When Does Alcohol Become a Problem?

By the APA

When Does Alcohol Become a ProblemMany people use alcohol to relax and unwind. People with alcohol-related disorders can often and easily drink to excess causing major problems in their lives.

For most adults, moderate alcohol use — no more than two drinks a day for men and one for women and older people — is relatively harmless. (A “drink” means 1.5 ounces of spirits, 5 ounces of wine, or 12 ounces of beer, all of which contain 0.5 ounces of alcohol.

Moderate use, however, lies at one end of a range that moves through alcohol abuse to alcohol dependence:

Alcohol abuse is a drinking pattern that results in significant and recurrent adverse consequences. Alcohol abusers may fail to fulfill major school, work, or family obligations. They may have drinking-related legal problems, such as repeated arrests for driving while intoxicated. They may have relationship problems related to their drinking.

People with alcoholism — technically known as alcohol dependence — have lost reliable control of their alcohol use. It doesn’t matter what kind of alcohol someone drinks or even how much: Alcohol-dependent people are often unable to stop drinking once they start.

Alcohol dependence is characterized by tolerance (the need to drink more to achieve the same “high”) and withdrawal symptoms if drinking is suddenly stopped. Withdrawal symptoms may include nausea, sweating, restlessness, irritability, tremors, hallucinations and convulsions.

Although severe alcohol problems get the most public attention, even mild to moderate problems cause substantial damage to individuals, their families and the community.

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), 1 in 12 American adults is an alcohol abuser or alcoholic.1 And, says NIAAA, young adults aged 18 to 29 are the most likely to have alcohol problems. For example, a government survey revealed that almost 8 percent of young people aged 12 to 17 and almost 41 percent of young adults aged 18 to 25 indulge in binge drinking — downing five or more drinks on the same occasion at least once during the past month.

Learn more about alcohol-related disorders: http://www.apa.org/helpcenter/alcohol-disorders.aspx

Continuing Education Courses on Alcoholism

Alcohol Awareness Month was established in 1987 to help reduce the stigma associated with alcoholism and provides a focused opportunity to increase awareness and understanding of alcoholism, its causes, effective treatment and recovery.

In support, we are also offering 50% off all of our alcohol-related CE courses during the month of April:

In this course, the author offers in-depth and in-person strategies for therapists to use in working with clients who present with the characteristic behavior patterns of codependency. Clients are usually unaware of the underlying codependency that is often responsible for the symptoms they’re suffering. Starting with emphasis on the delicate process of building a caring therapeutic relationship with these clients, the author guides readers through the early shame-inducing parenting styles that inhibit the development of healthy self-esteem. Through personal stories and case studies, the author goes on to describe healing interventions that can help clients identify dysfunctional patterns in relationships, start leading balanced lives and connecting with others on a new and meaningful level. Evaluative questionnaires, journaling assignments and other exercises are included to help you help your clients to overcome codependency. The rewards of successfully treating codependency are great for client and clinician alike. Even though the propensity for relapse always exists, it’s unlikely that a person who has made significant progress towards overcoming this disease will lose the gains they’ve made.

 

Culture is a primary force in the creation of a person’s identity. Counselors who are culturally competent are better able to understand and respect their clients’ identities and related cultural ways of life. This course proposes strategies to engage clients of diverse racial and ethnic groups (who can have very different life experiences, values, and traditions) in treatment. The major racial and ethnic groups in the United States covered in this course are African Americans, Asian Americans (including Native Hawaiians and other Pacific Islanders), Latinos, Native Americans (i.e., Alaska Natives and American Indians), and White Americans. In addition to providing epidemiological data on each group, the course discusses salient aspects of treatment for these racial/ethnic groups, drawing on clinical and research literature. While the primary focus of this course is on substance abuse treatment, the information and strategies given are equally relevant to all types of health and mental health treatment.

 

So often, we think of nutrition and its relationship to our bodies from the neck down. How it affects our heart, how it affects our colon, for example. Why do we not acknowledge its impact on our brain health as well? If a patient were to undergo an elective surgical procedure, he or she may be advised to lose weight, gain weight, or avoid certain medications or herbs beforehand. These recommendations are made to help ensure maximum recovery with minimal complications. Why would we not take this approach when dealing with mental illness as well? Shouldn’t we try to achieve optimal nutritional health of the brain if we are trying to heal it?This course discusses how good nutrition impacts a person’s mental health and well being. Includes discussions on “mental wellness” versus “mental illness,” hypothyroidism and it’s impact on mental health, neurotransmitters and amino acids, glycemic index, vitamins, fatty acids, caffeine, chocolate and aspartame, and herbal supplements and medications. Case studies are provided. This course will give the reader some insight into this concept, by providing the student with clinical research, anecdotal information and a good background for understanding the role nutrition plays in mental health.

 

Medication for chronic pain is addictive; therefore, the treatment of individuals with both substance abuse disorders and pain presents particular challenges. This course is based on a document from the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services, Managing Chronic Pain in Adults With or in Recovery from Substances Use Disorders: A Treatment Improvement Protocol (SAMHSA Tip 54). Intended for all healthcare providers, this document explains the close connections between the neurobiology of pain and addiction, assessments for both pain and addiction, procedures for treatment of chronic pain management (both pharmaceutical and non-pharmaceutical), side effects and symptoms of tolerance and withdrawal from pain medication, managing risk of addiction to pain medication and nonadherence to treatment protocols, maintaining patient relationships, documentation, and safety issues. Written by panel consensus, SAMHSA TIP 54 provides a good introduction to pain management issues and also a good review for experienced clinicians.

 

This course will demystify the diagnosis and treatment of chronic pain, the role and limitations of pain medications, and how to identify when pain relieving drugs may be harmful to clients. Participants will understand how to conduct a complete evaluation of clients with a pain disorder, chronic pain syndrome and co-morbid psychiatric diagnoses. Although the majority of chronic pain patients do not abuse pain medications, mental health practitioners need skills to assess when active substance abuse is present and develop appropriate treatment objectives. This course will also give special attention to specific clinical challenges for mental health professionals who treat clients with chronic pain, including suicide assessment and treatment non-adherence.

 

Data on alcohol use, abuse, and dependence show clear age-related patterns. Moreover, many of the effects that alcohol use has on the drinker, in both the short and long term, depend on the developmental timing of alcohol use or exposure. Many developmental connections have been observed in the risk and protective factors that predict the likelihood of problem alcohol use in young people. This course is based on four public-access journal articles published by the National Institute on Alcohol Abuse and Alcoholism in the online journal Alcohol Research & Health. The issue of the journal in which these articles appeared was devoted to the topic: “A Developmental Perspective on Underage Alcohol Use.” This course is based on the first four articles, which focus on the impact of alcohol on the development of children and youth from birth through 20.

 

PTSD & Substance Abuse: Dual Diagnosis Overview & Treatment is a 1-hour online continuing education course that examines substance abuse problems commonly experienced by those who have experienced trauma. This course discusses the complex relationship between trauma/PTSD and substance use disorders and provides a background for understanding comorbid PTSD and substance abuse. Topics covered include assessment, practice guidelines, common issues and their implications for treatment, and empirically-based treatment considerations in traumatized/PTSD individuals.

Offers valid April 1, 2016 through April 31, 2016.

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Professional Development Resources, Inc. is a Florida nonprofit educational corporation 501(c)(3) that offers 150+ online, video and book-based continuing education courses for healthcare professionals. We are approved by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (b); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; and by the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners.

 

Abuse in Childhood Common Among Alcohol Addicts

By Shari Roan

Abuse in childhood common among alcohol addicts, study finds

In a survey of 196 men and women being treated for alcohol dependence, almost one-quarter of men and one-third of women reported a history of childhood physical abuse.

Abuse in childhood appears to be a particularly strong risk factor for developing alcohol addiction later in life, researchers reported Thursday.

Alcohol dependence is linked to many risk factors — including genetics, drinking in adolescence and having other mental health disorders. A history of physical, sexual or emotional abuse in childhood is known to be another risk factor. The new study, however, shows how strong this link could be.

Researchers at the National Institute on Drug Abuse surveyed 196 men and women who were inpatients being treated for alcohol dependence. Almost one-quarter of men and 33% of women reported a history of childhood physical abuse while rates of sexual abuse were 12% for men and 49% for women.

In addition, the study found that sexual abuse raised the risk of also developing anxiety disorder and emotional abuse increased the risk of developing depression. People who were physically abused in childhood and became alcohol dependent were more likely to have a history of suicide attempts. Alcoholics who experience more than one type of childhood abuse were more likely to develop another psychiatric disorder or to attempt suicide.

The study suggests how important trauma assessment is in alcohol-treatment services, the authors said.

The study appears in the journal Alcoholism: Clinical & Experimental Research.

Source: http://www.latimes.com/health/boostershots/la-heb-trauma-alcohol-20120315,0,5329235.story

Related Online Continuing Education Course:

Domestic Violence: Child Abuse and Intimate Partner Violence

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