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Alcoholism

Alcoholism

 © NetDoctor/Lene Justesen
Written by Dr Dan Rutherford, GP

If you feel you can't function without a drink, seek help.


Alcoholic drinks have been prepared and drunk for thousands of years, and the problems that can accompany excess alcohol intake have undoubtedly been around just as long.

Friend or foe?
High levels of alcohol consumption can lead to physical illness and psychological and social distress. Alcohol has therefore always had an ambivalent position in society.

In moderation, it can be the oil that makes a social occasion go with a bit more flow or helps a shy person overcome their inhibitions.

Small, regular amounts of alcohol also seem to have a positive effect on the heart and circulation. But too much alcohol is often a recipe for disaster.

The increasing use of alcohol, along with other drugs of abuse, is a serious public health problem across all age ranges, but especially so in the young.

What is alcohol dependence?

CAGE questionnaire The 'CAGE' questionnaire is a short list of questions that can indicate if alcohol dependence is a possibility.

Two or more positive answers to these questions suggests dependence.

Have you ever:

  • thought you should Cut down on your drinking?
  • felt Annoyed by others criticising your drinking?
  • felt bad or Guilty about your drinking?
  • had a drink first thing in the morning to steady your nerves or get rid of a hangover? (Eye-opener.)
  • What problems are caused by too much alcohol?
    Excess alcohol can lead to health problems including:

  • depression
  • liver cirrhosis
  • heart failure
  • damage to the brain and nervous system.
  • Along the way there is often damage to relationships, finances and jobs and problems with the law.

    Mental health and alcoholism
    Mental health problems are common with alcoholism. Each can lead to or reinforce the other.

    Depression is a common cause of alcoholism as the depressed person seeks a way out of their problems or a relief from insomnia. Unfortunately, alcohol is itself a depressant, so the problem is only compounded.

    Anxiety can be temporarily relieved by alcohol, but this may lead to repeated intake and dependence.

    Without adequate attention to the mental health needs of a person with alcohol dependence, little progress will be made. Often alcoholism remains unsuspected even by the doctor, and it may come to light only when medical tests are done for other reasons.

    Treating alcoholism
    The difficulty of treating alcoholism should not be minimised – it can be very hard, even with support from family, friends and your GP. However, there are a a number of steps you can take including not drinking alcohol on weekdays.

    The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care or attention by a qualified practitioner. The materials in this web site cannot and should not be used as a basis for diagnosis or choice of treatment. Conditions for use Powered by netdoctor
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