Alcohol Problems - Discovering How To Stop Drinking
Alcoholism is a disease. It is chronic (in that it lasts a person's lifetime). It usually follows a predictable course and it has symptoms. Then there are the damaging effects of alcohol abuse outside the body. Many alcoholics find it difficult to manage their lives, leading to legal problems and relationship problems that can result in the destructive breakup of marriages and families. Unfortunately, such problems often lead to more drinking and even more problems - driving drunk, for example, and the chance of accidentally killing someone.
The effects of alcoholism include the strong need to drink, a need that can be as strong as the need for food or water. Also, the drinker might not be able to stop once drinking has begun. Short-term memory loss can be imminent, as can be blackouts, where the user appears to others that he or she is awake and fully conscious - but in reality has no sense of time or action. These are only some of the early physical effects of alcoholism, which can lead to cirrhosis, liver failure, and ultimately death.
Alcoholism has attracted much attention as an inherited disease, inherent in family genes. Research shows that there is, indeed, a risk of developing alcoholism in some families and not others. Research studies are underway to determine the actual genes that lead to the risk of alcoholism. However, lifestyle is also a key factor, since the activities of friends, the amount of stress in someone's life, and the availability of alcohol can also play a significant role in determining one's risk for alcoholism. Experts say that even though alcoholism may run in specific families, it doesn't mean that the child of an alcoholic parent will automatically become an alcoholic. The opposite is true, as well - there are people who become alcoholics even though no one in their family has or had a drinking problem.
Alcohol induced psychotic disorder is characterized by prominent hallucinations or delusions that are judged to be due specifically to the effects of alcohol. The psychotic symptoms usually occur within a month of alcohol intoxication or withdrawal, with the individual being fully alert and oriented, and usually lacking insight that these symptoms are alcohol induced. Although the psychotic symptoms may occur during or shortly after alcohol intoxication, delirium or alcohol withdrawal delirium, alcohol induced hallucinations, and/or delusions do not occur exclusively during the course of these conditions.Usually, alcohol induced psychotic symptoms have a tendency to subside within several weeks of abstinence, although in a small group of individuals, psychotic symptoms can sometimes become chronic, resulting in the need for long-term treatment with antipsychotic medication. In these circumstances, clinicians should also consider schizophrenia or delusional disorders in deciding on the relevant diagnosis for this individual.
Family risk factors for teenagers developing drinking problems include low parent supervision or communication, family conflicts, inconsistent or severe parental discipline, and a family history of alcohol or drug abuse. Individual risk factors include problems managing impulses, emotional instability, thrill-seeking behaviors, and perceiving the risk of using alcohol to be low. Girls who drink, as well as teens who begin drinking prior to the age of 14 years and those whose mothers have drinking problems, are more likely to develop alcoholism. Teen risk factors for alcoholism differ a bit between the 14- to 16-year-old and 16- to 18-year-old age groups, in that the latter tend to be less likely to drink in excess when they have a close relationship with their mothers.
Many substances can bring on withdrawal-an effect caused by cessation or reduction in the amount of the substance used. Withdrawal can range from mild anxiety to seizures and hallucinations. Withdrawal from alcohol can cause anxiety, irregular heartbeat, tremor, seizures, and hallucinations. In its severest form, withdrawal combined with malnutrition can lead to a life-threatening condition called delirium tremens (DTs). Alcohol is the most common cause of liver failure in the US. The drug can cause heart enlargement and cancer of the esophagus, pancreas, and stomach. In addition to its direct health effects, officials associate alcohol abuse with nearly half of all fatal motor vehicle accidents. In 1992, the total economic cost of alcohol abuse was estimated at $150 billion.
The most appropriate decisions related to alcohol abuse treatment can only occur by matching individuals with their treatment needs. The individual's screening results should differentiate between mild and more severe levels of physical dependence to determine whether detoxification should be part of an individual's early alcohol abuse treatment. If their withdrawal risk is low, it may be appropriate to refer them to an outpatient treatment setting. If the risk for withdrawal is moderate to high, outpatient or inpatient detoxification may be indicated as an absolute imperative for effective alcohol abuse treatment. There are a large number of life-threatening factors that must be considered in order to determine if alcoholics are at increased risk. Any of the following factors may warrant immediate attention: acute alcohol withdrawal (with the potential for seizures and delirium tremens), serious psychiatric illness (e.g. psychosis, suicidal intentions or behavior), serious medical or surgical disease ( e.g. acute pancreatitis, bleeding esophageal varices). The matching of individuals with optimum alcohol abuse treatment continues to attract significant attention, and there appears to be some evidence suggesting that alcoholics with certain characteristics (e.g. severe dependence, high levels of anger, social networks that support drinking) may respond slightly better to certain types of specific therapy. Finally, the importance of continuing care through aftercare groups and other mutual support organizations such as Alcoholics Anonymous (AA) cannot be overestimated for individuals in need of alcohol abuse treatment.
