AUD is linked to the development of serious health complications and early death.
You will be asked about your symptoms and medical history. AUD is diagnosed based on information collected from specific questions. This includes the number of drinks, social habits, lifestyle changes, and personal relationships. If a family member or friend is present, they may be asked questions as well.
There is no test for AUD. Further tests may be needed if there are some signs of related illness or organ damage.
AUD treatment is aimed at learning how to manage the disease. Most professionals believe that this means giving up alcohol completely and permanently. A combination of approaches is most effective. The first and most important step is recognizing that a problem exists. Successful treatment depends on the desire to change. Denial is common in people with AUD. Family and friends who have a loved one with AUD who is in denial can seek advice from professionals or support groups such as Al-Anon.
Medical support may be needed to safely manage withdrawal from alcohol. This could require hospitalization in a detoxification center. Support may include medications, fluid or nutrition support, and monitoring by professional staff.
Relapse is common in people who are recovering from an addiction. Treatment, like taking medication and working with a therapist, may help reduce the chance of drinking and provide the support needed in case of a relapse. Treatment to maintain management of AUD may include:
Counseling is a large part of AUD treatment. Stress and physical or emotional pain are often triggers for AUD. Counseling can improve coping skills and teach healthier ways of dealing with stress or pain. Since AUD affects all aspects of life, including relationships, family, and work, counseling may also help people as they adjust to a sober life. Counseling may be one-on-one, in a group, or with other family members.
Treatment and counseling take time. What works for some may not work for others. The length of time involved in counseling depends on individual needs. For many, some form of counseling is a life long support system.
Mentoring and Community Help
Alcoholics Anonymous (AA) helps many people to stop drinking and stay sober. Members who all have drinking disorders meet regularly to share and support each other's sobriety.
Living with an alcoholic can be a painful, stressful situation. Family members may also find group support of others in a similar situation helpful. The groups may help them better deal with stresses and changes they are facing.
Certain medications may help decrease the desire to drink alcohol. Medications may be used alone or in combination with other treatments. Options include:
Medication that decreases the pleasure signal from the brain when drinking. It may help cut cravings.
Medication that causes immediate illness after drinking alcohol.
Medication that reduces that physical dependence and cravings for alcohol.
AUD affects the body's major organs, including the brain, heart, liver, and pancreas. Treatment for AUD may also include medical treatment for life-threatening health conditions. These may include:
AUD tends to run in families. If you have any family members with a history of problem drinking, be aware that it may increase your risk for addictive behaviors.
Education and structured programs can help children and teens learn about alcohol and how it affects families and society. Parents can be good role models for their children by avoiding alcohol, or drinking in moderation. Moderation is 1 drink or less per day for women and 2 drinks or less per day for men.
5/14/2010 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T115540/Alcohol-use-disorder: Vivitrol (naltrexone). Food and Drug Administration website. Available at: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm106211.htm. Updated August 28, 2013. Accessed February 6, 2015.
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