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.
This is a short counselling session that can be provided if you've had an accident that has something to do with drinking or if you're not at peace with your own drinking habits.
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.
In order to keep track of the glasses you drink weekly, having a "drinking diary" could be very helpful. You may also be advised on how to drink when out with other people such as alternating between the alcohol and water/sodas/juices.
You feel your health will greatly improve if you stop taking alcohol. Moderation is, however, a goal which is realistic or at least in the initial stages the first step which you can take on your way for the abstinence.
If you have tried moderation in the past and failed, you will be advised to go for abstinence
Other counselling sessions will be recommended for those who opt for moderation, in order to examine their progress and to give extra medication and guidance if necessary.
To monitor the health status of your liver, regular blood tests may also be conducted.
In case you have alcohol dependency, it is urged you look for medical guidance to maintain your withdrawal.
In order to abstain completely, some addicts may be offered some drugs. The use of the cognitive behavioural therapy (CBT) or similar talking therapy, extended counselling, and self help groups will also be good for you.
The level of your addiction to alcohol is what determines the best venue to conduct your detoxification. 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.
Home detoxification may also be enough for you if you have a high alcohol consumption level that is above 20 units per day, but only with drugs that can reduce the withdrawal symptoms. A sedative known as chlordiazepoxide is frequently used for this aim.
You may have to look for a hospital or centre to detox if your addiction is strong. The reason behind this is that you will require a specialised therapy as removal symptoms will be severe.
For the first 48 hours your removal symptoms will be more impacting. They should gradually start to improve as your body begins to adjust to being without alcohol. But, when your body starts getting used to the absence of alcohol, the severity of the symptoms will reduce. This frequently takes three to seven days from when you last had a drink.
Furthermore, your sleep will be disordered. It will include finding it very difficult to sleep or having several short sleeping sessions at night. Your sleep patterns should be back to norma in a period of a month.
Drinking a huge volume of fluids (three litres within 24 hours) during the detoxification period is compulsory. Drinks with caffeine in them can interfere with sleep and make you feel anxious and thus should be avoided as much as possible. Some of good options are water, squash or fruit juice.
Even if you don't feel hungry, try as much as possible to eat regularly. Overtime, your appetite will improve.
If you're using any medication in managing withdrawal symptoms, don't operate any heavy machines including cars. It is quite possible for the medication to make you feel drowsy. Use medication only in the prescribed manner.
Detox can be a harsh time. You can take a bath, stroll around, or enjoy some music in the bid to relieve stress. Get further information about stress control.
In case you are detoxing in your residence, you will routinely see a nurse or another healthcare specialist. GP practice or a professional NHS service may be at your residence. If you require extra support, the contacts of the nearby support group will be offered to you.
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. A durable cure and assistance will be essential too.
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. Alcohol longing is decreased with prescribing it alongside therapy.
Acamprosate will work by affecting the levels of a chemical within the brain which is identified as gamma-amino-butyric acid [GABA]. GABA is considered as a substance which is partly responsible for inducing a craving for alcohol.
You may take acamprosate for up to six months starting at the time you first begin the detoxification.
Disulfiram [brand-name Antabuse] can be used if you are trying to abstain but are concerned about having a relapse, or if you have had relapses earlier. This is a deterrent drug that pushes you away from alcohol by causing uncomfortable reactions in your body if you drink alcohol.
It's also crucial to stay away from anything that contains alcohol because it could provoke an unkind response.
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.
When you are prescribed disulfiram and are taking it, you will be examined by your healthcare team every fortnight for the initial two months and thereafter the examinations will continue over a period of four months.
Naltrexone is generally used to prevent a relapse or limit the quantity of alcohol that is being consumed.
Its function is to halt the effects of alcohol by blocking the opioid receptors in the human body. The popular method is to combine this with other medications or with counselling.
Opioid based painkillers such as morphine are also rendered ineffective if you're taking naltrexone so be sure to remember this.
Seek medical attention in case you start feeling ill when taking naltrexone and stop taking the medication.
Courses of naltrexone last for until six months, although it may on occasions be longer.
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.
The drug reduces the urge to drink by blocking the brain's opioid receptors.
Unless you're getting the support you need to drink less and receive treatment, you shouldn't take Nalmefene.
Numerous people who are dependent on alcohol find it helpful to attend self-help groups like alcoholics anonymous (AA).
One of the major conviction behind AA is that alcoholic dependence is a durable, growing disease and complete abstinence is the singular resolution.
In order to help you defeat alcohol dependence, they have formulated a 12 step programme.
You are required to admit that you are powerless over alcohol and thereby your life has become unmanageable along with confirming that you have acted wrongly and wherever possible making amends with people who you may have harmed.
Get more information about the 12 steps of Alcoholics Anonymous and alcohol assistance.
Twelve-step facilitation therapy is designed around the AA's programme. Rather than carrying out the therapy in a group setting, you'll be going through them in private with your counsellor.
The therapy can be your favourite treatment choice in case you feel uncomfortable to talk over your issues in a group.
Cognitive Behavioural Therapy (CBT) is a speaking therapy that makes use of an issue-solving approach to alcohol dependence.
You will learn how to stay away from particular prompts and deal successfully with those that are inevitable thanks to your CBT therapist.
The entire family and relatives, not just the addict would be affected by the addiction ailment.
Support can also be obtained by family members if required. This kind of support is important since it's not easy having to live with a person with an alcohol abuse problem.
The family members and friends of alcohol addicts can access assistance and guidance from several specialist alcohol services.
In case your goal is to moderate your drinking, you might be requested to maintain a "drinking diary".
This will help you to assess you drink habits including your current alcohol intake and situations that trigger your drinking and therefore show you a path to reducing your intake.