Wednesday, January 14, 2009

Alcohol Problems - How to Stop Drinking the Stuff

By David Peters

Alcohol use and abuse occurs with a tremendous amount of variability among individuals. Frequently, there is a limited distinction between "social" or "moderate" drinking and "problem" or" harmful" drinking. It is obvious however, that as the frequency of drinking and the amount increases, so does the probability of problem behaviors frequently resulting in medical and psychosocial problems. A very prominent group of individuals affected by alcohol problems to a significant degree, who develop the syndrome of alcohol dependence, are usually referred to by most people as alcoholics. different groups of individuals with alcohol problems usually require different approaches to diagnosis and clinical management.

There are numerous signs of alcohol abuse or addiction. They include having problems are work or school, drinking in situations where you will be driving, having blackouts, legal problems, and getting hurt or hurting others while drinking. Also, you might crave alcohol and get withdrawal symptoms from not drinking. These could include sweating, nausea, or anxiety. Also, oftentimes, a person dependent on alcohol must drink more and more in order to feel the same way when drinking. Alcohol addicts rarely believe they have a problem as well, even if others express concern about their drinking.

The consequences of alcohol abuse are numerous and greatly affect the way people live their lives. At first, people don't believe they have a problem because the way they drink seems normal and the same as everyone else's drinking habits. However, drinking can become a way for people to deal with their problems, which is definitely an indication of alcohol dependence. Mental health problems as a result of drinking are also a sign of alcohol dependence. Most people feel that drinking relieves the symptoms of problems such as anxiety, panic attacks, or bipolar disorder. However, the fact is that drinking actually increases their symptoms. Physical symptoms are also a problem that drinking can cause, such as liver disease.

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 hippo campus, 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 hippo campus.

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.

Alcohol abuse is often associated with medical illness, which frequently becomes a common consequence of heavy drinking and also may occur in the absence of alcohol dependence. Early in the course of drinking, some individual's alcohol abuse problems may show no physical or laboratory abnormalities, but as drinking continues problems begin to manifest themselves in many of the body's organ systems. Obviously, a physical examination is necessary if there is any indication whatsoever of any medical problems. This physical examination will include important information about the presence and also the extent of any organ damage, and should be geared toward examining the organ systems most vulnerable to alcohol abuse including: the cardiovascular system, the gastrointestinal system, and the central and peripheral nervous systems. The physician will also be alert to other possible concerns related to alcohol such as alcohol withdrawal or delirium, intoxication or withdrawal from other drugs, and the acute presentation of psychological problems. Other nonspecific or systemic health problems associated with alcohol abuse include malnutrition, muscle wasting, specific vitamin deficiencies, infectious diseases (such as tuberculosis, dermatitis, pediculosis, and hepatitis), and trauma secondary to fights and accidents.

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. - 16955

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