Alcoholism

Alcoholism
Synonyms	Alcohol use disorder (AUD), alcohol dependence
Pronounce	N/A
Specialty	N/A
Symptoms	Alcohol intoxication, withdrawal symptoms, craving, inability to control drinking
Complications	Liver disease, cardiovascular disease, pancreatitis, cancer, neurological disorders
Onset	Gradual
Duration	Long-term
Types	N/A
Causes	Genetic predisposition, environmental factors, psychological factors
Risks	Family history, mental health disorders, peer pressure, early exposure
Diagnosis	Based on DSM-5 criteria, ICD-10 criteria
Differential diagnosis	Bipolar disorder, schizophrenia, anxiety disorders, depression
Prevention	Education, counseling, support groups
Treatment	Detoxification, rehabilitation, counseling, medications
Medication	Disulfiram, naltrexone, acamprosate
Prognosis	Variable; depends on severity and treatment
Frequency	Common; affects millions worldwide
Deaths	Significant contributor to global mortality

== Alcoholism ==

A wife asking her drunkard husband to hand over a bottle

Alcoholism, also known as alcohol use disorder, is a broad term for any drinking of alcohol that results in mental or physical health problems. It is a chronic disease characterized by uncontrolled drinking and preoccupation with alcohol. Alcoholism is a major public health issue, affecting millions of people worldwide.

Symptoms

The symptoms of alcoholism include a strong craving for alcohol, inability to control drinking, withdrawal symptoms when not drinking, and the need to drink more to achieve the same effect. Individuals with alcoholism may also experience social, occupational, or legal problems as a result of their drinking.

Causes

Mental health as a risk factor for alcohol dependency

The causes of alcoholism are complex and involve a combination of genetic, environmental, psychological, and social factors. Mental health disorders such as depression and anxiety are significant risk factors. Family history of alcoholism and exposure to peer pressure or stressful environments can also contribute to the development of the disorder.

Diagnosis

Diagnosis of alcoholism is typically based on a combination of self-reported drinking behavior, physical examinations, and laboratory tests. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides criteria for diagnosing alcohol use disorder, which includes a pattern of alcohol use leading to significant impairment or distress.

Effects

Possible long-term effects of ethanol

Alcoholism can have severe long-term effects on the body, including liver disease, cardiovascular problems, and neurological damage. It can also lead to mental health issues such as depression and anxiety. Socially, alcoholism can result in strained relationships, job loss, and legal issues.

Treatment

Treatment for alcoholism may include a combination of detoxification, counseling, and medication. Behavioral therapies such as cognitive-behavioral therapy (CBT) are commonly used to help individuals change their drinking behavior. Medications like naltrexone and acamprosate can help reduce cravings and withdrawal symptoms.

Epidemiology

Map of alcohol use disorders by females

Map of alcohol use disorders by males

Alcoholism affects people of all ages, genders, and backgrounds. However, the prevalence of alcohol use disorders varies by region and demographic group. Men are generally more likely to develop alcoholism than women, although the gap is narrowing in some areas.

History

William Hogarth's "Gin Lane"

The history of alcoholism dates back to ancient times, with evidence of alcohol consumption found in early civilizations. The social and cultural attitudes towards alcohol have evolved over time, with periods of prohibition and regulation. The depiction of alcohol abuse in art and literature, such as William Hogarth's "Gin Lane," highlights the longstanding awareness of its societal impact.

Social Impact

A maniacal man is visited in prison by his children

Alcoholism has significant social implications, affecting not only the individual but also their family and community. It can lead to domestic violence, child neglect, and financial instability. The stigma associated with alcoholism can also hinder individuals from seeking help.

Prevention

Prevention strategies for alcoholism include public health campaigns, education about the risks of excessive drinking, and policies to limit alcohol availability. Early intervention and support for at-risk individuals can also help prevent the development of alcohol use disorders.

Related pages

• Alcohol abuse
• Substance use disorder
• Liver disease
• Mental health