Knowing the Signs of Intoxication and Drunkenness
According to one study, sleeping badly and drinking alcohol can affect an individual’s brain in similar ways. When your neurons are exhausted, you may notice that you’re slower to respond, your movements are weaker, and you can’t concentrate.
In some cases, individuals may experience sleep drunkenness, a state of confusion and disorientation upon waking, which can mimic the effects of alcohol intoxication.
This helps us understand why it can be so hard to function without a solid night’s rest. However, it also makes it difficult to discern whether someone else is inebriated, or simply needs to sleep.
If you believe someone you know might be abusing alcohol, it’s important to know the signs. Today, we’re sharing how to tell if someone is drunk so you can better distinguish between the two conditions.
Understanding the Effects of Sleep Deprivation
Sleep deprivation can wreak havoc on both your physical and mental health. When we miss out on sleep, our brain’s ability to function properly is significantly impaired.
This leads to decreased cognitive performance, memory lapses, and difficulty concentrating. Research shows that chronic sleep deprivation can also increase the risk of serious health conditions, such as diabetes, high blood pressure, and cardiovascular disease.
It is worth noting that diabetes can also be induced by alcohol itself.
Mentally, the effects are just as severe. Lack of sleep can lead to mood swings, irritability, and even depression.
Over time these mental health issues can compound, making it difficult to function properly in daily life. It’s clear that getting enough rest is not just about feeling refreshed; it’s about maintaining overall health and well-being.
The Brain on No Sleep
We’ve all been there. Maybe you’re cramming for a test in the morning, or trying to finish a big project at work before the deadline. You may simply be up all night with a newborn.
No matter what’s keeping you awake, you likely feel the effects throughout your body and mind. Mentally, you may experience memory lapses, or find it difficult to focus on the task in front of you. Physically, your motions might be slower and less sharp.
What’s going on?
Put simply, skipping out on sleep robs our neurons of their ability to function properly. This can lead to lapses in cognitive function, affecting how we perceive and interact with the world around us.
The Impact of Sleep Deprivation (aka: My Wife or Husband Acts Drunk When Tired)
Disruptions in brain waves during sleep deprivation can significantly impair cognitive performance, leading to memory lapses and difficulty concentrating. You may experience visual stimuli throughout the day, but you’re unable to respond to them as quickly as you could if you were well-rested. Other changes you might experience include:
- Delayed reaction times
- Poor judgment
- An inability to judge distance or speed
This can be especially dangerous if you’re behind the wheel. While there are laws in place to keep drunk drivers off the road, no such standards or regulations exist to prevent sleepy individuals from getting into the driver’s seat. Drowsy driving can be extremely dangerous, and research shows it leads to nearly 3% of all traffic accidents.
The same research also reveals that when someone has been awake for more than 18 hours, the effect on their body is akin to having a blood alcohol concentration (BAC) of 0.05. That number escalates to 0.10 if they pass the 24-hour mark with no sleep.
While you might be able to tell when it’s time to take a break and rest, it can be much more difficult to detect these symptoms in others. This is especially the case if you know someone who has been drinking alcohol frequently, or has a history of alcohol abuse.
In this case, it helps to understand the telltale signs of intoxication, and how they differ from sleepiness.
Sleep Disorders and Mental Health
Sleep disorders, such as sleep apnea, insomnia, and restless leg syndrome, can have a profound impact on an individual’s mental health.
Studies have shown that people suffering from sleep disorders are more likely to experience depression, anxiety, and other mental health conditions. These disorders can disrupt the sleep cycle, leading to chronic sleep deprivation and its associated risks.
Moreover, sleep disorders can exacerbate existing mental health issues, creating a vicious cycle that’s hard to break. For instance, someone with anxiety may find it difficult to fall asleep, and the resulting lack of sleep can worsen their anxiety.
Addressing sleep issues is therefore a crucial part of any comprehensive mental health treatment plan.
What are the Typical Signs of Intoxication?
As mentioned, there are certain side effects that individuals can feel whether they’re tired or drunk. These are mostly mental in nature, and include a loss of concentration, focus, and memory, as well as coordination.
It’s also important to consider that certain medical conditions, such as mental health disorders or the use of specific medications, can contribute to the occurrence of sleep drunkenness.
However, those similarities aside, there are also key symptoms of intoxication that are distinct from sleepiness. These can be divided into five separate categories depending on the part of the mind or body they affect. These categories include:
- Appearance
- Attitude
- Behavior
- Speech
- Other
Let’s take a closer look at each one.
Appearance
When someone is drunk, you may notice certain changes in their appearance, especially on their face. For instance, their eyes may appear glassy, watery eyes, or bloodshot and their eyelids might be droopy, their pupils also may be affected. In addition, their face might look flushed.
Beyond those differences, pay attention to their expression. Often, people who are drunk will have blank stares on their faces or will appear to be dazed. While this can also occur when someone is just tired, these side effects in the presence of other physical changes could point to intoxication.
If they’ve had too much to drink, you may also notice body tremors or slight twitching. Their clothing might look rumpled or disheveled, along with their hair.
Attitude
If you’re used to spending time with someone sober, it can be easier to tell when they’ve been drinking. That’s because a drunk person will often take on a different type of attitude. They might go from calm and collected to loud and obnoxious, for example.
While alcohol is a CNS depressant, it can also make people more combative and easily irritated.
They may become argumentative or defensive, especially if you bring up their drinking or suggest that they stop. Even in a normally peaceful person, there could be signs of aggression.
At the same time, intoxicated individuals can also display the opposite attitude. They may become overly warm and friendly, even to the point of being inappropriate. This can lead to boisterous behavior all in the name of “fun” as well as unwanted advances.
These attitude changes are much less likely to occur in someone who is tired, and are usually always a sign of being drunk, not sleepiness. While a person running on little to no sleep might appear short-tempered or impatient, it doesn’t usually escalate to the degree that intoxication leads to.
Behavior
Often, behavioral changes are some of the first differences you’ll note when someone is drunk. While some are relatively obvious, such as stumbling or swaying while walking, others are more subtle.
These behavioral changes can be particularly challenging for family members, who may struggle to understand and cope with the erratic actions of their loved one.
Some of the most common differences in behavior include:
- An inability to sit straight
- Overly emotional (e.g. crying or moody)
- Overly animated and entertaining
- Making crude or inappropriate gestures
- Failing to focus or make eye contact
- Falling down or falling out of a chair
- Acting clumsy
- Acting confused or disoriented
- Acting agitated or anxious
- Drowsiness or falling asleep
- Grinding teeth
- Vomiting
At first glance, some of these alcohol side effects could also be attributed to someone who’s functioning without much sleep. For instance, simply acting anxious doesn’t necessarily mean that someone is drunk. The same goes for anyone who acts drowsy or even falls asleep at the table.
However, it’s important to look at these behaviors in context. If someone you know is acting anxious and they’re stumbling or having a hard time connecting the rim of their drink with their mouth, this could mean they’re inebriated.
The more symptoms you can link together, the higher the likelihood that it’s alcohol, not sleep deprivation, that’s behind the behavior.
In some cases, alcohol-related behavioral changes affect not only how the person acts in the moment, but also the decisions they make. For example, someone who’s drinking excessively at a bar might suddenly become less cautious with their money and offer to buy the whole restaurant a round.
Speech
If someone’s acting drunk in other ways, pay close attention to the way they talk. As they consume more and more alcohol, their speech may start to seem thicker or more slurred than usual.
You may also notice changes in volume. Even someone who’s typically soft-spoken can become obnoxiously loud when they’ve taken too much alcohol into their system. Then, once they notice that they’re doing so, they may get incredibly quiet. These repetitive changes are a sign that they’re not socially aware of their actions and what’s going on around them.
In addition to the tone and volume of their speech, focus also on the topics they’re talking about. In this case, both tired and drunk people may ramble on about seemingly random topics, without a logical train of thought that you can follow. However, a distinguishing characteristic of being drunk is that the person may talk coherently, but on topics that are out of character.
For instance, someone who’s normally humble and quiet may launch into a tirade of boasting or bravado. They may also repeat themselves over and over again, or make statements that are irrational. When you ask them a question, they may be slow to respond.
While you can assign some of these changes to a tired person, context still matters. When someone’s tired, they’re usually more inclined to stay quiet or give short answers. They aren’t as likely to speak loudly, make bold claims, or repeat themselves.
Other
While these are some of the most common signs that someone is drunk, they aren’t the only ones. There are other signs and side effects to look out for, such as:
- The smell of alcohol on their clothes, hair, or breath
- Excessive perspiration
- Frequent trips outside or to the bathroom
The Stages of Being Drunk: What to Look For
When someone is severely drunk, their life could be at risk. This condition can lead to a range of serious health conditions, such as:
- Dehydration
- Seizures
- Vomiting
- Physical injuries
- Coma
- Death
In cases where sleep drunkenness is suspected, a sleep study can be conducted to monitor various health indicators and help identify underlying causes.
When you know what to look for, you can help your loved one seek help for alcohol, so they don’t reach this level. Usually, there are a few different stages that someone will go through when they drink. Let’s take a look and the effects associated with each one..
Sobriety
If someone has consumed one or fewer alcoholic drinks in an hour, they are considered sober, or low-level intoxicated. Most of the time, they will feel and act like their normal selves unless their tolerance is very low.
Tipsy
Usually, men will start to feel tipsy when they consume two to three alcoholic drinks in one hour. Women will feel this way after consuming just one to two drinks in the same timeframe. Feeling tipsy is the first inclination that the alcohol is having an effect on one’s body.
At this point, the alcohol has entered their bloodstream and has started to affect their brain and body. Some of the changes you might notice include:
- Increased talkativeness
- A higher likelihood of taking risks
- Poor short-term memory
- Slowed motor responses and reflexes
- Shortened attention span
The tipsy stage can also bring a sense of euphoria.
Excited
If a man consumes three to five drinks in an hour (two to four drinks for women), he may shift from feeling tipsy to feeling excited. At this stage, a person is technically considered to be drunk.
Some of the changes you might notice include:
- Emotional instability
- Easily excited
- Easily saddened
- Difficulty recalling events
- Difficulty making decisions
- Blurred vision
- Unbalance
- Sleepiness or drowsiness
If sleepiness is the only symptom present, don’t automatically assume the person is drunk. Look for the other signs listed herein to determine if alcohol is behind their actions.
Disorientation
Confusion and disorientation can happen in the next phase. This happens when a man drinks more than five drinks per hour (more than four per hour for women). The most common side effects at this stage include:
- Emotional outbursts
- Loss of coordination
- Significant confusion
- Inability to feel pain
Someone who is disoriented may also black out or move in and out of consciousness, even if they remain awake.
Stupor
When someone is in a drunken stupor, they are essentially unable to respond to the things going on around them. If they can stand or walk at all, it won’t be for very long.
They may even pass out completely and lose control of their functions and approach alcohol poisoning. Physically, you may notice that their skin has a bluish tint or looks pale. They may even have seizures.
This is a very dangerous stage to be in, and the one that directly precedes death. Other critical conditions to look out for include:
- Changes in breathing patterns
- Loss of natural gag reflex
The gag reflex is especially important. If someone who is drunk vomits and cannot gag correctly, they could choke on their vomit. They’re also at risk of becoming critically injured. If you believe that someone has entered into this stage of intoxication, help them seek detox and treatment help as soon as possible.
Distinguishing Between Drunk and Tired
While the symptoms of being drunk and tired can often appear similar, there are distinct differences that can help you identify whether someone is experiencing alcohol abuse or dealing with a sleep disorder.
Understanding these differences is crucial for providing the right kind of support and intervention.
Signs of Fatigue
Fatigue can manifest in various ways, affecting both the mind and body. Common signs of fatigue include:
- Difficulty concentrating and paying attention
- Memory lapses and forgetfulness
- Difficulty making decisions and solving problems
- Physical symptoms such as headaches, muscle aches, and stomach problems
- Mood changes, such as irritability, anxiety, and depression
These symptoms can make it challenging to function properly in daily activities and can significantly impact one’s quality of life.
Signs of Sleep Drunkenness
Sleep drunkenness, also known as confusional arousal, is a condition where a person experiences confusion and disorientation upon waking. Signs of sleep drunkenness include:
- Disorientation and confusion upon waking
- Difficulty speaking and responding to questions
- Acting confused, agitated, or aggressive
- Difficulty with coordination and balance
Episodes of sleep drunkenness can last from a few minutes to up to an hour and can be quite alarming. It’s essential to note that sleep drunkenness can be a symptom of an underlying sleep disorder or other medical condition.
If you or a loved one is experiencing frequent episodes of sleep drunkenness, it’s crucial to seek medical attention to rule out any underlying conditions.
By understanding these signs and symptoms, you can better distinguish between someone who is drunk and someone who is simply tired or experiencing a sleep disorder. This knowledge is vital for providing the appropriate care and support, whether it involves addressing potential alcohol abuse or seeking treatment for sleep disorders.
Know How to Tell If Someone Is Drunk or Tired (or Experiencing Sleep Inertia)
While many of the symptoms of being drunk mimic those associated with sleepiness, the two conditions are markedly different. In this post, we’ve shared some of the side effects you will notice as someone moves from one stage of intoxication to the next.
Are you still wondering how to tell if someone is drunk? If they exhibit many of these symptoms at once, they are most likely drunk and not just tired. If this happens regularly, there’s a chance that the individual could be suffering from alcohol use disorder.
At Purpose Healing Center, we provide a range of treatments and therapies designed to help patients break free of addiction and embrace a healthier future. As a Joint Commission-accredited treatment center with locations in Scottsdale and Scottsdale, we’ll meet you where you are and walk with you through this journey. To learn more, visit or contact us today.
480-579-3319