Experts warn that consuming more than two drinks per week, equivalent to about 100 milligrams of pure alcohol, can be a sign that alcohol use runs in the family. In discussions, psychiatrist and narcologist Vladimir Katorgin, who leads the Neuro-psi clinic, emphasized this connection and the need for careful evaluation within families where drinking patterns appear to recur across generations.
According to the physician, even a habit of two, three, or four glasses of wine weekly may indicate regular drinking that warrants attention. He explained that the moment everyday drinking crosses into a pattern that looks like dependence is not always clear-cut. The boundaries between social use and a diagnosable condition, such as alcohol use disorder, can be subtle and may require a structured assessment to determine whether stages I, II, or III of alcohol dependence syndrome are present. This distinction matters because it guides whether medical monitoring, counseling, or specialized treatment becomes appropriate.
When alcohol consumption begins to affect sleep, mood, or appetite or when the frequency and quantity of intake rise, a consultation with a psychologist or psychotherapist is advised. If initial assessments suggest clinical concerns, the psychologist or psychotherapist can refer the individual to a qualified addiction specialist or psychiatrist for a more in-depth evaluation. This pathway helps ensure that any underlying issues such as anxiety, depression, or stress are addressed alongside patterns of alcohol use.
Recent statements from the Ministry of Health indicate a notable shift in trends. The decline in alcohol consumption in Russia has slowed somewhat in recent years, even though overall consumption of alcoholic beverages has fallen over the past decade. This nuance means that while fewer people may be drinking heavily, a segment of the population continues to drink regularly, highlighting the ongoing need for prevention, early intervention, and accessible treatment options. Public health authorities stress the importance of monitoring drinking habits, offering supportive services, and promoting healthier alternatives to alcohol as part of a comprehensive national strategy. [Source: Ministry of Health]
In clinical discussions, questions sometimes arise about practical matters such as whether beer is a risk factor for certain health concerns—for example, whether beer can influence kidney stone passage. Medical professionals emphasize that managing kidney stones involves a range of factors, including diet, hydration, and underlying health conditions. While beer is not a universal remedy for kidney stones, maintaining balanced fluid intake and seeking medical guidance when symptoms occur remains essential. Patients are encouraged to discuss dietary and beverage choices with their healthcare team to tailor recommendations to their specific health profile. [Attribution: Clinical guidelines and expert consensus]