Secret drinking: what it means and when to seek support

Page last updated Tuesday 15th Sep 2026
victoria mccann, communications Director at Castle Health
Page written on 15th September 2026 by Victoria McCann, Communications Director

Secret drinking is a recognised pattern in alcohol dependency, and is one of the more telling signs that a relationship with alcohol has become difficult to manage openly.

The concealment tends to develop gradually, through small adjustments made over time to keep something private that has become hard to account for. That gradual quality is part of what makes it difficult to see clearly – from the inside or from outside it.

Understanding what drives the pattern, how it develops, and what it typically points to is useful whether the concern is your own or someone else’s.

Two family members, probably mother and daughter, discussing how it feels to be an adult child of alcoholic parents

What is secret drinking?

Secret drinking means actively hiding alcohol use from others. That might mean concealing what you drink, how much, or how often.

The key difference between drinking alone and drinking in secret is concealment. Someone who has a glass of wine by themselves on a Tuesday evening is not doing anything hidden. Secret drinking is about keeping alcohol out of view, out of conversation, and away from people who might notice.

It’s a pattern that can go unrecognised for a long time, including by the person involved.

Is secret drinking a sign of alcohol dependence?

Secret drinking can be a sign of alcohol dependence, but it doesn’t mean someone is definitely dependent.

The wider pattern matters more than any single behaviour. According to the Health Service Executive, signs of alcohol dependence include:

  • Difficulty controlling how much or when you drink
  • Increased tolerance (needing more alcohol to feel the same effect)
  • Continuing to drink despite negative consequences
  • Cravings
  • Withdrawal symptoms

Not all need to apply for it to be a concern.

Why do people hide their drinking?

Research has identified shame, fear of judgement, and stigma as reasons people delay seeking help or never seek it at all. 

People may also hide drinking because they’re worried about their family or job, or because cutting down has started to feel difficult.

Secret drinking is not always about deception

The National Institute on Alcohol Abuse and Alcoholism stated how stigma can make it harder for people to acknowledge or disclose a problem. Secrecy is often a response to shame or fear of being judged. This is understandable, but the deception often causes more shame or guilt.

Under-reporting of alcohol consumption

Research found that self-reported alcohol surveys typically capture only 40–60% of actual alcohol sales. 

dr peter mccann sitting for a media and press enquiry from a journalist

44% of men and 31% of women

The Royal College of Physicians estimates that once under-reporting is accounted for, 44% of men and 31% of women exceed weekly recommended limits – far higher than industry figures suggest.

A therapist and a patient discussing the patient's addiction to legal drugs

Signs someone may be hiding their alcohol use

According to Drinkaware research from 2024, almost three in 10 UK adults felt concerned about someone else’s drinking in the past year. If you have noticed changes in someone in your life, these are some signs to look for.

Physical or practical signs
  • Breath that smells of alcohol at unusual times of day
  • Alcohol hidden away
  • Empty bottles concealed or disposed of away from home
  • Frequent, unexplained trips to shops or the car
  • Refilling spirit bottles with water
Emotional and behavioural signs
  • Defensiveness or evasiveness when drinking habits come up
  • Irritability or anxiety that seems out of proportion
  • Avoiding eye contact, speaking slowly, or keeping distance from others
  • Chewing gum or using heavy perfume to mask the smell of alcohol
  • Seeming tired, unwell, or low without a clear explanation

 

Relationship or work-related signs
  • Withdrawal from social events or regular activities
  • Unexplained financial concerns withdrawn cash, hidden transactions
  • A decline in work performance or reliability
  • Pulling back from close relationships without clear reason

"I contacted Castle Health [formerly CATCH Recovery] with a view to getting online support after a period in rehab. They recommended recovery coaching and arranged for me to meet my coach in person as the first of 10 meetings. I continued the coaching on Zoom as I live in France. I was very happy with my 10 sessions and feel I am in a good place to continue my recovery."<br />

Bev Brown, Castle Health patient

When drinking in secret becomes harder to control

Signs that professional support may be helpful
  • Finding it hard to cut down, even when you want to
  • Needing a drink to feel steady or to start the day
  • Hiding alcohol repeatedly, and finding the concealment is getting more elaborate
  • Noticing withdrawal symptoms – shaking, sweating, feeling anxious – when you have not had a drink
  • Relationships or work being affected
  • Feeling frightened by your own drinking

Secret drinking becomes more of a concern when it happens regularly, is being used to manage stress or emotions, or when even stopping briefly feels difficult.

If several of those signs feel familiar, speak to someone.

What are the risks of secret drinking?

The biggest risk is that things stay hidden longer than they need to, and become harder to address. According to the NHS, whilst there’s no ‘safe’ level of drinking, regularly drinking above 14 units a week is associated with increased risk of:

  • Liver disease
  • Heart disease
  • Stroke
  • Cancers.
  • Ill mental health, including anxiety and depression.

As well as physical health, hiding your drinking can lead to damaged relationships, money worries, and pulling away from the people around you.

How to get support for secret drinking

Getting support doesn’t have to mean making a big decision. For many people, it starts with a single private conversation.

If you’re worried about your own drinking, a useful first step is speaking to your GP, or booking a confidential addiction assessment with a specialist team. An assessment gives you a clearer picture of what’s going on, and what kind of support might be helpful. It’s not a commitment to treatment.

Support might include alcohol addiction treatment, outpatient therapy, or medically supported alcohol detox where there is a strong physical dependence. Stopping heavy alcohol use too quickly without medical guidance can be dangerous. Alcohol withdrawal can cause serious physical symptoms. A GP or specialist can advise on the safest approach.

At Castle Health, support doesn’t end when treatment does. We work with people through assessment, treatment, and what comes after.

When to seek urgent help

If you or someone in your life is experiencing severe withdrawal symptoms – including seizures, confusion, chest pain, or hallucinations – this is a medical emergency. Call 999 or go to A&E.

If there are thoughts of self-harm or suicide, contact the Samaritans on 116 123 or visit your nearest A&E.

Start a confidential conversation

Contact us or book a confidential assessment today.

How to talk about secret drinking with someone in your life

If you’re worried about someone in your life, the way you approach the conversation makes a real difference. According to Drinkaware, there are steps you can take. The aim isn’t to prove a problem exists or force a decision, but to open a safer conversation.

  • Choose a private moment when the person is sober and neither of you is under pressure
  • Use specific observations rather than general accusations – what you’ve noticed, not what you’ve concluded
  • Keep “I” statements central: “I’ve been worried” rather than “you have a problem”
  • Listen more than you speak, and ask what might feel helpful to them
  • If they’re not ready to speak to their GP, suggest a one-off confidential addiction assessment as a lower-pressure starting point
What to avoid when raising hidden drinking
  • Confronting someone while they’re intoxicated
  • Using labels or diagnostic language
  • Searching through belongings as your first response
  • Making threats or ultimatums in the heat of the moment
  • Trying to handle this alone – you may benefit from support too, and family therapy for addiction is part of what we offer
If you are worried about someone else's secret drinking

When someone in your life is hiding their drinking, it affects you too. You may be confused or scared, and not know how to help.

If trust or communication has broken down, speaking to someone can help – for you as much as for them. We offer family therapy for addiction as part of our treatment programme, and you can also find out more about how to approach an intervention if you feel that’s needed.

Frequently asked questions about secret drinking

Can secret drinking be occasional?

Yes, some people hide their drinking occasionally without being alcohol dependent. It becomes more of a concern when it happens regularly, or when it starts to feel hard to stop or control.

Is hiding alcohol always a sign of addiction?

Not necessarily. Hiding alcohol can be a warning sign, but the wider pattern matters more than any single behaviour. If several signs are present together, that’s worth taking seriously.

What should I do if I find hidden alcohol?

Try not to react in the moment. Wait for a calmer time to share what you found and how it made you feel. A conversation that comes from concern rather than confrontation is more likely to go somewhere useful.

Can someone stop secret drinking without professional support?

Some people can. But if someone is drinking heavily every day, or has tried and failed to cut down, stopping without medical guidance can be dangerous. This is especially true if they’re already experiencing withdrawal symptoms. A GP or a confidential addiction assessment is a sensible first step before attempting to stop.

Taking the first step

You don’t need to have it all worked out before you speak to someone. The first conversation can simply be about understanding what’s going on.


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