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When a person has unhealthy drinking habits, like drinking too much in one sitting or drinking every day, this can be qualified as alcohol abuse. It can affect many aspects of people's lives, leading to dependance. Dependence on alcohol is also termed alcoholism. This is when a person cannot control the amount they drink and can't quit, even if they try. They have become completely addicted to alcohol, and feel they cannot live without it. It is extremely unhealthy, physically and mentally, as once people became addicted to alcohol, it is very difficult to stop. 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. 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. 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 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 nonpharmacological 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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