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Alcohol Abuse / Dependence
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Alcohol-related disorders
Symptoms of alcohol abuse:
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repeated use of alcohol
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repeated use of alcohol leading to failure to fulfill obligations at work, home or school
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repeated use of alcohol leading to alcohol-related legal consequences (DUI's, arrests)
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repeated use of alcohol despite many serious problems and difficulties in social, interpersonal, academic, family functioning
Symptoms of alcohol dependence:
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symptoms of alcohol abuse, plus:
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tendency to use increasing amount of alcohol to achieve the same desired effect (tolerance)
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presence of withdrawal symptoms (see below)
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persistent desire and attempts to cut down or stop using alcohol
Symptoms of alcohol intoxication:
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slurring of speech
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incoordination
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gait ataxia (gait imbalance)
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memory impairment
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stupor
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blackouts
Symptoms of alcohol withdrawal:
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shakes/tremors
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nausea/vomiting
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anxiety
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flushing of face
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increased blood pressure and heart rate
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seizures
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auditory or tactile hallucinations
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delirium
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nightmares
Common co-existing conditions:
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major depression
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bipolar disorder
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schizophrenia
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panic disorder
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social phobia
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attention deficit disorder
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abuse of other substances (examples: marijuana, cocaine, nicotine)
Complications of long-term alcohol use:
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motor vehicle accidents
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suicides/homicides
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assaults/rapes
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drownings
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child/domestic abuse
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dementia
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poor nutrition
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brain atrophy (shrinkage of brain)
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ataxia (poor balance)
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nystagmus
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memory loss
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confusion
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confabulation
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increased blood pressure
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increased heart rate
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atrial fibrillation
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cardiomyopathy
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myocardial infarction (heart attack)
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stroke
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aspiration pneumonia
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renal (kidney) failure
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pancreatitis
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anemia (due to iron deficiency)
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leukopenia (low white blood cells)
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thrombocytopenia (low platelets)
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gastritis
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peptic ulcers
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reflux disease
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liver cirrhosis
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alcoholic hepatitis
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fatty liver
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testicular atrophy (males)
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menstrual irregularities (females)
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birth defects (pregnant women)
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decreased fertility (both sexes)
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increased risk of certain cancers
Treatment options:
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acute detoxification
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alcohol rehabilitation programs
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disulfiram (Antabuse)
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naltrexone (ReVia)
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individual psychotherapy
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marital counseling
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Cognitive Behavioral Therapy (CBT)
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Alcoholic Anonymous (AA) meetings
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Al-Anon meetings (for family members)
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