For this reason, a full spectrum of rehab services that starts with medical detox and continues to treat the psychological aspects of abuse is needed. Alcohol is also a diuretic, meaning it dehydrates you every time you have a drink. Losing valuable fluid and nutrients from your body can lead to wrinkled, dry, puffy or just generally unhealthy-looking skin. Tolerance Alcoholic Narcissist: How the Two Conditions Are Related symptoms include a need to drink more than you once did to achieve the desired level of intoxication. People experiencing this phenomenon might even switch up their drink of choice — moving from beer or wine to hard liquor, for example, to accommodate their need for more alcohol. Many individuals with alcoholism are in denial or unaware that they have a problem. What Is The Most Popular Program For Recovering Alcoholics?