Alcoholism is a severe problem, which can make a person's life miserable and also make the society detest him. The aim of treatment for alcoholism is abstinence or staying away from alcohol use. The treatment of alcoholism can only begin when an alcoholic accepts the problem and realizes that he must get rid of the habit for his own good and the good of his loved ones.

There are three main stages in the treatment of alcoholism:

1. Detoxification: Detoxification is the first step required after a person stops using alcohol. The detox phase may include seizures, hallucinations and delirium tremens. The patient must be kept under proper observation.
2. Rehabilitation: This step includes proper counseling and medications to provide the person with skills and motivation to remain sober. This can be done by making him an inpatient or outpatient, depending on the condition of the patient.
3. Maintaining sobriety: This is the most important step where a person's self-will is tested. He needs to stay away from alcohol after getting out of rehabilitation for which he requires support. Meetings conducted by the Alcoholic Anonymous should be attended regularly by a recovering alcoholic.

For people in the early stage of alcoholism, discontinuing alcohol may cause several withdrawal symptoms such as poor sleep and anxiety. For long term alcoholics, severe withdrawal symptoms are experienced, which include shaking of the body, spasms, hallucinations and panic.

Medication
Several medicines may be required in the recovery period of an alcoholic.
Anti-anxiety medicines such as benzodiazepines are used for treating withdrawal symptoms like poor sleep. The medicines are usually used in the detoxification period. After this phase, they are discontinued.
For maintaining sobriety and to abstain from alcohol, several medicines are given to recovering alcoholics. A drug known as disulfiram is used after the completion of the detox period. This medicine reacts with alcohol metabolism and causes a person to vomit, become confused, have blurry vision and experience difficulties in breathing after consuming alcohol.

A medicine called naltrexone may be used for reducing alcohol craving. It can be prescribed even when a person drinks. It is given in the form of an injection. Antidepressants are also given to patients to reduce anxiety and depression.

Other ways to deal with alcoholism
Several other instructions must be strictly followed by a recovering alcoholic to avoid relapse. They are as follows:
1. People and places related to drinking should be avoided, and a person should make new nonalcoholic friends.
2. Support groups and AA meeting must be attended regularly for motivation.
3. Dependence on alcohol should be eliminated by starting different activities and getting involved in things.

Alcoholism is a severe problem, which may lead to death in case of extremities. Alcoholism can ruin a person's life, and proper measures must be taken to eliminate alcoholism.

Ways to Deal With Alcoholism

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!

What is Addiction?

Addiction is a condition in which individual engages in using a substance or seeking a behaviour which leads to rewarding effects in the brain and it reinforce the individual to repeat the using or seeking behaviour again and again. Addiction develops gradually over a period of time and due to the repetition of same pleasure seeking pattern individual become physically and psychologically dependent on the substance or to any other object at the center of addiction.

People can get addicted to many substances like, alcohol, nicotine, drugs, solvents, etc. In case of these substances, physical and mental dependency both can occur. There are other objects and behaviours which also activate brain reward system in the same way and can make people dependent on them, like gambling, shopping, videogames, watching pornography, etc. But in case of these objects or behaviours, psychological dependency can be more prominent.

It has been seen that there are lots of other mental problems found among individuals suffering from any kind of addiction, like anxiety, depression, personality disorders, psychosis, etc. Individual who is addicted to a substance or an object or behaviour indulge into compulsive pattern of seeking the same inspite of their detrimental consequences. Consequences of addiction can be seen on person s health, personal life, occupational life and social life. Addiction can lead to severe unmanageability in one s life.

Especially when it comes to substances, like alcohol, nicotine or any kind of drugs, we must understand how the tolerance level of the brain develops? Tolerance develops when an individual no longer responds to a substance in the way he/she did at first. So, it takes a higher dose of the substance to achieve the same effect as when the individual first used it. This is why people with substance use disorders use more and more of a drug to get the  high  feeling that they seek.



A blog posted by an alcoholic:

 I always wished I could drink like other people. But I never could. I thought it was the third drink that got me into trouble. If I only had two, then I d be fine. Thing is, once I put that first drink to my lips, I could no longer accurately predict what would happen next. I might go home, but I might not.

You d think if I made it home, then my drinking was a success. Wrong! If I made it home after two drinks, there was an insatiable need raging within me and I was gonna take it out on you.  After all, you re the reason why I had to come home. I would punish my family by being silent, or mean, or emotionally distant.

Looking back, it was never intentional. I didn t purposely choose not to go home.  I didn t leave the house with a suitcase containing a fresh set of clothes, a tooth brush and my cosmetics. Seriously, I was only going out for  a few. 

If anybody can relate to this or can understand this, he or she can understand tolerance, powerlessness and unmanageability.

How to recover from addiction?

To be an addict can t be anybody s choice, but recovery can be one s choice. The first key step to come out of your addiction is developing acceptance. For a person to admit their powerlessness in addiction to drugs or alcohol or to any other object at the center of addiction is a monumental first step to recovery. Powerlessness means the person do not have any control over his/her use of substance. Powerlessness may indicate weakness and helplessness; some may think it fosters a victim mentality. Acceptance starts developing when a person admit that he or she is powerless over the substance or object at the center of addiction and their life have become unmanageable because of that.

Addiction is a disease and recovery is not an easy process. Individuals who are already into the grip of addiction need to seek help. One cannot go through the journey of recovery alone. There is a myth that addiction is a habit and one can get out of it if he or she has the  Will Power . It s actually not true. To get out of the disease you need to develop  Skill Power , like skills to understand your physical and psychological mechanisms when it comes to the substance or the object of addictions, skills to handle cravings, skills to be assertive enough to manage social cues, skills to deal with day to day life stressors, etc. And in this process of developing skills and maintaining your recovery you need help of professionals.

A complete treatment program has three important approaches. First one is psychopharmacological (medicine) approach, second is psychotherapeutic approach and the third one is the 12 step program of alcohol/narcotics anonymous. A combination of psychotherapies along with the basic essence of 12 step program can bring greater outcomes in individual suffering from addiction.

Understanding Addiction And The Key Steps To Recover From It!

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

Drug abuse is characterized by the excessive use of illegal drugs, prescription drugs or even over-the-counter drugs. Drug abuse eventually leads to drug dependency whereby the drug begins to take control over you and affects your daily activities as well as your physical health.

Treatment

Treatment of drug abuse normally involves a series of steps to be undertaken. These are:

1. Group therapy
2. Counseling
3. Drug addiction

Furthermore, treatment of drug abuse generally follows a 12-step program which continues even after the treatment as a part of the recovery process.

Detoxification

Detoxification, or simply detox, is a procedure involving medical care while attempting to deal with withdrawal symptoms after your initial break from drug use. Since dealing with withdrawal symptoms can be quite problematic, you will certainly have to consult a doctor who will probably prescribe you certain medications.

Therapy
There are different types of therapy needed to overcome the problem of drug abuse. These include:

1. Group therapy, where you can interact your problems with other people who are going through the same ordeal.

2. Motivational interviewing (mi), where you can resolve mixed feelings with regard to quitting and treatment.

3. Cognitive-behavioral therapy (CBT), where you can learn to take control over your actions as well as change your thought and behavior pattern in order to adjust to a drug-free life.

4. Motivational enhancement therapy (met), where motivational interviewing is used to help give you more motivation with respect to quitting drug consumption.

5. Family counseling, or even couples therapy, where you can learn how to stay drug-free as well as improve your relationship with your family members or with your partner.

Treatment programs

Treatment programs are often similar to therapies and are classified into three types:

1. Inpatient treatment
2. Outpatient treatment
3. Residential treatment.

How to Treat Drug Abuse

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