2. Addiction
Dependence on a particular substance or activity—is one of the
most important, difficult, and complex areas of mental health.
Addiction can be difficult to treat, and there is a good deal of
controversy surrounding the causes of addiction and the best
approaches to treatment.
3. Alcoholism
Britannica dictionary defines ALCOHOLISM the act of excessive and
repetitive drinking of alcoholic beverages to the extent that the drinker
repeatedly is harmed or harms others. The harm may be physical or
mental; it may also be social, legal, or economic. Because such use is
usually considered to be compulsive and under markedly diminished
voluntary control, alcoholism is considered by a majority of, but not all,
clinicians as an addiction and a disease.
4. Risk factors
1. Are a young adult experiencing peer pressure
2. Have low self-esteem
3. Experience a high level of stress
4. Live in a family or culture where alcohol use is common and accepted
5. Have a close relative with alcohol use disorder
6. Statistics
● Alcohol consumption in India amounted to about 5.4 billion liters in 2016 and was
estimated to reach about 6.5 billion liters by 2020. The steady increase in
consuming these beverages can be attributed to multiple factors including the
rising levels of disposable income and a growing urban population among others.
● According to a study, over 88 percent of Indians aged under 25 purchase or
consume alcoholic beverages even though it is illegal. This was despite bans on
alcohol in some states across the country and limitations on sales in some others.
7. Causes of alcoholism
1. Heredity
2. Environmental contagion
3. Bad character
4. Economic misery (or affluence) to bleak childhoods
5. Preexisting depressive disorder
6. Ready and inexpensive availability of alcoholic beverages
8. Causes of alcoholism
● We can also say that the there is a certain complexity to the disorder
.
● We will also acknowledge that alcoholism is usually caused by a
combination of factors.
● Eventually, the pleasurable feelings associated with alcohol use go
away and the person with alcohol use disorder will engage in
drinking to prevent withdrawal symptoms.
● These withdrawal symptoms can be quite unpleasant and even
dangerous.
9. Causes of Alcoholism
● Alcoholism tends to run in families, although not all children of people addicted to
alcohol become addicted themselves, and there is some debate among psychologists
about the degree to which alcoholism is genetic. Some researchers are searching for an
addiction or alcoholism gene, while others point out that simply witnessing a parent drink
in response to stress increases a child’s likelihood of choosing to drink in response to
stress.
● Research indicates that the vast majority of people who are addicted to drugs or alcohol
have an underlying mental health condition or significant emotional/psychological
difficulty, and about half of people with mental health diagnoses will face challenges
with drugs or alcohol at some point in their life, usually as a form of self-medication.
● People who misuse drugs or alcohol often do so as a way of coping with experiences,
memories, or events that emotionally overwhelm them. Whether they are equipped
with appropriate coping strategies or not, people who misuse rely on the immediate
gratification of the drugs and alcohol as an alternative to facing the issues at hand.
10. Alcoholism due to peer pressure
1. It could occur in a workplace, school or via social media.
2. Social media and alcohol use have become intertwined over the years.
3. A report by the National Center on Addiction and Substance Abuse at
Columbia University found 75 percent of surveyed teens feel encouraged
to drink after seeing photographs of peers partying on social media.
4. Individuals are more likely to give into peer pressure in social settings and
are more likely to drink if those around them are.
5. When attending social settings alone, a person’s odds of drinking
increase.
11. Impact of Alcohol use
disorder
On Society :
The social impact of alcohol abuse is a separate issue from the financial costs involved,
and that impact begins in the home, extends into the community, and often affects
society as a whole, much like the financial impact does.
Alcoholism as a Family Disease
● Research on the effects of alcohol abuse on families shows that alcohol abuse and
addiction plays a role in intimate partner violence, causes families' financial
problems, impairs decision-making skills, and plays a role in child neglect and
abuse.
● As with the financial costs of alcohol abuse, studies have found occasional binge
drinking can affect families also.
12. Impact of Alcohol use
disorder
Alcohol Abuse and Youth
● Youth who grow up in a home with a loved one dealing with alcohol addiction may
be affected as well; they are at significant risk to develop alcohol use disorders
themselves.
● Growing up in a home where at least one parent has a severe alcohol use disorder
can increase a youngster’s chances of developing psychological and emotional
problems.
13. Impact of Alcohol use
disorder
On one's health :
● Headaches
● Drowsiness
● Vomiting
● Liver Cirrhosis
● Atherosclerosis
● Chronic Heart Failure
● Breathing difficulties
● Pancreatitis
14. Impact of Alcohol use
disorder
● Distorted vision and hearing
● Impaired judgment due to lowered brain activity
● Decreased perception and coordination due to lowered brain activity
● Alcohol Poisoning :
a. A condition in which a toxic amount of alcohol has been consumed,
usually in a short period of time.
b. In other words, the blood alcohol content (BAC) is at a dangerously
high level.
17. Preventative Measures
● Rehabilitation to learn new coping skills and behaviors
● Counseling to address emotional problems that may cause you to drink
● Support groups, including 12-step programs such as Alcoholics Anonymous (AA)
● Medical treatment for health problems associated with alcohol use disorder
● Medications to help control addiction
○ Naltrexone (ReVia) - used only after someone has detoxed from alcohol
○ Acamprosate -help re-establish the brain’s original chemical state
○ Disulfiram (Antabuse) is a drug that causes physical discomfort (such as
nausea, vomiting, and headaches) any time the person consumes alcohol
18. Therapy and alcoholism
● Therapists who specialize in addiction recovery help people set achievable and
empowering short-term goals. Once sobriety is achieved, healthy and adaptive
skills can be developed, and the therapist and client can begin to explore the source
of the addiction while employing the new coping strategies.
● Together, the client and therapist will work to set longer term goals that include
rebuilding damaged relationships, accepting responsibility, and releasing guilt. A
skilled therapist can help someone dependent on drugs or alcohol overcome their
addiction and set them on the path of achieving the life they truly desire.
● People sometimes fear seeking help for drug addiction. Be advised that privacy and
confidentiality in substance abuse treatment is mandated not only by professional
ethical guidelines and, usually, state law, but also by special federal laws.
19. ● In times of lockdown, initially the cases of alcoholism had shot down. But this
subsequently they faced with the non-availability of liquor hence leading to
the obvious, withdrawal syndrome. Adding to this many people had lost their
jobs, dealing with unemployment chose to turn towards alcoholism.
● This had caused many ill effects in their families and environment : Like
increased anger issues, impatience, domestic abuse etc.
Alcoholism in lockdown
20. ● The initial wave of withdrawal symptoms that triggered an avalanche of calls
to the helpline numbers run by the Excise Department by addicts and even
their families had shot up during the lockdown.
● Experts who said people who would be forced to give up drinking owing to
non-availability of liquor during the lockdown now stand corrected as because
of the gradual process of “Unlock” and its various stages, liquor stores and
thekas have opened up to boost the economy. This led to an avalanche of
alcoholics who had not indulges in this behaviour for a long time
Alcoholism in lockdown
Notes de l'éditeur
Peer pressure is the direct or indirect influence on people by peers or people surrounding them, thus changing their attitudes, values or behaviors to conform to those of the influencing group or individual. This can result in either a positive or negative effect