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100 Questions & Answers About Alcoholism ¿ Herrick [3918-9] Part I The Basics 1. What is alcohol? 2. Is alcohol a drug? 3. When and how was alcohol discovered? 4. Why do humans use alcohol? 5. How do chemicals work in the brain? 6. How does alcohol affect the brain? 7. What is addiction? 8. How is alcoholism a disease? 9. What makes alcohol addictive? 10. What aspects of alcoholism are voluntary or involuntary? 11. What exactly is alcoholism? Is it a disease or a matter of choice? 12. What causes alcoholism? Part II Diagnosis 13. What is the DSM-IV? 14. What is Alcohol dependency? 15. What is alcohol abuse? 16. How does one know he/she is an alcoholic? 17. What are the screening tools available for alcoholism and are they reliable? 18. Are there different types of people with alcoholism? 19. Are there any biological tests for alcoholism? Part III Risk, Prevention, and Epidemiology 20. What is the risk of inheriting alcoholism? 21. What are the risk factors associated with drinking? 22. What is the prevalence of alcohol use and alcoholism? 23. What is the morbidity and mortality associated with alcoholism? 24. What is the link between alcoholism and violence? 25. How can I prevent my kids from drug and alcohol abuse? 26. Is there a gateway drug that can lead to alcoholism? 27. I read somewhere that drinking alcohol was good for you. Is that true? 28. What is a safe level of alcohol consumption? 29. My mother has been drinking wine daily since my father died. Could she be an alcoholic or does she need treatment for depression? 30. Are certain religious or ethnic groups at greater risk for alcoholism? 31. Can alcoholism lead to mental illness or criminality? 32. Am I at risk for all kinds of addictions if I have been addicted to alcohol? 33. What are some of the triggers to relapse? Part IV Treatment 34. Who is qualified to diagnose and treat alcoholism? 35. What is AA and how does AA work? 36. What is ASAM and what are the criteria for placement in a particular program? 37. What is rehab and how is it different from AA? 38. What are the different kinds of outpatient and inpatient rehabs? 39. What is the difference between a ¿faith-based¿ program and others? 40. Does it matter how long I stay in an in-patient program? Just how successful are they? 41. How successful are the various treatment options? 42. How is treatment different for someone with a dual diagnosis? 43. All the programs I attend are group based. I really feel I need some individual treatment. What should I do? 44. I understand that some programs teach alcoholics to drink moderately. How successful are those programs? 45. Is the treatment approach for adolescents different than adults? 46. How do I know if my child is just experimenting with alcohol and drugs or has a real problem with them? 47. What exactly is an ¿intervention¿? 48. What are the different kinds of medications available for alcoholism? 49. What is Antabuse and how does it work? 50. I understand the ReVia is an opiate. I have never been addicted to opiates. Why would that be prescribed and will I become addicted? 51. I heard of a new injectable form of medication for alcoholism. What is it and what are its advantages? 52. How is acamprosate different from other medications? 53. What are some other medications prescribed for alcoholism? 54. I have been prescribed a medication ¿off-label¿. Does that mean it is experimental? 55. Isn¿t taking a pill every day for alcoholism really just a substitute for alcohol? 56. What is detox and how do I know if I need it? 57. What medications are used for detox? 58. If I am suffering from continued anxiety after achieving sobriety can I continue to take Ativan or similar antianxiety medication? 59. Ever since I quit drinking I can¿t sleep at night. What should I do? 60. Are there any alternative treatments or herbal remedies for alcoholism? Part V Associated Conditions 61. I heard there were vaccines for various addictive drugs. Can you shed some light on the issue? 62. What are the medical consequences of alcoholism? 63. Can alcoholism cause dementia? 64. Are there other neurological effects of alcoholism? 65. What are DT¿s? 66. I had withdrawal seizures. Does that mean I need to take an anticonvulsant from now on? 67. A family member hears voices even when he is not drinking. Is it from the alcohol or does he have schizophrenia? 68. How are alcoholism and mood disorders linked? 69. My spouse has mood swings along with his/her addiction problem. Could he/she have bipolar disorder? 70. I have cirrhosis of the liver. Is that reversible? 71. Am I eligible for a liver transplant if my liver failure is from my alcoholism? 72. Are there any medications that I should avoid if I have hepatitis? 73. Can alcohol cause sexual problems? 74. When I stopped drinking I started smoking a lot more. I¿m afraid if I try to quit smoking I may go back to drinking. What can I do? Part VI Special Populations 75. I got into a vicious cycle using alcohol to come down from cocaine. The doctors tell me I¿m an alcoholic but my drug of choice has always been cocaine. Do I need to be concerned? 76. I was drinking during my first trimester of pregnancy before I knew I was pregnant. What are the risks to my unborn baby? 77. My baby was born with fetal alcohol syndrome. What is that and what does it mean for my baby? 78. How old do my children need to be before I start talking to them about alcohol? 79. I grew up in another country where alcohol was part of the culture and teenagers were allowed to drink. Why can¿t I continue that tradition with my own children? 80. My teenage child is taking a class trip to Germany where drinking is permitted. Is that a problem? 81. My teenager has a serious problem with marijuana. He constantly points out that I drink and therefore he doesn¿t see the problem with his marijuana use. What do I tell him? 82. My daughter refuses to take the medication prescribed and continues to abuse drugs and alcohol. She repeatedly points out that she doesn¿t see any difference between a drug prescribed by a doctor to help her moods and the more ¿natural¿ approach that she chooses. How do I counter that? 83. I experimented with drugs and alcohol as a teen and grew out of it without the need for treatment. So why are they telling me that my daughter needs treatment? 84. I am concerned that my teenager is going out and drinking. I have heard about parents having ¿key parties¿ in their homes to ensure the teens don¿t drive home drunk. What is that? 85. How are men and women different in their responses to alcohol? 86. My spouse just returned from the service over seas. He refuses to talk about the time over there. My spouse says he needs to drink because he has nightmares and trouble sleeping. I am worried that he is alcoholic. What can I do? 87. Are the elderly affected by alcohol differently? 88. We are thinking about moving to a rural area to avoid the drug and drinking problems that our children are exposed to in the city. Do rural Americans, especially teens, have similar problems with alcohol or drugs or is it less in rural areas? 89. I have heard the term ¿impaired professional¿ Do professionals have problems with alcohol or drugs similar to other people? If I suspect a professional of being impaired what should I do? Part VII Surviving Alcoholism 90. Will I ever be able to drink again? 91. I was arrested for a DUI. What should I do? 92. What are my rights to privacy? 93. I am worried about my employer finding out about my treatment. How can I prevent his or her finding out? 94. My employer ordered me into treatment or risk getting fired? What are my rights? 95. What is Codependency? How do I know if I am Codependent and what can I do about it? 96. My family member is an alcoholic and refused to get help. What should I do? 97. What is the impact of alcoholism on children? 98. What resources are available for women whose spouses are alcoholic and abusive? 99. What are my rights to refuse treatment? 100. Where can I get more information? Appendix ¿ websites, organizations, and other resources
Library of Congress Subject Headings for this publication:
Alcoholism -- Miscellanea.
Alcoholism -- Popular works.