There are several factors including whether you're trying to drink less or stop completely that will determine the best course of treatment if you have an alcohol abuse problem.
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.
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.
Having a "drinking diary" might be suggested so you can write down and have an evidence of the amount of alcohol you consume per week. Lessons on how to replace alcoholic drinks with soft drinks when hanging out with your loved ones and other social drinking rudiments may be given to you.
Stop drinking alcohol will provide excellent health advantages. But it will be more feasible to reduce the volume of alcohol you drink or to start with that method before giving it up completely.
You could receive recommendations about total abstinence if you have previously proven unsuccessful with moderation.
To assess how well you're doing and to provide extra treatment and advice where necessary, when you decide to go with moderation, you'll be requested to also attend counselling sessions.
In order to monitor your liver you may be required to have regular blood tests.
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.
Numerous people are prescribed medications during their effort to achieve total abstinence. Cognitive Behavioural therapy or CBT, extra counselling and attending support group meetings can also help you on your path to recovery.
Your alcohol dependency level will inform the place and method for your detoxification. Because of the fact that situations that are not severe will entail subtle withdrawal symptoms, the detoxification could be done in your home.
You can still detox at your house with medication to reduce removal symptoms if your addiction is high (20 or more units a day) or you've been through removal symptoms before. 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.
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.
You'll have trouble sleeping. It will include finding it very difficult to sleep or having several short sleeping sessions at night. This problem usually ends within the first month and is usually expected.
Drinking a huge volume of fluids (three litres within 24 hours) during the detoxification period is compulsory. To avoid increased anxiety, and doing more damage to your sleeping pattern, you have to desist from drinks like coffee, tea and others that contain caffeine. You will find various choices available in the form of water, squash or fruit juices, which would be better.
Even if you don't feel hungry, try as much as possible to eat regularly. Your hunger will appear progressively.
If you are advised to take any medications for easing out your withdrawal symptoms, you should avoid driving and operating heavy machinery. It is quite possible for the medication to make you feel drowsy. Medications must only be taken as directed by the healthcare professional.
You may feel a lot of stress during the detoxification period. Try reading, going for walks or listening to music to help cope with the stress. Search for more stress management details.
Constant interaction with a medical expert or nurse is recommended for those undergoing home detoxification. This may mean going to your doctor, an NHS specialist or being visited at home by a treatment expert. If you require extra support, the contacts of the nearby support group will be offered to you.
Withdrawal from alcohol is an essential initial stage to overcoming your alcohol-associated issues. Nonetheless, removal isn't a proper therapy by itself. Afterwards, you'll still need more support and treatment to help you stay clean.
The National Institute for Health and Care Excellence (NICE) suggests an amount of medicines to care for alcohol abuse.
Below you'll find more information on these medications.
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. It is usually combined with counselling in order to reduce cravings for alcohol.
Gamma-amino-butyric acid (GABA) is a chemical in the brain that's influenced by Acamprosate. GABA is considered to be slightly at fault for causing a strong desire for alcohol.
You may take acamprosate for up to six months starting at the time you first begin the detoxification.
If you have fallen back to substance abuse in the past and are trying to achieve sobriety but think you can fail again, Disulfiram (commercial name is Antabuse) can be prescribed. 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.
Paint thinners and solvents should be kept away as they can release alcoholic fumes.
If you've been on disulfiram and stop taking the medication, you'll still experience these negative physical reactions for up to one week afterwards in case you interact with alcohol in any way.
You should be meeting with your medical experts once in two weeks for the first two months and once every month for the next four months when you are under disulfiram.
When trying to avoid a relapse or trying to reduce a person's alcohol intake, Naltrexone can be used.
It works by holding up opioid receptors in the system, blocking the alochol symptoms. It is often mixed with other medication or therapy.
Opioid based painkillers such as morphine are also rendered ineffective if you're taking naltrexone so be sure to remember this.
You must jettison the drug and contact your care team or GP for counselling if you feel sick while under naltrexone.
Naltrexone intake can go up to six months and sometimes more.
Complete medical examination, including blood tests would be conducted on you before any of these drugs is prescribed for you.
Nalmefene (brand name Selincro) can be used in order to avoid a relapse or limit the quantity of alcohol an individual consumes.
It obstructs the opioid receptors in the brain decreasing longing for booze.
If you are getting help to decrease your alcohol consumption and keep going to therapy are the only cases when you can take nalmefene.
Alcoholics Anonymous (AA) and similar self help groups have been of tremendous help to those suffering dependence on alcohol.
Alcoholic addiction is an enduring, growing disease, and complete sobriety is the only answer according to AA.
The treatment program sponsored by AA depends on a 12-step program made to assist you overcome your alcohol addiction.
The steps start with admittance that you have no power over your addiction and admitting that you've wronged others and also require you to try and make amends for your past mistakes.
You can read more about the 12 steps of Alcoholics Anonymous and alcohol support below.
Twelve-step facilitation therapy depends on the program conceived by AA. The distinction is you work over the levels on a one-to-one basis with a counsellor than in a group.
The therapy can be your favourite treatment choice in case you feel uncomfortable to talk over your issues in a group.
This therapy attempts to treat alcohol addiction by trying to solve the problems that led to the addiction.
Your CBT therapist will guide you how to prevent some triggers and deal efficiently with those that are bound to happen.
An entire family can be affected by alcohol addiction not just the alcoholic.
Assistance is also accessible for family memebers as it should be a given right. Living with an individual who is misusing alcohol can be stressful and therefore, receiving the support that is required can help efficiently.
Aid and advice for family and friends of alcoholics can count on various specialized alcohol services.
You may be required to write a "drinking diary" if you want to control your drinking.
This will give you a proper estimate about how much you are drinking along with the information on the situations in which you are indulging in the habit of drinking and the method about how you can start to cut down.