Wednesday 9 December 2015

ALCOHOL ABUSE

Alcohol abuse is the habitual excessive use of alcohol. It was reclassified as alcohol use disorder (alcoholism) along with alcohol dependence. There are two types of alcohol abuse, those who have anti-social and pleasure-seeking tendencies, and those who are anxiety-ridden people who are able to go without drinking for long periods of time but are unable to control themselves once they start.
Binge Drinking is another form of alcohol abuse. It is defined as consuming more than five units in men and four units in women. It increases chances for vandalism, fights, violent behaviors, injuries, drunk, trouble with police, negative health, social, economic, or legal consequences to occur. 
Signs of alcohol abuse show its drastic effects on the central nervous system, including inebriation and poor judgment; chronic anxiety, irritability, and insomnia. Alcohol's effects on the liver include elevated liver function tests (classically AST is at least twice as high as ALT). Prolonged use leads to cirrhosis and liver failure. With cirrhosis, patients develop an inability to process hormones and toxins. 
Approaches like contingency management and motivational interviewing have shown to be effective means of treating substance abuse in impulsive adolescents by focusing on positive rewards and redirecting them towards healthier goals. Educating youth about what is considered heavy drinking along with helping them focus on their own drinking behaviors has been shown to effectively change their perceptions of drinking and could potentially help them to avoid alcohol abuse. A strong social network and family support maybe important in achieving this goal.

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