Treating alcoholism as a chronic disease: approaches to long-term continuing care


Why Alcoholism is Considered a Chronic Disease

This only exacerbates the problem, creating a vicious cycle of needing to take the drug in order to regain dopamine levels, then later needing to increase the dose, and so on, an effect known as tolerance. Medically managed Why Alcoholism is Considered a Chronic Disease withdrawal or detoxification can be safely carried out under medical guidance. Medications, such as benzodiazepines, are given to help control withdrawal symptoms.

What are the complications of this condition?

This is an example of a mental obsession – a thought process over which you have no control.

Treating alcoholism as a chronic disease: approaches to long-term continuing care

Why Alcoholism is Considered a Chronic Disease

Medications also can help deter drinking during times when individuals may be at greater risk of a return to drinking (e.g., divorce, death of a family member). One size does not fit all and a treatment approach that may work for one person may not work for another. Treatment can be outpatient and/or inpatient and be provided by specialty programs, therapists, and health care providers. The first time individuals drink or take drugs, they do so voluntarily, and they believe they can control their use. With time, more and more alcohol or drugs are needed to achieve the same level of pleasure and satisfaction as when they first started.

Why Alcoholism is Considered a Chronic Disease

Drugs, Brains, and Behavior: The Science of Addiction

Women who have alcohol use disorder may benefit from treatment with medications and behavioral therapies, and in general, discontinuation of alcohol consumption during pregnancy improves outcomes for the baby. For people who have alcohol use disorder, stopping their drinking is an important first step. This process, however, can bring about the unpleasant and potentially serious symptoms of alcohol withdrawal syndrome.

Why Alcoholism is Considered a Chronic Disease

  • Additional modifications to address several limitations of the initial studies further enhanced the effectiveness of the intervention (Scott and Dennis 2009).
  • The therapy goals are to develop the skills needed to manage your habits, build social support, set and work toward realistic goals, and deal with or avoid things that trigger drinking.
  • In this blog, we will explore the definition of a chronic disease, the characteristics of alcoholism, and how they fit into the criteria of being a chronic disease.
  • Another study assessed the efficacy of two different dosages of an injectable form of naltrexone that only needs to be administered once a month instead of daily and therefore should reduce compliance problems (Garbutt et al. 2005).
  • Heavy drinking in this population is four or more drinks a day or eight drinks a week.
  • A simple way for a doctor to diagnose you with alcohol addiction is through the ;CAGE questionnaire.

For many patients, alcohol and other drug (AOD) use disorders are chronic, recurring conditions involving multiple cycles of treatment, abstinence, and relapse. To disrupt this cycle, treatment can include continuing care to reduce the risk of relapse. The most commonly used treatment approach is initial intensive inpatient or outpatient care based on 12-step principles, followed by continuing care involving self-help groups, 12-step group counseling, or individual therapy. Although these programs can be effective, many patients drop out of initial treatment or do not complete continuing care. Thus, researchers and clinicians have begun to develop alternative approaches to enhance treatment retention in both initial and continuing care. These approaches increasingly blur the distinction between initial and continuing care and aim to prolong treatment participation by providing a continuum of care.

  • This is how one builds a tolerance to alcohol, which causes people to consume larger amounts to feel the same euphoria they once did.
  • Treatment can be outpatient and/or inpatient and be provided by specialty programs, therapists, and health care providers.
  • Healthcare providers define AUD as a brain disorder that affects your ability to regulate or stop drinking alcohol despite adverse impacts on your mental and physical health and professional or personal life.
  • Again, only about 25 percent of the patients had at least one relapse during the follow-up period of up to 10 years, and most of those patients also were able to subsequently achieve abstinence and continue practicing medicine.
  • Chronic alcohol dependency is a condition characterized by long-term difficulties in controlling alcohol consumption, despite its consequences on health and life.

Adaptive Treatment Approaches to Continuing Care

These can affect several bodily systems and increase the risks of health conditions such as cancer, heart disease, and stroke. Studies show most people with this condition recover, meaning they reduce how much they drink, or stop drinking altogether. They may start drinking to cope with stressful events like losing a job, going through a divorce, or dealing with a death in their family or a close friend.

Problematic Alcohol Use

Why Alcoholism is Considered a Chronic Disease

In the healthy brain, dopamine is released in response to natural rewards, such as food or exercise, as a way of saying, “that was good.” But drugs hijack dopamine pathways, teaching the brain that drugs are good, too. For example, some drugs have a structure similar to other chemical messengers in the brain, allowing them to bind to brain cells and release dopamine. Therefore, taking a drug produces a euphoric feeling, which in turn strongly reinforces drug-using behavior. The most severe form of alcohol withdrawal is known as alcohol withdrawal delirium or delirium tremens, often referred to as the DTs.

One possible solution is to incorporate continuing-care services into the specialty treatment programs so that the program counselor who works with the patient during the initial treatment phase also is responsible for coordinating the continuing care phase. All of these options have their advantages and disadvantages, and research is needed to determine which approach is most effective and cost-effective. A relatively novel approach to continuing care of alcohol and other drug (AOD)-dependent patients that is aimed at increasing treatment participation by reducing the burden for patients is telephone-based counseling.

Somewhere down the road, the only time the song stops is when the person is passed out. If not intervened and treated, it can lead to severe health complications such as liver disease, heart problems, cancer, and neurological complications, which can be life-threatening. It involves understanding how long it takes to become addicted to alcohol and making lifestyle changes. The ultimate goal is to provide people with the necessary tools, skills, and strategies to promote a good life in recovery. The steps for understanding and treating alcohol abuse aren’t as straightforward, demanding a deeper dive into the murky waters of the illness paradigm of alcoholism.