The approaching holiday season can pose challenges for the 18 million Americans with an alcohol use disorder, an addiction specialist warns.

Binge drinking can cause a variety of problems, both social and health-related, including life-threatening interactions with some prescription medications, Dr. Eric Collins, an addiction psychiatrist and physician-in-chief at Silver Hill Hospital in New Canaan, Conn., said in a hospital news release.

"It's important to be especially mindful of your alcohol consumption at holiday parties and gatherings, and also to keep an eye out for friends or family members who may be showing warning signs of drinking too much," he advised.

Binge drinking for men is consuming five or more drinks within two hours. For women, it's consuming four or more drinks in that time, he said.

"For those who are already struggling with alcohol use disorders, having a plan for holiday parties -- coming up with a favorite non-alcoholic beverage or having a prepared rationale for why you're not drinking -- is one effective way to manage challenging social situations," Collins said.

It's important to be with other people over the holidays, because isolation can lead to depression, which might tempt you to drink. However, you also need to be selective about which holiday get-togethers you attend, he noted.

Be careful about what you eat. Alcohol can be a hidden ingredient in foods, especially during the holidays, Collins said.

And keep busy with fun activities, he said. Doing so will reduce the risk that you'll focus on alcohol. Support is also crucial, so he suggested attending extra therapy sessions or group meetings during the holiday season.

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Try to maintain your normal routines during the holidays, and get adequate sleep and exercise, Collins advised.

More information

The U.S. National Institute on Alcohol Abuse and Alcoholism has more about alcohol use disorders.

Suffolk County District Attorney Ray Tierney sat down with Newsday’s Doug Geed following Rex A. Heuermann’s guilty plea in court.  Credit: Newsday/John Paraskevas, File Footage; News12; Photo Credit: James Carbone; John Roca; Handout

'The thing that really struck me was the duality of it' Suffolk County District Attorney Ray Tierney sat down with Newsday's Doug Geed following Rex A. Heuermann's guilty plea in court.

Suffolk County District Attorney Ray Tierney sat down with Newsday’s Doug Geed following Rex A. Heuermann’s guilty plea in court.  Credit: Newsday/John Paraskevas, File Footage; News12; Photo Credit: James Carbone; John Roca; Handout

'The thing that really struck me was the duality of it' Suffolk County District Attorney Ray Tierney sat down with Newsday's Doug Geed following Rex A. Heuermann's guilty plea in court.

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