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    Course Of Alcohol Abuse Episode-4

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    There is no single treatment for alcoholism. Some people start drinking while they are young, while others don't start until later in life. Some people only abuse alcohol for a short time, while others get addicted to it for the rest of their lives.

    A person is at risk of being addicted to alcohol if he or she learns to rely on it to enhance all social encounters. Alcoholics feel that drinking is required to get through daily activities, relieve stress, and deal with difficulties. The alcoholic disputes that alcohol has such a strong grip on his or her life. He or she may drink in secret to avoid confrontations with family or friends, then feel guilty; drink more to relieve emotional stress, feel guilty; drink again, and so on, creating a vicious cycle of abuse.

    Others drink alone to alleviate the anguish of loneliness and alienation. Alcohol consumption may be a form of self-medication, and depression may be a role. Alcohol has sedative properties that help to alleviate anxiety. However, these initial effects fade and are followed by more severe depressed symptoms. To alleviate these symptoms, the alcoholic may drink. Alcohol produces a vicious cycle of abuse once more.

    Those who are dependent on alcohol drink in a variety of ways, including:

    • Binge drinking: is defined as a period of heavy drinking that lasts for days, weeks, or months and is followed by a time of sobriety.
    • Daily drinking: moderate to high consumption throughout the day, which may or may not occur at specified periods.
    • Weekend drinking: entails excessive alcohol consumption to the point of intoxication, but only on weekends.
    The central nervous system adjusts to the alcohol after months of drinking, and tolerance develops. To acquire the intended impact, the drinker must consume more alcohol. Despite the negative consequences, the person continues to drink and is prone to increase the amount and frequency of drinking.
    Withdrawal symptoms, a sign of physical dependency, may appear over time. Symptoms include tremors, elevated blood pressure, and an increased pulse rate when not drinking alcohol.

    The progression of alcoholism is unpredictable. Alcoholics may temporarily quit drinking after experiencing a crisis, such as being involved in a vehicle accident while inebriated (i.e., go into remission). They may relapse or start drinking again after a while. When the alcoholic resumes drinking, the volume and frequency of his or her drinking will almost certainly increase.

    Clinically, two types of alcoholism have been identified:

    1. Young boys who start drinking in their teens or early twenties and quickly progress to abuse. Young males with a strong family history of drinking may become addicted in as little as one or two years. Dependence can endure well into one's 30s, and even into one's 50s and 60s. This has the worst prognosis of the two courses.
    2. People of both sexes who have been subjected to late-onset abuse. There may or may not be a familial history of alcoholism, and the transition from abuse to dependency takes between 5 and 15 years. The prognosis for recovery is better for this group.

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