Addiction Medicine Specialist Questions Addiction Medicine Specialist

How is alcohol addiction treated?

My friend has an alcohol addiction. How is alcohol addiction treated?

2 Answers

There are many approaches. Psychotherapy ( outpatient, group including intensive outpatient, partial hospitalizationa and residential), peer support (e.g. alcoholics anonymous- don't knock it until you've tried it) and medication. Medication is used in less than 20% of people with Alcohol Use Disorder in the US, which is a shame. Meds like naltrexone, acamprosate and disulfiram (Antabuse) are FDA approved. Other meds like gabapentin, topiramate, baclofen are used "off label".
Alcohol addiction is a serious condition, but there are several effective treatments available to help individuals recover. Here’s an overview of how alcohol addiction is typically treated:

1. Assessment and Diagnosis:
• Comprehensive Evaluation: A thorough evaluation by a healthcare professional to assess the extent of the addiction and any co-existing medical or psychological conditions.
2. Detoxification (Detox):
• Medical Supervision: Detox is often the first step and involves managing withdrawal symptoms under medical supervision to ensure safety and comfort.
3. Medications:
• Disulfiram (Antabuse): Causes unpleasant reactions when alcohol is consumed.
• Naltrexone (Vivitrol, Revia): Reduces cravings and the pleasurable effects of alcohol.
• Acamprosate (Campral): Helps maintain abstinence in those who have already stopped drinking.
4. Therapy and Counseling:
• Cognitive Behavioral Therapy (CBT): Helps change the thoughts and behaviors associated with drinking.
• Motivational Enhancement Therapy (MET): Increases motivation to change drinking habits.
• Family Therapy: Involves family members to support recovery and address family dynamics.
5. Support Groups:
• Alcoholics Anonymous (AA): Provides peer support through a structured 12-step program.
• SMART Recovery: Focuses on self-empowerment and self-reliance through mutual support meetings.
6. Lifestyle Changes:
• Healthy Living: Encourages regular exercise, a balanced diet, and adequate sleep.
• Stress Management: Techniques such as mindfulness, yoga, and meditation to manage stress without alcohol.
7. Aftercare and Relapse Prevention:
• Continued Support: Ongoing therapy and support groups to maintain sobriety.
• Relapse Prevention Plans: Strategies to cope with triggers and prevent relapse.

It’s important to consult with a healthcare professional to develop a personalized treatment plan. Each person’s journey to recovery is unique, and a tailored approach ensures the best chance of success.
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