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February 3, 2012
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Alcoholism

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Alcoholism Overview

Alcohol problems vary in severity from mild to life threatening and affect the individual, the person's family, and society in numerous adverse ways. Despite all of the focus on drugs such as cocaine, alcohol remains the number one drug problem in the United States. According to community surveys, over 13% of adults in the United States will experience alcohol abuse or dependence (also referred to as alcoholism) at some point in their lives.

Withdrawal, for those physically dependent on alcohol, is much more dangerous than withdrawal from heroin or other narcotic drugs.

  • Alcohol abuse refers to excessive or problematic use with one or more of the following:

    • Failure to fulfill major obligations at work, school, or home

    • Recurrent use in situations where it is hazardous (such as driving a car or operating machinery)

    • Legal problems

    • Continued use of alcohol despite having social, family, or interpersonal problems caused by or worsened by drinking
  • Alcohol dependence refers to a more serious disorder and involves excessive or maladaptive use leading to 3 or more of the following:

    • Tolerance changes (need for more to achieve desired effect, or achieving the effect with lesser amounts of alcohol)

    • Withdrawal symptoms following a reduction or cessation of drinking (such as sweating, rapid pulse, tremors, insomnia, nausea, vomiting, hallucinations, agitation, anxiety, or seizures) or using alcohol to avoid withdrawal symptoms (for example, early morning drinking)

    • Drinking more alcohol or drinking over a longer period of time than intended (loss of control)

    • Inability to cut down or stop

    • Spending a great deal of time drinking or recovering from its effects

    • Giving up important social, occupational, or recreational activities

    • Continuing to drink despite knowing alcohol use has caused or worsened problems
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Alcoholism

Substance Abuse Overview

People abuse substances such as drugs, alcohol, and tobacco for varied and complicated reasons, but it is clear that our society pays a significant cost. The toll for this abuse can be seen in our hospitals and emergency departments through direct damage to health by substance abuse and its link to physical trauma. Jails and prisons tally daily the strong connection between crime and drug dependence and abuse. Although use of some drugs such as cocaine has declined, use of other drugs such as heroin and "club drugs" has increased.

  • Finding effective treatment for and prevention of substance abuse has been difficult. Through research, we now have a better understanding of the behavior. Studies have made it clear that drug education and prevention aimed at children and adolescents offers the best chance to curb abuse nationally.

  • The 1996 National Household Survey on Drug Abuse estimated the number of u...

Read the Substance Abuse article »


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