Alcoholism and Treatment
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Similar
to other illnesses and diseases, alcoholism can be overcome
with quality alcoholism treatment, increased research
attempts, and prevention.
Stated in another way, as critical as alcohol dependency is,
fortunately it can be treated. Treatment for alcoholism
frequently includes a mixture of doctor prescribed drugs and
counseling to help an individual quit drinking and become
sober. Under the best of circumstances, moreover, alcoholism
and treatment can lead to recovery.
Alcoholism and Treatment: A General
Overview
Not unlike other illnesses, alcoholism can be overcome with
increased research efforts, prevention, and proper alcohol
addiction treatment.
By providing
more people with access to exceptional alcoholic treatment, the
costly drain on society and the physical, psychological, and
financial encumbrances that alcoholism places on families can be
substantially diminished.
To be sure, the research literature reveals compelling data
that professional alcoholism treatment approaches and alcoholism
prevention efforts result in significant reductions in cancer,
hearth disease, strokes, traffic fatalities, crime, unwanted
pregnancy, HIV, and child abuse.
Additionally, qualified treatment for alcohol dependency and
drug abuse improves an individual's quality of life, health, and
job performance while at the same time minimizing drug use, family
dysfunction, and involvement with the criminal justice system.
As threatening as alcohol dependency is, fortunately it can be
treated. Treatment for alcohol addiction habitually combines
counseling and practitioner prescribed medications to help an
individual abstain from drinking alcoholic beverages. While
most alcoholics need help to recover from their affliction,
scientific examination has illustrated that with support and expert
treatment for alcohol dependency, scores of individuals are able to
quit drinking and reclaim their lives.

Exactly What Is
Alcoholism?
Alcoholism, known as alcohol addiction and alcohol dependence, is a
progressive debilitating disease that is comprised of the following
four components:
- Craving: having a strong urge or need to
drink.
- Loss of control: an inability to discontinue drinking
after the first drink.
- Physical dependence: withdrawal symptoms like
nausea, "the shakes," anxiety, headaches, and perspiration when
refraining from alcohol.
- Tolerance: the need to drink increasingly more
amounts of alcohol in order to get "high" or to feel a
buzz.
Alcoholism Treatment and Withdrawal
Symptoms
A number of atypical techniques exist for treating alcoholism
withdrawal. Insomuch as some of these therapies use
medications, numerous, alternatively, do not. It can be noted
with fascination that according to current research findings, the
most reliable way to treat mild withdrawal symptoms is without
drugs. Such non-drug detoxification methodologies use broad
social support and screening throughout the entire withdrawal
procedure. Other non-drug detoxification therapies,
furthermore, use vitamin therapy (unusually thiamin) and proper
nutrition for treating mild withdrawal symptoms.
Mild to Moderate Alcohol Withdrawal
Symptoms
The following
illustrates mild to moderate physical withdrawal symptoms that
ordinarily occur within 6 to 48 hours after the last alcoholic
drink:
- Tremor of the hands
- Looking pale
- Nausea
- Pulsating headaches
- Sweating (especially on the palms of the hands or on the
face)
- Enlarged or dilated pupils
- Loss of appetite
- Vomiting
- Clammy skin
- Vomiting
- Abnormal movements
- Involuntary movements of the eyelids
- Rapid heart rate
- Sleeping difficulties
Severe Alcohol Withdrawal
Symptoms
The following is a list of severe symptoms that typically take
place within 48 to 96 hours after the last alcoholic drink:
- Muscle tremors
- Seizures
- Visual hallucinations
- Severe autonomic nervous system overactivity
- Convulsions
- Black outs
- Delirium tremens (DTs)
- Fever
- Convulsions
| It is estimated that tobacco
causes 40 percent of all hospital illnesses, while alcohol is
involved in more than 50 percent of all visits to hospital
emergency rooms. |
Traditional Alcoholism Treatment
Approaches
There is a diversity of orthodox alcohol treatment approaches
that are considered "conventional" therapies. The following
alcohol addiction treatment methodologies and therapies will be
reviewed: Outpatient alcoholism Treatment and Counseling,
Detoxification, Behavioral Treatment, Therapeutic Medications,
Residential alcohol addiction Treatment methodologies and Inpatient
Alcohol Rehab, and Family and Marital Counseling.
Outpatient alcohol addiction Treatment and
Counseling. There are considerable counseling
methods that educate alcoholics how to become attentive to the
situational and psychological" hot buttons" that prompt their
drinking. Armed with this information, people can accordingly learn
about unique ways in which they can handle circumstances that do
not necessitate the employment of alcohol. Not surprisingly,
therapies like these are almost always offered on an outpatient
basis.
Detoxification. Alcohol detoxification is
the protocol of letting the body rid itself of alcohol while
managing the withdrawal symptoms in a harmless environment.
Alcohol detox treatment is almost always done under the guidance of
a medical doctor and is commonly the first step employed in an
alcoholic treatment program. Detoxification methodologies,
because of the relatively long time frame to complete the process,
are almost always part of an inpatient alcohol rehab program.
| Individuals who quit using other
drugs (such as cocaine, injected drugs, or tobacco) at the same
time they stop drinking alcohol, might experience severe withdrawal
problems. As a result, they should see a doctor before they quit
their addictive habits. |
Behavioral Treatments such as Cognitive
Behavioral Therapy, Motivation Enhancement Therapy, and Alcoholics
Anonymous. It is interesting to note that according to a
study administered by the National Institute on Alcohol Abuse and
alcohol addiction, each of these three behavioral treatment
therapies extensively reduced drinking in patients the year after
treatment. Whereas all three of these methods were considered
"successful," none of them, on the other hand, could be categorized
as "the most efficient" treatment for alcohol addiction.

Alcoholics Anonymous (AA). Alcoholics
Anonymous is a mutual support program for recovering alcoholics
Specifically centered on the 12-steps of recovery that are
needed in order to stay sober. Backing and support are
provided by the meetings that meet on a regular basis. Is
Alcoholics Anonymous the most effective strategy for the treatment
of alcohol dependency? While Alcoholics Anonymous has proven
to be an helpful alcoholism treatment methodology, numerous
practitioners outside of Alcoholics Anonymous, as well as more than
a few people within Alcoholics Anonymous, believe that Alcoholics
Anonymous works most effectively when incorporated with other types
of therapy like psychotherapy and medical care.
| Alcohol abusers who require
surgery also have an increased risk of postoperative complications,
including infections, bleeding, insufficient heart and lung
functions, and problems with wound healing. Alcohol withdrawal
symptoms after surgery may impose further stress on the patient and
hinder recuperation. |
Motivation Enhancement Therapy (MET).
Motivation Enhancement Therapy is a systematic therapeutic
method that is almost the total contrast of Alcoholics
Anonymous in that it uses motivational strategies to activate the
client's own change mechanisms. Some of the most important elements
of MET are the following:
- Therapist empathy
- Providing the client with a diversity of unusual change
options
- Providing feedback on the subject of the individual risks or
damage connected to the abuse
- Helping the client achieve self-efficacy or a sense of
optimism
- Emphasis on taking personal responsibility for constructive
change
- Receiving unmistakable advice to make healthy changes
Cognitive Behavioral Therapy (CBT). There
are more than a few forms of cognitive behavior therapy. Most
of them, all the same, have the following commonalties:
- CBT uses the Socratic Method that is rooted
in the asking of questions for insight.
- In CBT, a solid therapeutic relationship is necessary but not
the primary focal point for effective therapy.
- CBT is structured and directive.
- CBT is a mutually shared attempt between the therapist and the
client.
- CBT theory and techniques rely on the Inductive Method.
This method has patients look at their thoughts as hypotheses (or
suggested explanations) that can be tested and questioned. If
clients discover that their hypotheses are false, they can then
change their thoughts and experiences to be more in line with
reality.
- Homework is a central feature of CBT.
- CBT is based on an educational model that views most emotions
and behavioral reactions as learned responses. Thus, the
therapeutic goal in to Assistance the client unlearn undesirable
reactions and emotions and replace them with new and more
constructive ways of functioning and reacting.
- CBT is centered on stoic philosophy. CBT does not tell
clients how they should feel. More accurately, this kind of
therapy focuses on helping patients learn how to think more
logically and helpfully.
- CBT dependably has therapeutic sessions that are briefer and
fewer in quantity than most other forms of therapy.
- CBT methodologies are established on the cognitive model of
emotional response. Specifically, if people change the way
they think, they can therefore act and feel better, even if the
situation doesn't change.
| People in distress, whether it
is from alcohol, drugs, depression, gambling or eating disorders
usually display poor coping skills. These poor coping skills are
often negatively impacting them and concerned people around
them. |
Therapeutic Medications. In this
treatment methodology, the alcoholic takes doctor-prescribed
medications such as disulfiram (Antabuse) or naltrexone (ReViaT) in
an attempt to help prevent the individual from returning to
drinking after he or she has ingested alcohol. Stated
simply, with this methodology, doctors prescribe medications
(drugs) to treat alcoholism. For instance, antabuse is a drug
given to alcoholics that results in negative effects such as
flushing, vomiting, nausea, or dizziness if alcohol is
ingested. Obviously, antabuse is effectual basically because
it is a realistic deterrent. Naltrexone (ReViaT), in
contrast, targets the brain's reward circuits and is successful
because it reduces the craving the alcoholic has for alcohol.
Residential Alcohol Treatment methods and Inpatient
Alcohol Rehab. If a person needs alcohol poisoning
treatment, if the individual's withdrawal symptoms are harsh, if
outpatient approaches or support-oriented methods like Alcoholics
Anonymous are not productive, or if there's a need for alcohol
AND drug abuse treatment, the individual typically has to register
into a hospital or a residential alcohol treatment facility and
receive inpatient alcohol rehab treatment. Programs like
these are targeted for alcoholism clients and almost always involve
doctor-prescribed drugs to help the individual get through
detoxification and the alcohol withdrawal treatment protocol in a
safe manner.
Family and Marital Counseling. Due to the fact
that the recovery course of action is so intimately tied to the
support the client receives from his or her family, a number of
alcoholism methods include family therapy and marital counseling as
key features in the treatment protocol. Such therapeutic
methodologies, moreover, also provide alcoholics with important
community resources, like legal assistance, parenting courses,
financial management programs, childcare courses, and job
training.
| A clearer understanding of the
biological underpinnings of alcoholism is opening the way to better
drugs. Scientists have identified a number of genes that confer a
predisposition to alcohol addiction. They have also found that the
brain goes through profound changes when a person starts drinking
to excess. |
Alcoholism and Treatment: Unconventional
Therapies
Despite the fact that the research findings are not definitive,
there is a fairly wide range of unusual treatment
interventions for alcohol abuse and alcoholism that are
becoming more available, widely used, and more researched.
Examples include the following therapies that have been proposed as
"natural" classes of alcohol abuse treatment: the holistic
and naturalistic methodologies used by Traditional Chinese
Medicine, different vitamin and supplement therapies, and
"Drumming out Drugs" (a therapeutic approach that employs the
use of drumming by patients). As promising as these
nontraditional methodologies are, more research, however, is
needed to establish their effectiveness and to determine if
these varieties of treatment for alcohol addiction offer long-lived
success.
| After a screening questionnaire
has identified problem drinking, the physician may question the
patient further to determine the severity of alcohol misuse. The
physician may try brief intervention and/or suggest AA, or refer
the patient to an addiction specialist. |
Teen Alcoholism and
Treatment
Learning about alcohol treatment is unusually significant
concerning teen alcohol dependency. More to the point, if a
teenager or a parent of a teenager can read about and comprehend
some of the facts and statistics about teenage alcohol abuse and
teen alcohol addiction, they might be able to avoid the detrimental
effects that are interconnected to teenage alcohol abuse and teen
alcoholism in the workplace, school, or in college. More
exposure to relevant information also means that our youth may be
able to stay away from adolescent alcoholism treatment or the teen
alcoholism treatment procedure entirely.
| Alcoholism is particularly less
likely to be recognized in elderly women. In fact, only 1% of older
women who need treatment for alcoholism are diagnosed accurately
and treated appropriately. Instead, they are often diagnosed with
depression and may even be prescribed anti-anxiety drugs or anti
depressants that can have dangerous interactions with
alcohol. |
Alcoholism and Treatment:
Conclusion
Even though a cure for alcohol addiction does not currently
exist, multiple drug and alcohol therapeutic methodologies and
alcoholism treatment programs, however, exist that
help alcoholics recover from their alcohol dependency.
In brief, there is a lot of alcoholism and treatment information
that is available both online and offline. Some
individuals, however, are sure to ask the following question about
treating alcoholism: "What is the most efficient type of
alcoholism treatment"? Like any chronic illness, there
are varying levels and degrees of success concerning alcohol
dependency treatment.
For instance, some alcoholics, after treatment, refrain from
drinking and remain sober. Other alcoholics, conversely,
encounter fairly long periods of sobriety after receiving
treatment, and then have a drinking relapse. And still other
alcoholics cannot abstain from drinking alcohol for any sustainable
period of time, no matter what manner of treatment they have
received. It is interesting to point out, by the way, that
all of these treatment outcomes happen with every known type of
alcoholism treatment. In any event, when discussing
alcoholism and treatment, one thing is unmistakable: the
longer an individual refrains from drinking alcohol, the more
likely he or she will be able to remain sober and steer clear of
treatment for alcoholism.

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| Because alcohol is not found
easily in nature, genetic mechanisms to protect against excessive
consumption may not have evolved in humans as they frequently have
for protection against natural threats. Some evidence, then,
suggests that a natural lack of genetic protection plays a major
role in alcoholism. Such studies have found that people with a
family history of alcoholism tend to "hold their liquor" better
than those without such history. |
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