How to recognize alcoholic addictions Alcohol Dependence: and physical. Indications for Alcohol during alcohol and rules for use. Assess the tolerance and effectiveness of these treatments. The approach is constantly evolving. The notion of addictive behavior has gradually replaced those of drug addiction and differentiated care structures have merged to become CSAPAs (Centers for Care, Support and Prevention in Addictology). It no longer puts the product or physical at the center but the notion of loss of control or compulsion in consumer behavior. Insofar as the behavioral dimension is in the foreground, the concept of addictive behavior can be applied to behaviors of loss of control without a toxicant necessarily being involved: this is the case of purchases, excessive gambling, and compulsive sexuality.
Goodman defined 1990 the concept of rehab centers near me of addiction as follows: The process by which a behavior, which allows both the experience of pleasure and the relief of internal tension, is repeated, despite efforts to reduce it. frequency, due to the loss of control during its realization, and continued despite its negative reason.
Identification of the disorder and its diagnosis
In the medical field and on a nosographic level, the delimitation of “disease” refers to the common definitions of DSM 4 and CIM 10 of abuse or harmful use. The notion of abuse or harmful use refers to the use and usage of damage without the criteria of alcohol rehab near me and dependence on the presence of a certain number of criteria over a period of 12 months.
- DSM 4: Diagnostic and Statistical Manual of Mental Disorders, 4th edition, revised version, Association of American Psychiatrists, Washington DC, 2000.
- ICD-10 / ICD-10: International Classification of Mental and Behavioral Disorders, 10th edition, WHO, Geneva, 1993.
DSM 4 substance abuse criteria:
At least one of the following manifestations:
- inability to fulfill major obligations (work, school, home, etc.)
- dangerous situations (driving, machine, climbing)
- repeated legal problems (violence, assault, abnormal behavior, etc.)
- repeated use despite interpersonal or social problems (marital difficulties, divorce, arguments, fights, etc.)
DSM 4 dependency criteria:
In practice, the high frequency of more and extra alcohol consumption in the general population in France justifies its system screening during “all-round” consultations. making the questioning alcohol and tobacco usage is important in everyday practice. It can be started with a simple question like: “Do you drink alcohol?” tobacco? »By changing the quantities and frequencies.
Three or more of the following events at any time during a 12-month period:
- tolerance
- withdrawal syndrome
- loss of control (quantity/duration)
- persistent desire or inability to reduce/stop
- time spent
- discontinuation of other activities
- continued use of knowledge of physical changes.
It should be noted that a new version of the DSM (DSM 5) will be published in the spring of 2013, the notions of abuse and to identify only one generic disorder for all addictive behaviors: “the related disorder to a substance” no longer rehabs in Parkersburg WV categorical (Abuse ) but (intensity of the disorder depending on the number of criteria present):
Inability to fulfill major obligations
- Dangerous situations
- Repeated use of social problems strong or compulsive desire
- Loss of control (amount/duration)
- Withdrawal syndrome
- Tolerance
- Persistent desire or unsuccessful efforts to reduce
- Time spent
- Abandonment of other activities
- Continued use of the obvious presence of harmful reason
- Strong or compulsive craving or desire to use
Conclusion
The disorder will be considered moderate if 2 to 3 criteria are present, severe for 4 or more criteria. It is these diagnostic criteria that will use in the years to come, except for possible changes.
