Your level of alcohol dependence and the solution you seek, between reducing th amount you consume (moderation) and quitting completely (abstinence), will determine the method of treatment you will be given.
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.
Some of the issues that are addressed during these brief interventions include risks of your style of drinking, how you can reduce the amount you drink, how you can get support and emotional problems that may be behind your drinking and these interventions usually last for between 5 and 10 minutes.
In order to keep track of the glasses you drink weekly, having a "drinking diary" could be very helpful. 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.
You will profit from a better health if you eliminate alcohol. Nonetheless, control is usually a more attainable achievement or an initial step towards sobriety.
If you tried moderation before but didn't succeed then abstinence may also be a good idea.
You'll probably be required to go to more therapy meetings in order to evaluate your improvement and additional therapy and support can be given if required when you decide to control your addiction.
In order to assess the condition of your liver, constant blood tests may be carried out
If you are dependent on alcohol and are unable to function without it is strongly recommended that you seek medical advice to manage your withdrawal symptoms.
Some individuals might be prescribed medicine to assist accomplish abstinence. You may choose to attend sessions with self-help groups, receive extended counselling, or decide to use a talking therapy such as cognitive-behavioural therapy [CBT].
Your alcohol dependency level will inform the place and method for your detoxification. In mild cases, you should have no difficulties to detox from within your home without even needing any medication because your withdrawal symptoms will not be intense.
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. This is carried out by chlordiazepoxide, which is a type of tranquiliser.
In case your alcohol dependency is serious, you might need to experience a hospital or centre to do the detoxification process. 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. The duration of these symptoms will be between three of seven days from the day you stopped drinking.
You'll also experience problems sleeping. You might have troubles going back to sleep because you could wake up many times during the night. 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]. However, you should be looking forward to staying away from caffeinated drinks including tea and coffee because they can worsen your sleeping problems and bring about feelings of anxiety. Better alternatives are drinks such as fruit juices and water.
Although you are not hungry attempt to have regular meals. Your hunger will appear progressively.
Prevent driving or performing heavy equipment in case you are taking medicines to assist comforting your withdrawal side effects. It is quite possible for the medication to make you feel drowsy. Medications must only be taken as directed by the healthcare professional.
Detoxification may be a nerve-racking period. Reading a book, listening to music, going for a walk and taking a bath are some things you can do to alleviate the nerve-racking situations. Get further information about stress control.
If you are detoxing from home, you should regularly see a nurse or another health-care professional. This should not be a problem for you because it can be from home, your GP or a specialist within the NHS. You will also be provided with the relevant contact details for other support services if you find a requirement for additional support.
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.
The National Institute for Health Care Excellence (NICE) suggests various medications to deal with alcohol abuse.
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. When used together with counselling it can lower the urge to take alcohol.
Acamprosate will work by affecting the levels of a chemical within the brain which is identified as gamma-amino-butyric acid [GABA]. The belief is that the urge to drink alcohol is increased GABA.
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.
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. Disulfiram stops you from consuming alcohol by provoking uncomfortable physical responses in case you drink.
Because any other source of alcohol will cause unfavourable reactions during this period, you have to avoid them as you avoid alcoholic drinks.
Furthermore, you should attempt preventing elements that smells alcoholic fumes like paint thinners and solvents.
You will continue to experience the unpleasant symptoms until after a week after you have finished the course of disulfiram and particularly when you come into contact with alcohol, and therefore, it is important to continue abstaining during this time.
Once you are taking disulfiram, you will be examined by your healthcare group about once every two weeks for the initial two months, and then each month for the following four months.
Naltrexone may be used to avoid a relapse or restrict the number of alcohol someone consumes.
It works by holding up opioid receptors in the system, blocking the alochol symptoms. The popular method is to combine this with other medications or with counselling.
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.
A treatment of naltrexone may last up to six months, even though it can occasionally be extended.
Previously being prescribed any of these medicines, you will have a complete medical evaluation, such as blood tests.
Alcohol quantities can be reduced and reversion avoided with Nalmefene (commercial name Selincro).
It works by holding up opioid receptors in the system, which decreases strong desires for alcohol.
Nalmefene should just be taken in case you are getting assistance to support you decrease your alcohol consumption and carry on the treatment.
Alcoholics Anonymous (AA) and similar self help groups have been of tremendous help to those suffering dependence on alcohol.
Alcoholics Anonymous believes that abstinence is the only answer and treats alcohol like a lifelong disease that has to be managed.
In order to help you defeat alcohol dependence, they have formulated 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.
Twelve-step facilitation therapy is designed around the AA's programme. 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.
Cognitive-Behavioural therapy which is also known as CBT is a therapy of discussions, which utilises the approach of problem-solving to alcohol dependence.
You will be educated on how to desist from some of the triggers and manage those you cannot avoid by the CBT therapist.
Alcohol dependence will not just have an impact upon an individual because it can also affect the entire family.
Support can also be obtained by family members if required. You will gain a lot from the support because the stress involved in living with an alcohol addict could be much.
The family members and friends of alcohol addicts can access assistance and guidance from several specialist alcohol services.
If you are looking forward to moderating your consumption of alcohol you will be asked to keep a "drinking diary."
This will provide you with a great concept of the amount of alcohol you are consuming, the circumstances in which you drink and how you could begin to reduce the consumption.