alcohol treatment drug abuse addiction effects stop drinking

Defense mechanisms of Alcoholics

2009-01-18T01:02:00.000-08:00

Patients mosty develop defense mechanism that we can see easily nearly all alcoholic people. These causes of the mechanism are a way of protecting the individual and for some, it is precisely caused by need for their rigidity , which, lead to the using of a psycho active substances (alcohol, drugs,
medication etc ...)

Defense mechanisms have been admirably demonstrated by Freud, in
early 20th century, through the psychoanalytic method he has
developed to better understand the unconscious, the ego, people from
all cultures.

Of all the defense mechanisms that exist, here are 12 that
met more frequently and are particularly
risk.

12 defense mechanisms fairly common arround alcoholics:

The projection, transfer, idealisation, rationalization,
justification, the compulsion to repeat, compensation, denial,
denial, repression, the retroactive cancellation and
transformation in the opposite.

• The projection: Projection in another person that we are unable to see or accept ourselves.
Ex: to say that the other does not hear us, when in reality
we will sincerely Let's not listen to the words of another, say
the other is a thief when it is we who have stolen.
.
• Transfer:
Transfer to a person or the agreable or disagreable characteristics someone else that we have known, without having cionscience.
Ex: see our boss as our father, see our new as our former companion who is or who died, see our children as our brother or sister when we were children.
.
• The idealization:
To idealize a person, the more perfect it is in Actually, to avoid being confronted by too quickly to what we may dislike it, we do get away and we invite us alone.
Ex: out for the first time with someone and say that is the prince or princess as we expected, a first Project meeting with someone and think that the collaboration
will be barrier-free and perfect for eternity.
.
• Rationalization:
Streamline, logically explain irrational behavior that we had and we do not (sometimes it is a reactivation of a past trauma).
Ex: crying when a parent returns home after a it is because we just think of the sad film we have heard recently (the departure may unconsciously remind us
departure or the loss of a person who was very valuable for us); yelling at a child and say that because we are tired (although this has been a reminder unconsciously
behavior very disturbing or very frightening another person
we have known).
.
• The justification: Justify,
explained at length why we made something out of fear
to be rejected.
Ex arrive late for an appointment and explain 15 minutes for what happened; orgotten a commission that we had been requested and details of our activities responsible for day for half an hour.
.
• The compulsion to repeat:
Repeat a gesture apparently useless for fear of an accident or
future problem (usually compensates for this gesture unconscious thought
which is in line with our fear).
Ex: close to 4 times round the stove and the block 4 times
locks on doors before leaving (the unconscious thought can be:
at the bottom I would like this house burns or is robbed);
wash every day floors already own or take showers 3
per day (the unconscious thought might be: I am a person
sale, for example, because I had sexual behavior that I
finds unacceptable).
.
• Compensation: To compensate for a lack of satisfaction with a satisfaction that does not meet it.
Ex: wanting to change jobs and place to make every effort
necessary to redouble our hard work that we do not like
more; want a good massage or a union with tender
someone, and instead of making efforts to find
that person, eating a bag of cookies.
.
• Denial: Denying the reality of something to avoid feeling at the moment too difficult to live.
Ex: pass very close to having a car accident and that
we have not been afraid that this was even "trippant" insulting a friend and
sad see him go and tell another friend that we had
only say nice things.
.
• Denial: Denying the intellectual or emotional bond between 2 confrontational situations.
Ex: are quarreling with her lover (se), shortly after his overthrow
glass of juice and that there was no link between the stress of
previous situation and what has happened, be denied a
promotion, go get drunk in a bar and say that just because
we had the desire to celebrate.
.
• Refoulement: refouler unpleasant emotions, not to express, and sometimes come to be cut from one type of emotion or memory.
Ex: being beaten or abused by his father and as if nothing
had happened, come to forget the history, be
neglected by a (e) conjoint (e) and not to suffer in silence
(until sufficiently amplified emotion comes to explode
!).
.
• The retroactive cancellation: Cancel imagination unpleasant action that we made casts a nice gesture in the future.
Eg deceive their spouses and pay him a week's holiday
in southern thereafter; make a big crisis to another, and little
after being very, very soft by agreeing to do anything
or that the person requests.
.
• The opposite transformation : Transforming a feeling uncomfortable by masking real emotion.
Ex: being jealous of a colleague of study or work and say how we are all happy for him, be angry at a friend or family member and display the same time a large
fake smile.

ALcoholism cure on hospitals

2009-01-17T07:19:00.000-08:00

Cure Hospital:

alcohol dependence as fears of a severe physical withdrawal symptoms,
failure of one or more previous outpatient detoxification,
associated diseases or risk of suicide,
history of epilepsy,
other appurtenances (excluding coffee and tobacco)
need for family or social isolation of the subject.

- Methods:

This is mainly to avoid the occurrence of a syndrome with tremor, anxiety, delirium tremens maximum or seizure.

Ambulatory stopping work, frequent, is not systematic. In the hospital length of hospitalization in France on average two to three weeks.

Ambulatory medical monitoring daily the first three days, then more space is needed. The patient and his entourage should be able to reach a doctor in the event of an adverse event.

A fluid intake oral ambulatory infusion in hospitals, will be undertaken, ranging from three to four liters per day.

Stopping alcohol is the most brutal, but a gradual over a period of three days, for example, is sometimes called ambulatory.

Psychological support: doctor, family, association of former alcoholics (Alcoholics Anonymous, Living Free, etc ...)
.
A vitamin B1, which are often attached vitamins B6 and B12, is typically recommended.

prescription of tranquilizers:
Benzodiazepines (eg diazepam, clorazépam, lorazepam, oxazepam ...), Tétrabamate (meprobamate), Fébarbamate / Phenobarbital are often prescribed for a limited duration with gradual reduction of doses from 10-15th day of treatment if possible, because of the risk of dependence and increase the effects of alcohol relapse if there were
Prescription sedatives is not necessary if the risk of physical withdrawal syndrome are low.

Getting started as soon as possible of a medication (acamprosate, naltrexone) for the maintenance of alcohol and will be continued several months post-weaning ..

-Some recommendations for weaning:

1. prohibiting alcohol can make you nervous, tense, sleepless, induce sweating and shivering. Vomiting and diarrhea may occur. Your doctor may prescribe drugs to make them disappear.

2. You can get thirsty and have to drink water or fruit juice without exceeding three liters of fluid per day. Not too much coffee or tea they contain stimulants that can disturb sleep and make you nervous.

3. Try to avoid stress and frustration. The important thing is not to yield to the sudden onset of a desire to alcohol: talk to a friend, you relax, go for a walk, listen to music, take a shower ... etc

4. Sleep. You'll find that even with sleeping pills, or when their dose is reduced by your doctor (which is necessary after a few weeks), lack of sleep (often overstated) night you do not, unlike the réalcoolisation. Do not worry, your sleep will return gradually to normal in a few weeks. Try going to bed later.

5. Even if you do not have an appetite, eat a balanced diet at mealtimes. Your appetite will return.

Alcoholism outpatient treatment

2009-01-17T07:18:00.002-08:00

Outpatient treatment:
Much of withdrawal cures can be done without hospitalization, the patient. It allows you not to cut the patient's living environment, environment in which it could maintain his sobriety.
In which case:
refusal of a patient's hospitalization (fear, denial of the seriousness of the problem),
no formal indication of a cessation of hospital
clear motivation of the patient,
adherence foreseeable medical treatment,
physical condition (no signs of physical dependence) and psychological condition satisfactory
family and social quality and motivated
availability of a team of health care for close monitoring during the early days.

Alcoholism addiction Treatment ways

2009-01-17T07:18:00.001-08:00

Stop drinking completely (withdrawal) is a required step toward healing. Many patients fear they have already tried, and often several times, alone or not, without success.
This withdrawal will not solve all, it is not a first, indispensable, but the aim should be to keep long-term abstinence from alcohol, a condition for improving the quality and duration of life. Indeed, lower doses of alcohol ingested, which can be justified in not drinking excessive alcohol-dependent, is completely ineffective in the medium and long term in alcohol-dependent (as with smoking).
The patient will be clearly informed of the conditions of treatment to think about it, if possible with his entourage. The patient should be reassured (cures disgust and bullying have disappeared), but also empowered: It must be prepared to stop and to make the effort otherwise it will fail. So no precipitation (such as: decision to make a cure for 2 h du mat, completely drunk!)

The effects of alcoholism on health:

2009-01-17T07:17:00.000-08:00

They are very numerous, here is a non-exhaustive list:
- Chronic Fatigue
- Hypertension
- Sexual Problems
- Constant Gastritis
- Attainment of the nerves of the lower limbs (polynévrites) in terms of night cramps at the beginning
- Various cancers: mouth, larynx, esophagus, liver ...
- Fun and various psychiatric disorders
- Problems with memory of recent
- Violation of the optic nerve
- Pancreatic toxicity: chronic pancreatitis, or acute (very painful and dangerous), diabetes
- Fatty liver, leading to cirrhosis and esophageal varices in (fatal bleeding) even hepatic coma

The woman and alcoholism

2009-01-17T07:16:00.000-08:00

The maternal alcohol is the leading cause of preventable mental retardation of newborns in Western countries.
Anxiety, depression and loneliness are in the majority of women alcoholics. Nearly 80% of women justify their alcoholism as a result of psycho-emotional problems
Vulnerability of women over alcohol
A same age and weight and the same quantity of alcohol, the alcohol level of women is higher than that of men. The explanation for this phenomenon comes from the enzyme involved in alcohol metabolism, which has a lower activity in women. On the other hand, the amount of water in the woman's body is lower, the concentration of alcohol in tissues and blood occurs more rapidly than in humans. Ovarian hormones affect the metabolism of alcohol and taking oral contraceptives and menopause increase the vulnerability of women over alcohol.
Cirrhosis is faster in women than in men. A chronic alcohol consumption increases the risk of breast cancer and chronic poisoning can cause infertility in women.

Some misconceptions about alcohol

2009-01-17T07:13:00.000-08:00

Quench Alcohol: Alcohol dehydrates the contrary, including by urinating more it is the dehydration that causes the effect of "hangover" after excesses.

Alcohol gives forces. No, alcohol causes a feeling of euphoria that gives a feeling of strength. Exhaustion in the effort is very fast, even dangerous.

Alcohol warms. The sensation of heat is caused by dilated blood vessels under the skin. In fact, the body temperature drops by half a fraction of a degree per 50 grams of alcohol absorbed. The sensation of heat can hide a lower temperature and lead to serious problems in cold weather.

Diluted in water, alcohol is less toxic. The quantity of alcohol consumption is clearly the same.

The alcohol gives better reflexes: the opposite. With a blood alcohol concentration of 0.80 g / l the braking distance of a vehicle traveling at 100 km / h is increased by 14 meters. Moreover, inappropriate gestures, blurred vision and disregard of danger (with the anxiolytic effect of alcohol) can cause serious accidents.

Alcohol does not grow. Alcohol provides 7 calories per gram to about 100 calories in a glass of wine. Moreover, it is promoting calorie storage "bad fats".

Exercise accelerates the elimination of alcohol. No, nor cold, neither effort n'accélèrent the elimination of alcohol. However, the removal varies greatly depending on the individual.

Men bear more alcohol than women. This is partly true, but it depends on individuals (usually diseases, weight, food, etc. ..)

* The consequences of alcohol abuse affects the drinker himself, his immediate environment but also the rest of society. They cause problems with:
mental health and physical (drinker entourage)
work (absenteeism, lower productivity and quality, ...),
accidents, road, home, work
public disorder (delinquency, violence, ...)
Families (disharmony, abuse or negligence of others, economic and social difficulties, ...)

* Tobacco and alcohol often go hand in hand in many studies. It is estimated between 71 and 97% the proportion of alcoholics are smokers. Several authors have shown a positive correlation between alcohol and tobacco addiction. This co-dependency can be problematic in the detoxification of alcoholics smoke.

Can we also face the risk of having problems with alcohol?

2009-01-17T07:12:00.000-08:00

No, while 90% of adults drink alcohol, about one in ten is dependent. There is also a difference between men and women, since men are three times more affected by alcohol problems than women. There is also a genetic risk and environmental since son or daughter of a parent alcohol-dependent is three times more likely to be alcohol dependent than children of parents without alcohol problems. Individuals suffering from psychiatric illness such as depression, bipolar disorder and schizophrenia have an increased risk compared to alcohol as well as individuals dependent on drugs, drugs or tobacco.

If I have a problem with my consumption of alcohol is what I can only reduce rather than shut down completely?

It depends. If you meet or have met the criteria for alcohol dependence presented in Table 1 the answer is probably not. Some studies show that alcohol-dependent who are trying to reduce their consumption fail to do so over long periods while other studies show that among the alcohol-dependent who became sober, only a small proportion of individuals will be able return to a moderate. So a total cessation of alcohol, at least momentarily, is strongly advised to maximize the chances of escape. If you are not alcohol-dependent but have problems related to alcohol, you may be able to moderate your intake without stopping completely. If you do not, a complete cessation of consumption will probably be necessary.

If an alcohol-dependent refuses to get help, is there still a way to convince?

Yes, but this is not always easy. We can not compel an alcohol-dependent to be treated, except in certain crisis situations, if there is an acute medical problem and serious involving relatives or justice. A crisis, in which alcohol has a role to play, can be an opportunity for awareness of the seriousness of the situation and therefore be an opportune time to agree to get help. Health professionals specializing in alcohol problems give some advice, presented in the third part of this text, each of which can draw when it comes to convincing a person addicted to alcohol seek treatment.

* The self-assessment questionnaire was developed to help everyone to assess their alcohol consumption and raise awareness of the disease.

TEST Alcohol (CAGE questionnaire)

1-Have you ever felt the need to reduce your consumption
Alcoholic beverages ?............................................ Yes / No

2-Your friends you have made remarks about your
consumption? .................................................. .......... Yes / No

3-Have you ever felt you drink too much? .. Yes / No

4-Have you ever felt the need to drink alcohol in the morning
to feel healthy? .......................................... Yes / No

Interpretation:

1 = yes 50% predictive value of alcohol.
Yes 2 = 90%
4 yes = 99%

Alcoholism can it be treated?

2009-01-17T07:10:00.001-08:00

The treatment against alcoholism are effective. Approximately 30 to 50% of those treated are sober year later. The general that relapse is part of the normal treatment and that only several treatments, sometimes for years will be required to obtain a complete remission. The support from relatives is important to contribute to help people addicted to alcohol themselves.

Are there any medicine to fight against alcohol?

2009-01-17T07:00:00.000-08:00

Yes, two classes of drugs are prescribed in the treatment of alcoholism. The first are the class of sedatives benzodiazepines such as Valium ®, Seresta ® are used during the time of physical withdrawal to reduce or avoid the symptoms that can develop at curbing alcohol such as tremors, sweating , palpitations, seizures and delirium tremens. The second class of drugs to be abstinent help reduce the urge to drink: acamprosate (Campral ®) and naltrexone (Nemexin ®). Prescribed in conjunction with a medical, social and psychological adapted, these drugs act in order to reduce the urge to drink and provide protection against a relapse.

An older drug, the Antabus ®, prevents the consumption of alcohol by a deterrent effect, the alcohol in a patient treated by Antabus ® is the cause of a severe illness involving nausea, vomiting, palpitations and intense redness of the face. Alcohol syndrome Antabus may, among people whose health is precarious, be the source of severe complications requiring hospitalization. The effectiveness of Antabus is highly controversial in the literature and this drug is not without side effects, sometimes serious. Therefore, the Antabus should be prescribed as a last resort and patients who want it.

Is there a cure for addiction to alcohol?

2009-01-17T06:58:00.000-08:00

Not completely. Alcoholism is a disease with preferred treatment to prevent relapse. No treatment, however, to cure the disease permanently. This means that even if an alcohol-dependent abstinent for a long time, the risk of relapse exists. It is therefore important for the vast majority of alcohol-dependent become sober, even after years, to avoid alcohol consumption

Can Alcoholism be herited by genetically ?

2009-01-17T06:56:00.000-08:00

Yes, in a family who is seen alcoholism tends to be transmitted from generation to generation, and this is partly explained by a genetic transmission. Studies are under way to identify genes responsible for increased vulnerability to develop an addiction to alcohol. The surroundings and environment of a person such as parents, friends, exposure to stress, the availability greater or lesser degree of alcohol are factors that can influence the consumption of alcohol and the development of the alcoholism. Other factors related to personality and the family may have a protective effect even for a person at high risk of developing alcohol problems. We should not therefore not confuse risk and inevitable. If the risk of developing alcohol problems is three times higher for a son or daughter of alcohol-dependent, only a small proportion of them become alcohol dependent (15% of boys and girls 5%) . In contrast, a person with no family history of alcoholism can become alcohol dependent.

Does Alcohol dependency a disease?

2009-01-17T06:55:00.000-08:00

Yes, it is a chronic progressive evolution by presenting symptoms such as irresistible drinking despite adverse consequences on the social, emotional, professional or health. Like many other diseases, its development is more or less predictable with complications well described by an order of appearance is fairly well defined. The factors influencing the development of alcohol dependence, as well as genetic related to the environment, are beginning to be better known.

What is the alcohol dependency

2009-01-17T06:52:00.000-08:00

In the Western Europe and North America countries, we can consider that approximately 10% of men and 5% of women suffer from alcohol dependence according to the American Psychiatric Association criteria.

Alcohol is defined by the simultaneous occurrence of an individual to three of the seven criteria:

Increased tolerance (takes more alcohol)
Withdrawal symptoms (tremor, anxiety, sweating, Epilepsy prohibiting alcohol)
Difficulty in controlling the amount of alcohol consumed
Concern about the supply of alcohol
Unsuccessful and persistent desire to reduce or stop consumption
Negative impact of alcohol on recreation and social life
Consumption despite persistent , physical or psychological health problems

Is Alcoholism medicament vaccine possible

2009-01-17T06:32:00.000-08:00

Despite a steady decline in the average consumption of pure alcohol per year since 1970, USA ranks third in WOrld, with morbidity and mortality arising. The inappropriate use of alcohol is the direct or indirect cause of a consultation on five in general medicine, 120 000 to 18 000 deaths per year. It is also reflected in many passages to the act, violence, suicides, accidents, etc. ...

All social classes are affected (alcoholism worldly)

In USA it is estimated that two and a two and half million excessive drinkers and a 5 million the alcohol. But the border between the two is not always clear or easy to Determined.

Early diagnosis of excessive alcohol consumption increases the chances of a successful therapeutic care.

The excessive consumption of alcohol remain inadequately diagnosed. Most patients have a problem with alcohol was still reluctant to see a doctor and tend to minimize the quantities consumed (in general, they divide the amount by two).
The fear of being labeled as an "alcoholic", with all its pejorative connotation, brakes too often excessive drinkers about their alcohol problems to their doctor, most people are not the relationship between their physical symptoms and their consumption of alcohol. Yet the alcoholic is a patient like any other, its relationship to alcohol pathologique: After one or two drinks, it can not stop drinking, he feels the need for a 3rd, a 4th etc. ... he can no longer control its consumption, then over the years moved dependence, as with any drug.

* The self-assessment questionnaire was developed to help everyone to assess their alcohol consumption and raise awareness of the disease.

TEST Alcohol (CAGE questionnaire)

1-Have you ever felt the need to reduce your consumption
Alcoholic beverages ?............................................ Yes / No

2-Your friends you have made remarks about your
consumption? .................................................. .......... Yes / No

3-Have you ever felt you drink too much? .. Yes / No

4-Have you ever felt the need to drink alcohol in the morning
to feel healthy? .......................................... Yes / No

Interpretation:

1 = yes 50% predictive value of alcohol.
Yes 2 = 90%
4 yes = 99%

* Some misconceptions about alcohol

Quench Alcohol: Alcohol dehydrates the contrary, including by urinating more it is the dehydration that causes the effect of "hangover" after excesses.

Alcohol gives forces. No, alcohol causes a feeling of euphoria that gives a feeling of strength. Exhaustion in the effort is very fast, even dangerous.

Alcohol warms. The sensation of heat is caused by dilated blood vessels under the skin. In fact, the body temperature drops by half a fraction of a degree per 50 grams of alcohol absorbed. The sensation of heat can hide a lower temperature and lead to serious problems in cold weather.

Diluted in water, alcohol is less toxic. The quantity of alcohol consumption is clearly the same.

The alcohol gives better reflexes: the opposite. With a blood alcohol concentration of 0.80 g / l the braking distance of a vehicle traveling at 100 km / h is increased by 14 meters. Moreover, inappropriate gestures, blurred vision and disregard of danger (with the anxiolytic effect of alcohol) can cause serious accidents.

Alcohol does not grow. Alcohol provides 7 calories per gram to about 100 calories in a glass of wine. Moreover, it is promoting calorie storage "bad fats".

Exercise accelerates the elimination of alcohol. No, nor cold, neither effort n'accélèrent the elimination of alcohol. However, the removal varies greatly depending on the individual.

Men bear more alcohol than women. This is partly true, but it depends on individuals (usually diseases, weight, food, etc. ..)

* The consequences of alcohol abuse affects the drinker himself, his immediate environment but also the rest of society. They cause problems with:
mental health and physical (drinker entourage)
work (absenteeism, lower productivity and quality, ...),
accidents, road, home, work
public disorder (delinquency, violence, ...)
Families (disharmony, abuse or negligence of others, economic and social difficulties, ...)

* Tobacco and alcohol often go hand in hand in many studies. It is estimated between 71 and 97% the proportion of alcoholics are smokers. Several authors have shown a positive correlation between alcohol and tobacco addiction. This co-dependency can be problematic in the detoxification of alcoholics smoke.

* The woman alcoholic
The maternal alcohol is the leading cause of preventable mental retardation of newborns in Western countries.
Anxiety, depression and loneliness are in the majority of women alcoholics. Nearly 80% of women justify their alcoholism as a result of psycho-emotional problems
Vulnerability of women over alcohol
A same age and weight and the same quantity of alcohol, the alcohol level of women is higher than that of men. The explanation for this phenomenon comes from the enzyme involved in alcohol metabolism, which has a lower activity in women. On the other hand, the amount of water in the woman's body is lower, the concentration of alcohol in tissues and blood occurs more rapidly than in humans. Ovarian hormones affect the metabolism of alcohol and taking oral contraceptives and menopause increase the vulnerability of women over alcohol.
Cirrhosis is faster in women than in men. A chronic alcohol consumption increases the risk of breast cancer and chronic poisoning can cause infertility in women.

* The effects of alcohol on health:

They are very numerous, here is a non-exhaustive list:
- Chronic Fatigue
- Hypertension
- Sexual Problems
- Constant Gastritis
- Attainment of the nerves of the lower limbs (polynévrites) in terms of night cramps at the beginning
- Various cancers: mouth, larynx, esophagus, liver ...
- Fun and various psychiatric disorders
- Problems with memory of recent
- Violation of the optic nerve
- Pancreatic toxicity: chronic pancreatitis, or acute (very painful and dangerous), diabetes
- Fatty liver, leading to cirrhosis and esophageal varices in (fatal bleeding) even hepatic coma

* Treatment:

Stop drinking completely (withdrawal) is a required step toward healing. Many patients fear they have already tried, and often several times, alone or not, without success.
This withdrawal will not solve all, it is not a first, indispensable, but the aim should be to keep long-term abstinence from alcohol, a condition for improving the quality and duration of life. Indeed, lower doses of alcohol ingested, which can be justified in not drinking excessive alcohol-dependent, is completely ineffective in the medium and long term in alcohol-dependent (as with smoking).
The patient will be clearly informed of the conditions of treatment to think about it, if possible with his entourage. The patient should be reassured (cures disgust and bullying have disappeared), but also empowered: It must be prepared to stop and to make the effort otherwise it will fail. So no precipitation (such as: decision to make a cure for 2 h du mat, completely drunk!)

-Hospital or not (outpatient treatment)

* Outpatient alcoholism treatment:
Much of withdrawal cures can be done without hospitalization, the patient. It allows you not to cut the patient's living environment, environment in which it could maintain his sobriety.
In which case:
refusal of a patient's hospitalization (fear, denial of the seriousness of the problem), no formal indication of a cessation of hospital clear motivation of the patient, adherence foreseeable medical treatment,
physical condition (no signs of physical dependence) and psychological condition satisfactory family and social quality and motivated availability of a team of health care for close monitoring during the early days.

* Cure on Hospital:

alcohol dependence as fears of a severe physical withdrawal symptoms,
failure of one or more previous outpatient detoxification,
associated diseases or risk of suicide,
history of epilepsy,
other appurtenances (excluding coffee and tobacco)
need for family or social isolation of the subject.

- Methods:

This is mainly to avoid the occurrence of a syndrome with tremor, anxiety, delirium tremens maximum or seizure.

Ambulatory stopping work, frequent, is not systematic. In the hospital length of hospitalization in USA on averagely two to three weeks.

Ambulatory medical monitoring daily the first three days, then more space is needed. The patient and his entourage should be able to reach a doctor in the event of an adverse event.

A fluid intake oral ambulatory infusion in hospitals, will be undertaken, ranging from three to four liters per day.

Stopping alcohol is the most brutal, but a gradual over a period of three days, for example, is sometimes called ambulatory.

Psychological support: doctor, family, association of former alcoholics (Alcoholics Anonymous, Living Free, etc ...)
.
A vitamin B1, which are often attached vitamins B6 and B12, is typically recommended.

prescription of tranquilizers:
Benzodiazepines (eg diazepam, clorazépam, lorazepam, oxazepam ...), Tétrabamate (meprobamate), Fébarbamate / Phenobarbital are often prescribed for a limited duration with gradual reduction of doses from 10-15th day of treatment if possible, because of the risk of dependence and increase the effects of alcohol relapse if there were
Prescription sedatives is not necessary if the risk of physical withdrawal syndrome are low.

Getting started as soon as possible of a medication (acamprosate, naltrexone) for the maintenance of alcohol and will be continued several months post-weaning ..

-Some recommendations for weaning:

1. prohibiting alcohol can make you nervous, tense, sleepless, induce sweating and shivering. Vomiting and diarrhea may occur. Your doctor may prescribe drugs to make them disappear.

2. You can get thirsty and have to drink water or fruit juice without exceeding three liters of fluid per day. Not too much coffee or tea they contain stimulants that can disturb sleep and make you nervous.

3. Try to avoid stress and frustration. The important thing is not to yield to the sudden onset of a desire to alcohol: talk to a friend, you relax, go for a walk, listen to music, take a shower ... etc

4. Sleep. You'll find that even with sleeping pills, or when their dose is reduced by your doctor (which is necessary after a few weeks), lack of sleep (often overstated) night you do not, unlike the réalcoolisation. Do not worry, your sleep will return gradually to normal in a few weeks. Try going to bed later.

5. Even if you do not have an appetite, eat a balanced diet at mealtimes. Your appetite will return.

Alcoholism and Psychodynamic issues

2009-01-17T06:12:00.000-08:00

Alcoholism is a symptom of mental illness whatsoever. The elements are often major depression. Alcoholism is an attempt to treatment of mental illness. We nevertheless consider alcoholism as a disease in itself and a self feeds, just as psychosomatic symptoms. The disease is autonomous.

In alcohol, the individual often has a paranoid (access to the file "paranoia"). In all diseases, alcoholism guard specific. In terms of chronic alcoholism, we note:

Orality: The pleasure is linked to mouth excitement. In the early days of the infancy of the alcoholic, the mother has anticipated the needs of the child, without enable frustration. The withdrawal is seen as a betrayal. In adulthood, and facing a frustration, a sense of betrayal wakes up, is not supported and requires a response (paradise), where the frustration is removed: It is the drink. There are many words to this decline, as "biberonner", "suck", "suck" ... and "cessation" (access to records "oral stage" and "eating").

Narcissism: The alcoholic has a fragile narcissism, injured. Alcohol, because it provides euphoric, will try to fill that hole. "A stomach, the alcoholic meets the ideal of me, and I drunk the ideal." The ideal of Me is a representation of the parental image which the subject seeks to resemble. In alcohol, he found the narcissism of infantile omnipotence (the ego ideal is the most early childhood). The alcoholic can not manage the nostalgia of the first month, because it could not be satisfied with what we could offer him. FREUD consider alcoholism as a structure: it is the neurosis, or escape to psychosis by submitting to the alcohol (access to the file "psychotic state limit neurosis"). For those fragile, alcohol intoxication is an attempt to survive, a loophole.

Compulsion to repeat: It is an unconscious process of origin by which the subject is active in difficult situations, repeating the old experiments without remembering the prototype, and with the strong impression that it is something fully justified in the present. What has remained misunderstood the maturation returned in the form of symptoms. The issue with alcohol in alcohol, without changing its way of working

What is the Treatment options for Alcoholism

2009-01-17T05:55:00.000-08:00

The first thing that counts is in a care demand. In general this is not the alcoholic who will make the first approach, but his wife (or husband), his doctor, his employer ... The question to ask about is: "why do you care?". Very often, he hopes something in return (return of his wife, re-employment ...). There is a mythology about the care for alcohol and it is good to ask them how they intend. The alcoholic does not require psychotherapy, or at least authentically. We must give them the space that allows them to ask. They must learn to apply for and the carer should not expect an explicit request.

The duty of care (Law 1954) is a constraint that gives results that some paranoid alcoholic. The caregiver then a very sadistic. The third (the police, the prefect ...), bearer of the law, say things to the alcoholic and reassure him that meaning is not all-powerful.

Several methods in the treatment of alcoholism:

The detoxification: The idea is to create a conditioned reflex (PAVLOV), a reaction of disgust at the preferred alcohol. The mainstay of treatment is Espéral: This medicine sature phase metabolism. The patient underwent a very strong intake of alcohol, the eyes become red, he feels a sense of imminent death. It is the effect "Antabuse." There is a concept of sadism strong. The interest of such a cure is to stop drinking remove the symptom but not cure the disease, the patient may either substitute another alcohol or decompensation. It is above all a package.

Family therapy: The wife of an alcoholic is often very authoritarian and the couple's relationship is a sado masochistic. The functioning of the couple needs alcohol. Therapy may therefore include the couple ...

Family therapy: The family therapy (or systemic therapy) offers the advantage of not isolating the subject in her illness, indicating that the relationship between family members is pathologique (suffering). The patient designated (the drinker) is the symptom of this suffering. This therapy also helps to restore links around the alcoholic (access to the file "family therapy").

Group therapy: The associations of former drinkers involve the relationship. We must be careful to take into account both the symptom and the other part of the causal pathology. The real tragedy for the alcoholic drink is not (we do not die very quickly) but desocialization. When the woman is a party, he did more work, he died very quickly. Alumni associations alcoholic trying to prevent the subject is too deep dives. They replace a family that has disappeared. They are a "family emergency." The identification will be facilitated by the fact that members have lived around the problem "alcohol" and it came out (access to the file "group therapy").

A solid introduction to alcohol

2008-07-24T13:15:00.001-07:00

Youth
Alcohol can say that I am when I fell in early age. I have parents of peasant origin of France the deep confines of Quercy and Rouergue .. At the time the word "alcoholic" was not part of the vocabulary, it said "drunk". Those who did not drink wine was regarded as a patient.

Each farmer had his vineyard. The harvest was a true celebration and ended by large ripailles. When the new wine was fired my pleasure was strong, drinking together the nuts and fresh bread. I was 5 or 6 years. I was "chabrol" and drank one or two glasses of wine at meals. The "chabrol" is to keep a little soup broth and mix a little wine. Ca requinquait and replaced aperitif then non-existent in the countryside.
The wine was sacred as the bread that n'entamait never without making the sign of the cross with the knife.
My uncle Clovis cutting the wine with Vichy, I liked this mix, but it made the black tongue. My parents kept a small cafe restaurant in Montauban. I was happy. I saw the world and often played the belote with customers. I worked well at school, but continued to drink my 2 to 3 glasses of wine at every meal and sometimes some aperitifs.

My favorite was the Byrhh that I served in a tall glass with water and montais in my room doing devoirs.J've taken my first cooked 15 ans.L 'school had organized a trip to England. When we got back in France we have thrown on charcuterie, meat and ... the VIN. I came round table as a shovel. When I arrived at Montauban my father prepared me for a famous based breakfast chops and grilled lamb kidneys to the fireplace, but I could not drink wine saw my hangover.
My school has continued without problem until BAC. We watered copiously success. I was a little drunk and I was returning to back a friend at home. We woke up my father. We simply said that when we intended to mount a march us down to three. I go out often. It was the time yé yé. My parents trusted me and gave me no problem the key to the house. Then direction the FCC.
My Years FAC

At the beginning it was fine. My parents rented me a room furnished. And my father had given me his old car. I was free. Gradually I did knowledge of other students and we had a headquarters in a bistro near the Fac. I was having dinner often not without some drinking Ricard. We organize the grallious and evening
"dancing" which sometimes ended in bed. The problem is that this time I drank more and more. During these evenings we were a twenty and this was reflected by a score of Ricard, a good red kil the meals and coffee drunken Armagnac, but it was not daily, I was young and wanted well the coup. I finished
my studies with a master computer. Ca me enough. And I needed from the Military Service.
The Military Service
Three weeks to adapt to the climate of Djibouti. This was the period Beer, Whisky. I do not spend a day without m'alcooliser. Either with the crew (pilots or mechanics), with trouffions, with officers warning that I wanted to play the Tarots. Whenever a box full of Kronenbourg y going on. I have seen a grassouillet Toulouse, typical of colonial affected by alcohol that made me know the Whisky Perrier well beaten we must recognize that it is ideal against heat (I never tried the iced tea). I began to seriously m'imbiber.
The period before marriage

Upon my return of service, I found work in Toulouse and I went every weekend to Montauban to the bringue and made me play the balls. At each end of the game the winner pays a tour loser who gives it. Of course we are not obliged to drink alcohol but I drank.
The first trouble began two or three car accidents, difficulty at work. But this week I do not drink.

Note: It should be noted however that after such a journey throughout the world does not become dependent on alcohol. Conversely, the frequency of alcoolo-dependence is not different in populations where this initiation does not exist (Islamic origin, for example).

Marriage
I did that, married 31 years. At the beginning everything was fine, except that my wife began to worry about me returning in the evening with my pack of beer. But I was not too often drunk, or at least within tolerable limits. We have made a child (I was afraid it has the legacy of my alcoholism, but everything went well). Can we build a beautiful house to finish where I worked a lot. During this period my work took a long time and I continued to play the balls. Either I went back late and tired from work, I'd get half drunk. We had three girls that I have not seen grow.
I wonder how I have not had a serious accident. I was drunk more and more often, I drove in the middle of the road by closing one eye. I was lucky, we say that there is a god for drunks. Our marital relations had deteriorated. I have perhaps not all the wrongs, but I hid under my dismay alcohol
I began to hide the bottles and drink at home in secret, before sign-runner alcohol dependent.
We separated, then found resséparés since then, despite all the promises to stop, I continued to drink. Then my wife decided to sell the house and divorce, fasted it has made a sacred coup.
I rented an apartment and then came the disqualification.

Forfeiture and homelessness
See on this topic webpage: alcohol and money
The Forfeiture

This period has left some rather fuzzy images. I will gather all my strength to realize, but I find it impossible to reconstruct the chronology of events. My first time divorced (a little meadows one year) is passed. Then the loneliness, bad dating (the only ones that I could still have) made me
resume alcohol increasingly strong. I was drunk every day, even at work. I dépensais wrongly and through in the game (PMU, Poker, parts of pétanques rigged). I played large sums PMU but I lost the ticket, I was unable to remember my game I played at poker without too much see the maps (I drank playing). I have often did. I remember a tank up to 12000F I had a square 8. Only one player followed by a drawing. We see it flush tells me I look at his cards and I believe the flush on when I throw my cards then. In fact he had only one color and I struggled. But nobody has said anything. I'm nearly 50 and 000F debts that I could not settle, so I signed acknowledgements of debt that made me pay 4000F / month for over a year. During this period I had a licence withdrawal of 4 months, with a fine of 4000F and 2-month prison sentence.

I lost the confidence of my family and I have remained as 3 friends, it has at least had the advantage of seeing who were my true friends. My family was very unhappy, my mother made a depression which has not yet surrendered. I drank more and more expensive as I put the rose for home and Ricard or Half-pressure bistro.

I tried to get away with attending AA. But often I arrived drunk but still said "I did not drink today." The meeting finished I was doing all bistros to no longer be under.

I saw Psychanalystes. I came back. They do not know much to alcoholism They do not speak and the only thing they know is to say: "it's 225F". I tried to leave me alone but the weaning period is a horrible, very painful. I have had crises of delirium to shiver with fear. The anguish is unbearable.

It was then the beginning of homelessness.

The Clochardisation

The first things I did in the morning on an empty stomach was drinking a kil this rosé that I burned the gargamelle and tripe. Then I was, I was shaking. I strongly lavais me rinçais teeth and mouth with Eludril to remove the smell of that vine. I was going to work but to the lack 11h was already being felt. At noon I went back and changed back it. The afternoon was hard. This lack is very painful. J'amenais So what drink at the office. When the boss came to see me I had to have a strange air but I've never had any comment. I noted
carefully what I said, convinced that the next day, I did remember more. I was careful not to wander in the corridors but it happened to me to do so intoxicated death. The secretary, a good girlfriend, I have always been hidden and even bring with me by my ex-wife. The doses became huge (5 kil of vinasse and x Demis and Ricard). I was slates important but not me remember anything. I had to pay several times the same slate. Every night I was in a coma, slumped to the ground. I do not eat more, not me lavais more (I parfumais), I had a goal "to drink".
The compulsion too strong to alcohol sweeping all my will. When I missed alcohol in the morning, I became
crazy. The grocery store was closed I expected that the "boutique" gasoline station opens quickly and I was going to buy my fuel.
To avoid this problem one day I bought 6 of vinasse Kil and 1 L Ricard telling me that, I will be safe from missing. When I woke up from coma the next morning I looked bottles: all were empty
scattered in the kitchen. I think I drank the pure Ricard.
I had seizures, delirium tremens, I fell on the stairs and myself broke two ribs. I was very, very dirty. The apartment was full of garbage and excrement. I was more than clochardisé.
Then one day I could not go to work (I do not know how many days). The secretary concerned drew my brother who came with my doctor. They broke down the door. I guess their eyes discovering the show. The doctor woke me up, gave me an injection, made the tension and I was immediately hospitalized. I was muddy I engueulés: "What do you foutez here foutez me peace, I'm home, I do what I want ......." This was the beginning of my many hospitalizations.

The serious problem of medical competence
on this subject see the web page: Two or three things unknown about alcoholism

How many hospitalizations?

I do not know the number of trips that I have done in Psychiatric Hospital or specialized alcohol. This should turn around 15. I was hospitalized for "depression". In most hospitals where I was treated, alcohol (as drugs) was present.
Either an external sector provided alcohol (or drugs) and planquait bottles in the bushes of the park. Either could quietly leave (in hospitals in urban areas) and go s'arsouiller the bistro in the face and back neither seen nor experienced by the back door, round, like a shovel. This is known yet. I went back drunk all the perms and was often placed in solitary confinement for me "punish", which I find idiot.
The psychiatric hospitals did not "know" not treating an alcoholic. The only centre where I went that gave me satisfaction and could make me leave is that of CAILLAC in LOT. It is being treated for "alcoholism", with methods adapted to the disease .... It must be said is that all doctors are specialists, patients are all alcoholics and often the discussions are very profitable.
After 4 weeks my family (mother, brother, sister-in-law, ex-wife and children) and come see me. They were surprised when I saw transformed and thought that I was released.

The relapses and more relapses
Unfortunately from my exit I replongeais. Not much (4 halves), but it was enough to put the machine in motion. When you're an alcoholic requires: firstly know and recognize and especially not to touch alcohol.
I reprenais work some time soon to be réhospitalisé. It had last 4 or 5 years. I was still my pay. But I almost lost my job, saved in extremis-by my boss direct and Dr. of medicine Labour who was familiar with my problem.
I moved without leaving my habits. My physical condition began to deteriorate. I consulted my general practitioner who made me make full examination (scanner, blood ...). I could not hardly walk and I am often slumped in the street. Apathy over taste anything, always a few seizures that often came when I made my diminuais alcohol.
In any case, my doctor decided to give me a new hospital. At the beginning I was reluctant arguing that it had hitherto served no purpose and that in any case I did not want to go to the clinic where I was going normal and that others do not worth more.
Sensitive to my arguments I proposed a Centre Hospitalier de Toulouse whose name is synonymous with lunatic asylum in the minds of the region. J'acceptais if my brother had decided hospitalization requested by a third. In addition it was early January and had spent the holidays alone as a C.. in my apartment. I had not moral, then we would see. So I went to the Centre without much hope with the sole ambition to relearn how to eat, sleep me to wash. In the clubhouse when I was there were all the categories or almost pathological cases. I recognized fairly quickly alcoholic 2 guys I was a little relieved and we had a few discussions rewarding.
I also quickly realized that the staff, nurses Psychiatrist, I was listening. The psychiatrist quickly understood my problem and changed all medicines which I had previously been prescribed by incompetent people and against my will ... He took the time to discuss deeply with me (which is rare). Gradually he trusted me and gave me all I wanted perms (of course breath to return), I felt that I had wanted me so. I am quickly (too) went better appetite I found I could discuss, I was walking better wanted me clean. Also the Psychiatrist left me out after three weeks, but under the supervision of a nurse who went with me every week.
I do not tardais back and very quickly j'atteignais high doses. I was careful when the nurse passed, but he was not fooled. I still bound friendship with him, and I think the whole team who cared for me was really eager to see me leave me. It counted a lot.

I started to clean the apartment. Then one day I did not drink. Of course I was not good. I am not going to work and I called the nurse who was not unduly surprised. He asked me to be ready because in a 1/2h an increase VSL me to take me to hospital.
It was left for my last (maybe?) Hospitalization, with a small difference: I trust the health care team, and the approach came from me for the first time. I really wanted to get out (although I was not really conscious). The visit happened just as prés the previous except that I had more perms so I was able to clean almost merits the apartment. I ate well, I took the reading taste, I had less cramps, I was bored a little but finally settled time went by meals and visits to the psychiatrist and psychoanalyst (which took me sometimes 1h1 / 2 and came to me to remove something from my deep intimacy that I thought forever buried). After a month Psychiatrist thought that I could leave.
I spent some time with my mother to small onions, then I reprenais working with the apprehension of having lost my intellectual capacity and a portion of memory and the eyes of colleagues. To my great joy after a week of adaptation I saw that this was not.

There is 11 months of that. I know I'm not healed because when alcohol was on the rest for life. The slightest incartade automatically relapse, physiological and is due mainly to Hypophyse. Now I have absolutely more compulsion and even the smell of alcohol dégoûte me. I found my family, love of life, read, travel. I even qualified for the games "Questions pour un Champion"
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Comments
Life is beautiful without alcohol

Is there a recipe for escape?
Without hesitation I say NO. There is no miracle recipe.
What I can say is that:
* I fell on a medical team dedicated, highly motivated and competent. It must feel, it helps a lot. Otherwise feel free to change quickly.

* I put a little of my own but do not believe we can go it alone.
* We must put aside, if you can kind of thinking "is shameful", "you do not have a will," "tu me dégoûte" ect ... from people who do not understand.
* Do not panic by relapses, to a certain stage of alcoholism they are unavoidable and can even be beneficial.
* Do not wean without medical assistance. It's very painful and DANGEROUS.
* Try to AA, or otherwise, it works for some.
* Try CAILLAC it works at 70% (There are other clinics of this kind).

While alcohol is a special case because its path towards alcoholism deep its own. So his abstinence should be addressed by Psy on an individual basis. The treatment itself is individual and non-standard. The hardest part is perhaps to find the right Psy responsible for alcoholism, and know they do not run the streets. We have to put some of hers and that hospitalization is not forced by one third, the same doctor.
We must accept the condition of alcohol but does not see it as a shameful disease, be well explain how it works and say "good I am sick I have to make me care." Here there is much left.

Alcolism is a disease which is not known causes

2008-07-24T13:11:00.000-07:00

The first thing to know is that you do not know the causes of the disease. The alcohol dependence is a universal disease. It exists in every country in the world, in all races in all climates. However, despite all research past and present, nothing explains why some people may be victims of alcohol while others do not face difficulties.
With sincerity, some patients reported problems that have driven to drink and believe to be the cause of their condition. A look closely, psychological grounds, concerns or the feast, loneliness or disagreement, unemployment or work are never the real motives, but more often the result of abuse. The "old drinkers" call it "excuses". It is true that tests reach all people who feel similarly, but all did not turn to alcohol.
It does not explain why most people who enjoy these drinks, do not become dependent, while our patients at the fair regulation of consumption is unworkable.

and that we can not heal
If the origin of the disease is unknown: we do not know why addiction is always final. So far, there is no treatment that can control it. We can repair the damage caused by alcohol abuse, can prevent relapse, but alcoolo-dependence itself is not curable. Unfortunately, no treatment can not find the pleasure to drink or share a drink again with a friend. There is no alternative to total and permanent abstinence. To establish or restore a natural consumption of alcoholic beverages is currently impossible thing.
In this condition, where the doctor has neither a drug nor a saving knowledge, we must not despair. Many people are doing, having understood the mechanism of a chain daunting.

when you start you can not stop
Alcohol is not part of essential products and is normally unnecessary. Although it is not vital to humans, it is now, in people's minds, a fully-fledged food.
Everyone knows that people need solid foods and liquid foods. The former are meat, vegetables, fruits, etc.. The latter provide the water needed: fruit juice, milk, wine, beer, cider, all mineral waters ...
Here's how it works: when the body needs solid foods, the spirit receives a message that called hunger. When the body needs liquid food, the mind receives a message which called thirst. We all know these two signals. When the signal hunger manifests itself we think more and more to eat. Rate it, we end up not even think more than that, if the meal is waiting.
But these two signals of hunger and thirst have their opposites perhaps most important for our health. They are called "satiety signals". They cut hunger or appetite at the right time; beyond, eating becomes less interesting and painful when a meal forced to continue. These contrary - also known as "instinctive judgement" - are very important for our healthy: they adjust to take food or drinks, the quantity necessary for the purposes of the body. They avoid serious illnesses by overload.
These signals are of extraordinary precision. Check our weight from one end of the year to another. In the meantime we eat nearly a ton of food. This weight remains the same whatever fantasies transient or changes with the seasons, physical activities, etc. .. A small disruption in advance or delay the onset of signs which we speak, lead thinness or obesity. For water precision is very high and each take drinking is strictly programmed by the body, the instinctive judgement is imperative: the displeasure quickly replaces pleased to quench thirst. These things that you have recognized, and goes for all foods and drinks except for certain:
-- Chocolate: For almost everyone, chocolate does not appear signals satiety but rather the desire to increase as we eat, but what makes it a popular delicacy, even after the meal;
-- Alcohol causes the same reaction, but not everybody gets them, for 8 to 11% of people, those who will both enjoy, and seek to suffer: alcoolo-dependent.
Alcohol is a food that is drunk. It prevents you from the onset of satiety signal and, worse yet, gives the greatest need. This reaction, which does not exist in everyone, is any danger of the disease since it goes in the opposite direction of biological laws, and thus life. It requires ingest toxic doses necessarily because the natural regulation never comes limit, as it is for other substances (except chocolate). Alcohol, for you, works in reverse of other foods. Being hospitalized on you did not given alcohol, and you have less and less interested as to rid your body. While, without eating, you would have been more and more hunger ....
Here's what happens in people alcoolo-dependent:
-- No alcohol in the body: no desire, no need;
-- Alcohol in the body: no longer drink even the desire to drink. It follows a psychological reaction research drink, but nobody, alcoholic or not, can not stop the consumption of a product which itself increases the appetite to eat.

and others?
Normally, when we have eaten there was more effort of will to be done to stop it. Precisely as well as sober people stop drinking. It is even why they are sober. This is very important, but perhaps, for you, very difficult to imagine.
You are all went to the restaurant or the terrace of a cafe. It does not escape you that neighbors sometimes leaving the table leaving a bottle of Beaujolais still half-full or a can of beer not completed. This could seem unthinkable, and some have told me going to finish ...
Think at the same time you have left bread in the trash without even thinking. That's the same way that the neighboring table has left the rest of drink. It has not done so because it would have had more willpower, or more moral or more strength of character ... Quite simply, for him, the envy of wine had disappeared, like yourself, the envy of bread that you've left.
So there is a difference between you and the others ( "civilians" as saying AA); your desire persists and increases as you drink "when I start I can not stop." But if the will is being tested there is alcoholism. And this is a natural law that, to drink or eat, it is always the loser. Here, humans only has to obey, without it our species would not exist. In fact, what the patient is not dependent vis-à-vis alcohol is the disappearance of need, that savings will, and that others are sober.

hidden reserves of alcohol
What has been said will explain many things. Foremost among the mania to do, and hide in reserves of alcohol. This "attitude typical of an alcoholic," as pointed out by a patient, sometimes becomes an obsession.
The dependent person who acts and behaves, without knowing it, like all beings who fear a deprivation of food or drink. A patient who buried his bottles in his garden had noticed that his dog's bones buried there. Both obedient to the same survival reflex. During the war each family was making provisions and "do not scream from the rooftops." At the dependent person, the fear of lack provokes the same reflexes and the same secret. This reflex that makes you reappear in a need that does not leave you. In this regard, this behavior is that of all living beings.

so hard to talk about
On the question of speech that the drinker encounter serious problems. Without his knowledge, the patient is faced with the impossibility of talk that everyone feels it is not enough to have the floor to express his thoughts. This stalemate has verbal precise origins; sexual modesty, which everyone knows, is the best example.
You should know that human beings are and that speaks to the place where the body obeys him but upside down when he has to obey her body. This may sound strange, but sex life is just one area where we must obey her body.
-- This is not the case for a job, a hobby, a walk here decides mind, body executes and says everything is completely and smoothly;
-- Against, in sexuality, so everything works well, the spirit must also perfectly possible to be guided by the body and obey him: this is something that does not tell or difficult, even not must not tell; modesty is sometimes assisted by deception, and adopt the language.
However, the person no longer dependent on alcohol to accompany a meal or for toast, accept or celebrate. She is going to drink any of these reasons but because his body has demanded and that it obeys. It does therefore can not say, nor talk about: taking alcohol becomes an act secret.
In general, better than anyone else, the patient is aware of these blockages that are necessary to bring him and the other so far. It is indeed moments where he needed to talk, especially when it starts to feel powerless to stop its own.
But what can not say more can not let itself be seen. As the sexual act, the act of drinking can be proved. The secrecy and solitude eventually prevail. It is understood that the patient wall, deceit, depressed and even feel guilty. It would be good to confide in someone, family, friend or doctor. You understand now why more was needed, the less you could speak.
And as always, the impotence of the floor is the source of all conflicts with an entourage away but that are increasingly needed. In this disease is perhaps the disorder of language that makes it more difficult. That is why we attach so much importance to groups of parole.

alcoholism concept cause and reasons

2008-07-24T12:08:00.000-07:00

Living with oneself as a human person is an interesting perspective. Take care of yourself, be attentive to our emotions, meet our basic needs and nourish our self-confidence to assert themselves, this is an exciting programme of life!

Living in a couple, with or without children, requires some adjustments, some negotiations and sharing relationship where we find a way not to renounce itself. But when our spouse suffers from an addiction problem, the challenge becomes difficult to identify and sometimes even insurmountable. The failure is then the solution tends to prevail.

In this article, I offer you an opportunity to reflect on the different avenues in which we lead this dynamic family. With the help of various examples of the daily lives of these families, I brosserai table traps to avoid and healthy attitudes we can adopt to circumvent or defuse. I hope that this bear your own thinking and help you to live peacefully within the difficult relationship that can easily become a major source of concern.

So I will try to answer two critical questions:.

Is it possible to live fully as a person in a relationship with a spouse suffering addiction?

If yes, how to not to mislead?

But let us first few facts to better understand the importance and magnitude of the problem we are tackling.

We know that the cycle addiction affects about seven men and three women out of ten. The majority of these people are dependent on at least two substances (alcohol and illicit drugs).

It was estimated that on average the individual taken with this kind of problem reached directly or indirectly approximately thirty people around him (spouse, children, friends, members of both families and work colleagues).

B. The concept addiction

Let's look first of all how Jean-François lives this vicious circle that overconsumption. This will enable us to illustrate the concept addiction.

Since age 16, Jean-François consumes alcohol and drugs. Born into a family where the father is absent and the mother very authoritarian, this shy young adult has ceased the school during the first year of secondary studies. He did not like studies and academic performance were weak.

Shortly framed by his family and encouraged by the support of his band of friends, he found a job in a super market. His salary he used to pay its consumption, which allowed him to obtain an illusory victory over his shyness.

Today, Jean-François 31 years and is dependent on alcohol and cocaine. He is married, the father of a girl of 12 years. Most of the time he is away from home because, after his day of work, he finds himself at the bar. He will return home late in the night, completely intoxicated.

Sometimes, following the insistent pressure of his wife, he happens to spend a few days without eating. He found himself in weaning, in such a craving that can not help but get drunk again.

As you can see in this example, is assuétude the leak of a malaise in the over-consumption of substances. This leads to excessive consumption, over time, physical phenomena important: addiction, tolerance and withdrawal.

The addiction develops when a person consumes a psychotropic repeatedly and became accustomed to the point of need. This is often called dependency.

Tolerance is the phenomenon that is manifested by the fact that a person must increase the doses of the substance to achieve the same effects.

Weaning is a set of reactions that occur when the person who suffers from addiction is sober its substance from 24 to 48 hours. It is observed through a group of symptoms physical characteristics: tremors, cold sweat, an increase in body temperature and several others that vary from person to person.

Because both the desire to flee and these three physical phenomena, the inevitable cycle continues until the emotional pain becomes stronger than the effect of the product consumed. Then the beginning of the end which can take various forms: detoxification, rehabilitation or revocation downwards funds and to significant losses in all spheres of life. (See in this regard "Drunkenness: drift illusions")

To deepen your knowledge about the assuétude, you can consult the Web site "STEP" and read "The concept addiction" in the "Chronicles".

C. The trap of guilt

The person caught in the vortex of the unhealthy over-consumption is increased, to give good conscience, to make friends or the circumstances of life responsible for his disqualification. It follows naturally that people gravitate around this person can often feel that they are guilty or partially responsible for its conduct intoxication.

The discomfort felt by the person who consumes often lead to manipulation manoeuvres on his family and co-workers in an attempt to avoid "losing face". Let us see an example that illustrates how the trap of guilt can be insidious and how it is not inevitable if we learn calmly to overcome.

Patricia lives with Stéphane since 8ans and has two children 6 and 4 years. The repeated and excessive consumption of his spouse is disturbed to the point of getting angry more often than not. Every evening after work, Stéphane arrives home with his crate of beer. The same scenario repeats itself for a long time. Patricia expressed her disagreement because she knows what's coming: Stéphane drink until they s'endormira not somewhere in the house, completely drunk.

So when she saw happen with its provisions, it reacts with force: "Not tonight! "And Stéphane respond as usual:" You're never happy and you m'étouffes. If you do not constantly cried out after me, I do boirais that two beers. "The tone then rises another notch and the situation is deteriorating rapidly. The discussion ends when Stéphane leaves the house by snapping the door and went to the bar, consumed with his friends.

Let's see how Patricia could have avoided this trap harmful. Let's see how it could have acted to avoid contributing to deteriorate more and more her relationship with her spouse.

Let us take for granted that Stéphane is the only true responsible for its consumption. He made the choice to take its crate of beer at the expense of family atmosphere. But in the example above, his wife he opens wide a door that is helping to exonerate and return the responsibility for it.

If, however, Patricia had kept his calm and not mine, her husband would have been faced with its own responsibility to consume. It would have been person to whom the tender trap of guilt. Let it a little closer.

It is important to recognize that anger Patricia is legitimate. She has every right to have his emotions, his reactions. However, if she knew that the situation is irreversible and it could react even act otherwise. If she understood that the cycle of assuétude is started as soon as Stéphane buys its crate of beer, his emotions would be perhaps not the same.

The thirst for alcohol has triggered a process that inevitably leads him to act this way inappropriate because in this state, the end always justifies the means. Anything Stéphane wants is to have peace and can consume as soon as possible. It is missing! This cycle would stop when it was completely drunk and s'endormira somewhere in the house. It is irreversible!

To be true to itself (see Chapter 4 in "The emotions: Water for Life"), Patricia must express its disagreement in a more constructive for herself and her children. It could, for example, find things to do with his son and leave the house. Thus, it would be attentive to their needs and desires, it is important that it gets down to business rather than endure the situation. This would be its autonomy and independence which would demonstrate that no longer tolerates the consumption behaviour of her husband.

This attitude is much more effective as Stéphane finds himself alone and can not make responsible person of his decision to consume alcohol. This type of attitude that we call "grip" it is simply not to be disturbed by a situation that has not chosen.

Is it any wonder that people in the process of rehabilitating their assuétude spontaneously recognize that they are the only ones responsible for their choice to consume or stay sober? Spouses who have dared to make the choice to respect themselves rather than succumb to the invitation to the guilt will not be surprised.

D. Silence and social isolation

The silence and social isolation are another attitude that we encounter frequently in families whose lives are disrupted by chemical dependence of a member of the family network. People often say they live in a situation of "bad family" because of the painful consequences arising for peers.

These families are brought to hide the problem by maintaining complete silence on the situation in isolation or socially, often both. This attitude is seen as a way to avoid the shame and often hide the violence experienced in the family. This silence and withdrawal are designed to protect peer social prejudice by isolating them from their midst.

The assuétude is often perceived by the environment as a form of cowardice, weakness and immaturity. From fear to be pointing the finger by neighbourhood, the family fled social contacts. So close are depriving themselves of activities in public because they fear that people are aware of behaviour unpleasant one who consumes. Here is an illustration:

It's National Day and a popular festival is held downtown. The two children Jasmine and Diane want to go see the clowns and play on inflatable structures. But the mother began to celebrate since the morning. Beer, wine and marijuana have quite amochée.

Jasmin loves his wife and is worried about leaving alone in the house to go to the party with children. He knows it could well go find a bus. It is not that people see in this state because he is a lawyer in sight in the city.

So he suggested the children to be accompanied by a guardian so that they can enjoy this activity without the need to leave his wife alone. The children will therefore to the party, but Jasmin has warned that Mum and Dad are sick and they are resting at home. The same reason given is the guardian.

Jasmin might consider to manage the situation differently? Absolutely! If he gives himself the trouble to keep in touch with his emotions, he noted that his inaction comes from the shame he feels before the attitudes of his wife. It also s'apercevra he fear the judgement of others. "What my clients will say in family mediation" he said? He feels that if people knew he would lose his credibility as a lawyer.

So this man will learn to balance his personal and recognize that it can not endorse the behaviour of his wife. It will need to become aware of their desires and needs. Once they have determined what they want, staying in touch with his emotions, he may be able to act more effectively for the betterment of all.

Agreeing to live with a person with this type of problem is not easy, but it is possible if it learns to distinguish between what belongs to him and the image projected by Diane when it is in that state. These distinctions will help also to recognize at other times, when sober, Diane is interesting, it has great qualities and great values. This is not what it is as a person who is problematic is its behaviour is different when intoxicated.

This example shows how silence and social isolation are part of "bad family". The only solution to this impasse is to break this silence and stop isolating ourselves. To succeed in doing so, family members must first speak openly about their ailments to the person concerned. They do so when it is sober and is able to grasp the importance of their pain.

In a second time, they may seek external assistance will provide the opportunity to ventilate their emotions. We will come back later ...

E. The regret but ...

The aftermath of "cooked" are not easy to live for the chemically dependent person. Full of remorse and regret, it is repentant and resolved not to repeat, she believes. But assuétude is too strong, so strong that the cycle is repeated tirelessly until that person has suffered enough to put an end to this hell.

Julien is, the past ten years, depending on alcohol and cocaine. It is absent sometimes two and even three days of the house. It takes more and more sick leave and his employer has served a serious warning.

Melanie, his wife, no one knows more about what can be done to help his companion to regain its equilibrium. She asks him to stop its consumption and go to seek help. But despite its regrets and its good faith, Julien is clinging to its substances. It tolerates evil to be lacking because he suffers physically as soon as it tries to stay sober a few hours. His regrets are sincere, but they do not face the weight of the benefits illusory and ephemeral of consumption.

Is this insoluble? What strategy Mélanie could adopt in order not to become depressed in this family situation deteriorated?

Typically, Melanie has a tendency to feel so helpless and rejected his romantic relationship she became completely depressed and finds himself in psychiatry for some time. It is then distressed and crying constantly.

One day she made the meeting a girlfriend who lived this kind of relationship pathological. This friend assistance to live their emotions and to define its needs. Melanie understands when she has the right to healthy lives and that it has resources that can help them cope with the situation without letting her skin.

Melanie then leaves her husband for some time in order to rebuild their psychological health. She tells her companion that will be perhaps the common life if he takes charge and faces the problem of overconsumption.

Obviously, the strategy chosen by this woman is a gesture of survival and seeking a better life. It must first take care of it rather than worrying about him and their relationship unstable generator malaise.

Julien then face a significant loss (his wife) and may soon lose his job if he does not take itself in hand. He then met a friend who gives him some form of listening and encourages him to take charge.

He agrees to meet with a doctor who help them to detoxify. Then, his efforts to motivate them to stop consuming produce good results. He attended a conference on alcoholism and took information to enroll in a psychotherapy group that specializes in substance abuse treatment.

Its joint gives him the necessary time to take control. Then it will see whether it is appropriate to resume contact with Julien. But it will remain cautious and wait until the latter has proved itself as to its rehabilitation address the problem of dependence on substances.

F. The futility of fighting

Wanting to fight against substances is like wanting to extinguish a major fire with a watering garden: there is a danger especially to burn. Here is an example of a situation experienced by a family that has tried for some time to overcome the dependence of one of their own, but without success.

Nancy is the mother of three children: the eldest is 19 years and her two daughters were respectively 17 and 15 years. His spouse Lucien consumes alcohol excessively past fifteen years. Some days he managed to limit its consumption, but most of the time it s'enivre almost every night. He then became verbally abusive and has even been some physical altercations with his elder.

Children and joint Lucien have tried everything to stop this vicious circle that is the addiction problem of their father. They had talked calmly. They tried threats to make the door. His brothers and his sisters have also unsuccessfully tried to make him listen to reason. Even his doctor has been made aware and tried to intervene but without success.

Lucien claims he has no problem with alcohol but that the others who exaggerate the situation. "Let me breathe and live my life as I intend" he likes to say.

The climate of the family is tense and Nancy can no longer manage the family budget. Simon, the eldest, had dropped out of school for two years and he worked to help his mother and sisters to obtain the necessary (food and clothing). The father spends almost all his salary to obtain alcohol.

As we can see in this illustration, the struggle facing alcohol is futile and unproductive. The chemical dependency Lucien is stronger than his concern for the welfare of his family and hers. That is why many experts believe that addiction is a "disease" in the sense that it creates a toxic effect that triggers biochemical physical thirst. According to this theory, the first consumption, in turn, would inevitably trigger the cycle of consumption. Indeed, the first glass of alcohol is the trigger for an insurmountable thirst encountered in the person alcoholic.

But even if we are talking about "disease" that does not remove the responsibility of choice to consume or not. We must not believe that the dependent person must be excused in the name of his "disease" or is impeccable. The crucial question remains: how family members can cope with the situation without conducting a futile battle?

Nancy frequent movement Al-Anon past few years and it tries to bring her children to join the movement Al-ateen to help them better understand the problems experienced by their father. It is this group that helped her understand that she can no longer fight against alcohol.

She now devotes its efforts to ensure the well-being of its children. She discusses with her husband when he is sober or in provisions to understand the emotions that she lives. Nancy knows now when it is appropriate to assert it meets its needs and those of his own as much as it can. When her husband is drunk, she does not speak and avoided by the very fact that discussions heated, violent and unnecessary.

Simon does not react very well to face his father. Because of violent clashes that took some time, it tends not to send him the floor. In fact, his mother asked him to remain calm and go to his friends when Lucien is drunk, rather than suffer the tense situation.

The use their networks of friends and effort to listen to their emotions and their needs are the ideal solutions for them. They understand that they can help their father that if (only if) the latter agrees to help itself.

It even happens sometimes that Nancy and her children are attuned to the emotions of their father. For example, returning from an activity, Nancy and her daughters realize that their father is slumped, alone in the house, and he cries. They like Lucien despite everything and then ask them about their sadness. This is an important moment for Lucien because that allows him to see that his family did not reject and that his family are still ready to support where needed.

G. The SHGs

Some anonymous movements that give information about alcoholism and other addictions to substances, can have great use by the form of support they provide. The latter is given by people who identify with the problem of alcoholism lived by one of their relatives. Thus, sympathy and hospitality offered by these movements can be useful insofar as the person (spouse, children, family) is left free to take the necessary decisions in his family situation.

H. Cut the cord: Stay Free

We note that spouses living with a person taking a problem with addiction are often emotionally dependent (read: Addiction emotional and human needs). Because of their low self-esteem, these people tend to be locked in a stalemate that could be summed up in discussions such as Denise about his relationship couple and the image it has of person.

"My spouse spends more time in bars to take a shot at doing business with me. I do not therefore be interesting and it does not really love me. I know that I am not live up to its expectations. "

In this example, the joint takes upon his shoulders the problem of consumption of his partner. It gives him reason to behave this way and she is afraid he will not leave. Accordingly, it will leave its way to consume and s'accrochera even more to him trying to fill unrealistic expectations. What can it do to change his attitude?

Denise should be in contact with itself in order to assess its strengths and personal values. It must learn to do things that will verify that it has skills, values and inner resources.

It could, for example, to find a job, a hobby or commit to volunteer for a work valid in his eyes. These activities would give opportunities to see it can be appreciated by others and feel useful in life. It could then come off the problem calmly spouse to understand that there is for nothing in the choice of the latter.

Denise is a full transfer, because she lived with a father who kept saying it would not much in life. She realizes that the sentence of his childhood led to choose a spouse who is very much like his father. (read: The transfer in relations)

It can cut the cord of this emotional childhood and become free to fully be what it is really a worthy person to have fun to live and develop its potential (read: self-development).

I. Conclusion

As you can see in this article, the topic is rather broad and I do not pretend to have made a complete tour. We can still reap the findings useful and important.

The first conclusion that emerges from this article is that the person who consumes is the sole responsibility for its choices to consume substances. It is therefore important that it decides to take itself over if it wants to get out of this hell. Without the option of taking its responsibilities, it can get.

Another important conclusion is that the surroundings, even if it is prepared to offer all necessary assistance to the person suffering, often find themselves helpless in the face of this complex and difficult problem of overconsumption.

Ideally, these ones must learn to detach problem (grip) to avoid falling into traps of guilt and pathological interactions. While offering some form of listening and assistance that matches their understanding of the situation and their skills, they must take care to become autonomous, to meet their own needs and keep in touch with their emotions. This detachment and openness to themselves that they can, taking advantage of periods of calm, to express their disagreement and express their emotions to the person concerned by the problem.

And most importantly, they must undertake self-development and avoid falling into traps that they tend manipulation and guilt. These are weapons that dependent person uses more or less consciously to justify his habits and his entourage should not become the plaything.

It can be very useful to join a self-help, but not a necessity. It is a personal choice that can be beneficial for many, particularly those isolated and without resources.

I hope I have sparked a personal reflection among readers and particularly those who are in contact with a relative suffering addiction. I am pleased to answer questions from readers according to the uses of the letter of Psy.

Centro-Pontic Myelinolyse and alcoholism

2008-07-24T12:07:00.000-07:00

It is a rare complication of alcoholism related disorders hydroélectrolytiques (hyponatremia) and especially their correction too fast.
The pathogenesis is not well known, it is a violation of demyelinating type located in the protuberance.
The clinical signs: most often occur in a patient at décours a withdrawal syndrome, with a syndrome pseudobulbaire: laugh and cry spasmodic, dysarthria, dysphonia, astasie-abasie.
The evolution leads to a syndrome tétrapyramidal, death occurring rapidly.
Treatment is especially preventive avoid the appearance and especially the too rapid correction of hyponatremia.
11 Disease Marchiafava-Bignami
Very rare disease. Male chronic ethyl between 30 and 70 years. Pathogénie unknown; corresponds to démyélinisaton lesions of the corpus callosum.
There are 2 clinical forms:
-- An acute form with coma, seizures comitiales, mental disturbance.
-- A chronic form: a combination of progressive dementia, a astasie-abasie, hypertonia, signs of dysconnexion interhemispheric.
The MRI confirmed the atrophy of the corpus callosum.

In conclusion, alcohol causes many neurological disorders as well as the central device, acute or chronic. Other attacks are possible not discussed here (myopathies alcoholics - alcoholic dementia); the same way alcohol is responsible for complications neurosurgical trauma, it would also be an important risk factor for stroke.

cerebellar atrophy

2008-07-24T12:06:00.000-07:00

It is a common complication of alcoholism whose mechanism is not determined. It is a localized atrophy interest vermis and cerebellar hemispheres.
It is mostly men around 50 years, it is manifested by:
-- Disorders related to the march an attack cerebellar static; achieving kinetic is more discreet.
-- Install insidious in a few weeks, boosted by periods of food restriction. Decompensation may also be fostered by a brutal intercurrent infection, a withdrawal syndrome.
-- The upper limbs infringed is more discreet. Similarly dysarthria is rare and moderate.
The scanner shows atrophy of the cerebellum often associated with cortical atrophy.
Evolution: there is a stabilization after a few months, treatment with vitaminothérapie has little effect.

optic neuropathy

2008-07-24T12:05:00.000-07:00

The mechanism is discussed, linked to an attack marked deficiency polyvitaminique but especially B1 and a toxic particularly linked often associated with smoking.
At the clinic there was a gradual decline over a few weeks or few months of visual acuity.
The sight test confirms the downward bilateral and symmetrical visual acuity, with a scotoma centro-caecal, paleness papillary.
The treatment consists of a balanced diet combined with a vitaminotherapy and weaning.

Polyneuropathy

2008-07-24T12:04:00.002-07:00

It is secondary to a joint mechanism of toxicity associated with chronic éthylisme and especially nutritional deficiency in particular polyvitaminique (B1, B2, PP). It affects about 10% of alcoholics.
In the usual form, it is a sensorimotor polyneuropathy installation chronic, but one can observe an acute decompensation at an intercurrent infection, a diet.
The deficit concerns engine lifters foot on a bilateral basis, sensory disorders are most often present in topography with a sock; pain type cramps, burns are common; associated disorders trophic. Other clinical aspects can be encountered with forms predominantly sensitive or conversely driving. On the electrophysiological and histologic retains an attack on axonal predominant.

Pellagre disease and ALcoholism

2008-07-24T12:04:00.001-07:00

It is a complex syndrome carentiel whose vitamin PP (nicotinic acid) is a key factor, it is a rare complication of chronic éthylisme favoured by a significant malnutrition. The diagnosis is only one clinic with symptoms which combines:
-- A progressive mental confusion
-- Extrapyramidal rigidity very important
-- Digestive signs: vomiting, but especially chronic diarrhea
-- Signs of skin.
The treatment is mainly with preventive injection of vitamin PP among ethyl carenciés.

Korsakoff Syndrome and ALcoholism

2008-07-24T12:02:00.000-07:00

It is a clinical syndrome involving:
-- A mainly anterograde amnesia, without dementia associated.
-- Fabulations
-- False recognitions
-- Anosognosie.
It is secondary to damage bilateral not necessarily symmetrical circuit hippocampo-mamillo-thalamic; etiology is the most common chronic alcoholism through a thiamine deficiency. The symptoms gradually settled and in 80% of cases it succeeds Wernicke encephalopathy treated too late. There are other causes: disease, ischemic, traumatic.

Clinical Characteristics:
The amnesia dominates the table with failure to register developments, an oversight as characteristic, he does not know where he is or when it is: temporo-spatial disorientation.
In contrast the short-term memory (immediate repetition of a series of numbers) is retained, the capacity of judgement, reasoning are roughly conserved, it is not an overall deterioration.
The patient is unconscious of his trouble, he answered questions in fabulant; frequent false recognitions are similar.
Vigilance is normal.

Wernicke Encephalopathy and Alcoholism

2008-07-24T12:01:00.001-07:00

Encephalopathy deficiency linked to a deficiency in thiamine (vitamin B1), secondary to chronic éthylisme both default contribution (malnutrition), default absorption related to gastrointestinal disorders, liver failure storage; may be aided by an infusion of glucose important in a rehydration without vitamin B1 at the same time.
In fact, this encephalopathy deficiency may be in other circumstances: gravidiques vomiting, prolonged fasting .. The lesions sit in the region périaqueducale in the floor of the 3rd and 4th ventricle and foremost there is a violation privileged tubers mamillaires (mixed neural lesions, vascular and glial).

Phase Start: worsening digestive disorders (nausea-vomiting), altered the overall state with weight loss often important, slow ideation with a tendency to drowsiness, beginning in a few days to several weeks, progressive, sometimes encouraged by early acute carbohydrate overload.

Phase state: 3 orders neurological signs are associated with varying degrees:
* Mental disorders: mental confusion, sometimes slowdown idéomoteur with hypersomnia. The existence of fabulations, memory, with false recognitions referring to a syndrome is reminiscent Korsakoff.
* Disorders of the march: related mainly to a cerebellar syndrome; may be aggravated by a polyneuropathy; unstable walking with a larger polygon, imbalance.
* Ocular signs:
-- Nystagmus: frequent early symptom.
-- Paralysis VI, more rarely III
-- Paralysis function, less frequent.
* Signs:
-- Hypertonia oppositional
-- Vegetative signs: tachycardia.

The positive diagnosis is clinical, we can make the determination of thiamine in the blood, activity transcétolasique which is decreased or the pyruvicémie which is high, these strengths are sensitive.
Two problems arise in fact:
-- Systematically raise the diagnosis of encephalopathy deficiency before a neurological symptoms in a central ethyl, which requires emergency treatment (vitaminothérapie).
-- Learn refer to a pathology associated in this field: subdural hematoma, meningitis.

Treatment: vitaminothérapie B1 through parenteral, 500 mg to 1 g / d. Association with a polyvitaminothérapie (PP, B6), rehydration, balanced diet.

Evolution: the prognosis is linked to early treatment, regression fairly rapid eye disorders and ataxiques.
When the treatment is too late, risk of sudden death. Above all there is a legacy type Korsakoff syndrome.

Wernicke Encephalopathy and Alcoholism

2008-07-24T12:01:00.000-07:00

Epilepsy during alcoholism

2008-07-24T11:57:00.000-07:00

Epilepsy Crises occur frequently in alcoholism and it is the leading cause of seizure after 20 years, there are different types of crisis.
-- Crises during the weaning
-- Contemporary crises of acute poisoning mass
-- Crises secondary to another neurological particularly traumatic history
-- Crisis occurring during encephalopathy
-- Finally, chronic alcoholism may induce the occurrence of widespread crisis late, but epilepsy alcohol itself. Before stop to this diagnosis it will always find a cause favorisante other (contusion, subdural hematoma, neoplasia).

Alcohole intoxication syndrome: delirium tremens

2008-07-24T11:55:00.000-07:00

It is linked to the abrupt suspension of intoxication; minors initial symptoms may appear 6 to 8 hours after the last absorption: instability, anxiety, tremors, nausea, and if weaning unrest continues to increase, and moved the delirium tremens with agitation, confusion, hallucinations (zoopsie), tremor fast, trouble sleeping, signs neurovégétatifs (sweating, fever, tachycardia, hypertension ..); comitiales crises are common.
The treatment must be quickly put in place with:
-- Rehydration parenteral; correction of electrolyte disturbances.
-- Sedatives.
-- Inputs plurivitaminés: Lives. B6, B12, nicotinamide PP, with high doses of thiamine B1 (500 mg to 1 g / d. via IM or IV, but the risk of allergy through IV).

what is acute alcohol poisoning

2008-07-24T10:27:00.000-07:00

1.1 The ordinary drunkenness
It is usually accompanied by a phase of excitement with euphoria, social liberation brakes, in a patient logorrhéique sometimes aggressive phase of the intoxication process becomes unstable, the floor becomes bredouillante. There are also vegetative disorders: nausea, diarrhea, vomiting.
The treatment is based on the simple monitoring and research in any doubt of hypoglycemia.
1.2 Drunkenness pathological
Drunkenness excitomotrice with impulsive behaviour, violent, destructive.
Drunkenness hallucinatatoire with delirium.
The treatment can appeal to neuroleptics (sedatives).
1.3 Coma ethyl
If the poisoning is massive, it can lead to a coma with:
-- Neurological signs: coma calm, with no sign of hypotonic location.
-- Signs of respiratory depression ventilatory with congestion, risk of anoxia.
-- Signs circulatory: hypotension: collapse
-- Hypothermia.
The diagnosis will be referred to:
-- The notion of alcohol intoxication (signs of chronic poisoning, interrogation of the entourage ..)
-- The extent of alcohol.
-- Especially one mefiera another cause of trouble of consciousness with illnesses, often entangled in ethyl: subdural hematoma or extradural, hypoglycemia, hyponatremia, abscesses cerebral haemorrhage méningées, hepatic encephalopathy or deficiency, drug intoxication.
The coma ethyl requires care in hospitals with monitoring the various parameters (pulse, tension, respiration), vascular filling with fluid and electrolyte rééquilibration, vitamin intake.