The medical care alternatives for alcohol abuse is based on the length of your drinking and if you are attempting to cut down (moderation) or completely stop drinking (abstinence).
In case you are concerned about your alcohol consumption or have had an alcohol-related undesirable event or injury, you might be provided a short counselling session called brief intervention.
The duration of a brief intervention is of about 5 to 10 minutes and analysis psychological problems emerged with drinking, alcohol support networks appropriate for you, guidance about cutting down on drinks, and dangers that come along with your drinking habit.
You may receive recommendations about maintaining a diary in order to record the number of units of alcohol you consume every week. Lessons on how to replace alcoholic drinks with soft drinks when hanging out with your loved ones and other social drinking rudiments may be given to you.
You feel your health will greatly improve if you stop taking alcohol. Moderation is, however, a goal which is realistic or at least in the initial stages the first step which you can take on your way for the abstinence.
If you have tried moderation in the past and failed, you will be advised to go for abstinence
Other counselling sessions will be recommended for those who opt for moderation, in order to examine their progress and to give extra medication and guidance if necessary.
You may also be required to have regular blood tests in order carefully to monitor the health of your liver.
You should go for medical counselling on how to cope with the withdrawal syndrome, if you have developed alcohol dependence.
Sobriety can be attained with prearranged medication for some addicts. The use of the cognitive behavioural therapy (CBT) or similar talking therapy, extended counselling, and self help groups will also be good for you.
The level of your addiction to alcohol is what determines the best venue to conduct your detoxification. Because of the fact that situations that are not severe will entail subtle withdrawal symptoms, the detoxification could be done in your home.
Home detoxification may also be enough for you if you have a high alcohol consumption level that is above 20 units per day, but only with drugs that can reduce the withdrawal symptoms. One of the medications used in such scenarios is a tranquilizer known as Chlordiazepoxide.
The reasons for going into a hospital or a clinic will be to acquire specialist treatment because the type of withdrawal symptoms you have will be severe. The reason for this is that professional treatment will be necessary because serious withdrawal symptoms will be witnessed.
The first 48 hours will be full of the highest degree of withdrawal symptoms. The withdrawal symptoms gradually begin to improve when your body adjusts itself to the absence of alcohol. This procedure normally lasts for around 3 to 7 days from the time you had your last drink.
You'll have trouble sleeping. You might have troubles going back to sleep because you could wake up many times during the night. In about a month your sleeping habits should get back to normal.
You should consume around three litres of liquids per day during detox. If you don't want to have more complications with sleeping and possible nervousness issues, stay away from taking big quantities of caffeinated drinks like tea and coffee. Better alternatives are drinks such as fruit juices and water.
Always look forward to having your meals regularly despite not being hungry. With time, you will gain back your appetite.
If you are on withdrawal symptom drugs, do not drive or handle heavy machines. It is quite possible for the medication to make you feel drowsy. Just take your medicine as conducted.
You may feel a lot of stress during the detoxification period. Reading, music, walking, or bathing are means to get rid of stress. Find out as much as you can about how you can manage your stress.
Constant interaction with a medical expert or nurse is recommended for those undergoing home detoxification. It can be at your house, your GP office, or a specialised NHS service. If you require extra support, the contacts of the nearby support group will be offered to you.
When trying to get over alcohol dependency, detoxification is a vital first stage. However, withdrawal cannot be considered as an effective treatment by itself. Afterwards, you'll still need more support and treatment to help you stay clean.
A variety of medications have been recommended by The National Institute For Health Care Excellence [NICE] for the treatment of alcohol misuse.
A description of the medications mentioned above has been provided below.
Acamprosate (brand name Campral) is used to avoid a relapse in individuals that have accomplished abstinence from alcohol with success. Alcohol longing is decreased with prescribing it alongside therapy.
Acamprosate will work by affecting the levels of a chemical within the brain which is identified as gamma-amino-butyric acid [GABA]. GABA is considered as a substance which is partly responsible for inducing a craving for alcohol.
Progress will initiate as soon as you decide to leave alcohol behind and it goes up to six months if you are given acamprosate.
Disulfiram (brand name Antabuse) may be used in case you are willing to accomplish abstinence, however you are worried about the relapse or in case you have experienced past relapses. This is a deterrent drug that pushes you away from alcohol by causing uncomfortable reactions in your body if you drink alcohol.
Apart from alcoholic drinks, you are advised also to avoid all sources of alcohol because the unpleasant reactions can be induced.
Solvents, paint thinner and any other substance that produces fumes containing alcohol should also be avoided.
It is crucial to be sober a week after disulfiram is consumed because you will still have unkind symptoms if you get close to alcohol.
You should be meeting with your medical experts once in two weeks for the first two months and once every month for the next four months when you are under disulfiram.
When trying to avoid a relapse or trying to reduce a person's alcohol intake, Naltrexone can be used.
Naltrexone stops you from feeling the effects of the alcohol by blocking the opioid receptors in the brain. It is frequently used mixed with other medication or counselling.
You must also be informed that some pain pills like codeine and morphne that contain opioids will be rendered impotent by naltrexone if it is among your prescription.
You must jettison the drug and contact your care team or GP for counselling if you feel sick while under naltrexone.
Naltrexone can be prescribed for up to six months or longer if necessary.
Complete medical examination, including blood tests would be conducted on you before any of these drugs is prescribed for you.
Nalmefene (brand name Selincro) can be used in order to avoid a relapse or limit the quantity of alcohol an individual consumes.
It obstructs the opioid receptors in the brain decreasing longing for booze.
Nalmefene should just be taken in case you are getting assistance to support you decrease your alcohol consumption and carry on the treatment.
Numerous people who are dependent on alcohol find it helpful to attend self-help groups like alcoholics anonymous (AA).
Primary among the beliefs of AA is that alcohol dependence is a long-term progressive illness which just has a single solution in the form of total abstinence.
You can beat your dependence with a therapy strategy endorsed by AA set according to a 12-step programme.
Accepting that you have lost control of your alcohol use and cannot manage your life again, confessing to your wrong deeds where necessary and making up with those you wronged are some of the steps used in AA.
Study the Alcoholics Anonymous and alcohol support's 12 steps.
This is a programme that is based on the 12-step program of Alcoholics Anonymous. Instead of being in a group, you go through the steps on a face to face scheme with an expert.
If you don't feel comfortable talking about your issues in a group setting, this form of therapy may be a much better alternative.
A communicative therapy that applies a problem-solving strategy to alcohol addiction is known as Cognitive behavioural therapy (CBT).
You will be educated on how to desist from some of the triggers and manage those you cannot avoid by the CBT therapist.
The entire family and relatives, not just the addict would be affected by the addiction ailment.
Assistance is also accessible for family memebers as it should be a given right. Living with an individual that abuses alcohol may be nerve-racking, so getting assistance may frequently be very useful.
There is an amount of professionals alcohol services that give support and assistance for the family members and friends of the ones with alcohol dependence.
You may need a drink diary in case you're trying to lower or moderate your alcohol intake.
This will help you to assess you drink habits including your current alcohol intake and situations that trigger your drinking and therefore show you a path to reducing your intake.