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Article #309: Alcoholism Treatment Options

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Medications Alcoholics Anonymous is the best-known
The classical use of medications for example of this movement. Various
alcoholism is to encourage abstinence. branches are available for family members
Antabuse (also known as disulfiram), for of the alcoholic or commonly referred to
instance, prevents the elimination of as the co-dependents. Other groups
chemicals which cause severe discomfort include LifeRing Secular Recovery and
when alcohol is ingested, effectively SMART Recovery.
preventing the alcoholic from drinking in Prevention
significant amounts while they take the Some programs attempt to help problem
medicine. Heavy drinking while on drinkers before they become dependents.
antabuse can result in severe illness and These programs focus on harm-reduction
death. and reducing alcohol intake as opposed to
Naltrexone has also been used because it cold-turkey approaches. One such program
helps curb cravings for alcohol while the is called Moderation Management.
person is on it. Both of these, however, Nutritional therapy
have been demonstrated to cause a rebound Another treatment program is based on
effect when the user stops taking them. nutritional therapy. Many alcohol
These do allow a person to overcome dependents have insulin resistance
psychological addictions to alcohol, but syndrome, a metabolic disorder where the
they do not treat the neurochemical body's difficulty in processing sugars
addiction. causes an unsteady supply to the blood
In more recent studies it has been stream. While the disorder can be treated
demonstrated that the use of naltrexone by a hypoglycemic diet, this can affect
while the alcoholic continues to drink behavior and emotions, side-effects often
can result in extinction of the seen among alcohol dependents in
neurochemical addiction. Referred to as treatment. The metabolic aspects of such
the "Sinclair Method", this technique is dependence are often overlooked,
used with good results some US states and resulting in poor results.
in Finland but has failed to penetrate Return to normal drinking
much of the world because of the Although it has long been argued that
long-standing bias against any treatment alcoholic dependents cannot learn to
that doesn't involve detoxification and drink in moderation, research by the U.S.
abstinence. National Institute on Alcohol Abuse and
Rationing Alcoholism (NIAAA) indicates a small
Rationing or other attempts to control percentage of individuals in the US whose
use are increasingly ineffective as dependence began more than one year
pathological attachment to the drug earlier are now drinking in moderation.
develops. Use often continues despite In contrast, a high percentage who
serious adverse health, personal, legal, undergo naltrexone use-reduction therapy
work-related, and financial consequences. are capable of normal drinking habits.
Detoxification Use of Naltrexone involves taking the
Detoxification programs run by medical medication an hour before any drinking
institutions often involve stays for a occurs in order to maintain this.
number of weeks in specialized hospital Societal Impact
wards, where drugs may be used to avoid Today, alcohol abuse and alcohol
withdrawal symptoms. In severe cases, dependence are major public health
detoxification may lead to death. To that problems in North America, costing the
point, even a simple "de-tox" can involve region's inhabitants, by some estimates,
seizures, if not properly monitored. as much as US$170 billion annually.
Post Detox Therapy Alcohol abuse and alcohol dependence
After detoxification, various forms of sometimes cause death, particularly
group therapy or psychotherapy are through liver, pancreatic, or kidney
recommended to deal with underlying disease, internal bleeding, brain
psychological issues leading to alcohol deterioration, alcohol poisoning, and
dependence. It is also used to provide suicide. Heavy alcohol consumption by a
the recovering addict with relapse pregnant mother can also lead to fetal
prevention skills. alcohol syndrome, an incurable and
Aversion therapies may be supported by damaging condition.
drugs like Disulfiram, which causes a Additionally, alcohol abuse and alcohol
strong and prompt sensitivity reaction dependence are major contributing factors
whenever alcohol is consumed. Naltrexone for head injuries, motor vehicle
or Acamprosate may improve compliance accidents, violence and assaults,
with abstinence planning by treating the neurological, and other medical problems.
physical aspects of cravings to drink. Alcohol addiction is a treatable disease.
The standard pharmocopoeia of If you are an alcoholic or are a family
antidepressants, anxiolytics, and other member of an alcoholic, contact your
psychotropic drugs treat underlying mood physician for the most current treatments
disorders, neuroses, and psychoses available.
associated with alcoholic symptoms. This article is Copyright © 2006,
Group Counseling Heather Colman. Permission is granted to
In the mid-1930s, the mutual-help reprint this article as long as no
group-counseling approach to treatment changes are made, and the entire resource
began and has become very popular. box is included.






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