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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 March 13, 2019

    How to Get out of a Rut: 12 Useful Ways to Get Unstuck

    How to Get out of a Rut: 12 Useful Ways to Get Unstuck

    Have you gotten into a rut before? Or are you in a rut right now?

    You know you’re in a rut when you run out of ideas and inspiration. I personally see a rut as a productivity vacuum. It might very well be a reason why you aren’t getting results. Even as you spend more time on your work, you can’t seem to get anything constructive done. While I’m normally productive, I get into occasional ruts (especially when I’ve been working back-to-back without rest). During those times, I can spend an entire day in front of the computer and get nothing done. It can be quite frustrating.

    Over time, I have tried and found several methods that are helpful to pull me out of a rut. If you experience ruts too, whether as a working professional, a writer, a blogger, a student or other work, you will find these useful. Here are 12 of my personal tips to get out of ruts:

    1. Work on the small tasks.

    When you are in a rut, tackle it by starting small. Clear away your smaller tasks which have been piling up. Reply to your emails, organize your documents, declutter your work space, and reply to private messages.

    Whenever I finish doing that, I generate a positive momentum which I bring forward to my work.

    2. Take a break from your work desk.

    Get yourself away from your desk and go take a walk. Go to the washroom, walk around the office, go out and get a snack.

    Your mind is too bogged down and needs some airing. Sometimes I get new ideas right after I walk away from my computer.

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    3. Upgrade yourself

    Take the down time to upgrade yourself. Go to a seminar. Read up on new materials (#7). Pick up a new language. Or any of the 42 ways here to improve yourself.

    The modern computer uses different typefaces because Steve Jobs dropped in on a calligraphy class back in college. How’s that for inspiration?

    4. Talk to a friend.

    Talk to someone and get your mind off work for a while.

    Talk about anything, from casual chatting to a deep conversation about something you really care about. You will be surprised at how the short encounter can be rejuvenating in its own way.

    5. Forget about trying to be perfect.

    If you are in a rut, the last thing you want to do is step on your own toes with perfectionist tendencies.

    Just start small. Do what you can, at your own pace. Let yourself make mistakes.

    Soon, a little trickle of inspiration will come. And then it’ll build up with more trickles. Before you know it, you have a whole stream of ideas.

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    6. Paint a vision to work towards.

    If you are continuously getting in a rut with your work, maybe there’s no vision inspiring you to move forward.

    Think about why you are doing this, and what you are doing it for. What is the end vision in mind?

    Make it as vivid as possible. Make sure it’s a vision that inspires you and use that to trigger you to action.

    7. Read a book (or blog).

    The things we read are like food to our brain. If you are out of ideas, it’s time to feed your brain with great materials.

    Here’s a list of 40 books you can start off with. Stock your browser with only the feeds of high quality blogs, such as Lifehack.org, DumbLittleMan, Seth Godin’s Blog, Tim Ferris’ Blog, Zen Habits or The Personal Excellence Blog.

    Check out the best selling books; those are generally packed with great wisdom.

    8. Have a quick nap.

    If you are at home, take a quick nap for about 20-30 minutes. This clears up your mind and gives you a quick boost. Nothing quite like starting off on a fresh start after catching up on sleep.

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    9. Remember why you are doing this.

    Sometimes we lose sight of why we do what we do, and after a while we become jaded. A quick refresher on why you even started on this project will help.

    What were you thinking when you thought of doing this? Retrace your thoughts back to that moment. Recall why you are doing this. Then reconnect with your muse.

    10. Find some competition.

    Nothing quite like healthy competition to spur us forward. If you are out of ideas, then check up on what people are doing in your space.

    Colleagues at work, competitors in the industry, competitors’ products and websites, networking conventions.. you get the drill.

    11. Go exercise.

    Since you are not making headway at work, might as well spend the time shaping yourself up.

    Sometimes we work so much that we neglect our health and fitness. Go jog, swim, cycle, whichever exercise you prefer.

    As you improve your physical health, your mental health will improve, too. The different facets of ourselves are all interlinked.

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    Here’re 15 Tips to Restart the Exercise Habit (and How to Keep It).

    12. Take a good break.

    Ruts are usually signs that you have been working too long and too hard. It’s time to get a break.

    Beyond the quick tips above, arrange for a 1-day or 2-days of break from your work. Don’t check your (work) emails or do anything work-related. Relax and do your favorite activities. You will return to your work recharged and ready to start.

    Contrary to popular belief, the world will not end from taking a break from your work. In fact, you will be much more ready to make an impact after proper rest. My best ideas and inspiration always hit me whenever I’m away from my work.

    Take a look at this to learn the importance of rest: The Importance of Scheduling Downtime

    More Resources About Getting out of a Rut

    Featured photo credit: Joshua Earle via unsplash.com

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