katyzzzAlcholism and working
September 3rd 2006 22:21
areas of body affected by alcholism
We've all seen the stereotypical "drunk" in movies and television shows: He's the one staggering down the street, clothing askew, slurring his words and tripping over his own feet. But in the real world, alcoholism is often much more difficult to spot. Alcoholics may hide their drinking problem from friends, family -- even from themselves.
In the United States alone, alcoholism affects millions of people and costs the country billions of dollars each year.
In this article, we'll learn the difference between heavy drinking and alcoholism, find out how alcohol affects the body, discover the genetic, social and physiological factors that lead individuals down the path to alcoholism and learn how alcoholics can get treatment for their addiction.
What is Alcholism :
Not everyone who drinks alcohol heavily is considered an alcoholic. People who drink regularly enough to affect their family or work responsibilities and who drink in a way that puts them in dangerous situations (for example, behind the wheel of a car while intoxicated) are said to abuse alcohol. Although they use alcohol in an unhealthy way, people who suffer from alcohol abuse do not necessarily develop a physical dependence upon alcohol.
Alcoholics, on the other hand, have a chronic disease. They are physically dependent upon alcohol. They feel a need to drink, almost in the same way that most people feel the need to eat. And once alcoholics start drinking, they are unable to stop. They develop a tolerance to alcohol, requiring more and more drinks to feel the same effects. When an alcoholic tries to cut down or stop drinking, he or she experiences the symptoms of withdrawal: sweating, nausea, shakiness, anxiety and delirium tremens (seeing images, severe shaking, confusion).
More than 17 million Americans abuse alcohol or are alcoholic, according to results from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Alcoholism affects men more than women: About 10 percent of men, compared to 3 to 5 percent of women, become alcoholics over the course of their lifetime. Men who drink 14 or more drinks a week and women who drink more than seven drinks per week are at risk for alcoholism. Alcoholism is more prevalent among younger people (ages 18-44) than among older people.
Treatment for Alcoholism
In Dollars
Alcoholism costs the United States an estimated $185 billion per year in medical expenses, crime, lost productivity and accidents, according to the National Institute on Alcohol Abuse and Alcoholism.
In the United States, approximately 2 million people get help each year for alcoholism. Alcoholism treatment may include:
Detoxification: This involves abstaining from alcohol in order to get alcohol completely out of a person's system, and it takes anywhere from four to seven days. People who undergo detoxification often take medications to prevent delirium tremens and other symptoms of withdrawal.
Pharmaceuticals: People can take drugs such as disulfiram or naltrexone to prevent a relapse once they've stopped drinking. Naltrexone reduces the desire to drink by blocking the centers in the brain that feel pleasure when alcohol is consumed. Disulfiram causes a severe physical reaction to alcohol that includes nausea, vomiting and headaches. In 2004, the U.S. Food & Drug Administration also approved the drug acamprosate, which suppresses cravings by targeting the brain chemicals affected by alcohol.
Counseling: Individual or group counseling sessions can help a recovering alcoholic identify situations in which they may be tempted to use alcohol and find ways of circumventing the urge to drink in those situations. One of the most recognizable alcoholic recovery programs is Alcoholics Anonymous (AA). In this 12-step program, recovering alcoholics meet regularly to support one another through the recovery process.
The effectiveness of these programs varies depending upon the severity of the problem, the social and psychological factors involved and the individual's commitment to the process. A 2001 study found that 80 percent of people who had gone through a 12-step program such as AA remained abstinent six months afterward, compared to about 40 percent of people who didn't go through a program. Studies have also found that combining medication with therapy works better than either treatment alone. Medication addresses the chemical imbalances that cause alcohol addiction, while therapy helps people cope with abstinence.
Unfortunately, there is no "cure" for alcoholism. Recovering alcoholics must continually work to prevent a relapse. However, a 2001-2002 survey by the National Institutes of Health found that approximately 35 percent of alcoholic adults were able to fully recover from their addiction.
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