My brother is 33 years old. He is additiced to alcohol. So last year he was admitted to icu for acute pancreas .as his pancreas were damaged. And doc said not to have 1%alcohol. During that period it came that he is diabetic. But again he started drinking. And he says that he is not able to control over it. He takes insulin 22 units one time. Creon 10000. And one more medicine. Pls help me for his alcohol problem. How to get rid of it.

Dr. Saul PereiraPsychologist47yrs exp

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Ideally he must want to stop this habit. Otherwise it will become a futile exercise. If this habit has become too much then you will need to admit him into a center for rehabilitation. He will need to be there for at least 6 months and they will do detoxification and treatment for the addictive nature followed by extensive counseling. There are medicines that help with the drinking just to ease the initial craving and to act as an antabuse i.e. He will have a serious reaction, if he consumes even a small quantity of alcohol or alcohol based substances. It has to be carefully monitored to see that he not only consumes the medication but is also avoiding alcohol. Ultimately, it is his will power and the support that he receives from the medical fraternity and his close and dear ones. He must also learn to substitute and deal with the oral need, a rigid value system, the script issue, and of course take a look at all the genetic factors to plan a strategy not to get into what is called ?cross addictions? i.e. Another form of addiction that may appear alright but is in fact as bad as the primary addiction. The center or hospital and the counselor will advise and guide him on several measures and precautions he will need to take to stay with his resolve. Even after the rehabilitation he must attend AA meetings and continue this support for a long time. The family will also need to attend some sessions and go for Al-anon meetings for their co-dependency issues. He cannot be treated in isolation because the family has gotten used to his drinking and have made some unhealthy adaptations to somehow cope. Make a serious plan with whose ever else?s support he can get and act on it fast. If he is not cooperative, there are some centers that will come and pick him up, after he is completely drunk, and admit him by force. This will however, require the family?s consent. His medical condition will also need attention so this is normally taken into account at the rehabilitation center.  

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