Physical Signs

• Memory and cognition issues: Blackouts (temporary loss of memory), drowsiness, confusion, and nausea.
• Hangover effects: Dehydration, alcohol withdrawal, anxiety (often referred to as ‘The Fear’), and disrupted levels of dopamine and serotonin, leading to mood swings and anxiety.
• Sleep disruption: Poor sleep quality and disrupted sleeping patterns, leaving you feeling unrested.
• Hormonal effects: Changes in oestrogen and testosterone levels, which can affect how drunk you feel, with variations during the menstrual cycle and based on body size.

Behavioural Signs

• Relaxation and sociability: Enhanced, making you feel more outgoing, talkative, and confident.
• Reduced inhibitions and impaired judgment: Can lead to making decisions you might not otherwise make and engaging in risky behaviours that you might avoid when sober.
• Mood swings: Rapid changes in mood from euphoria to irritability or sadness.
• Impaired coordination: Difficulty with motor skills, leading to clumsiness or accidents.
• Slurred speech: Speaking becomes slow or unclear. Additionally, there is an increased likelihood of becoming argumentative or aggressive.