When all the joyful celebrations of the holiday season are over, you may be left feeling in need of a health reset. Maybe you’re considering Dry January—either eliminating or cutting back on alcohol for the first month of the year.
Sarah Wakeman, MD, Mass General Brigham senior medical director for substance use disorders, describes Dry January as a time to examine the role that alcohol plays in your life. “That mindfulness about alcohol use, just like we try to be mindful about diet, exercise, and other health-related behaviors, I think can be a real opportunity. And sometimes you learn something you didn't expect about how alcohol fits into your life,” she says.
Below, Dr. Wakeman explains the health benefits of Dry January and shares tips for cutting back on alcohol throughout the month—and perhaps even beyond.
Dry January is a growing trend where some people choose not to drink any alcohol over the month of January. Others use the time to either cut back or explore their patterns around alcohol use.
“I don't think Dry January has to be an all or nothing thing. It doesn't have to be either you commit to the whole month or you don't,” says Dr. Wakeman.
After the holiday season, many people are already re-examining health-related behaviors and making goals for the new year. Dry January is another opportunity to take a closer look at your alcohol use and think about the way it impacts your health or your life. And whether you don’t drink for the full month or simply cut back, you may notice some surprising benefits.
So, what happens when you stop drinking alcohol for a month?
“The health benefits will vary person to person, based on your own health and how much you were drinking before,” Dr. Wakeman explains. But in general, people may notice certain benefits when they cut back on alcohol use.
Even if you don’t eliminate alcohol completely, you may experience the following changes during Dry January:
Excessive alcohol use has longer-term negative health effects. “Drinking it at higher levels over time can have impact on almost every organ system in the body,” says Dr. Wakeman. The Centers for Disease Control and Prevention describe excessive drinking as 8 or more drinks in a week for women, and 15 or more drinks in a week for men.
Particularly around the holidays, Dr. Wakeman notes, people may drink more than usual. “There is even a term, ‘holiday heart,’ for when people have atrial fibrillation after drinking a large amount, such as over the holidays.” Atrial fibrillation is a type of irregular heartbeat that increases your risk of heart attack and stroke.
Cutting back on alcohol also lowers your risk of:
Reducing the amount of alcohol you drink, especially for a full month, may feel daunting. “Behavior change is hard,” Dr. Wakeman acknowledges. “You want to set yourself up for success whenever you’re trying to make a change.”
Here are some Dry January tips she recommends:
After Dry January is over, it’s important to take it slow when you return to drinking. Your tolerance for alcohol has likely gone down, and drinking a beer or glass of wine may affect you more than it did before.
People may also be more likely to go to extremes after restricting something in their life. After being on a diet, for example, they might instinctively want to eat a lot of food to make up for the time they weren’t able to. The same is true for drinking. “You don’t want to undo any benefit you got from the past month by drinking more than you were in December,” Dr. Wakeman says.
Some people may try cutting back on drinking for Dry January and find that they have a difficult time, or that they’re unable to. They may experience cravings, where they can’t get the idea of having a drink out of their mind. They may feel physical symptoms from drinking less that make it difficult to keep going, like feeling shaky or anxious.
If that happens, Dr. Wakeman says, it’s a sign to talk to someone and get some professional help. It may be a sign of alcohol use disorder, a health condition that affects millions of people in the United States. It happens when someone is unable to control their alcohol use and continues to drink despite negative consequences.
“Alcohol use disorder is an illness. It’s not an issue of willpower or choice,” says Dr. Wakeman. “This is a very treatable health condition.”
There are many different types of treatment available, including medication, therapy, or group support. Mass General Brigham also offers support through Bridge clinics located throughout different communities, where people can walk in and be seen right away for substance use disorder care.
“The most important thing is talk to someone. Don’t worry alone,” she says. “Our hope is always to bring people in as soon as possible, and let them get the compassionate care that they would get for any other health condition.”