(pdf) What is Alcoholism ?
Added on 2021-04-24
3 Pages1762 Words65 Views
Disease and Disorders
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What is Alcoholism?• Its is a type of drinking problem, that causes a strong and uncontrollable urge to drink. Individuals with alcohol dependency often make drinking a regular part of their daily living, • Due to this, they develop physical tolerance and can even experience withdrawal syndromes if they cease drinking (Alcohol dependence and withdrawal, 2018).•Alcohol dependency can be exhibited by four symptoms: •Craving- a strong urge to drink•Loss of control-•Physical dependency (Signs of Alcoholism - Symptoms of Alcohol Dependence - Drug-Free World, 2018))ASSESSMENT:Direct measurement of alcohol in breath and blood (Gibb et al., 1984; Phillips et al., 2015; Dilley et al., 2018)IT-ACE and TWEAK questionnaires for pregnant women (Præstegaard et al., 2018)CAGE and SMAST questionnaire (Hsueh et al., 2014)Assessment of dependence and alcohol related harm (Kingsland et al., 2016).Assessment of physical and mental wellbeing (Forbes & Watt., 2015)INTERVENTIONPsychosocial Interventions:Stepped care approach:Brief Intervention:Using FLAGS brief intervention structureWithdrawal Management: Assessment of: current drinking patterns, past withdrawal experience, concomitant substance use and concomitant psychiatric or mental conditions.Objectives of withdrawal management:Interrupting the pattern of regular and heavy drinking (Synnott, 2017)Reduce withdrawal symptoms (Sachdeva et al., 2015)Prevent withdrawal complicationsFacilitate connection to ongoing treatments for alcoholism(Maldonado et al., 2017; Dixit et al., 2016)Psychosocial Interventions (Contd...):Cognitive Behavioral Interventions (Riper et al., 2014)Self control and behavioral self management (Bickel et al., 2015; Snider et al., 2016)Coping skills training (Kenney et al., 2015)Cue exposure (Hone-Blanchet et al., 2014; Santa Ana et al., 2015)Motivational interviews (Morton et al., 2015; Di Marco et al., 2015)EmpathyDiscrepancySelf efficacyRelapse Prevention Residential RehabilitationTREATMENT:Pharmacotherapy (Coller et al., 2016; Coller et al., 2016)Naltrexone (Savulich et al., 2017)AcamprosateDisulfiramAntidepressants CARE and SUPPORTSelf Help Programs:Alcoholics Anonymous (Kelly et al., 2017)SMART Recovery (O’Sullivan et al., 2015)Self Help for Families Long term Follow-up:After careWorking with persistent drinker
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