jeff Swem, SUDCC

Director of Operations

Jeff Swem, SUDCC, is a Substance Use Disorder Certified Counselor and the Director of Operations at Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Jeff has 6 years of continuous sobriety and is active in the San Diego Alcoholics Anonymous (AA) community. Jeff struggled with substance abuse from a young age and endured some harrowing, near-death experiences before “settling down” into a career as a professional beer brewer. It was during the COVID outbreak that he surrendered to his higher power and made the choice to get sober for good.

After completing an inpatient rehab program and IOP aftercare, Jeff quit the brewing industry and pivoted to become a Substance Use Disorder Certified Counselor so he could surround himself with a caring and supportive sober community and help others who struggle with addiction by leading through example and sharing his personal experience.

Born and raised in San Diego, Jeff is married to his wife of 25 years. They have a son and daughter together, and thanks to the 12 Steps and a successful career at Coastal Detox, Jeff is able to be fully present for them every day, be a positive role model, and show them how it is possible to thrive in recovery.