Person writing at a desk with an easel in the background, related to autism and alcoholism
Written by: THE BALANCE
Medically reviewed by Dr. Sarah Boss, MD
Last updated: January 20, 2026
Fact checked
Quick Summary
  • Autism, often referred to as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder that can cause significant social, communication, and behavioral challenges.
  • People with autism may have difficulties with verbal and nonverbal communication, social interactions, and understanding the emotional states of others.
  • Alcoholism or alcohol use disorder, on the other hand, is a condition in which an individual cannot control their alcohol consumption despite its detrimental effects on their health, relationships, and daily functioning.
Reading time: 11 min

Autism and alcoholism present a complex interplay that significantly impacts individuals’ lives, with studies indicating a notable association between the two conditions. 

According to recent data, individuals with autism are at a heightened risk of developing alcohol-related issues, with some studies suggesting that up to 36% of adults with autism engage in harmful alcohol use. The challenges posed by autism can contribute to the increased vulnerability of individuals with autism to alcoholism. 

Our luxury rehab for co-occurring autism and alcoholism recognises the unique complexities of addressing these dual challenges and is dedicated to providing specialised, comprehensive care that integrates tailored therapeutic interventions to promote sustainable recovery and overall well-being.

Let’s find out more about this complex relationship.

Autism, often referred to as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder that can cause significant social, communication, and behavioral challenges. People with autism may have difficulties with verbal and nonverbal communication, social interactions, and understanding the emotional states of others. They may also engage in repetitive behaviours or have specific interests.

Alcoholism or alcohol use disorder, on the other hand, is a condition in which an individual cannot control their alcohol consumption despite its detrimental effects on their health, relationships, and daily functioning. It often involves a strong craving for alcohol, loss of control over drinking, and withdrawal symptoms when not drinking.

Is There A Link Between Autism And Alcoholism

Research suggests that there might be a link between drinking and autism, although the precise nature of this connection is still under investigation [1]. Some studies propose that individuals with autism might be at a higher risk of developing alcohol use disorder, while others suggest that the reverse might also be true.

Several factors contribute to this potential link, including difficulties in social interactions and coping mechanisms, leading some individuals with autism to use alcohol as a way to manage the challenges they face in social situations. 

On the other hand, the stress of parenting a child with autism might lead some caregivers to turn to alcohol as a way of coping, potentially increasing the risk of alcohol use disorder within the family [2].

Are People With Autism Less Likely To Misuse Alcohol

While some studies suggest a higher susceptibility to alcohol use disorder among individuals with autism, other research indicates that individuals with autism might be less likely to misuse alcohol compared to the general population. This reduced risk could be attributed to factors such as a preference for routine and structure, which might make individuals with autism less inclined to engage in substance abuse.

Furthermore, the aversion to change and sensitivity to sensory stimuli often associated with autism may act as protective factors against the development of alcohol use disorder. However, it’s essential to note that these are general trends, and individual experiences can vary significantly.

Statistics On Alcoholism And Autism

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), approximately 15 million people in the United States have alcohol use disorder. 

However, specific data regarding the prevalence of alcohol use disorder among individuals with autism is relatively limited. 

Nevertheless, it is crucial to acknowledge that the potential link between the two conditions warrants further research and attention from the scientific community and healthcare professionals.

While it may seem unexpected, individuals with autism might turn to alcohol for various reasons, often stemming from the unique challenges they face. 

Let’s explore some of the motivations behind why some individuals with autism might choose to consume alcohol.

Coping With Social Anxiety

Many individuals with autism experience heightened levels of social anxiety due to difficulties in understanding social cues and norms. Alcohol can temporarily alleviate these feelings of distress and enable them to engage more comfortably in social situations. 

Easing Sensory Overload

Individuals with autism often grapple with sensory sensitivities that can be overwhelming and distressing. Alcohol might provide a temporary escape from sensory overload, creating a sense of calm and relaxation [2]. 

Curiosity and Exploration

Some individuals with autism might be drawn to alcohol out of curiosity or a desire to explore new experiences. This exploration might stem from a genuine interest in understanding the effects of alcohol or a desire to participate in social activities commonly associated with alcohol consumption.

Desire for Structure In Routine

People with autism often thrive in structured environments with predictable routines. However, some might find solace in the predictable effects of alcohol, seeking it as a means to establish a routine or cope with disruptions to their daily schedule.

Social Pressure

In certain social settings, individuals with autism might face pressure to conform to societal norms, including the consumption of alcohol. This pressure can stem from a desire to fit in or avoid standing out from their peers [1].

Seeking Emotional Relief

Alcohol can provide temporary relief from the emotional distress associated with the challenges of autism, such as difficulties in managing emotions and coping with stress. It might serve as a means to escape or numb overwhelming feelings temporarily.

When combined with autism, alcohol use can exacerbate challenges and create additional complications. Let’s explore the effects of alcoholism specifically on individuals with autism.

Increased Vulnerability To Adverse Effects

Autistic individuals might be more susceptible to the negative physical and psychological effects of alcohol due to potential sensory sensitivities and difficulties in processing sensory information. Alcohol can exacerbate these sensitivities, leading to heightened distress and discomfort [2].

Aggravation of Social Difficulties

Alcoholism can amplify the social challenges faced by individuals with autism. Impaired judgment and inhibited inhibitory control can worsen communication difficulties and hinder their ability to navigate social interactions effectively. This can lead to increased isolation and a greater sense of disconnect from their surroundings.

Heightened Behavioral Challenges

The combination of autism and alcoholism can lead to an exacerbation of behavioral issues. Aggressive outbursts, emotional instability, and difficulties in managing routine tasks might escalate under the influence of alcohol, potentially leading to greater challenges in maintaining relationships and employment [1].

Risk of Co-occurring Conditions

Autistic individuals with alcohol use disorder might be at an elevated risk of developing co-occurring mental health conditions, such as anxiety and depression. The interplay between these conditions can complicate diagnosis and treatment, requiring a more comprehensive and tailored approach to address their complex needs effectively.

Impeded Access To Support

Stigma and misconceptions surrounding both autism and alcoholism can impede access to vital support and resources. Individuals might face challenges in receiving appropriate treatment and interventions that consider the unique intersection of these two conditions [2].

Need For Comprehensive, Tailored Interventions

Effective interventions should be comprehensive and tailored to address the specific challenges faced by individuals with autism and alcoholism. These interventions should include strategies that accommodate sensory sensitivities, enhance social skills development, and provide holistic support to manage both conditions concurrently.

Navigating autism and alcohol effects can be challenging, but there are effective ways to provide support and assistance to individuals facing these dual challenges. 

Here are some strategies to help an autistic individual struggling with alcoholism:

Tailored Interventions: Implement tailored interventions that consider the unique needs and challenges associated with both autism and alcoholism. Customised treatment plans should accommodate sensory sensitivities and communication difficulties, ensuring a holistic approach to addressing the individual’s well-being.

Structured Support Systems: Establish structured support systems that offer consistent guidance and assistance. Creating a predictable environment can help individuals with autism manage their daily routines effectively and reduce the likelihood of turning to alcohol as a coping mechanism for disruptions.

Social Skills Development: Offer opportunities for social skills development to improve the individual’s ability to navigate social interactions effectively. Social skills training can equip them with the necessary tools to manage social anxiety and peer pressure, reducing the inclination to rely on alcohol to cope with social challenges.

Sensory-Friendly Coping Mechanisms: Introduce sensory-friendly coping mechanisms that help individuals manage sensory overload without resorting to alcohol. Providing access to sensory tools and relaxation techniques can offer a healthier alternative to alleviate sensory distress and promote emotional well-being.

Create a Non-Judgmental Environment: Foster a non-judgmental and understanding environment that encourages open communication and self-expression. Building trust and rapport with the individual can facilitate discussions about their struggles and enable them to seek help without fear of stigma or criticism.

Educate Caregivers: Educate caregivers and support networks about the specific challenges faced by individuals with autism and alcoholism. Providing comprehensive training and resources can empower caregivers to offer informed assistance and create a conducive environment that promotes the individual’s overall well-being.

Encourage Alternative Coping Strategies: Promote the adoption of alternative coping strategies, such as engaging in creative activities, practising mindfulness, or participating in sensory-friendly exercises. Encouraging the development of healthy coping mechanisms can help individuals manage stress and emotional distress without relying on alcohol.

When addressing the complex interaction of autism and alcoholism, tailored therapeutic interventions play a crucial role in facilitating recovery and promoting overall well-being. 

Our luxury rehab for co-occurring autism and alcoholism offers specialised programs designed to meet the unique needs of high-profile individuals with these dual challenges.

Comprehensive Assessment And Individualized Care Plans

We conduct a comprehensive assessment to understand the specific needs and challenges of each individual. 

Our rehab facility develops personalized care plans that integrate evidence-based practices to address the complexities of both autism and alcoholism concurrently.

Behavioral Therapies And Social Skills Training

At our luxury rehab center, we implement behavioral therapies, such as Applied Behavior Analysis (ABA), to promote positive behavioral changes and develop effective coping strategies. We also incorporate social skills training to enhance communication and interpersonal skills, enabling individuals to navigate social interactions with confidence.

Sensory Integration And Stress Management Techniques

Our programs for dual diagnosis or co-occurring disorders incorporate sensory integration techniques into therapy sessions to help individuals manage sensory sensitivities and reduce the need for alcohol as a coping mechanism. We teach our clients stress management techniques, such as mindfulness and relaxation exercises, to foster emotional well-being and resilience.

Cognitive-Behavioral Therapy (CBT) For Dual Diagnosis

Our luxury facility offers Cognitive-Behavioral Therapy (CBT) tailored to address the dual diagnosis of autism and alcoholism. This therapeutic approach aims to identify and modify negative thought patterns and behaviours, empowering individuals to develop healthier coping strategies and make positive lifestyle changes.

Family Therapy And Support Groups

When required, family therapy sessions are provided to educate and involve family members in the treatment process. Support groups specifically tailored for families of individuals with co-occurring autism and alcoholism are offered, fostering a supportive network and encouraging open communication.

Holistic Approach To Wellness

We highly emphasise a holistic approach to wellness that encompasses physical, emotional, and mental well-being. Alternative therapies, such as art therapy, music therapy, and yoga are offered to promote self-expression, relaxation, and overall balance.

Specialised Medical Care 

At times of need, our rehab facility offers specialised psychiatric care for individuals with co-occurring autism and alcoholism, ensuring proper diagnosis and appropriate medication management when necessary. Medication usage is closely monitored to address any potential interactions or side effects effectively.

1. Healthline. Is There a Link Between Asperger’s and Alcoholism? https://www.healthline.com/health/autism/aspergers-and-alcoholism#is-there-a-link

2. Autism.org. Autism and alcohol. https://www.autism.org.uk/advice-and-guidance/professional-practice/autism-alcohol

FAQs

Can Autism Mask The Signs Of Alcoholism In Individuals?
Yes, autism can sometimes mask the signs of alcoholism in individuals. Due to the challenges in social communication and behavior associated with autism, the symptoms of alcoholism might manifest differently or be more challenging to detect. It’s crucial to consider the individual’s unique characteristics and seek professional guidance to ensure early detection and appropriate intervention.
Should Autistic Adults Drink Alcohol?
While there isn’t a blanket prohibition, autistic adults must understand the potential impact of alcohol on their unique challenges. Moderation, awareness of sensory sensitivities, and mindful monitoring of emotional well-being are essential when considering alcohol consumption.
Can Early Intervention For Autism Reduce The Risk Of Alcoholism Later In Life?
Early intervention that focuses on developing social skills, coping strategies, and emotional regulation can potentially reduce the risk of alcoholism later in life for individuals with autism. 
By addressing the underlying challenges early on and providing targeted support, it is possible to equip individuals with the necessary tools to navigate social interactions and manage stress effectively, reducing the likelihood of turning to alcohol as a coping mechanism later in life.

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