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Alcoholism

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


Next: Alcoholism Causes »

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Alcoholism

SSRI Overview

Selective serotonin reuptake inhibitors (SSRIs) are antidepressants that affect serotonin levels in the brain. Serotonin is a chemical neurotransmitter. For many people, SSRIs are the first choice of depression treatment selected by health care providers.
 
SSRIs, which are medications available only by prescription, may be used to treat depression. If a person’s symptoms indicate that he or she has depression, a health care provider will strongly recommend treatment. Treatment may include supportive therapy, such as changes in lifestyle and behavior, psychotherapy, and complementary therapies, but it almost always includes medication. Without treatment, depression symptoms may become worse or last much longer, making recovery difficult. With treatment, the chances of recovery from depression are very high.

Commonly prescribed SSRIs include the following:

  • Fluoxetine (Prozac)
  • Sertraline (Zolo...

Read the SSRIs and Depression article »


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Alcoholism »

Alcoholism is common, serious, and expensive.

Read More on eMedicine »

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