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.
There is a limited counselling session termed brief intervention, which could be given to you if you have previously injured yourself due to alcohol or are concerned about your drinking habit.
During the brief intervention, issues about the support networks close to you, how you can lower your alcohol intake, the dangers of your drinking habit and other issues about your emotion will be touched within a 5 to 10 minutes period.
To keep an account of the volume of alcohol you consume on a weekly basis, getting a "drinking diary" may be recommended. You may also be advised on how to drink when out with other people such as alternating between the alcohol and water/sodas/juices.
Stop drinking alcohol will provide excellent health advantages. As an initial step to abstinence, Moderation is an objective that's easier to achieve.
If you've managed to control your drinking in the past then sobriety is suggested.
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
You should better look for medical guidance to deal with your removal if your life is dependent on alcohol.
In order to abstain completely, some addicts may be offered some drugs. 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. In moderate situations, you should be capable to detox in your house with no use of medicine as your withdrawal side effects should also be moderate.
You may be able to detoxify at home with the aid of medication to ease/reduce the severity of the withdrawal symptoms if your alcohol consumption is high (20 units or more per day) or you've gone through withdrawal before. This is carried out by chlordiazepoxide, which is a type of tranquiliser.
But you should visit a clinic or hospital if you experience chronic and severe dependency on alcohol. This happens since the withdrawal side effects will also be intense and are more probable to need professional care.
During the first 2 days, your withdrawal symptoms are likely to be at their most acute. The withdrawal symptoms gradually begin to improve when your body adjusts itself to the absence of alcohol. This frequently takes three to seven days from when you last had a drink.
This will also affect your sleep. Waking up many times over the night or having issues to get to sleep are some symptoms you may experience. In about a month your sleeping habits should get back to normal.
Ensure that you drink lots of fluids during the detoxification to stay hydrated. Drinks with caffeine in them can interfere with sleep and make you feel anxious and thus should be avoided as much as possible. Some of good options are water, squash or fruit juice.
Although you are not hungry attempt to have regular meals. Overtime, your appetite will improve.
If you are on withdrawal symptom drugs, do not drive or handle heavy machines. You could get dozy because of medication. Just take your medicine as conducted.
Detoxification may be a nerve-racking period. Try reading, going for walks or listening to music to help cope with the stress. Find out as much as you can about how you can manage your stress.
You will frequently meet a nurse or another healthcare specialist if you are detoxing at your place. 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. However, withdrawal cannot be considered as an effective treatment by itself. You will need more treatment and assistance to support you in the long period.
For the treatment of the abuse of alcohol, the National Institute for Health and Care Excellence (NICE) has named some drugs.
These medicines are talked over more below.
Acamprosate [brand-name Campral] is commonly used to help prevent a relapse, especially in people who have successively managed to abstain from alcohol. It is frequently used mixed with counselling to decrese the strong desires for alcohol.
The volume of the chemical called gamma-amino-butyric acid (GABA) in the brain is influenced by this drug. Longing for alcohol is believed to be caused by GABA.
The duration for the use of acamprosate is normally between the times that withdrawal starts till the sixth month, for those the drug is recommended for.
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.
It's also crucial to stay away from anything that contains alcohol because it could provoke an unkind response.
Solvents, paint thinner and any other substance that produces fumes containing alcohol should also be avoided.
You will carry on passing through uncomfortable responses in case you get in contact with alcohol for a week later you stop taking disulfiram, so it is essential to keep your abstinence over this period.
When you are prescribed disulfiram and are taking it, you will be examined by your healthcare team every fortnight for the initial two months and thereafter the examinations will continue over a period of four months.
Naltrexone may be used to avoid a relapse or restrict the number of alcohol someone consumes.
Naltrexone stops you from feeling the effects of the alcohol by blocking the opioid receptors in the brain. It is generally combined with other medications 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.
If you experience side effects after taking naltrexone suspend it instantly and ask your GP or support team for advice.
Naltrexone intake can go up to six months and sometimes more.
You will need to have a full medical assessment conducted including blood tests before being prescribed any medications of these types.
Alcohol quantities can be reduced and reversion avoided with Nalmefene (commercial name Selincro).
The drug reduces the urge to drink by blocking the brain's opioid receptors.
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.
Support groups such as Alcoholics Anonymous have helped many people struggling with alcohol addiction.
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.
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. However, here you have to go through the steps hand in hand with the counsellor, and not with a group.
If you don't feel relaxed sharing your issues in a group situation then the therapy may be your best curing alternative.
This therapy attempts to treat alcohol addiction by trying to solve the problems that led to the addiction.
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.
The relatives should also be offered the necessary support. Help can be very important if someone has to share his/her dwelling with an alcohol addict.
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.
In case your goal is to moderate your drinking, you might be requested to maintain 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.