Understanding Alcohol's Impact on the Neurodivergent Mind

Why Does Alcohol Hit So Differently for Some of Us?

For many, alcohol is a casual part of life, shared laughs over wine, toasts at weddings, or beers after work. But for others, especially those of us who are neurodivergent, alcohol often becomes more than a social lubricant. It becomes a tool for coping, numbing, masking, and over time, a trap.

Alcohol and Dopamine

The Dopamine Dilemma

Alcohol temporarily increases dopamine, the brain’s reward chemical. For neurodivergent individuals, especially those with ADHD or autism, dopamine regulation is already different. We may naturally have lower baseline dopamine, leading us to seek quick-fix ways to feel focused, relaxed, or “normal.”

This can make alcohol feel powerful, like it quiets the chaos or smooths the overwhelm. But over time, it hijacks the reward system, reducing our natural ability to feel joy, motivation, or calm without it. What starts as a glass of wine to unwind can become a hard-to-break dependency.

“Who Am I If I Don’t Drink?”

Social Identity and Giving It Up

For many, alcohol is more than a substance; it’s a social script. Neurodivergent people often already feel different. Giving up alcohol can bring up fresh fears:

Will I still be included?

Will people think I’m dull or broken?

How do I explain why I’m not drinking without oversharing?

But the landscape is shifting. More people, especially Millennials and Gen Z, say no to drinking. Alcohol-free events, mocktails, and sober social groups are on the rise. You’re not alone. You’re evolving.

What Alcohol Really Does to the Brain and Mood

Effects on Mental Health

Alcohol is a depressant. It slows brain activity and impairs emotional regulation, something already challenging for many neurodivergent folks. What feels like “relief” in the moment often leads to:

  • Increased anxiety

  • Sleep disruption

  • Sensory overwhelm the next day

  • Emotional flashbacks or shutdowns

  • A sharp dip in serotonin, contributing to depression

Over time, regular drinking can worsen symptoms of ADHD, anxiety, OCD, and trauma-related disorders. It clouds executive function, which many neurodivergent individuals already find difficult.

Support Resources

Alcoholics Anonymous: Call 0800 9177 650 or visit www.alcoholics-anonymous.org.uk for meetings and support.

Drinkline: Reach out at 0300 123 1110 for confidential advice and support.

Talk to Frank: For information and support, call 0300 123 6600 or visit www.talktofrank.com.

So You’ve Decided to Stop Drinking, Now What?

Giving Up: Coping Without the Crutch

It’s brave. It’s awkward. And it’s 100% possible. Here’s how to start:

1. Know your ‘why.’

Could you write it down? Stick it on your mirror. Return to it when cravings hit.

2. Replace the ritual.

Neurodivergent brains often crave routine and sensory comfort. Try:

➔ Herbal teas in your favourite mug

➔ Ice-cold sparkling water with lime

➔ Fidget tools or mindful snacks at night

3. Reduce sensory overload.

Alcohol can mask overwhelm. Without it, your nervous system may feel more “on.” Use:

➔ Weighted blankets

➔ Noise-cancelling headphones

➔ Soothing playlists or sensory-friendly lighting

4. Use your support network.

Tell one person you trust. You don’t have to go public, but you do need connection. Join a sober curious group or online community.

5. Feed your dopamine, gently.

Explore non-destructive ways to lift your mood:

➔ Movement: dancing, yoga, walking

➔ Novelty: a new podcast, hobby, or recipe

➔ Acts of kindness or creativity

If You Slip Up

If you drink again, it doesn’t mean you’ve failed. It means your system is still learning new ways to self-soothe. Treat the moment with compassion and curiosity. What were you feeling? What support were you missing?

Recovery from alcohol isn’t about shame, it’s about rewiring. And that takes time.

Neurodivergent therapist

Written By Becky Stone

I’m Becky Stone, a qualified eating disorder therapist based in the UK. I support teens and adults who want a healthier relationship with food, alcohol, and themselves. As someone with lived experience of ADHD and recovery, I understand how easy it is to mask pain with habits that seem helpful, until they’re not. My work is trauma-informed, neurodiversity-affirming, and rooted in compassion.

You Are Not Too Much. You Are Enough Without Alcohol

Giving up alcohol doesn’t make you dull, broken, or awkward. It makes you brave. Especially if you’re neurodivergent, quitting alcohol may be the first time you truly get to meet the unmasked, real you.

And that version? I want you to know that it does deserve your full attention.