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.
The duration of a brief intervention is of about 5 to 10 minutes and analysis psychological problems emerged with drinking, alcohol support networks appropriate for you, guidance about cutting down on drinks, and dangers that come along with your drinking habit.
You may receive recommendations about maintaining a diary in order to record the number of units of alcohol you consume every week. You can also shift from alcoholic drinks to soft drinks when you are with pals as hints related to social drinking.
You feel your health will greatly improve if you stop taking alcohol. On the other hand, moderation is frequently a more practical aim, or a beginning to achieve abstinence.
If you tried moderation before but didn't succeed then abstinence may also be a good idea.
In case you opt for moderation, you will possibly be requested to visit some counselling sessions so your development may be estimated, and further medical care and guidance can be offered if necessary.
In order to assess the condition of your liver, constant blood tests may be carried out
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.
In order to abstain completely, some addicts may be offered some drugs. Cognitive Behavioural therapy or CBT, extra counselling and attending support group meetings can also help you on your path to recovery.
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.
In case your alcohol drinking is large (more than 20 units per day) or you have already faced withdrawal effects, you can also be capable to detoxificate in your residence with medicine in order to comfort withdrawal effects. A sedative known as chlordiazepoxide is frequently used for this aim.
In case your alcohol dependency is serious, you might need to experience a hospital or centre to do the detoxification process. The need for specialized treatment will arise when you have severe withdrawal symptoms.
The first 48 hours will be full of the highest degree of withdrawal symptoms. As your body gets used to be alcohol free they should then slowly get better. This procedure normally lasts for around 3 to 7 days from the time you had your last drink.
You'll also experience problems sleeping. Waking up many times over the night or having issues to get to sleep are some symptoms you may experience. Your sleep patterns should be back to norma in a period of a month.
Ensure that you drink lots of fluids during the detoxification to stay hydrated. 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. Some of good options are water, squash or fruit juice.
Additionally, strive to consume daily meals, even if you aren't feeling hungry. Your hunger will appear progressively.
If you are on withdrawal symptom drugs, do not drive or handle heavy machines. You could get dozy because of medication. Stick to the instructions on your prescription drugs.
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. You should make an attempt to educate yourselves on the subject of stress management.
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. In case you need extra support, you'll be shown how and who to get in touch with.
Withdrawal from alcohol is essential and is the first step in overcoming your problems, which are alcohol-related. But withdrawal alone is not a result oriented treatment. Afterwards, you'll still need more support and treatment to help you stay clean.
For the treatment of the abuse of alcohol, the National Institute for Health and Care Excellence (NICE) has named some drugs.
A more elaborate explanation about these drugs is given 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 usually combined with counselling in order to reduce cravings for alcohol.
The amount of a brain chemical called gamma-amino-butyric-acid or GABA is what is affected by this medication. 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.
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.
Because any other source of alcohol will cause unfavourable reactions during this period, you have to avoid them as you avoid alcoholic drinks.
Solvents, paint thinner and any other substance that produces fumes containing alcohol should also be avoided.
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.
Once you are taking disulfiram, you will be examined by your healthcare group about once every two weeks for the initial two months, and then each month for the following four months.
Preventing reversion or decrease in the quantity of alcohol someone consumes can be possible with Naltrexone.
It works by holding up opioid receptors in the system, blocking the alochol symptoms. It is frequently used mixed with other medication 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 are not comfortable when taking this medication you are advised to stop taking it immediately and seek advice from your GP or the health care team.
Naltrexone intake can go up to six months and sometimes more.
Blood tests and a complete medical evaluation will be conducted before having the approval of these medications.
Nalmefene (brand name Selincro) can be used in order to avoid a relapse or limit the quantity of alcohol an individual consumes.
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.
A lot of individuals that experience alcohol dependency issues find it helpful to visit self-help groups like Alcoholics Anonymous (AA).
The AA group believes that the sickness called alcohol dependence is a progressive and long term one that could be solved with abstinence alone.
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.
To know more about support for alcohol addiction, read more on the 12 steps of AA.
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 comfortable talking about your issues in a group setting, this form of therapy may be a much better alternative.
Cognitive-Behavioural therapy which is also known as CBT is a therapy of discussions, which utilises the approach of problem-solving to alcohol dependence.
You will be educated on how to desist from some of the triggers and manage those you cannot avoid by the CBT therapist.
The entire family and relatives, not just the addict would be affected by the addiction ailment.
The relatives should also be offered the necessary support. This kind of support is important since it's not easy having to live with a person with an alcohol abuse problem.
There are numerous specialist alcohol services, which can provide the help and the support that is required by the relatives and friends of the individual who could be dependent on alcohol.
You may be advised to develop a drinking record if you only want to lower your drinking.
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.