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Alcohol Problems - Stopping your drinking problem

by David Peters

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 physiological aspects of alcohol dependence are associated with a much greater potential for medical problems such as acute alcohol withdrawal. The first criteria usually associated with alcohol dependence are considered to be tolerance and alcohol withdrawal. The remaining criteria usually are defined as behavioral and cognitive dimensions of alcohol dependence including impaired control when an individual consumes larger amounts of alcohol over longer periods of time than they intend to, and when persistent desires or unsuccessful attempts to cut down or control drinking are not successful despite knowledge of a persistent recurrent physical or psychological problem, and alcohol use becoming incredibly important to the individual, including spending a great deal of time drinking, recovering from its effects, or when important social and occupational activities are given up or reduced because of drinking. These are all key criteria in the diagnosis of alcohol dependence.

Alcohol withdrawal is a condition that follows a reduction in alcohol consumption or when an alcohol dependent individual stops drinking abruptly. In addition to a high level of distress, alcohol withdrawal is also associated with impairment in social, occupational, and other areas of an individual’s functioning. Relatively uncomplicated cases of alcohol withdrawal are usually characterized by signs and symptoms of autonomic hyperactivity, and could possibly include increased heart rate, increased blood pressure, hyperthermia, tremor, nausea, vomiting, insomnia and frequently anxiety.

Studies indicate that teen binge drinking can lead to poor performance in school, difficulty in simple math or the inability to read a map. They also dispel the notion that a person could sustain heavy drinking for several years before causing neurological damage. Adolescent alcohol abuse and dependence may prove to be more damaging than alcoholism in adulthood by killing brain cells in the hippocampus, blocking brain receptors that form memories and causing protracted neurological impairments, the researchers say. research suggests that teens who binge drink may do damage to their memory and learning abilities by severely hampering the development of the hippocampus.

The first-ever study of its kind has found that kids as young as 12 can show a genetic-driven trend toward alcoholism. While looking to confirm that genes influence the body’s response to alcohol — how many drinks are needed to get drunk — scientists found that the 12-year-olds who needed to consume the most drinks to get that desired “buzz” were most likely to already be on the road to problem drinking. The effects of alcohol abuse on adolescents is very different from the way problem drinking effects adult alcoholics. As you may expect, adolescents have a relatively short history of problem drinking. Because of their comparatively short history of heavy drinking, one of the major differences related to the effects of alcohol abuse on adolescents is that it is very rare to have physiological dependence on alcohol or alcohol-related medical complications. The abuse of alcohol and drugs however contributes in important ways to morbidity and mortality in adolescents, with the leading causes being motor vehicle accidents, homicide, and suicide. It is usually believed that when dealing with adolescents, given their economic and emotional dependence, whenever it is possible, it is important to have a thorough evaluation of the family in order to understand the adolescent’s use of drugs as well as to understand the negative effects of alcohol abuse on them and their families.

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 management of alcohol withdrawal through detoxification is an incredibly important initial intervention for a significant number of alcohol dependent people. The objective of alcohol withdrawal is maintaining some comfort as the alcoholic goes through the early stages of treatment, the prevention of treatment complications, and preparing the individual for alcohol rehabilitation. The successful management of alcohol withdrawal is an important aspect of preparing an individual for subsequent efforts at alcohol rehabilitation. Social detoxification which involves the non pharmacological treatment of alcohol withdrawal has also been shown to be effective. This involves frequent reassurance, reality orientation, personal attention, monitoring of vital signs and general nursing care. Social detoxification is most appropriate for individuals with mild to moderate alcohol withdrawal symptoms. Many individuals have significant medical problems associated with alcoholism which substantially complicate therapy, so it is absolutely essential that therapists refer those individuals whose conditions require medical management.

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