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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

    More by this author

    Elise Bauer

    Freelance Writer, Lawyer & Blogger

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    Last Updated on October 20, 2020

    How to Stop Procrastinating: 11 Practical Ways for Procrastinators

    How to Stop Procrastinating: 11 Practical Ways for Procrastinators

    You have a deadline looming. However, instead of doing your work, you are fiddling with miscellaneous things like checking email, social media, watching videos, surfing blogs and forums. You know you should be working, but you just don’t feel like doing anything.

    We are all familiar with the procrastination phenomenon. When we procrastinate, we squander away our free time and put off important tasks we should be doing them till it’s too late. And when it is indeed too late, we panic and wish we got started earlier.

    The chronic procrastinators I know have spent years of their life looped in this cycle. Delaying, putting off things, slacking, hiding from work, facing work only when it’s unavoidable, then repeating this loop all over again. It’s a bad habit that eats us away and prevents us from achieving greater results in life.

    Don’t let procrastination take over your life. Here, I will share my personal steps on how to stop procrastinating. These 11 steps will definitely apply to you too:

    1. Break Your Work into Little Steps

    Part of the reason why we procrastinate is because subconsciously, we find the work too overwhelming for us. Break it down into little parts, then focus on one part at the time. If you still procrastinate on the task after breaking it down, then break it down even further. Soon, your task will be so simple that you will be thinking “gee, this is so simple that I might as well just do it now!”.

    For example, I’m currently writing a new book (on How to achieve anything in life). Book writing at its full scale is an enormous project and can be overwhelming. However, when I break it down into phases such as –

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    • (1) Research
    • (2) Deciding the topic
    • (3) Creating the outline
    • (4) Drafting the content
    • (5) Writing Chapters #1 to #10,
    • (6) Revision
    • (7) etc.

    Suddenly it seems very manageable. What I do then is to focus on the immediate phase and get it done to my best ability, without thinking about the other phases. When it’s done, I move on to the next.

    2. Change Your Environment

    Different environments have different impact on our productivity. Look at your work desk and your room. Do they make you want to work or do they make you want to snuggle and sleep? If it’s the latter, you should look into changing your workspace.

    One thing to note is that an environment that makes us feel inspired before may lose its effect after a period of time. If that’s the case, then it’s time to change things around. Refer to Steps #2 and #3 of 13 Strategies To Jumpstart Your Productivity, which talks about revamping your environment and workspace.

    3. Create a Detailed Timeline with Specific Deadlines

    Having just 1 deadline for your work is like an invitation to procrastinate. That’s because we get the impression that we have time and keep pushing everything back, until it’s too late.

    Break down your project (see tip #1), then create an overall timeline with specific deadlines for each small task. This way, you know you have to finish each task by a certain date. Your timelines must be robust, too – i.e. if you don’t finish this by today, it’s going to jeopardize everything else you have planned after that. This way it creates the urgency to act.

    My goals are broken down into monthly, weekly, right down to the daily task lists, and the list is a call to action that I must accomplish this by the specified date, else my goals will be put off.

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    Here’re more tips on setting deadlines: 22 Tips for Effective Deadlines

    4. Eliminate Your Procrastination Pit-Stops

    If you are procrastinating a little too much, maybe that’s because you make it easy to procrastinate.

    Identify your browser bookmarks that take up a lot of your time and shift them into a separate folder that is less accessible. Disable the automatic notification option in your email client. Get rid of the distractions around you.

    I know some people will out of the way and delete or deactivate their facebook accounts. I think it’s a little drastic and extreme as addressing procrastination is more about being conscious of our actions than counteracting via self-binding methods, but if you feel that’s what’s needed, go for it.

    5. Hang out with People Who Inspire You to Take Action

    I’m pretty sure if you spend just 10 minutes talking to Steve Jobs or Bill Gates, you’ll be more inspired to act than if you spent the 10 minutes doing nothing. The people we are with influence our behaviors. Of course spending time with Steve Jobs or Bill Gates every day is probably not a feasible method, but the principle applies — The Hidden Power of Every Single Person Around You

    Identify the people, friends or colleagues who trigger you – most likely the go-getters and hard workers – and hang out with them more often. Soon you will inculcate their drive and spirit too.

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    As a personal development blogger, I “hang out” with inspiring personal development experts by reading their blogs and corresponding with them regularly via email and social media. It’s communication via new media and it works all the same.

    6. Get a Buddy

    Having a companion makes the whole process much more fun. Ideally, your buddy should be someone who has his/her own set of goals. Both of you will hold each other accountable to your goals and plans. While it’s not necessary for both of you to have the same goals, it’ll be even better if that’s the case, so you can learn from each other.

    I have a good friend whom I talk to regularly, and we always ask each other about our goals and progress in achieving those goals. Needless to say, it spurs us to keep taking action.

    7. Tell Others About Your Goals

    This serves the same function as #6, on a larger scale. Tell all your friends, colleagues, acquaintances and family about your projects. Now whenever you see them, they are bound to ask you about your status on those projects.

    For example, sometimes I announce my projects on The Personal Excellence Blog, Twitter and Facebook, and my readers will ask me about them on an ongoing basis. It’s a great way to keep myself accountable to my plans.

    8. Seek out Someone Who Has Already Achieved the Outcome

    What is it you want to accomplish here, and who are the people who have accomplished this already? Go seek them out and connect with them. Seeing living proof that your goals are very well achievable if you take action is one of the best triggers for action.

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    9. Re-Clarify Your Goals

    If you have been procrastinating for an extended period of time, it might reflect a misalignment between what you want and what you are currently doing. Often times, we outgrow our goals as we discover more about ourselves, but we don’t change our goals to reflect that.

    Get away from your work (a short vacation will be good, else just a weekend break or staycation will do too) and take some time to regroup yourself. What exactly do you want to achieve? What should you do to get there? What are the steps to take? Does your current work align with that? If not, what can you do about it?

    10. Stop Over-Complicating Things

    Are you waiting for a perfect time to do this? That maybe now is not the best time because of X, Y, Z reasons? Ditch that thought because there’s never a perfect time. If you keep waiting for one, you are never going to accomplish anything.

    Perfectionism is one of the biggest reasons for procrastination. Read more about why perfectionist tendencies can be a bane than a boon: Why Being A Perfectionist May Not Be So Perfect.

    11. Get a Grip and Just Do It

    At the end, it boils down to taking action. You can do all the strategizing, planning and hypothesizing, but if you don’t take action, nothing’s going to happen. Occasionally, I get readers and clients who keep complaining about their situations but they still refuse to take action at the end of the day.

    Reality check:

    I have never heard anyone procrastinate their way to success before and I doubt it’s going to change in the near future. Whatever it is you are procrastinating on, if you want to get it done, you need to get a grip on yourself and do it.

    Bonus: Think Like a Rhino

    More Tips for Procrastinators to Start Taking Action

    Featured photo credit: Malvestida Magazine via unsplash.com

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