Alcoholism: Getting
Sober
___________________________________________________________________________
Various treatment approaches to alcoholism
work differently for different people. Like any
chronic disease, however, there are varying degrees of
success when it comes to treatment.
Before treatment can even take place,
however, people not only need to admit that they have a
drinking problem, but they also need to want to quit drinking
and learn how to get sober. In other words, treatment
without sobriety is, for the most part, meaningless.
Getting sober is obviously an important
step in overcoming alcoholism and restoring an individual's
life. Everyone with a drinking problem, however, needs to
keep in mind that getting sober is only half the battle.
The other half, or as Paul Harvey would say, "the rest of the
story," unfortunately, is learning how to stay sober.
Recovery from Alcoholism and Getting
Sober
Similar to other diseases, alcohol addiction can be overcome
with prevention, proper treatment, and increased research
efforts.
While alcoholics exhibit anything but
sober living, people, however, can become sober and continue
with their sobriety by following through with their treatment,
rehab, and with their recovery program.
Getting sober, however, is one thing. Staying sober,
on the other hand, is quite another issue. In short,
sobriety and sober living are possible, but they are
something that needs to be worked on every day in order to
prevent an alcohol relapse.
By providing more people with access to
quality care, the costly drain on society and the emotional,
physical, and financial burdens it places on families can be
significantly reduced. In fact, research demonstrates
irrefutably that successful prevention and treatment results in
significant reductions in strokes, unwanted pregnancy, HIV,
child abuse, cancer, traffic fatalities, heart disease, and
crime.
Moreover, professional treatment improves
quality of life, health, and job performance while at the same
time reduces involvement with the criminal justice system,
family dysfunction, and drug use.
Interestingly, one of the main catalysts for
certain individuals to get sober and to want to recover from
alcoholism starts with a basic alcohol test. That is, due
to random alcohol tests at work, field sobriety tests, and/or
mandatory alcohol tests performed at various sobriety
checkpoints initiated by various police departments, the
"trigger" that motivates some people to quit drinking and seek
professional treatment is an alcohol test that reveals
unacceptable levels of alcohol in their urine, saliva, breath,
or blood.
Alcoholism Can be Effectively and
Successfully Treated
As serious as alcoholism is, fortunately in
most instances it can be treated. Stated differently, people
can, with help, learn how to stay sober and involve themselves
in sober living.
And one way to attain
sobriety is by seeking and successfully undergoing
professional alcohol treatment. While a
number of different treatment approaches exist, perhaps
the most effective and productive alcoholism treatment
programs employ doctor-prescribed medications, counseling,
and education to help a person stop drinking, remain
sober, and get involved with the alcohol recovery
process.
Although most alcoholics need help to recover
from their disease, research has shown that with support,
treatment, and effective rehab, many people are able to stop
drinking, learn how to get sober, remain safe and sober, and
restore their lives. In short, abstaining from alcohol is
the route to smart and sober living.
While on the subject, let us also point out
that the "drinking games" (such as "Beer Bomb," "Death Ring,"
and "Russian Beer Roulette" that are played at far too many
parties) is a blueprint for disaster and can lead to alcohol
poisoning or alcohol overdose with lethal
consequences. Clearly, such "games" are poor excuses
for "fun," are examples of binge drinking--a type of abusive
drinking that cannot be considered "responsible" drinking under
any circumstances, and are the polar opposite of "sober
living."
| Alcoholism, also known as
alcohol addiction and alcohol dependence, is a
disease that includes the following four
symptoms: 1. Tolerance: the need to drink
greater amounts of alcohol in order to feel a
“buzz” or to get “high.” 2. Loss of control: an
inability to stop drinking after the first
drink. 3. Craving: having a strong urge or need
to drink. 4. Physical dependence: withdrawal
symptoms such as anxiety, headaches, nausea,
perspiration, and “the shakes” when abstaining
from alcohol. |
Traditional Alcohol Abuse and
Alcoholism Treatment
There are a number of traditional alcoholism
treatment approaches that are relatively well established.
Detoxification. Alcohol
detoxification is the process of letting the body rid itself of
alcohol while managing the withdrawal symptoms in a safe
environment. This form of treatment is usually done
under the supervision of a medical practitioner and is
often the first step in an alcoholic treatment
program.
Behavioral Treatments such as
Alcoholics Anonymous, Motivation Enhancement Therapy, and
Cognitive Behavioral Therapy. A study administered by the
National Institute on Alcohol Abuse and Alcoholism found that
each of these behavioral treatment therapies significantly
reduced drinking in patients the year after treatment.
Alcoholics Anonymous (AA).
Alcoholics Anonymous is a mutual support program for recovering
alcoholics that is based on the 12-steps of recovery that are
needed in order to be sober and stay sober. Help and
support are provided by the meetings that meet on a regular
basis. While AA has proven to be an effective therapeutic
approach, most practitioners outside of AA, as well as many
people within AA, find that Alcoholics Anonymous works best
when combined with other forms of treatment, including medical
care and psychotherapy.
| The Department of Transportation
(DOT) procedures established for mandatory
alcohol testing require the employment of a
standardized breathalyzer. The categories of
testing that are allowed by the DOT are the
following: post-accident, reasonable suspicion,
and random. |
Motivation Enhancement Therapy (MET)
is a systematic therapeutic approach that is almost
diametrically opposed to AA in that it uses motivational
strategies to activate the client's own change
resources. Some of the key characteristics of MET
are the following:
-
Helping the client achieve self-efficacy or a
sense of optimism
-
Providing feedback regarding the personal risks
or damage associated with the abuse
-
Emphasis on taking personal responsibility for
positive change
-
Receiving clear advice to make healthy changes
-
Providing the client with a number of
alternative change options
-
Therapist empathy
| If drinking alcohol is going to
affect your ability to have children, not to
mention the negative health consequences that
alcohol presents to the woman who will be
having the child, why not simply abstain from
drinking alcohol while you are trying to have a
child, while the mother is carrying the child,
and while the mother is breast feeding the
child. |
Cognitive Behavioral Therapy (CBT).
There are several forms of cognitive behavior
therapy. Most of them, however, have the
following commonalties:
-
CBT is structured and directive.
-
CBT uses the Socratic Method that is based on
the asking of questions for insight.
-
CBT approaches are based on the cognitive
model of emotional response. That is, if
we change the way we think, we can act and feel
better, even if the situation doesn't change.
-
Homework is a central feature of CBT.
-
CBT usually has therapeutic sessions that are
briefer and fewer in number than most other forms
of therapy.
-
In CBT, a solid therapeutic relationship is
necessary but not the primary focal point for
effective therapy.
-
CBT is a mutually shared effort between the
therapist and the client.
In 1998 in the United States,
1,668 drivers from the ages of 16 to 20 were
involved in alcohol-related fatal motor vehicle
crashes. Another 21,000 were involved in
alcohol-related accidents that
resulted in injury. |
-
CBT is based on an educational model that views
most emotions and behavioral reactions as learned
responses. Thus, the therapeutic goal in to
help the client unlearn undesirable reactions and
emotions and replace them with new and more
positive ways of feeling and reacting.
-
CBT theory and techniques rely on the Inductive
Method. This method has clients look at their
thoughts as hypotheses (or suggested explanations)
that can be tested and questioned. If clients
discover that their hypotheses are incorrect, they
can then change their thoughts and feelings to be
more in line with reality.
-
CBT is based on stoic philosophy. CBT does
not tell clients how they should feel.
Rather, this form of therapy focuses on helping
clients learn how to think more logically and
effectively.
| Recently in some states, another
type of "driving under the influence" has been
identified, namely, driving under the combined
influence of alcohol and other drugs.
Interestingly, the drugs contributing to the
impaired condition do not need to be
illegal. That is, these "other drugs" can
be legal prescriptions or even over-the-counter
remedies and treatments. |
Therapeutic
Medications. This treatment approach centers on
the client taking doctor-prescribed medications such as
naltrexone (ReViaT) or disulfiram (Antabuse) in an attempt to
help prevent the person from returning to drinking after he or
she has alcohol consumption.
Antabuse is a drug given to alcoholics that
elicits negative effects such as flushing, dizziness, vomiting,
and nausea if alcohol is ingested. Antabuse is effective mainly
because it is a strong deterrent. Naltrexone (ReViaT), on
the other hand, targets the brain's reward circuits and is
effective because it reduces the craving the client has for
alcohol.
| In the second or third stages of
alcohol dependency the alcoholic's hands may
have trembled slightly on mornings after
getting drunk. In the fourth and final stage of
alcohol addiction, however, alcoholics get "the
shakes" whenever they try or are forced to
abstain from drinking. |
Outpatient Counseling.
There are various approaches to counseling that
teach alcoholics how to become aware of the emotional and situational hot buttons that
trigger their drinking. Armed with this information,
clients can then learn about different ways in which they
can cope with their feelings and situations that do not
include the use of alcohol. These types of therapies
are typically offered on an outpatient basis.
Counseling. Because the
recovery process is so intimately tied to the support the
client receives from his or her family, numerous alcohol
dependency programs include family counseling and marital
counseling as key components in the treatment process.
Such therapeutic programs, moreover, may also provide clients
with essential community resources, such as parenting classes,
job training, legal assistance, financial management classes,
and childcare courses.
| Substance abuse researchers have
found strong evidence that alcoholism is caused
by two interacting aspects: genetics and
environmental factors such as where and how an
individual lives, one's family and friends, the
relative ease of obtaining alcohol, peer
pressure, and an individual's culture. |
Alternative Alcohol Abuse and
Alcoholism Treatment
Although the research findings are not clear,
there are some alternative treatment approaches for
alcohol abuse and alcoholism that are becoming more
mainstream and widely used. Examples include "Drumming out
Drugs" (a form of therapy that employs the use of drumming
by clients), the holistic and naturalistic approaches
employed by Traditional Chinese Medicine, and
various vitamin and supplement therapies have been
proposed as "natural" ways to treat alcohol abuse.
As promising as these alternative approaches
are, more research is needed to establish the effectiveness of
such therapeutic approaches to alcohol abuse and
alcoholism.
Alcohol dependence and alcohol
abuse cost the United States an estimated $220
billion in 2005. This dollar amount was more
than the cost associated with obesity ($133
billion) or with cancer
($196 billion). |
Alcoholism Videos
We have included some alcoholism
videos so that you can see and hear directly from various
people about their struggles with this disease. If you, a
family member, or one of your friends has a "drinking problem,"
seeing what others have gone through and how they attained
successful recovery is much more "real" than any information
you can read about.
Furthermore, watching these videos may help you
understand what others with a drinking problem are
experiencing, why many of them quit drinking and got treatment,
and how they attained sobriety. So make sure you
look at these excellent videos!
Recently in some states, another
type of "driving under the influence" has been
identified, namely, driving under the combined
influence of alcohol and other drugs.
Interestingly, the drugs contributing to the
impaired condition do not need to be illegal.
That is, these "other drugs" can be legal
prescriptions or even over-the-counter
remedies
and treatments. |
Getting Sober:
Conclusion
Diverse treatment approaches to alcoholism work
differently for different individuals. Like any
chronic disease or illness, moreover, there are varying
levels of success when it comes to treatment. For
instance, after treatment, some alcoholics abstain from
drinking and remain sober.
For them, being sober has more to offer than
drinking does and so they are "open" to information about
getting sober and staying sober. Other alcoholics,
moreover, experience relatively long periods of sobriety, and
then suffer from a drinking relapse in spite of their
treatment. And still other alcoholics cannot refrain
from drinking for any sustainable period of time regardless of
the type of treatment they receive. With alcoholism
treatment, however, one thing is clear: the longer a person
abstains from drinking alcohol, the more likely he or she will
be able to get sober and remain sober.
Thankfully, there are a number of reasons why
alcoholics seek treatment, quit drinking, and live a life of
sobriety. Almost ironically, however, is the fact
that more than a few "problem drinkers" had to get "caught' via
random alcohol tests at work, field sobriety tests, or by
sobriety checkpoints established by the local police department
before they finally got motivated to stop drinking and get the
alcoholism treatment that best fits their situation.
| What causes alcohol abuse? Many
factors influence a person's initial alcohol
use. Personality characteristics, peer
pressure, and psychological stress can all
contribute to the early stage of alcohol abuse.
These factors are less important as alcohol use
continues and the person repeatedly experiences
the potent pharmacological effects. |
In sum, although getting sober is something to
be proud of, staying sober, it must be stressed, takes a lot of
perseverance and hard work. The bottom
line: sobriety and sober living are possible, but it is
important to emphasize the fact that staying sober is something
that has to be worked on every day in order to prevent a
relapse.
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| Research shows that millions of
today's teens are involved in drug and alcohol
abuse. Apparently, many of these
adolescents do not realize the negative
consequences of drug and alcohol abuse.
Today's young people know what they see and
from their vantage point, drinking and taking
drugs looks like fun. The big question,
then, is this: how do we motivate today's
adolescents to see and comprehend the unhealthy
and the damaging consequences that are
intimately associated with drug and alcohol
abuse? How do we upgrade the current drug
and alcohol abuse prevention and education
programs so that they are more relevant and
"user friendly" to today's youth? |
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