Psychiatry For Physicians-Substance Use Disorder-Alcohol








When a person abuses alcohol with no desire to lessen the amount of consumption, rather feels irritated to those that suggest such, and never feel bad for the abuse and often has hangover effect - can be designated fully as an alcohol dependent person. Alcohol withdrawal is characterized by:


1. Autonomic hyperactivity
2. Increased hand tremor
3. Insomnia
4. Nausea
5. Vomiting
6. Hallucinations
7. Illusions
8. Psychomotor agitation
9. Anxiety
10. Grand mal seizure



Alcoholism is related with the disorders of brain, digestive tract, heart, muscles, blood, hormones and pregnancy. All the frightening diseases of all the above tracts and parts of the body have their link to alcoholism. Depression, anxiety, personality disorders, and drug abuse are the

Fish Is Brain Food
...over a period of 12 years reported that men who eat fish just once a month had a 44% less risk of ischemic (blood clot) stroke than those men who ate fish less than once a month. Taking a daily ...
most common morbidities present along with alcohol abuse. Maternal alcohol abuse can lead to fetal alcohol syndrome that presents with growth retardation, abnormal face and head, and CNS abnormality. Alcohol changes the rate and quality of metabolism of many drugs including anticoagulants, tranquilizers etc.


When a patient of alcohol abuse is screened with laboratory tests the following findings are typical


1. Blood alcohol level
2. Positive breathalyzer
3. Elevated MCV
4. Elevated AST and ALT
5. Elevated SGGT
6. Decreased albumin, B12, folic acid
7. Uric acid and amylase increases with bone suppression


Alcoholism is a result of the complex interaction of biological and environmental factors. The following information are important in relation to the pathophysiology of alcoholism –


1.

Tips On Understanding Friends Or Loved Ones With Bipolar Disorder
...help. 7.Let your loved one know that he or she is very important to you, and others. Remind this person that these thoughts of suicide are another symptom of the illness they suffer from,and is treatable. 8.Make sure that your ...
Reduced serotonergic function
2. Depressed endogenous opiates
3. Increase relaxation
4. One with alcoholic parent shows high tolerance initially


Alcoholism can induce the following mental disorders


1. Alcohol intoxication
2. Substance induced amnestic disorder
3. Alcohol withdrawal
4. Alcohol withdrawal seizure
5. Delirium tremens
6. Alcohol induced psychotic disorders


A comprehensive model of management in case of alcoholism can be as follows


1. Diagnostic evaluation
2. Drug free periods
3. Medication trials (disulfiram, naltrexone)
4. Team approach
5. Group therapy
6. Psychoeducation
7. Family evaluation and treatment
8. 12 step programs (Alcoholic anonymous)
9. Individual counseling
10. Activity therapy
11. Urine testing
12. Discharge planning
13. Follow-up


Treatment outcome varies in relation to the different patient factors and also

Do You Have Fear and Anxiety?
...with the attack. This attack is typical a dangerous or life threatening situation. Body cells under the sympathetic mode are not functioning normal. Less blood is flowing in this area means less nutrients going into the cell and less toxic ...
planning of the treatment.


About the Author:


Dr. Mohammad Samir Hossain PhD is a researcher teacher of Psychiatry and a Psychotherapist in Bangladesh. He is renouned for his educational and research activity in mental health sector nationally and internationally. The Dictionary of International Biography cites his brief biography starting from its 33rd edition. One of the best educational institutions involved with his educational activity is the Harvard Medical School of USA. Visit his personal page at http://www.samirhossain.org










Leave a Reply