Reducing, limiting or stopping the intake of alcohol can be a bumpy road. Impossible as it may seem, it is possible to recover from alcoholism with proper care and support. Recovery being a gradual process, denial often plays a spoilsport. The first step is to accept that alcohol abuse is occurring and take the necessary steps to remedy it. 

Here is a list of a few steps that psychologists suggest can get rid of alcoholism:

Doing a cost-benefit analysis: The first thing a psychologist suggest is to do a cost-benefit analysis. For instance, the benefits of drinking could be having fun, a possible way to relax, forgetting about the problem at hand etc. On the other hand, the benefits of not drinking could be a better state of physical and mental well-being, improving relationships, having more time and energy to lead a healthy life etc. Similarly, the cost of drinking could be problems in relationships, depression, anxiousness, poor performance at work etc. The cost of not drinking, on the other hand, could be finding other solutions to deal with problems, losing drinking buddies, taking up more responsibilities etc.
Setting goals: The next step is to set goals pertaining to giving up alcohol for good. It is important to be realistic while doing this. The goal should be specific and precise in nature. For instance, the goal could be writing the date of quitting alcohol in a personal diary or something such as drinking a certain amount of alcohol during weekdays and weekends etc. It is important to announce or share the goal with dear ones. It helps to reduce temptations and avoid bad influences.
Cutting back drinking or quitting at one go: The next step is to work towards the goal. Once the goal is set, it must be adhered to. Keeping a personal diary to measure everyday drinking goes a long way in quantifying and ultimately limiting it. Instead of going out and drinking with buddies, drinking at home could help curb alcohol intake. Drinking slowly is also helpful when trying to quit alcohol.
Get sober safely: While some people can give up drinking over-night, some need medical and psychological assistance to quit. Either way, it makes sense to seek expert advice while quitting alcohol. Suddenly quitting alcohol can result in withdrawal symptoms. Nausea, headache, anxiety, sweating, shaking, elevated heartbeat etc. are some of the withdrawal symptoms. It is possible to counter these symptoms medically.
Change in lifestyle: While the body gets used to an absence of alcohol, it is necessary that certain lifestyle changes are made. For instance, daily exercise, building a good support network, developing a new interest, eating healthy food, meditation etc. helps a person to quickly get used to life without alcohol.

De- Addiction - 5 Things Your Psychiatrist Will Suggest!

Is there anybody you know who uses internet excessively in a day, like for playing video games, visiting porn sites, for online shopping, using Facebook or visiting different chatting sites again and again? Is his or her excessive internet usage interfering with daily life, interpersonal relationships, work, school, etc.? If the answer is yes, then maybe he or she is suffering from internet addiction.

Internet addiction is a growing social issue which is being debated worldwide. Internet has become an inseparable part of our daily living. Problematic use of internet can lead us to various mental and physical problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and8.2percentages respectively.There are some criteria to classify and diagnose internet addiction disorder. 

The following 5 criteria are required to diagnose internet addiction:

The individual remain preoccupied with the internet (thinks about previous online activity or anticipate next online session)

Needs to use internet with increased amounts of time in order to achieve satisfaction.

Has made unsuccessful efforts to control, cut back, or stop internet use.

Is restless, moody, depressed, or irritable when attempting to cut down or stop internet use.

Has stayed online longer than originally intended.

Additionally, at least one of the following must be present:

Risked the loss of a significant relationship, job, educational or career opportunity because of the internet.

Lying to conceal the extent of involvement with the internet.

Use internet as a way of escaping from problems or of relieving a dysphoric mood (like; feelings of helplessness, guilt, anxiety, depression)

There are different models available to explain the causal factor of internet addiction disorder. A comprehensive model of the development and maintenance of internet addiction by Winkler & Dorsing which takes into account socio-cultural factors, biological vulnerabilities like genetic factors, abnormalities in neurochemical processes, psychological predispositions and specific attributes of the internet to explain excessive engagement in internet activities.

Apart from the above discussed points, there are two significant psychological issues commonly seen in this group; one is a strong tendency to escape from the reality is there among internet addicts. These individuals find difficulty in facing the real world may be due to certain conflict issues which evoke stress and anxiety in them. Involvement with technology and internet becomes a way out to get rid of the discomfort. Another psychological issue is the tendency to control the environment. Humans have a tendency to get a control over everything and it is a fact that we can't control other persons and situations. Internet addicts are involved in this compulsive behaviour may be because it is easy to get a control of technology and internet than the real world which is more threatening for them.

Impact of problematic usage of internet on social relationships has become alarming nowadays. The habit of surfing the internet continuously can be destructive indirectly. Even it has been seen that people drift away to the point that he/she cannot interact with people. Constant preoccupation with internet is damaging one s social skills. People are losing touch with their life and their self-identity. Nowadays people don t take effort to establish face to face conversations, as many easy ways are available over internet, like chat messengers, email, etc. The constant effects of addiction to internet can lead an individual to such situations that involve various mental and behavioural problems like. Depression, anxiety, substance abuse, etc. The absence of social interaction also can lead to various physical effects on individual s brain chemistry and the general physical health.

There has been lots of debate on which treatment modality is effective for the treatment of Internet Addiction Disorder. In many cases, multimodal treatments have been employed. It has been seen that there are lots of underlying psychological problems found in internet addicts, like anxiety, depression, etc. In such cases medications are also considered to be effective.

Apart from pharmacological interventions, different psychotherapeutic models are found to be very helpful in treating internet addiction like cognitive therapy, behaviour therapy, art therapy, family therapy, skill building training, etc. Studies have found cognitive behavioural therapy, in particular, is very effective and can bring better outcome among this group.

Internet Addiction - A Thriving Issue!

Alcohol addiction commonly known as alcoholism is a fairly common problem that has shown to affect people from every walk of life. Scientists have tried to pinpoint the absolute cause behind alcoholism, but to no success. Certain factors like sex, genetic, and socioeconomic factors have shown to have some effect on alcoholism. The cause of alcoholism is never singular. Alcohol addiction is indeed a disease, where a person may not have full control over his actions and is seen to change the neurochemistry of the brain.

The symptoms of alcohol addiction can be seen in many ways and the severity of the situation varies from person to person. Other factors such as the frequency of consumption may also be specific. While some people are heavy drinkers and drink throughout the day; others may drink occasionally and remain sober for a few days.

A person who is dependent on alcohol will prioritise drinking over other essential activities and will eventually cause disruption in his social life, work or other areas of his life. It can also create a negative effect in the victim s life along with their families and their near and dear ones.

What are the signs of alcohol addiction and alcohol abuse?
The signs and symptoms of alcoholism or addiction are rather conspicuous. Since drinking alcohol is common in social events in most cultures around the world, it becomes difficult to recognise when someone is addicted to alcohol, unlike drugs like cocaine and heroin.

The physical signs of alcohol abuse include:

Loss of control over the quantity of alcohol consumed.
Lack of adequate sleep, followed by overcompensation for sleep.
Expression of anger and other negative behaviours my increase in inappropriate places and situations.
Lack of proper attention towards the priorities in life.
How does alcohol affect the body?
Chronic abuse of alcohol can have negative effects on almost every part of your body and plays havoc in your system. Alcohol is liable to cause irreversible damage to several organs of the body which is vital for sustenance:

Nervous system
Stomach or Intestines
Liver
Heart
Brain
Alcoholism in itself can lead to several diseases like:

High blood pressure
Cancer
Increased incidences of osteoporosis, especially in women
Sexual issues

Alcohol - How Over Consumption Affects Your Body?

In order to determine whether a person is having a drug problem, there are several signs, which can be interpreted to know about the exact drug abuse state of a person. Drug abuse requires immediate attention before it becomes more problematic. There are several patterns and stages of drug use that have been listed below:

1. Hard drug use: Heroin, cocaine and methamphetamine fall under the category of hard drugs and are the most dangerous drugs. There are severe effects on the health and behavior of a user of hard drugs. Some people use these kinds of drugs for recreational purposes, but some can get addicted just after using them once. Such people usually isolate themselves from society and possess a high-risk behavior.

2. Frequent drug use: Frequency alone cannot determine whether a person is addicted to a certain drug. Some people may take drugs only once and twice a week, but still suffer from acute addiction. Frequency of drug use may indicate tolerance and a person may require more with each day. Frequent drug users usually keep on continuing the habit and it is hard for them to quit.

3. Early drug use: Some people start taking drugs at an early age during adolescence, and they are likely to develop severe drug problems later in life. People who take drugs before the age of fifteen turn out to be addicts as they grow up. The earlier a person uses drugs, the earlier he becomes addicted. Early drug use is a common phenomenon in today's world.

4. Solitary drug use: Using drugs and addictive substances while a person is alone may result in fatal addiction and various problems in life. Teenagers using alcohol, marijuana and cigarettes are prone to serious drug problems during adulthood. Solitary drug users are usually poor in studies and have a violent or abusive behavior.

5. Escapist drug use: Many people use drugs for dealing with stress, several problems in life or for building self esteem. These are used as a substitute for escapism, which allows a person to escape from reality to a place where nothing bothers them and they can be at peace. Such people are likely to develop drug problems. Some people may experiment with drugs just for the sake of trying, but slowly they may like it and get addicted. This causes several problems in life, and a drug problem arises. Such drug problems may affect the health in many severe ways.

Drugs are used in several patterns. All people do not use drugs in the same pattern and frequency. The pattern of drug use by a person lets the doctor determine the level of drug abuse he is on, or if he is addicted.

Patterns of Drug Abuse

Addiction not only includes physical things we consume, such as drugs or alcohol, but also includes virtually anything, such abstract things as gambling to seemingly harmless products, such as chocolate, etc. In other words, addiction may refer to a substance dependence (e. G. Drug addiction) or behavioral addiction (e. G. Gambling addiction).

Causes

There is a link between the repeated uses of an addictive substance and how the human brain experience pleasure, its use has a nice reward, leading to further and more frequent use. The addictive substance, be it nicotine, alcohol or some drug actually causes physical changes in some nerve cells in the brain. After a while, the user of the potentially addictive substance does not get the same pleasure and has to increase the dose, as his/her body's tolerance to it increases. Eventually, the user no longer experiences pleasure from the substance and takes it simply to prevent withdrawal symptoms taking the substance just makes them feel normal. When tolerance increases, the risk of addiction is much greater.

Signs and symptoms

A person starts to show symptoms when a person takes the substance, such as nicotine, alcohol etc. And has given a serious attempt to stop, but is unable to do so because of the withdrawal symptoms. The body of an addict will go in withdrawal state when once the level of the substance abused is below a certain level. When a person goes in withdrawal state it will show signs, such as craving, bouts of moodiness, bad temper, poor focus, extreme temperament, poor focus, continuous feeling of depression, emptiness, frustration, anger, bitterness and resentment. Apart from these the addict will also display symptoms such as increased appetite, insomnia, constipation, and diarrhea. Withdrawal caused by some substances can also trigger signs like violence, seizures, hallucination, sweating and trembling, etc. However, the addiction continues despite health problem awareness. An addicted person commonly feels they need their drug in order to deal with their problems.

Investigation of addiction

Blood test is advised to determine whether the substance is still in the blood (whether the substance has been taken recently). Dsm criteria for substance dependence that is a patient diagnosed with substance dependence (an addiction) must meet criteria laid out in the dsm (diagnostic and statistical manual of mental disorders), a manual published by the american psychiatric association.

What you can do?

Acknowledge the problem and consult for help from an expert. Family members must be supportive in creating a congenial environment for the addicted person.

Role of homeopathy in management of addiction

The first step for the addicted person is to acknowledge that there is a substance dependency problem (addiction problem). The next step is to get help. In most of the world there are several support groups and professional services available. Treatment options for addiction depend on several factors, including what type of substance it is and how it affects the patients. Typically, treatment includes a combination of inpatient and outpatient programs, counselling (psychotherapy), self-help groups, pairing with individual sponsors, and medication.

Talking of medication, homoeopathy definitely has a major role to play in the de-addiction journey of a'patient. Over the years it has been seen that homeopathy has produced tremendous results in such cases. People have approached for quitting alcohol, smoking, drugs, etc. And majority of them have been wonderfully helped by homoeopathy. Those who haven't achieved desirable results have either lacked willingness or conviction on their own part, or have had a non-congenial and non-co-operative environment at home and work place. For any de-addiction plan to be successful for a patient these 2 factors are the most important. A willing person with a co-operative and supportive environment is much more receptive and responsive to the medical treatment.

The commonest attacking area for any addictive substance is the central nervous system (cns). The substance inhibits the release of neurotransmitters, which are responsible for carrying nerve impulses. Once these neurotransmitters are inhibited in their normal functioning, a person develops delayed nervous responses and irregular nerve impulses leading to addiction. It is a vicious circle. So, as the centre of attack is the cns, a medical system that boosts and strengthens the cns would automatically prove beneficial in such dreadful cases. Homoeopathy is that very medical science! the homoeopathic medicines are absorbed through the nerve root endings of the tongue and directly hit the cns. There are some very powerful homoeopathic medicines, which have the ability to shake up the cns and work in a normal manner as it is used to be. These homoeopathic medicines, thus have the ability to develop control and also the power to abstain from the substance in later stages of the treatment.

But the first and foremost attempt is made to manage the withdrawal symptoms. It is the fear of the withdrawal symptoms only that a patient may lose conviction and confidence in him and give in to the indulgence once again. This is where the role of family and friends also comes in. When the struggle of 1 man becomes fight for the whole team; chances are very high of coming out victorious. There are brilliant medicines in homoeopathic science, which can help the person in managing and fighting with the withdrawal symptoms with ease. Medicines like nux vomica, kali phos, arsenic album, coffea cruda, aconite, gelsemium, argentum nitricum, ipecac, acid sulphurosum, caladium, daphna indica, quercus, etc. Have proved to be extremely effective in helping a person wean off completely of the addictive substances.

Mind the mind

Over the past two issues, we took up the burning problem of addiction as a mental illness, explored its, nature and probable causes that go into the making of an addict. The current issue is aimed at spreading awareness about the available evidence based psychological treatments for de-addiction.

1. Psychotherapy: also called as'talk therapy, is aimed at helping the patient to understand the link between their thoughts, feelings and behaviour so that the maladaptive ones can be replaced with more adaptive and productive processes. Interventions in terms of cognitive behaviour therapy (cbt), motivation enhancement therapy (met) and behaviour therapy are efficient in the treatment of addiction behaviour.

2. Craving control: use of certain medicines and behavioural techniques can help a person deal with the intense feelings of craving when it seems too much to bear. It gives a sense of greater control to the person over the substance, which in turn motivates him/her to stay away from using the substance. Many people report that they tend to continue the abuse the substance since they are unable to handle the period of intense craving, which can come all of a sudden.

3. Relapse prevention: arguably it is the most important component of de-addiction program. Leaving the substance is not that hard, but staying away from it is the most difficult part as reported by many patients with addiction. To ensure that the person stays clean and healthy without the substance, they are taught some techniques like asking for help whenever they feel the need to do the substance or staying away from potentially, dangerous situations, like going to party where alcohol is available. With therapy, the individual gains more confidence in his/her own abilities rather than depending on the substance for facing life situations. In addition to this, they also start enjoying their life without the substance. Both the patient and his/her family play an important part in this process hence they are educated about it and are advised regarding appropriate ways of ensuring sobriety for the patient.

4. Alcoholics anonymous (aa): it is a self-hellp group in which ex-alcoholics come together and share their experiences, for instance how they got into drinking, how it affected their life and now how they are maintaining their sobriety. These are mostly weekly sessions and have been found to be very effective in supporting the recovery of alcoholics to stay motivated and be clean without the use of alcohol. Similar to aa, there is na (narcotics anonymous for drug addicts) and al-anon (for the family members and friends of problem drinkers).

5. Yoga and exercise: a healthy daily routine with yoga or regular exercise promotes feelings of general well-being and ensures healthy mind and body. It detoxifies the body faster and even helps in recovering from the damage caused due to excessive substance use.

6. Social skill training: an important aspect for being away from drugs/alcohol is the ability to say no to such offers from others. Assertive behaviour, healthy communication pattern and good problem solving ability are skills that are taught to assist the person to stay healthy without feeling the need to take the substance.

One of the simplest, yet very powerful principles of staying healthy is'one day at a time! instead of making any long-term plans for staying sober, which might seem over-whelming and extremely difficult, just plan for that very day and decide to be clean without the substance.

Addiction: Signs and Symptoms

While we all know substance abuse is a social issue and learning that a loved one is affected by the problem can be nearly heart-breaking. It is definitely not something that can be easily accepted. At the same time, the affected individual needs all your love and attention and more importantly support to get through the situation. It is important to not show anger or frustration at the person but to empathize and help them get out of the situation. 

Read on to know some of the ways in which you can play an active role in supporting your loved one under such circumstances. This involves both of you coping with the situation at hand, as well as helping the person come out of the abuse. 

Educate yourself: When you are trying to help a person, you should know in detail about the substance that was being used and its ill effects. This gives you greater credibility, unlike the person who got carried with the happy feeling it gave and got into abuse. 
Ensure safety: This is both for the affected individual and yourself. With the required substance not being available, the person could look at harming either self or others, especially ones who are trying to get them out of the abuse. Though the intent is to help, they are looked at as people who are depriving the feel-good feeling produced by the substance, which is no longer easily available. Therefore, ensure safety. 
Talk openly: In the beginning, be a good listener. Once you get their confidence, make them understand that the entire situation is making you upset and perhaps angry or frustrated too. Get them to focus on your proposal of getting out of the habit together. If they are willing then this can ensure greater success in quitting the habit. Get to understand how exactly the habit developed including the people responsible for it, the circumstances leading to it, and the various chemicals that were used. The duration and frequency are also important. Tell them it is okay and that you will both get out of it with each other s support. 
Participate in therapy sessions: Individual counseling will work effectively for the primary client, but it is also important for family members to get involved. The counselor also would need support beyond the few counseling hours for completely getting rid of an individual s habit. Therapy can help you learn how to manage the issues back at home. 
Find your  me-time : With all that is going on, you will need some time for yourself to just be. Eat well, stick to your workouts, sleep well, keep your friends, and make time for your hobbies. These will ensure you are in good shape to support the affected individual. It is not possible for you to help another person when you are not in great shape yourself.

Substance Abuse - How Should You Cope With Someone Going Through It?

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