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The Truth About Alcohol Use Disorder

The Truth About Alcohol Use Disorder

Alcohol Use Disorder is the technical term used to describe what is more commonly known as alcoholism. It is a significant public health issue. In 2014 a study conducted by the National Institute On Alcohol Abuse and Alcoholism (NIAAA), it was calculated that 16.4 million people in the U.S. suffer from the disorder.[1]

Causes

There are a number of factors that have been identified, which can potentially increase a persons likelihood of being diagnosed with the disorder.

For example, underage drinking has been identified as a potential risk factor that increases the likelihood of a positive diagnosis. It potentially normalizes the act of drinking alcohol at a young age, making the child less likely to understand the potential hazards overuse can cause.

Researchers have suggested[2] that there may be a genetic predisposition that increases the likelihood of being diagnosed. Studies have shown that people with parents or grandparents who are alcoholics are over 4 times more likely to be diagnosed with the condition compared to the general population.

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However, they have also concluded that genetics are just one part of a much larger picture. A commonly agreed upon theory is that social and environmental factors are likely to play a much more significant role than genetics. The act of living and growing up with someone abusing alcohol seems to be a higher risk factor than the genetics that have been passed on.

Despite this increased risk, the vast majority of people who grow up with parents that have the disorder do not go on to contract it themselves.

Symptoms

In order to diagnose someone with the condition, a doctor must be able to determine if a patient’s drinking patterns are detrimental to their health or wellbeing. This includes both physical harm and mental distress. Some of the symptoms are subtle, and may not be immediately obvious as harmful to a patient. But to a doctor they can be clear warning signs of a potentially escalating situation.

Diagnosis

Diagnosis is usually performed by a doctor asking a series of targeted questions pertaining to a patient’s experiences in the past 12 months. Examples of the kinds of questions asked are:

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  • Have you ever tried more than once to stop drinking or cut down your drinking but found yourself unable to do it?
  • Have you (on several occasions) drank significantly more alcohol than you had intended without being able to control it?
  • Have you stopped doing other activities that you once enjoyed to spend more time or money on drinking alcohol?

Once the questions have been answered, diagnosis is usually straightforward. Results are provided in terms of severity and are not a binary pass/fail result.

    Treatment

    The recommended treatment depends on the severity of the condition that a patient has been diagnosed with.

    The patients with the mildest diagnoses are often advised to cut down on their alcohol intake.[3] Complete abstinence is not always required for successful treatment, and the condition can often be mitigated with a regulation of consumption.

    Patients with a more moderate or severe diagnosis are nearly always advised to avoid all alcohol intake. This is often a permanent recommendation, although in certain cases it can be presented as a temporary option; however, this is uncommon and is only considered in cases where patients are undergoing a non-alcohol related temporary traumatic experience.

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    Several self-help methods are often provided when a diagnosis is made. These are small life changes that can help a patient abstain. Some examples are:

    1. Avoiding Triggers: There are often events or times of day that are ingrained as a habitual time to drink alcohol. By avoiding situations that a patient associates with alcohol, or disrupting a daily routine that involved alcohol, a patient can reduce the chance of relapse.
    2. Inform Friends And Family: By informing friends and family of their intention to reduce or remove their alcohol intake they create accountability to the people they have told. This can help with willpower, encouraging them to resist drinking when an event triggers a withdrawal craving.
    3. Practice Saying No: One of the most difficult craving triggers to overcome is often being offered a drink during a social event by someone that does not know the patient is no longer drinking. Patients are encouraged to practice saying a phrase along the lines of “No thanks, I don’t drink,” in front of a mirror in preparation for a real-life experience. The sometimes automatic response of accepting a drink can be mitigated using this technique.

    For moderate and severe cases, group therapy is often an effective and suggested option. Free alcohol cessation classes are available around the world, the most well-known of which is Alcoholics Anonymous.

    Alcoholics Anonymous has a 12-step program that reduces the potentially daunting task of cessation into smaller, more manageable sections. The group therapy aspect of the program helps patients by adding accountability in a nonjudgmental atmosphere. Patients who are members of social cessation support groups report the desire to not let down other members of the group to be a significant factor in their continued sobriety.

    Online support groups such as Hellosundaymorning.com have attempted to use technology to help patients overcome the condition. They combine a version of the 12-step program with a social media platform that has been designed to create a global support group. The efficacy of online social cessation platforms is yet to be independently verified, but the initial anecdotal evidence seems to be positive.

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    People with moderate and severe symptoms of the condition are referred to alcohol rehab centers.[4] These facilities often offer both inpatient and outpatient treatment options (depending on the severity of a patient’s condition). Treatment inside the facilities involves psychological and physical evaluations, group support, and individual therapy while experiencing withdrawal symptoms.

    Health Risks

    There can be severe health consequences for patients who are unsuccessful in treating their condition and reducing their alcohol intake to acceptable levels. The severity of the conditions often depends on the amount of alcohol that is being consumed.

    Direct health consequences can include increased risk of contracting heart disease, liver disease, stroke, depression, and many types of cancer.

    Indirect health consequences are events that are a result of the patient often being inebriated more than the national average. Statistically, they are much more likely to be involved in serious car accidents, suicides, brain injuries, and other fatal accidental deaths. Annually, 88,000 people in the U.S. die from consequences indirectly linked to the condition.[5] Alcohol is the 4th most common preventable cause of death in the U.S., and over 30% of fatal car accidents involve a driver who was impaired due to alcohol.

    Research from the World Health Organization (WHO) suggests that globally, 3.3 million people (or 5.9% of all deaths) are directly related in some form to alcohol consumption. They do however state that over the past few decades consumption is declining, and the rate of diagnosis is lowering significantly.

    Featured photo credit: Pixabay via pexels.com

    Reference

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    Elise Bauer

    Freelance Writer, Lawyer & Blogger

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    Last Updated on January 21, 2020

    The Best Way to Create a Vision for the Life You Want

    The Best Way to Create a Vision for the Life You Want

    Creating a vision for your life might seem like a frivolous, fantastical waste of time, but it’s not: creating a compelling vision of the life you want is actually one of the most effective strategies for achieving the life of your dreams. Perhaps the best way to look at the concept of a life vision is as a compass to help guide you to take the best actions and make the right choices that help propel you toward your best life.

    your vision of where or who you want to be is the greatest asset you have

      Why You Need a Vision

      Experts and life success stories support the idea that with a vision in mind, you are more likely to succeed far beyond what you could otherwise achieve without a clear vision. Think of crafting your life vision as mapping a path to your personal and professional dreams. Life satisfaction and personal happiness are within reach. The harsh reality is that if you don’t develop your own vision, you’ll allow other people and circumstances to direct the course of your life.

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      How to Create Your Life Vision

      Don’t expect a clear and well-defined vision overnight—envisioning your life and determining the course you will follow requires time, and reflection. You need to cultivate vision and perspective, and you also need to apply logic and planning for the practical application of your vision. Your best vision blossoms from your dreams, hopes, and aspirations. It will resonate with your values and ideals, and will generate energy and enthusiasm to help strengthen your commitment to explore the possibilities of your life.

      What Do You Want?

      The question sounds deceptively simple, but it’s often the most difficult to answer. Allowing yourself to explore your deepest desires can be very frightening. You may also not think you have the time to consider something as fanciful as what you want out of life, but it’s important to remind yourself that a life of fulfillment does not usually happen by chance, but by design.

      It’s helpful to ask some thought-provoking questions to help you discover the possibilities of what you want out of life. Consider every aspect of your life, personal and professional, tangible and intangible. Contemplate all the important areas, family and friends, career and success, health and quality of life, spiritual connection and personal growth, and don’t forget about fun and enjoyment.

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      Some tips to guide you:

      • Remember to ask why you want certain things
      • Think about what you want, not on what you don’t want.
      • Give yourself permission to dream.
      • Be creative. Consider ideas that you never thought possible.
      • Focus on your wishes, not what others expect of you.

      Some questions to start your exploration:

      • What really matters to you in life? Not what should matter, what does matter.
      • What would you like to have more of in your life?
      • Set aside money for a moment; what do you want in your career?
      • What are your secret passions and dreams?
      • What would bring more joy and happiness into your life?
      • What do you want your relationships to be like?
      • What qualities would you like to develop?
      • What are your values? What issues do you care about?
      • What are your talents? What’s special about you?
      • What would you most like to accomplish?
      • What would legacy would you like to leave behind?

      It may be helpful to write your thoughts down in a journal or creative vision board if you’re the creative type. Add your own questions, and ask others what they want out of life. Relax and make this exercise fun. You may want to set your answers aside for a while and come back to them later to see if any have changed or if you have anything to add.

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      What Would Your Best Life Look Like?

      Describe your ideal life in detail. Allow yourself to dream and imagine, and create a vivid picture. If you can’t visualize a picture, focus on how your best life would feel. If you find it difficult to envision your life 20 or 30 years from now, start with five years—even a few years into the future will give you a place to start. What you see may surprise you. Set aside preconceived notions. This is your chance to dream and fantasize.

      A few prompts to get you started:

      • What will you have accomplished already?
      • How will you feel about yourself?
      • What kind of people are in your life? How do you feel about them?
      • What does your ideal day look like?
      • Where are you? Where do you live? Think specifics, what city, state, or country, type of community, house or an apartment, style and atmosphere.
      • What would you be doing?
      • Are you with another person, a group of people, or are you by yourself?
      • How are you dressed?
      • What’s your state of mind? Happy or sad? Contented or frustrated?
      • What does your physical body look like? How do you feel about that?
      • Does your best life make you smile and make your heart sing? If it doesn’t, dig deeper, dream bigger.

      It’s important to focus on the result, or at least a way-point in your life. Don’t think about the process for getting there yet—that’s the next stepGive yourself permission to revisit this vision every day, even if only for a few minutes. Keep your vision alive and in the front of your mind.

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      Plan Backwards

      It may sound counter-intuitive to plan backwards rather than forwards, but when you’re planning your life from the end result, it’s often more useful to consider the last step and work your way back to the first. This is actually a valuable and practical strategy for making your vision a reality.

      • What’s the last thing that would’ve had to happen to achieve your best life?
      • What’s the most important choice you would’ve had to make?
      • What would you have needed to learn along the way?
      • What important actions would you have had to take?
      • What beliefs would you have needed to change?
      • What habits or behaviors would you have had to cultivate?
      • What type of support would you have had to enlist?
      • How long will it have taken you to realize your best life?
      • What steps or milestones would you have needed to reach along the way?

      Now it’s time to think about your first step, and the next step after that. Ponder the gap between where you are now and where you want to be in the future. It may seem impossible, but it’s quite achievable if you take it step-by-step.

      It’s important to revisit this vision from time to time. Don’t be surprised if your answers to the questions, your technicolor vision, and the resulting plans change. That can actually be a very good thing; as you change in unforeseeable ways, the best life you envision will change as well. For now, it’s important to use the process, create your vision, and take the first step towards making that vision a reality.

      Featured photo credit: Matt Noble via unsplash.com

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