Arrack drinking produced from palm and date juice is one kind of alcohol beverage consumed by the lower and middle class in rural Bangladesh. Based on empirical study this book focuses on arrack drinking in association with socio-economic status and psycho-social factor in northwestern villages of Bangladesh. In so doing we intensively studied 100 respondents selected by random sampling from 6 villages of northwestern Bangladesh. Results suggest that arrack drinking was significantly associated with low socio-economic status, mass poverty and psycho-social stressors faced by the arrack drinkers.The findings would help social and behavioral scientists to understand arrack drinking across the world, including Bangladesh. The results would also help policy-makers to design social development policy and programs related to arrack drinkers''severe mental health status in Bangladesh.