The diagnosis of alcohol dependence is performedbased on a history which investigate behavioral patterns, symptoms, usage history, previoustreatments, etc.According to these data is whether the patientmeets the diagnostic criteria and determine thetype of condition you have.
Societal attitudes and stereotypes can createbarriers to detection and treatment of alcohol abuse.This is more a barrier for women than men. Fearof stigma can lead women to deny that they aresuffering from a medical condition, to hide theirdrinking, and drinking alone.
Several tools can be used to detect loss of control of alcohol consumption1. Have you ever bothered people criticize your drinking?2. Have you ever had the impression that you shoulddrink less?3. Have you ever felt bad or guilty about your drinking?4. Have you ever done first thing in the morning was todrink to calm your nerves or get rid of a hangover?
If the answer to any of thesequestions is yes, then ask if ithappened in the last 12 monthsIf you answered yes to 3 or 4questions in the last yearis possible that the patienthas alcohol dependence.If you answered yesto questions 1 or 2 last year thatthe patient may be alcohol-related problems (abuse)
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Targeting teens and young adults. Increasing the age at licit drugs of abuse Which Such as Alcohol Can Be Purchased. Banning or restricting the advertising of Alcohol. Educational Campaigns in the mass media about the consequences of alcohol abuse. Guidelines for Parents to Prevent Alcohol Abuse Amongst adolescents.
Treatments Most people focus on helpingdiscontinue Their Alcohol intake.Social support in order to help resist areturn to Them Alcohol use.Followed by a combination detoxification ofSupportive therapy.Attendance at self-help groups, and OngoingDevelopment of coping mechanisms.
Abrupt stop of alcohol-drinking couple withthe substitution of drugsThat Have similar effects to Prevent alcoholwithdrawal.
PsychologyGroup therapy and psychotherapy are used to treat underlying psychological problems that are related to alcohol addiction, as well as prevent relapse. Alcoholics Anonymous is one of the first organizations formed to provide peer counseling. Mutual support groups and counseling is the most common form of helping alcoholics maintain sobriety.
Psychology Rationing and moderation programs do notrequire total abstinence. While most alcoholics are not able to limit their consumption of alcohol, so some return to moderate alcohol consumption. A 2002 U.S. study by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) showed that 17.7 percent of individuals diagnosed asalcohol dependent, returned to the low consumption of alcohol. The study found that abstinence from alcoholwas the most stable form of remission of recovering alcoholics.
Medications A variety of medications may be prescribed as part of treatment for alcoholism. DISULFIRAM Disulfiram is a drug discovered in the 1920sand used to support the treatment of chronicalcoholism by producing an acute sensitivity to alcohol
CALCIO CARBIMIDE Works in the same way as Antabuse; it has an advantage in that the occasional adverse effects of disulfiram, hepatotoxicity and drowsiness, do not occur with calcium carbimide.NALTREXONA Is a competitive antagonist for opioid receptors, effectively blocking the effects of endorphins and opiates
Naltrexone is used to decrease cravings for alcohol and encourage abstinence. Alcoholcauses the body to release endorphins, which inturn release dopamine and activate the rewardpathways; hence when naltrexone is in the body there is a reduction in the pleasurable effects from consuming alcohol
BENZODIAZEPINES Whilst useful in the management of acute alcohol withdrawal, if used long-term cause a worse outcome in alcoholism. Alcoholics on chronicbenzodiazepines have a lower rate of achieving abstinence from alcohol than those not taking benzodiazepines. This class of drugsis commonly prescribed to alcoholicsfor insomnia or anxiety management
DUAL ADDICTIONS Alcoholics may also require treatment forother psychotropic drug addictions. The most common dual addiction in alcohol dependence is benzodiazepine dependence , with studies showing 10–20 percent of alcohol-dependent individuals had problems of dependence and/or misuse problems of benzodiazepines. Benzodiazepines increasecravings for alcohol and the volume of alcohol consumed by problem drinkers. Benzodiazepine dependency requires careful reduction in dosage to avoid benzodiazepine withdrawal syndrome and other health consequences.