Blacking out when you drink alcohol is one of the most utterly terrifying things you can ever experience – in hindsight. The sickening shuttle of ‘what ifs’ is overwhelming.
Research suggests that consuming large quantities of alcohol, particularly if drunk quickly, can produce a blackout for a period of time. The effects are similar to amnesia, in that you can’t recall events, and that can be for a block of several hours.
An en bloc blackout is when you can’t recall any memories from that period of time, even if a friend is trying to fill in the gaps for you. Terrifyingly, you can be talking to a person having an en bloc blackout and not know it as they carry on conversations, keep moving around and appear normal. It’s believed that negative psychological effects of an alcohol-related blackout are often worse if you suffer from an anxiety disorder.
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Blackouts are a sign of alcoholism. If you suffer blackouts, you can start losing time after even one drink. If this happens (hours go by and you come out of it and you've no idea what you've been doing), you can't drink. Period.
That's the part some people don't understand about being black out drunk. It doesn't always take a lot and you can still be functional (walking/talking) while being black out drunk.