The options for treating alcohol misuse will depend on the extent of your consumption and when you are looking forward to either to moderate the consumption or to give it up entirely [abstinence].
Brief intervention is a little supporting session that can be proposed to you if you are concerned about your drinking or have experienced an accident or injury that can be blamed on alcohol.
The duration of the intervention will only be about five or 10 minutes and, which cover a range of topics associated with your pattern of drinking, advice about reducing the quantity of alcohol you drink, alcohol support networks available to you and any emotional issues, which could be leading to the drinking.
You may receive recommendations about maintaining a diary in order to record the number of units of alcohol you consume every week. In addition, you might be provided with some tips about social drinking like varying soft drinks with alcoholic drinks once you are out with friends.
The advantages of quitting alcohol consumption completely will be great on your body. Nonetheless, control is usually a more attainable achievement or an initial step towards sobriety.
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.
In order to monitor your liver you may be required to have regular blood tests.
You should definitely get the opinion of an expert regarding management of withdrawal symptoms in case you have alcohol dependency.
Some individuals might be prescribed medicine to assist accomplish abstinence. In addition, you might opt to visit self-help groups, get prolonged counselling or experience a talking therapy like Cognitive Behavioural Therapy (CBT).
The matter about how and where you should attempt a detoxification will be determined by the level of alcohol dependency you are suffering from. Withdrawal symptoms are seldom severe where the dependence is low and thus the detoxification can be done at home with no need for medication.
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 behind this is that you will require a specialised therapy as removal symptoms will be severe.
The first 48 hours will be full of the highest degree of withdrawal symptoms. Once your body starts to get used to not having alcohol, these symptoms should slowly ease. After your last drink, it may take three to seven days to start feeling normal again.
You will also find disturbances within your sleeping pattern. You could wake up several times during the night or even experience problems getting to sleep. This problem usually ends within the first month and is usually expected.
During the detox, you should ensure that you drink plenty of fluids [about 3 L a day]. 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. Some of good options are water, squash or fruit juice.
Even if you don't feel hungry, try as much as possible to eat regularly. Your hunger will slowly come back.
If you're using any medication in managing withdrawal symptoms, don't operate any heavy machines including cars. A drowsy feeling will most likely arise due to the medications. Use medication only in the prescribed manner.
You may feel a lot of stress during the detoxification period. If you are looking forward to relieving the stress, you should be trying to indulge in reading, listening to music, going on a walk and taking a shower. Search for more stress management details.
In case you are detoxing in your residence, you will routinely see a nurse or another healthcare specialist. GP practice or a professional NHS service may be at your residence. You will also be provided with the relevant contact details for other support services if you find a requirement for additional support.
Withdrawal from alcohol is essential and is the first step in overcoming your problems, which are alcohol-related. Nonetheless, removal isn't a proper therapy by itself. A durable cure and assistance will be essential too.
When it comes to treating alcohol abuse, there are several medications that have been recommended by various healthcare groups.
These medicines are talked over more below.
Once a person has successfully abstained for a certain period, Acamprosate which is available under the brand name Campral is used to keep them from relapsing. It is usually combined with counselling in order to reduce cravings for alcohol.
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 to be slightly at fault for causing a strong desire for alcohol.
In case you are prescribed acamprosate, the course frequently begins as soon as you start withdrawal from alcohol and the duration may be up to six months.
If you have fallen back to substance abuse in the past and are trying to achieve sobriety but think you can fail again, Disulfiram (commercial name is Antabuse) can be prescribed. You will have unkind physical symptoms if you consume alcohol and that's how Disulfiram works.
Any source of alcohol can cause these negative physical reactions and thus should be avoided in addition to drinks containing alcohol.
Paint thinners and solvents should be kept away as they can release alcoholic fumes.
If you've been on disulfiram and stop taking the medication, you'll still experience these negative physical reactions for up to one week afterwards in case you interact with alcohol in any way.
For the first two months of taking disulfiram, you'll get a visit every two weeks from medical experts and in the four months that follow, the visits will be down to one each month.
When trying to avoid a relapse or trying to reduce a person's alcohol intake, Naltrexone can be used.
Its function is to halt the effects of alcohol by blocking the opioid receptors in the human body. Other medicines plus counselling are usually used together with this medication.
Opioid based painkillers such as morphine are also rendered ineffective if you're taking naltrexone so be sure to remember this.
In case you don't feel well whilst taking naltrexone, stop taking it right away and look for guidance from your GP or healthcare group.
Naltrexone intake can go up to six months and sometimes more.
Complete medical examination, including blood tests would be conducted on you before any of these drugs is prescribed for you.
Alcohol quantities can be reduced and reversion avoided with Nalmefene (commercial name Selincro).
It obstructs the opioid receptors in the brain decreasing longing for booze.
Nalmefene must only be taken if you are receiving support for the help you need to reduce the alcohol intake and to continue the treatment.
A lot of individuals that experience alcohol dependency issues find it helpful to visit self-help groups like Alcoholics Anonymous (AA).
One of the major conviction behind AA is that alcoholic dependence is a durable, growing disease and complete abstinence is the singular resolution.
In order to help you defeat alcohol dependence, they have formulated a 12 step programme.
The steps involve accepting you are weak over alcohol and your life has turned into uncontrollable, accepting you have reacted incorrectly and, if likely, making amends with the ones you have hurt.
To know more about support for alcohol addiction, read more on the 12 steps of AA.
The twelve-step facilitation therapy is based upon the program developed by alcoholics anonymous. However, here you have to go through the steps hand in hand with the counsellor, and not with a group.
You can choose this therapy as your preferred option if you do not feel comfortable or are unwilling to discuss your problems within a group setting.
Cognitive behavioural therapy (CBT) is a talking therapy where alcohol dependence is treated with a problem solving approach.
Your CBT therapist will guide you how to prevent some triggers and deal efficiently with those that are bound to happen.
Alcohol dependence will not just have an impact upon an individual because it can also affect the entire family.
The relatives should also be offered the necessary support. Living with an individual that abuses alcohol may be nerve-racking, so getting assistance may frequently be very useful.
There are numerous specialist alcohol services, which can provide the help and the support that is required by the relatives and friends of the individual who could be dependent on alcohol.
You may be required to write a "drinking diary" if you want to control your drinking.
This will be crucial to understand the amounts of alcohol you have, the occasions in which you drink, and how you could begin reducing that.