From Buzz to Burnout: How Alcohol Affects the Brain and Body

At the best of times, alcohol makes us feel great — relaxed and gregarious, warm and fuzzy, happy and confident. But at the worst of times, it can morph into a serious problem, damaging our relationships, our health, and our lives as a whole. On this encore episode, we explore our relationship with alcohol. Why we consume it, how it affects us, and when it’s time to quit.

We talk with surgeon and recovering alcoholic Charles Knowles about how booze affects our brains and health, and what finally pushed him to give up alcohol for good; we hear about a trend known as “California sober,” and why so many people are embracing it; and we find out how zero-proof cocktail bars are helping some people socialize without the booze.

• Charles Knowles was barely a teen when he discovered the power of alcohol to transform him from a shy outsider into the life of the party. But as he got older, and sank deeper into drinking, alcohol stopped being fun — and started affecting his health and his life. We talk with Knowles, a surgeon and physician, about what makes some people more vulnerable to problematic drinking, how alcohol affects our brains, and how his life changed once he stopped drinking. Knowles’ book is “Why We Drink Too Much: The Impact of Alcohol on Our Bodies and Culture.”

• For a lot of former drinkers, “sobriety” means total abstinence — no alcohol, or any other substances that produce a similar buzz. But recently, a new, more permissive version of sobriety has been gaining popularity: “California sober.” It involves embracing cannabis and psychedelics as a means of avoiding alcohol and hard drugs. Reporter Andrew Stelzer tracks the origins of this phenomenon, why some people find it helpful, and what researchers have to say about it.

• One of the hardest parts about sobriety for a lot of people is dealing with the social impact. Not only is alcohol a social lubricant — it’s often at the center of social events themselves. But recently, some entrepreneurs have been creating alternatives in the form of zero-proof cocktail bars. Pulse reporter Alan Yu visits Philadelphia’s Bar Palmina to find out who goes there, and why.