In a Spanish hospital, 7% of patients died during 539 episodes of withdrawal. Most patients who are experiencing alcohol detoxification do not require acute care or specific treatments. For the few with symptoms that are severe enough to require hospitalization, mortality has decreased substantially since the introduction of benzodiazepines more than 40 years ago, but …∞
Posted in Alcoholism, Detoxification and tagged alcohol withdrawal, benzodiazepines, hospitalization, mortality. Use this permalink for a bookmark.
It is not getting into treatment, however, that makes the difference. Instead, it is what a person gets out of treatment.
Posted in Alcohol, Alcoholism, Detoxification, Disease of addiction, Drugs, Recovery, Relapse prevention, Self-help, Symptoms of addiction. Use this permalink for a bookmark.
Long-term effects of
pharmacotherapy on
relapse prevention in
alcohol dependence.
Background: There is
growing evidence that
pharmacological treatment
with two of the best
validated anticraving
drugs, acamprosate and
naltrexone, is efficacious in
promoting abstinence in
recently detoxified alcohol-
dependent subjects.
Objective: The stability of
effects after termination of
treatment remains to be
answered, especially when
combining both the drugs.
Method: After
detoxification, 160 alcohol-
dependent subjects
participated in a
randomized, double-blind,
placebo-controlled trial.
Patients received
naltrexone or acamprosate
or a combination of
naltrexone and
acamprosate or placebo for
12 weeks. Patients were
assessed weekly by
interview, self-report,
questionnaires and
laboratory screening.
Additionally, follow-up
evaluation based on
telephone interview
Posted in Alcohol, Alcoholism, Detoxification, Research. Use this permalink for a bookmark.
Although some patients have mild symptoms and may even be managed in the outpatient setting, others have more severe symptoms
Posted in Addiction, Alcohol, Alcoholism, Assessment, Detoxification, Disease of addiction, Drugs, Stages of Change, Symptoms of addiction and tagged detox, DT, liver, neurologist, outpatient, patient, physician, psychitrist, Wernicke–Korsakoff, withdrawal. Use this permalink for a bookmark.
A NATURALISTIC COMPARISON OF OUTCOMES AT SOCIAL AND CLINICAL MODEL SUBSTANCE ABUSE TREATMENT PROGRAMS. Since the 1970s, much of the public treatment system in California has been based on a social model orientation to recovery for alcoholics, but there has been minimal research on program outcomes. This article reports on follow-up interviews conducted with a …∞
Posted in 12-Step Groups, Alcohol, Alcoholism, Detoxification, Drugs, Research, Target populations. Use this permalink for a bookmark.
Alcohol Withdrawal During Hospitalization Abstract Overview: For a chronic drinker, sudden alcohol withdrawal because of an unexpected hospitalization can lead to escalating withdrawal symptoms and even death if unrecognized and untreated. Nurses need to be aware of the prevalence of alcohol abuse in the United States and consider the possibility of unplanned alcohol withdrawal in …∞
Posted in Alcohol, Alcoholism, Assessment, Detoxification, Symptoms of addiction. Use this permalink for a bookmark.
Going slower is better. Patients’ risks for relapse increase when lithium or antipsychotic medications are discontinued rapidly rather than gradually. To compare rapid (1–7 days) versus slow ( 14 days) discontinuation of antidepressants, researchers in Sardinia followed 398 patients with recurrent major depressive disorder (n=224), panic disorder (n=75), bipolar II disorder (n=62), or bipolar I …∞
Posted in bipolar, Detoxification, Relapse prevention and tagged antidepressants, antipsychotic, depressive disorder, lithium, panic disorder. Use this permalink for a bookmark.
The Role of Nutritional Therapy in Alcoholic Liver Disease By Christopher M. Griffith, M.D., and Steven Schenker, M.D. Alcoholic liver disease (ALD) evolves through various stages, and malnutrition correlates with the severity of ALD. Poor nutrition is caused both by the substitution of calories from alcohol for calories from food and by the malabsorption and …∞
Posted in Adjunctive therapy, Alcohol, Alcoholism, Assessment, Detoxification, Research. Use this permalink for a bookmark.
Twelve-Step and Mutual-Help Programs for Addictive Disorders This important statement was made after an extensive review of outcomes research on addiction treatment. It reflects the conclusions of recent scientific reviews that alcohol and other drug addictions are chronic, relapsing diseases of the brain. The Minnesota Model, which throughout the 1980s featured 28 days of intensive …∞
Posted in 12-Step Groups, Addiction, Alcohol, Alcoholics Anon, Alcoholism, Brain, Detoxification, Disease of addiction, Higher Power, Mutual-help, Recovery, Relapse prevention, Self-help and tagged Minnesota Model, psychiatrists, residential treatment. Use this permalink for a bookmark.
Principles of Effective Treatment Addiction is a complex but treatable disease that affects brain function and behavior. Drugs of abuse alter the brain’s structure and function, resulting in changes that persist long after drug use has ceased. This may explain why drug abusers are at risk for relapse even after long periods of abstinence and …∞
Posted in Addiction, Adjunctive therapy, Detoxification, Drugs, Self-help, Stages of Change and tagged Effective Treatment, Matching treatment, treatable disease. Use this permalink for a bookmark.