The effect of alcohol to health is best to learn all the same, before there is alcohol dependence. Learn while you have a healthy liver and heart of a reliable, ready-to-normal loads, while continuing pain and weakness does not deprive rest. While vstaesh rested and cheerful, but not like polutrup already in the morning. But most importantly - still need your favorite people and get pleasure from the sun and snow, read books, from their own and others success, from the smiles of children, a proud father.
While these and all other joys of life have not yet replaced one thought: how, where and get a drink. The first signs of alcoholism - the physical problems. The defeat of the liver leads to alcohol hepatitis and alcohol cirrhosis. Cirrhosis - a major cause of deaths associated with excessive alcohol consumption, it also includes the top ten causes of death in general. Following hepatitis and other diseases appear tsirrozom: astsit (fluid in the stomach), esophageal bleeding from varikoznyh vessels (with high blood pressure veins in the liver), bacterial peritonitis (inflammation of lining the abdominal cavity), the brain lesion (hepatic encephalopathy), a functional kidney failure, an increase in the spleen, anemia. Breached blood coagulability, which leads to high blood loss. Medical studies have shown that if patients with cirrhosis of the liver no longer drink alcohol, during the 5 years from them to survive 89.9%. But if patients have any of these complications, their survival for the same 5-year amounted to only 60%. Gaye encephalopathy - Vernike - disease, which may be very severe and lead to sindromam psevdoparalicha and in the worst case ends fatal. He was first exposed men in their prime years, the average age - 30 to 50 years. One of the most frequent forms of alcoholic psychosis - deliry alcohol (delirium tremens) can also be completed by death. Recent studies abroad medics show and another problem of alcoholism. It turns out, its consequences persist for many months after the man refused to alcohol.
Alcohol destroys the body's hormonal regulation system, and hormonal scope - one of the most subtle and unknown, violation of which can lead to serious illness. Alcohol adversely affects, in particular, the system of water and electrolyte balance. Even within 9 months after the rejection of alcohol in patients continuing imbalance contents of two hormones - vasopressin and peptide. This imbalance can cause such effects of alcoholism, as a violation of memory and convulsive syndrome. In any case, the unfortunate consequences is better to learn while you are still able to wind up something to lose. Unless it is one of those effects - the dissolution of identity, are lost when the old affection and fears, but they disappear and the old interests and abilities, thinking, when unable to make the most simple and routine for themselves and when the first cases to emerge as psychologically maimed, a stranger to your close people.
In medicine alcohol and drug abuse (regardless of the type of drug users) have one common name - according to the disease. Why? In this lecture we will try to answer this question.
From a medical point of view of alcoholism - is a chronic, progradient (progressive) disease caused by the action of alcohol as a drug. The disease has its own characteristic syndromes (manifestations), especially the development and current, as well as some outcomes that are defined by persistent violations of somatonevrologicheskimi (diseases of internal organs and nervous system) and moral degradation (poglupenie, dementia).
So, explain the basic manifestations of alcoholism, especially currents and the formation of the disease.
1. Random drunkenness, episodic drinking.
Very often a patient at the doctor's question "Do you drink alcohol?" Says: "Moderately, as everything on holidays." Then, in conversation, of course, everything comes into place, but nevertheless, it is necessary to clearly understand the difference between graduation and a moderate, routine alcohol and habitual drunkenness or domestic. While it is on the notion of "moderate" consumption of alcohol, it has certain traits:
1. Alcohol is rarely used - not more than 1 per month, small doses and do not cause any noticeable intoxication;
2. When moderate alcohol consumption is fully maintained control over the number vypivaemogo alcohol, as well as critical assessment of his behavior, no visible motor disorders;
3. Alcoholic beverages are used only outside normal working hours, with an appropriate situation.
Alcohol abuse begins, usually with a random or occasional drink. It is used such doses of alcohol, which are expressed by the state of intoxication, but it happens occasionally, and during periods of abstinence attraction to alcohol is absent. Already at this stage, you will notice that a person gradually develops addictive organism to alcohol, a previous dose did not cause significant intoxication, so to obtain the appropriate effect drinker starts to increase the dose. At the medical language is called the growth of tolerance.
2. The systematic abuse of alcohol.
For habitual drunkenness or episodic drinking should be systematic, during which the main symptoms (manifestations) of alcoholism. At this stage, drinking increasing, there are virtually on any occasion, large or small. The person is very difficult to abstain from alcohol, he begins himself to actively look for reasons for drinking. During periods of forced abstinence from alcohol (family turmoil, lack of money, work, etc.) have such a person (habitual drunkards), mood disorders arise, it appears that sense, as if something is not enough, "is not alone." But people already knew "a cure": regular admission alcohol removes all these unpleasant feelings. Alcoholic beverages are used as a general rule, at least 1-2 times a week, and in some cases - every day. But at this stage still monitor the amount of alcohol consumed. Nevertheless, there has clearly expressed increasing tolerance to alcohol (see above). At the same time, protective reflexes disappear. For example, if a person drank before sufficient dose of alcohol and he could be vomiting, then vomiting are now disappearing. It should be noted that even very large, generally very heady dose does not cause vomiting. Simply put, the body tires combated and illness begins to dominate.
3. Primary (first) stage of alcoholism.
A) Increased tolerance - the earliest and most common sign of adjusting to alcohol and the formation of the disease.
B) The next sign of the disease - the formation of pathological attraction to alcohol - in other words, the formation of psychological dependence. Attraction to alcohol can be expressed something more, something less than clear. Often, the desire to drink is quite intrusive in nature, distracts from the work of man, directs his energies to meet their wishes. That is how drunkenness is becoming a basic vital interest. Characteristically, the now-ill man seeks to drinking despite all the opposing points of this: lack of money, family conflicts, bad service, etc. When formed attraction to alcohol, the patient, that is true, does not want to hinder him, and if wants it is typically can not cope with them without medical assistance.
C) Another important feature of the disease - the loss of control over vypitym. After the first portion of alcohol dramatically increases the desire to drink yet, there is a kind of "greed for alcohol." Therefore drinker continues to drink until it is not deep intoxication. So people are deprived of the opportunity "to drink moderately, as all". This myth and the desire can bow out forever. Everything!
Always be mindful that the loss of control over vypitym not disappear even after years of abstinence from alcohol, which is due to the inability to move on to "moderate" consumption of alcohol after treatment and abstinence, and any attempt to resume drinking inevitably leads to relapse ( "disrupt" ) Alcoholism. Of course, you can deny the loss of control, say that you "can not drink that you" napoili or find any justification for their illness and alcoholism. The choice is yours.
D) The next sign of the disease, which is a consequence of the previous two - the changing nature of intoxication. Appears zapamyatovanie tend to end inebriation. That is, to bring ourselves into a state of intoxication, drunk absorbs toxic dose of alcohol - up to 0.5 liters of vodka and more. Naturally, such an expression intoxication can be accompanied by malignancy, aggressive, pugnacious. After protrezvleniya person can not remember how he came to the house of scandals involving his wife and neighbors as Ready for ladder with a neighbor cell and he pulled out all the money out of your pockets. He may sincerely believe that could not have behaved as to how he talk about it. You may even think that he falsely accused.
All these features characterize the initial, or first "preklinicheskuyu" stage alcoholism. The name "preklinicheskaya" due to the fact that not all the signs of the disease are expressed clearly and distinctly. Typically, patients in this stage, unfortunately, do not go to doctors, alcoholics do not consider themselves to defend the notorious "drink everything, and do not wish to be treated.
4. Deployed (second) stage of alcoholism.
Here are the main symptoms. All of the above expressions, align the following
A) Alcohol abstinence syndrome (hangover, opohmelitsya desire to improve his physical condition). Crapulent symptoms are caused not so much by alcohol, but the products of its time of dissolution, formed in the body. Abstinence syndrome also develops gradually, gradually, not overnight. In the early stages of development of the abstinence syndrome need to opohmelenii occurs only after taking large doses of alcohol, for example, 0.5 - 0.7 liters of vodka, and after the use of 200 - 300 ml needs opohmelenii not. In further alcohol abuse need to opohmelenii arose after small quantities vypitogo. Clinically abstinence syndrome in the first phase is manifested headache, weakness, malaise, nausea and sometimes - vomiting, trembling in the hands and body, interruptions in the heart. In a further align and mental disorders: a patient suffers insomnia, he developed anxiety, it can not find a place, there may be gratuitous flash irritability and anger, at that time kept sweating and tremor, with one word: "at the heart dreary." Another important fact: if the earlier "hangover" lasted only a few hours, the more detailed stage, it lasted for 2 - 7 days or even longer.
So, the formation of alcohol abstinence syndrome suggests that the body have been irreversibly changed in relation to alcohol. Alcohol abstinence syndrome, vozniknuv have not disappeared, even after years of abstinence from alcohol. It can only utyazhelyatsya. This is largely determined by medical and tactics: to achieve a total abstinence from alcohol, to exclude the use of any alcoholic beverages throughout later life.
B) Continuing intermittent and zapoynoe drunkenness - one of the manifestations of the disease, which is formed, so let's say, the most familiar rhythm of the abuse of alcohol.
Continuous form is characterized by long, continuous weeks and months to alcohol abuse. This does not mean that in this form can not get a break, but they are rare, and, briefly, usually due to extraordinary situations (for example, systemic diseases, severe or shift work, etc.).
The second form - alternating drunkenness - is as follows: against the backdrop of mnogonedelnogo or months of drinking arose during his sharp control. At the end of this "deeply" can be short (1 - 3 days) breaks associated with the depletion of the body and intolerance of alcohol. Then the expressivity of these events once again declining. There comes a time when the patient is relatively moderate drinkers, followed by a "booze" such as those described above.
The third form - zapoynoe drunkenness. Alcohol is used regularly for several days or weeks. Then follow the "bright intervals. Their duration varies - from 7 - 10 days to several weeks or even months. After finishing "deeply" there is pronounced abstinence syndrome, often there are mental disorders as insomnia, low background moods, feelings of guilt, anxiety, fear, etc. nemotivirovannyh
C) Changes in personality (Alcohol degradation). Now, that is, in the second stage, in the guise of alcoholic apparent features of "moral ogrubeniya", "port character: a man a liar, brag non-existent victories and feats, it is blatant, cavalier, selfish, cynical. Regardless of the interests of the family, alcoholic shown extraordinary perseverance in the demand and dostavanii money on drinks, loses sense of tact. Emotional sphere is also suffering: there are groundless fluctuations of mood - from wanton joviality, gregariousness, optimism to gloom, despondency, malignancy, gnevlivosti. Appears coarse humor - the tendency to flatten went joke. And the sad thing in this is that the very sick, as a rule, does not notice. Suffer around. It may be lowering intelligence and memory: deteriorating mind, reduced ability to remember, the acquisition of new knowledge and skills is also difficult, etc.
D) Alcoholic psychosis - issue a separate lecture.
5. The original (third) stage of alcoholism.
At this, one might say, the final stage of alcoholism, is expressed by the depletion of the body. The portability of alcohol has been declining, intoxication occurs after a small quantity of alcohol (vodka, wine, beer, etc.). Drunkard is in opyanenii and had the urge to appeal to alcohol - drozhaschimi hands stretching for another dose of alcohol, begging, humiliated. "A sober days" very few, they are where the patient is unable to obtain alcohol. Developed severe violations of the psyche until psychosis (recall that this issue separate lectures), especially chronic (long, long) form. Lost the ability to productivity. The patient has been unable to work, lose their skills, striving to parasitic life. We will not talk about that lost spiritual interests, lost family ties. Alcoholic becoming a heavy burden to others. At this final stage of the most expressed destruction of internal organs and nervous system caused by the impact of prolonged alcohol intoxication, including such serious illnesses as polinevrity, cirrhosis, dementia and others.
Described course of the disease attributable to alcohol primarily on the central nervous system, which in chronic alcoholism occurs gradually atrophy (decrease) in the brain, defeat and death of nerve cells, changes in blood vessels. At the same time develop and gradually increasing painful changes to internal organs: the liver, gastrointestinal tract, heart and sexual system. The dissolution of identity, physical nemoschnost - imminent outcomes of alcoholism.
Such people need treatment, and the sooner it is started, the better. But much depends on how the patient understands that he is sick. That awareness and recognition of their illness is the first step to recovery. And the first step, as a rule, always the most difficult.
Chronic alcoholism - mental illness, caused by prolonged alcohol intoxication organism. Developing a domestic drinking, during which patients formed pathological addiction to alcohol, when subsequent dose of alcohol taken before the complete removal of the previous one. There abstinence (lifting syndrome), with irresistible desire opohmelitsya.
Clinic abstinence is alarmingly low-mood with irritability, fears, ideas, attitudes, sleep disturbance, episodic visual and hearing hallucinations. There was sweating, tachycardia, tremor of limbs, dizziness, gastrointestinal disorders. Patients with severe forms of abstinence to be short-term hospitalization.
For chronic alcoholism is characterized by a change sensitivity (tolerance) to alcohol, the first two stages - increasing the (ill strive to increase the dose) for the initial stage - lowering (pyaneyut patients from small doses). There were heavy, amnesticheskie (with zapamyatovaniem) forms of intoxication, deeply and degradation of the individual.
Mental disorders in the first phase characterized by increased fatigue, irritability, mood fluctuations, self-doubt, the decline of efficiency. Some patients attraction to alcohol takes obsessive nature.
The second stage is exuberant uncontrollable desire for alcohol, often deeply. Patients propivayut all the money, steal things for their families and sell them. Misconduct sick in the family often leads to divorce and family breakdown. The work of the patients were drunk. Their earning very low, they quickly tire. Identified serious change in the nature: the volatility, deceit, rudeness, selfishness. There are intellectual decline, memory impairment, lack of criticism. For the typical manifestations of emotional incontinence, the tendency to hysterical reactions. For the second stage of alcoholism is characterized by the frequent appearance of abstinence syndrome and the need to freshen the nip several times during the day.
In the initial stage, appearing deeply true because of the decline in tolerance to alcohol: alcohol intolerance because the patient stops drinking through the week, and then begins to drink again, creating a frequency deeply. Depth intoxication utyazhelyaetsya, often soporozny character (a soporific - a species of blackout). In this phase begins Alcohol degradation person. Patients are parasitic lifestyle, they are gross, slovenly, cynical, lose a sense of shame. They have developed an organic dementia with a lack of criticism of memory.
The clinic chronic alcoholism can meet epileptiformnye seizures (due to disruptive changes in the brain), as well as alcoholic psychosis arising in the second and third stages of the disease. Of the somatic violations noted obesity heart disease, hypertension, liver and kidney failure, chronic gastritis, chronic hepatitis B, etc.
The diagnosis of chronic alcoholism set on the basis of long-term use of alcohol with the loss of self-existence syndrome crapulent, as well as the alcoholic personality changes. History (Questions), the patient should be supplemented by information from work and residence.
Treatment of patients with chronic alcoholism is in a hospital or an outpatient in the drug cabinet psychiatrists.
Examples of countries where alcohol comes in flagrant contradiction with all the people's traditions, across thousands of history, all lifestyles! But let's look at Europe.
The entire southern Europe - Italy, France, Spain - traditional areas of winemaking. Reasonably assume that everything produced is consumed ... But there are no stereotypes, such as the following: «The French - complete alcoholic, barely moving from vinischa». The reputation of French known as lovers, but not as alcoholics.
But after World War II the French have had to seriously take action against alcoholism. In the late 1940's in France went off birth control. The so-called post-war baby boom. The French Government has strongly supported its citizens. The coalition Government in 1946 proposed the slogan: «France a million Dadim sturdy child!»
All wonderful, but the percentage of disabled of congenital genetic, physical and mental ugly creatures of this «million» surpassed all imaginable and unimaginable rates. The cause was easy to find: from the most tender years, when in other countries, little girls drink kefir or kvass, French drank dry wine. «Prospirtovannye» since childhood girls to marry the same «prospirtovannyh», so more and continue «capable» of young people. Pili are not strong drinks and grape wine.
Young people sometimes in detail inquire what snack combined with what variety of wine, and at what time of day to drink a variety of wines, with cheese or with any fruit. They contemptuously referred to the inelegant, ill residents of Northern Europe, who did not know these details. But urodtsy is born from them.
How to deal with a national disaster? In fact, that almost a fifth of the «million sturdy child» came into the world of genetically inferior?
Then the government went into the crucial measure of legitimacy of a dispute so far: adolescent girls France, from 14 to 16 years old, conducted through hospitals, in which the victim's drunken conception. «Hospitals» - so called because in those establishments was no treated. They just kept small creatures, which was not destined to never go in a big world.
The reaction of the girls was different, for the most part, very acute. Up to hysterics, attacks of depression, suicide attempts. But was the effect! The number of drunken zachaty has decreased dramatically.
Interestingly, in Northern Europe, there stereotypical images associated with drunkenness. This poetic name of beer in England: «John - barleycorn», and the appearance of traditional pivnushki-pub.
A recent British Royal Medical College study showed that British women spivayutsya. According to newly published report by doctors at the reception were increasingly came a woman with incurable liver disease. Young women aged 20 to 30 years are increasingly diagnosed cirrhosis of the liver (the last stage of decomposition) and other incurable diseases, which were acquired as a result of alcohol abuse. In Britain, one in five women vypivaet a potentially dangerous level. In addition, the changing style of drink. British women were drinking in high doses, to the detriment not only health but also affects social behavior.
And in America, a «alcoholic image» there! This - salun that translated means innocent «Salon». The classic image of the same American filmmaking: rickety halupy Wild West, colored shirts, neck scarves, Colt revolvers, Mustang, loose roads, and among all this ugliness - log structure with a bright sign «SALOON».
In America relates «alcoholic» associative number: salun, whiskey, Hemingway, «Dajkiri», Scott Fitzgerald, «a dual whiskey - not dilute», club alcoholics anonymous.
According to the American Psychiatric Association in the USA 13,8% of adults abused alcohol or suffered from alcoholism. In the ten years 46 000 Americans died in Vietnam. During the same period, 250 000 people have died in the U.S. at the hands of drunken drivers.
In addition, another U.S. alcoholics different sex ratio compared with other countries. Worldwide, the percentage of women alkogolichek does not exceed 5-10% of alcoholics. In the U.S. alkogolichek - 20% of the total. A kind of emancipation!
In fact, drunk alcoholic strife. In the Soviet Union and modern Russia alcoholics feel part of those in the U.S. ever in alcoholics did not enroll. Indeed, some enrolled in this malopochtenny squad in Russia - have not yet alcoholics from a medical point of view: alcohol has not yet become part of their biochemistry. In the U.S., such attributed to the «domestic drunkard», and the statistics did not include alcohol would be. So 7 million alcoholics USA about the same as 10 million in Russia.
But America in the eyes of the world much drinking country and has a bad reputation? Not at all, on the contrary - the Americans in the eyes of neighbors efficiency, enterprising, entrepreneurial and friendly ( «chi-and-out!»).
Antialkogol'naja campaign in the USSR seems to us an incredible milestone importance. But it is in the whole «restructuring», a lot of sham.
But in Europe all very seriously. It is not about the campaign. Health ministers of 25 European Union agreed on the first concrete steps to prevent excessive consumption of alcohol among Europeans.
According to official figures, ES from the effects of alcohol die every year nearly 200 thousand people.
According to the «EuroNews», a meeting took place shortly after the promulgation of the draft European strategy to combat alcohol abuse. In particular, the meeting decided to involve the cooperation of producers of alcohol - he ordered the review related to advertising their products.
In France it is being done: on bottles of alcohol required to post a warning about dangers of alcohol for pregnant women. Now the icon depicting the future mother, necessarily must appear on all bottles sold in France and banks with alcohol.
It is not easy to decide to start the fight against alcoholism in the family. Most important - will never do so when the spouse is in a state of intoxication. The struggle must be waged only with a sober man.
The fight against alcoholism in the family sometimes referred to as the skilful intervention, which should be well planned with the help of the experts' recommendations. It is desirable that this was any other specialized associations (Society of Alcoholics Anonymous, etc.), which will support group for family members of alcoholics.
Before proceeding to combat alcoholism in the family should agree with the therapist, narkologom or other specialist for violations caused by alcohol. This will help determine how to prepare yourself and all family members to this fight.
Talk with experts specialized associations in your area. There you will provide the necessary information resources, as well as give advice on planning the intervention. If your area has no such organization, you can contact a qualified narcologist, counselor or psychologist, with whom you can discuss the problem of alcoholism in the family and find appropriate ways to deal with it.
While the overall fight against alcoholism in the family has similarities, each situation is unique and everyone has the characteristics that make the intervention unlike any other.
Alcoholism is characterized by severe mental and physical dependence on alcohol (alcohol dependence). Alcohol, like disease, multiple stages of development, characterized by a gradual increase in alcohol dependency, decrease the possibility of self-regarding alcohol, as well as the progressive development of various somatic violations caused by chronic alcohol intoxication.
The most simple differentiation of alcoholism based on the presence of clinical and psychological signs of alcohol dependence, as well as the frequency and number of drinkers: There are the following groups of people:
1. People do not drink alcohol
2. Those alcohol consumption
3. People abuse alcohol (the development of alcohol dependency)
* No signs of alcoholism
* The initial symptoms of alcohol (loss of situational and dose control, deeply)
* The signs of alcoholism (regular deeply, the defeat of internal organs, mental disorders, alcoholism typical)
The above classifications can be seen that alcohol dependence develops from random episodes of alcohol prior to the development of heavy alcohol [3].
In the development of alcoholism distinguish Prodromou and the three main stages:
Prodromou
«Prodrom» is considered «zero» stage of alcoholism - at this stage do not yet have the disease, but is «domestic drunkenness». Man drink alcohol «on the situation», usually with friends, but rarely get drunk out of his memory, or to other serious consequences. While Stage «prodroma» is not passed into alcoholism, a person can without harm to their psyches to stop alcohol at any time. When prodrome people, in most cases, indifferently refers to whether it would be soon binge, or will not. Vypiv in the company, people generally do not require continuing, and no vypivaet then themselves.
The first stage
In the first stage of alcoholism is often difficult patient desire to use alcohol (usually attracted to alcohol provoked problematic situations: fatigue, trouble, the feeling of hunger), the alcoholic views this as an attraction rodstvennoe thirst or starvation. If you can not use alcohol sense of attraction at the time passes, but in the case of alcohol control in relation to the number of vypitogo sharp falls and the patient typically seeks to achieve a state of drunkenness. At this stage of the disease there is no vomiting, and the state of intoxication is often accompanied by excessive irritability, aggressiveness, and even cases of retrograde amnesia (the patient does not remember the events happened to him in a state of intoxication). The frequency of alcohol consumption variable, possibly multi-drunkenness. For the first stage of alcoholism is characterized by a change of attitude alcoholic to alcohol. He lost a critical attitude to drunkenness and a tendency to justify every case of alcohol consumption. The first phase of alcoholism is gradually moving into the second.
Second Stage
In the second stage of alcoholism significantly increased stamina to alcohol. Attraction to spirtnomu become stronger and self-slabeet. After the use of even small doses of medicine a patient loses the ability to control the number of vypitogo. In drink a position he has tended to unpredictable and sometimes dangerous to others. However, the main sign of the second stage is to develop alcohol abstinence syndrome. Abstinence syndrome is a combination of psychosomatic disorders arising from chronic alcohol intoxication after a new and growing adoption of a certain number of liquor. Typical components of abstinence syndrome are trembling fingers, age, language, frequent heartbeat, high blood pressure, insomnia, vomiting while trying to drink or eat anything. A patient with abstinence syndrome is very irritant. At the peak of development Syndrome can develop acute alcoholic psychosis (alcoholic deliry, gallyutsinoz alcohol, alcoholic depression, alcohol epilepsy, etc.)
The third stage
At the third stage of alcoholism stamina to alcohol crashes, and alcohol has become an almost daily basis. There is a significant degradation of the individual patient with irreversible changes in the psyche. Violations of the internal organs grow and become irreversible (alcoholic hepatitis, alcoholic encephalopathy, etc.).
I welcome all who come to this page, and I hope that my professional advice to help you better focus in the way alcoholism. Closest To the extent possible, to objectively assess the extent of our means and methods. First of all, I stress that I do not dogmatist and I believe that all good methods to produce results.
I'll start with the inpatient treatment of alcoholism drug offices in psychiatric hospitals and specialized treatment in hospitals. This option is especially suited to those who drink constantly and could not stop. There is no doubt that in a hospital patient's lead in the rule, and he will have enough time to calmly reflect on the future of life.
We need to bear in mind that conditions in drug-offices (the number of patients in the House, food, the state of toilets, etc.) are generally not very comfortable. You can also faced with negative leaders - experienced patients who violate the regime and corrupt healing atmosphere. For example, they can teach beginners how to neutralize any way to alcoholism or to share experiences on "wheels". After such a psychological treatment efforts of doctors may be in vain.
In order to get to hospital care, you need to take in the area of drug dispensary, which means an automatic hit on the record, pull which will be not so simple.
With regard to pay-hospital treatment of alcoholism - reliable information, I do not have. When choosing an institution, you must be sure that the quality of medical services match your spending. But with the help of some money problem is not solved. You can spend an enormous amount of treatment relative to expensive hospital, but if he does not intend to cast a drink, you will have broken tub. This is a very well known in the bitter experiences of relatives of addicts.
There's no need to consider that the outpatient treatment of alcoholism is the second in comparison with a fixed. Motivation is more important places of the patient's treatment.
First, to make a choice between free treatment for drug dispensary and care in the fee-paying medical institutions or from private doctors. I would not just brush narcological dispensary, deskat, free of charge - hence ineffective. Much will depend on whether you emerge contact with the precinct narkologom or not. By the way, can now be treated in the drug dispensary, not coming into contact with records, so it makes sense to take care in advance. Besides doctors, many drug treatment clinics are medical psychologists. This usually educated professionals with whom you can talk to the souls and get help.
By choosing to paid services, advise critically embraced advertising tricks. For example, if you promise that taught to drink in the measure, as it may look superficially tempting, think well, perhaps there is in reality. Do not you find it, that if this were possible, alcoholics on the ground simply disappeared as a class? Brush as a lightweight all options "treatment" without the knowledge of the patient. Secret podsypanie drugs are not only senseless but dangerous. It is hardly worth obolschatsya also guarantees 100% over the first results of treatment of alcoholism.
Summary popular treatment of alcoholism. Encoding on Dovzhenko - this conversation temperance suggestion. It helps those who believe in technique and well-inspired. Contrary to popular belief, the procedure harmless, but many fear the "interference in the psyche." When the evidence cited the example of post former habitual drunkard coding became nervous, it is another story. The reason for nervousness is not in the coding, but usually that person has agreed to treatment under whose pressure and it was not psychologically prepared to live sober, so nervous.
Medicinal restraining methods for the treatment of alcoholism, such as "Torpedo", esperal, etc., are also harmless, of course, if the patient is strictly respect the sobriety just before the last day of the stick or files. Good point temperance injections among other things is that immediately after the injection disappears state of uncertainty, the patient is well aware that now is not a single drop, bridges burned.
The main disadvantage of any coding and temperance injections is that after the expiration of the treatment, unfortunately, often associated with disruptions. To guard against disruptions need to be trained, I call her school sobriety. This training program is described in detail in my book. Meaning it is that after the restructuring of human consciousness alcohol stops of interest. Some patients are very important to have a mentor. In such cases, I am one training. The full course includes 10 lessons of sobriety to the mandatory homework.
A few words about the movement of Alcoholics Anonymous (AA). In the U.S., the standard treatment for alcoholism necessarily includes a visit to AA. In Moscow, the first group of AA emerged in 1987. There are about thirty groups characteristics (number of people to Moscow this drop in the ocean). If you regularly go to classes, the chance to live sober will be quite high. Information about AA is available in any drug dispensary. I'll add that such groups exist, and relatives of alcoholics (Al-Anon). In the classroom you can learn how to cope with the burden of living with alcoholic.
What I prefer? If my relatives or friends asked me to help their friend get rid of alcohol addiction, the first, I will likely advise not pull the stick with temperance, secondly, to appoint a course of medicine to promote health and the nervous system, third , Will strongly recommend to study the book to make a sober lifestyle irreversible. And as naputstviya emphasize that success breeds success. Even the best solution might be ten lessons-learned in school sobriety. This is a safe option.
The treatment of alcoholism is a difficult task primarily because the drinks are not inclined to go to doctors and very often have strong resistance to attempts at treatment. Therefore, relatives of alcoholics should establish early contact with a doctor and heed his advice. Agreed sustained relatives and doctors increased the chances of success. I recommend that the relatives of the first to read my book to arm knowledge and adjust their own behavior.