To end alcohol dependence
The reasons that lead a person alcohol dependent to seek treatment are various: accident related to drunkenness, surgery, awareness, advice of a concerned relative, dialogue with the doctor, etc. Contrary to popular belief, the goal of this treatment is not necessarily to achieve total abstinence. Reducing consumption to a level below that which characterizes harmfulness can be a sufficient objective.
In case of problems with alcohol, who to turn to?
When a person feels ready to reduce his alcohol consumption, his doctor (treatment or work) advises him to consult a specialist in alcoholism (often a psychiatrist), either in a specialized hospital or in a Health Center , Accompaniment and Prevention in Addiction (CSAPA) where she can also get help from other professionals (psychologist, social worker, etc.).
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Total withdrawal or reduction of consumption?
Complete weaning and maintenance of abstinence is difficult and the choice between reduction of consumption and complete cessation must be left to the person who will choose according to what he thinks he is capable of doing.
However, in some cases, complete withdrawal must be considered: chronic alcoholic pancreatitis, advanced viral hepatitis, cirrhosis of the liver, etc.
When to consider alcohol withdrawal?
Alcohol withdrawal is based on the person’s awareness of alcohol dependence. It can not be envisaged that this expresses the desire to reduce or cease its consumption.
The time of weaning must be programmed by letting the person choose the time and method, while strengthening and maintaining motivation. Ideally, withdrawal is part of a broader life project on which the person can concentrate to draw strength and motivation in case of difficulties in controlling consumption.
How is alcohol withdrawal?
Alcohol withdrawal can be done on an outpatient basis (the person goes to the health center during the day but returns home at night) or during hospitalization.
To accompany weaning, the doctor prescribes long-acting anxiolytic drugs to help overcome the most painful withdrawal symptoms. He may also prescribe B vitamins (B1, B6) and he recommends drinking plenty of water (weaning can cause dehydration).
People who smoke are accompanied to stop smoking: stopping smoking has a positive effect on alcohol withdrawal.
Throughout the weaning, the person will be followed by a psychologist and, where appropriate, a social worker. Participation in a self-help group (such as Alcoholics Anonymous) increases the chances of successful withdrawal.…
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