Materiały źródłowe

• #1

  https://www.nhs.uk/conditions/alcohol-misuse/treatment/

  The treatment options for alcohol misuse depend on the extent of your drinking and whether you’re trying to drink less (moderation) or give up drinking completely (abstinence). […] If you are worried about your drinking or have had an alcohol-related accident or injury, you may be offered a short counselling session known as a brief intervention. […] Moderation or abstinence are treatment options if you’re: regularly drinking more than 14 units a week, experiencing health problems directly related to alcohol, unable to function without alcohol (alcohol dependency). […] Cutting alcohol out completely will have a greater health benefit. However, moderation is often a more realistic goal, or at least a first step on the way to abstinence. […] Ultimately, the choice is yours, but there are circumstances where abstinence is strongly recommended, including if you: have liver damage, such as liver disease or cirrhosis, have other medical problems, such as heart disease, that can be made worse by drinking, are taking medication that can react badly with alcohol, such as antipsychotics, are pregnant or planning to become pregnant.

• #2 Treatment for Alcohol Problems: Finding and Getting Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA)

  https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help

  Behavioral treatments are aimed at changing drinking behavior through counseling. They are led by health care providers and supported by studies showing that these treatments can be beneficial. […] Three medications are currently approved in the United States to help people stop or reduce their drinking and prevent a return to drinking. These medications are prescribed by a primary care provider or other health care provider and may be used alone or in combination with counseling. […] Alcoholics Anonymous (also known as „AA”) and other 12-step programs provide peer support for people quitting or cutting back on their drinking. Combined with treatment led by health care providers, mutual-support groups can offer a valuable added layer of support. […] For anyone thinking about treatment, talking to a primary care provider is an important first step—primary care providers can be a good source for treatment referrals and medications.

• #3 Treatment for Alcohol Problems: Finding and Getting Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA)

  https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help

  Millions of adults in the United States have alcohol use disorder (AUD), and approximately 1 in 10 children live in a home with a parent who has AUD. […] The good news is that no matter how severe the problem may seem, most people with AUD can benefit from some form of treatment. Many others substantially reduce their drinking and report fewer alcohol-related problems. […] Evidence-based AUD treatment is available, change is possible, and most people who have AUD recover or markedly improve. […] When asked how alcohol problems are treated, people commonly think of 12-step programs or 28-day inpatient treatment centers but may have difficulty naming other options. In fact, there are many treatment options available thanks to significant advances in medical and behavioral research over the past decades.

• #5 Treatment for Alcohol Problems: Finding and Getting Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA)

  https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help

  Your health care provider. Primary care and mental health providers can provide effective AUD treatment by combining new medications with brief counseling visits. […] Understanding the available treatment options—from behavioral therapies and medications to mutual-support groups—is the first step. The important thing is to remain engaged in whatever method you choose.

• #6 Alcoholism Treatment & Management: Approach Considerations, Medical Care, Consultations

  https://emedicine.medscape.com/article/285913-treatment

  When patients have the urge to drink, there are several techniques that can be used to deal with the situation, including (1) self-distraction (i.e. getting involved with an alternate activity that they enjoy), (2) thought stopping (i.e. patients should not dwell on thoughts of drinking but should stop these thoughts), (3) reprogramming (ie, patients should avoid activities that remind them of drinking), and (4) use of social support structure. The most common cause of relapse is failure to use coping strategies. […] If the patient has a relapse, find out what happened (make a diagnosis) in order to formulate a new treatment plan. […] Emphasize that complete abstinence is the only solution. […] The first step in treatment is brief intervention. The physician states unequivocally that the patient has a problem with alcohol and emphasizes that this determination stems from the consequences of alcohol in that patient’s life, not from the quantity of alcohol consumed.

• #7

  https://www.nhs.uk/conditions/alcohol-misuse/

  Treatment options include: […] counselling including self-help groups and talking therapies, such as cognitive behavioural therapy (CBT) […] medicines […] detoxification this involves a nurse or doctor supporting you to safely stop drinking; this can be done by helping you slowly cut down over time or by giving you medicines to prevent withdrawal symptoms […] There are 2 main types of medicines to help people stop drinking. […] The first is to help stop withdrawal symptoms and is given in reducing doses over a short period of time. The most common of these medicines is chlordiazapoxide (Librium). […] The second is a medicine to reduce any urge you may have to drink. The most common medicines used for this are acamprosate and naltrexone. […] These are both given at a fixed dose, and you’ll usually be on them for 6 to 12 months.

• #8 Alcohol abuse – Wikipedia

  https://en.wikipedia.org/wiki/Alcohol_abuse

  Therapy-based treatment includes Cognitive Behavioral Therapy (CBT), which helps patients manage the urge to drink using a problem-solving based approach, and Motivational Interviewing (MI), which focuses on strengthening personal motivations for change. Additionally, mindfulness-based intervention programs can reduce the consumption of alcohol. […] Pharmacotherapy options include Naltrexone, which reduces cravings and the rewarding effects associated with alcohol consumption, and Acamprosate, which is thought to modulate glutamate transmission to decrease withdrawal cravings. Disulfiram acts as a psychological deterrent by causing unpleasant physiological effects when alcohol is consumed. […] Cessation of alcohol use after dependence is formed may lead to alcohol withdrawal disorder and associated sequela including seizures, insomnia, anxiety, cravings, and delirium tremens. Treatment strategies for individuals with co-occurring alcohol use disorder and mental health disorders need to address both conditions simultaneously for effective recovery.

• #9

  https://www.nhs.uk/conditions/alcohol-misuse/treatment/

  Abstinence may also be recommended if you’ve previously been unsuccessful with moderation. […] If you’re dependent on alcohol to function, it’s recommended you seek medical advice to manage your withdrawal. […] Some people may be prescribed medication to help achieve abstinence. You may also choose to attend self-help groups, receive extended counselling, or use a talking therapy such as cognitive behavioural therapy (CBT). […] Withdrawal from alcohol is an important first step to overcoming your alcohol-related problems. However, withdrawal isn’t an effective treatment by itself. You’ll need further treatment and support to help you in the long term. […] A number of medications are recommended by the National Institute for Health and Care Excellence (NICE) to treat alcohol misuse.

• #10 Alcohol use disorder: Pharmacologic management – UpToDate

  https://www.uptodate.com/contents/alcohol-use-disorder-pharmacologic-management

  Pharmacotherapy is a component of the treatment of alcohol use disorder that is often combined with psychosocial interventions. The decision to treat alcohol use disorder with medication management is based on the severity of the disorder; however, patient preference is an important factor as all treatment decisions are made by shared decision making. In general, we include medications, along with psychosocial intervention as part of the treatment approach in patients with moderate to severe alcohol use disorder, or in those with mild disorder who request it. […] Several agents are effective in the treatment of alcohol use disorder. However, minimal direct evidence supports one treatment as compared with another, therefore our choice is based on other factors such as prior history, presence of co-occurring conditions, treatment goal, and patient preference. In patients who have responded to a prior medication, we typically choose that medication again.

• #11

  https://www.nhs.uk/conditions/alcohol-misuse/treatment/

  Acamprosate (brand name Campral) is used to help prevent a relapse in people who have successfully achieved abstinence from alcohol. […] Disulfiram (brand name Antabuse) can be used if you’re trying to achieve abstinence but are concerned you may relapse, or if you’ve had previous relapses. […] Naltrexone can be used to prevent a relapse or limit the amount of alcohol someone drinks. […] Nalmefene (brand name Selincro) may be used to prevent a relapse or limit the amount of alcohol someone drinks. […] Many people who have alcohol dependency problems find it useful to attend self-help groups, such as Alcoholics Anonymous (AA) or SMART Recovery. […] The treatment plan promoted by AA is based on a 12-step programme designed to help you overcome your addiction. […] 12-step facilitation therapy is based on the programme devised by AA.

• #12 Medications for the Treatment of Alcohol Use Disorder | Office of Addiction Services and Supports

  https://oasas.ny.gov/providers/medications-treatment-alcohol-use-disorder

  Acamprosate (Campral) is a prescription medication that may prevent individuals who already have stopped drinking from returning to alcohol use. The precise way acamprosate works is not understood fully but it likely helps restore the proper balance of certain neurotransmitters GABA and glutamate in the brain that becomes disrupted with chronic alcohol use. Acamprosate also may reduce cravings for alcohol. […] Although acamprosate can be started and taken while someone is drinking alcohol, studies have shown that it is more effective when started after someone has stopped drinking. […] The prescribing healthcare professional can answer questions and provide guidance about the use of acamprosate for alcohol use disorder. […] Naltrexone, an antagonist of opioid receptors in the brain, is a prescription medication that is available in oral (Revia) and long-acting injectable (Vivitrol) formulations. Both formulations are indicated for the treatment of alcohol use disorder, but only the long-acting injectable formulation is indicated for the treatment of opioid use disorder.

• #13 Medications for alcohol dependence: When to prescribe | SA Health

  https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/clinical+resources/clinical+programs+and+practice+guidelines/substance+misuse+and+dependence/medications+for+alcohol+dependence+when+to+prescribe

  If a patient is alcohol dependent and they want to reduce or stop drinking, the use of medications as part of an overall treatment strategy enhances the likelihood of success. […] Three medications are available in Australia for assisting abstinence from alcohol: […] Acamprosate is effective at maintaining abstinence, but has less impact on relapse to heavy drinking once alcohol consumption is recommenced, whereas naltrexone is effective in preventing relapse to heavy drinking and is less effective at maintaining abstinence. […] Disulfiram has been less well researched, but is well known by patients and their families. […] Clients can be referred to the Medication-assisted treatment for alcohol dependence page for more information about drug treatment and how it works. […] Information about medication assisted treatment for people with alcohol dependence and finding the right treatment for you.

• #14 Medication assisted treatment for alcohol dependence | SA Health

  https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/conditions/alcohol/medication+assisted+treatment+for+alcohol+dependence

  Disulfiram (Antabuse) causes very unpleasant effects as a result of what it does to the metabolism of alcohol. In the body, alcohol is converted in the liver, firstly to a chemical called acetaldehyde. Usually acetaldehyde is quickly converted to carbon dioxide and water. Disulfiram blocks the enzyme that drives this step. When someone taking disulfiram drinks alcohol, acetaldehyde accumulates in the blood stream causing reactions such as flushing, headache, nausea, difficulty breathing, chest pain and collapse. Studies have shown that disulfiram may assist a person to remain abstinent from alcohol, especially if someone observes them take it. […] The decision regarding the medication to be used should be based on the advice of the person’s doctor who will take into account the person’s experience, their medical history, family history, craving and triggers for drinking. It’s an individual choice; sometimes if one medication doesn’t seem to help, an alternative will. […] Be realistic in your expectations medication is not magic. Changing behaviour takes time and effort and is unlikely to occur merely as a result of taking a particular tablet. It is essential to involve other supports for change (eg counselling, AA – Alcoholics Anonymous, Smart Recovery Australia).

• #15 Alcohol use disorder: Pharmacologic management – UpToDate

  https://www.uptodate.com/contents/alcohol-use-disorder-pharmacologic-management

  Acamprosate is effective in maintaining abstinence in individuals with alcohol use disorder who were recently withdrawn from alcohol use. The most prominent adverse effects of treatment with acamprosate include diarrhea, nervousness, and fatigue. These usually subside with continued use. […] Disulfiram is an aversive agent that does not directly influence motivation to drink but discourages drinking via the threat of the “disulfiram reaction.” By blocking a key step in the enzymatic breakdown of alcohol, disulfiram causes an accumulation of alcohol’s primary metabolite, acetaldehyde. […] Topiramate, an anticonvulsant medication with pharmacologic properties including blocking of voltage-dependent sodium channels, potentiation of gamma-aminobutyric acid mediated transmission and antagonism of glutamate receptors, has been found to decrease alcohol use in individuals with alcohol use disorder.

• #16 Alcohol Use: Medications for alcohol use disorders | CAMH

  https://www.camh.ca/en/professionals/treating-conditions-and-disorders/alcohol-use/alcohol-use—treatment/treatment—medications-for-alcohol-use-disorders

  Disulfiram is effective in achieving abstinence if it is taken under supervision, for example by a pharmacist, partner or mutual aid (e.g., AA) sponsor. […] Several medications are used off-label to treat moderate or severe alcohol use disorder. These include topiramate, baclofen, and gabapentin. […] Prescribing thiamine is important because heavy alcohol consumption can result in thiamine deficiency, which can lead to alcohol-induced brain damage. […] Emphasize that medication is an essential component of recovery for many patients.

• #17 Medications for Alcohol Use Disorder | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/0315/p457.html

  A Substance Abuse and Mental Health Services Administration/National Institute on Alcohol Abuse and Alcoholism Consensus Panel recommends pharmacotherapy along with behavioral interventions for AUD. […] The Department of Veterans Affairs recommends the consideration of naltrexone (Revia, Vivitrol) and/or acamprosate (Campral) for AUD treatment, along with counseling. […] An Agency for Healthcare Research and Quality (AHRQ) review that included 135 studies of pharmacologic treatment of AUD in outpatient settings found moderate evidence to support the use of naltrexone and acamprosate, and insufficient evidence to support the use of disulfiram. […] Naltrexone, an opioid antagonist, reduces alcohol consumption in patients with AUD, and is more successful in those who are abstinent before starting the medication. […] Ondansetron (Zofran) may decrease alcohol consumption in patients with AUD. […] There is inconclusive evidence to support baclofen (Lioresal) and various supplements for AUD.

• #18 Evidence-Based Treatments for Alcohol Use Disorder

  https://dhhr.wv.gov/office-of-drug-control-policy/newsletters/Pages/Evidence-Based-Treatments-for-Alcohol-Use-Disorder.aspx

  Alcohol use disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. […] All individuals suffering from AUD deserve treatment and can recover, no matter the severity of the disorder. In general, treatment goals of AUD are to reduce and manage symptoms and improve health and functioning. […] There are multiple effective and evidence-based treatment approaches for AUD including medications, behavioral treatments, and mutual support groups. […] Medications: Three medications are currently approved by the FDA to help people stop or reduce their drinking and prevent relapse. […] Behavioral treatments: Another name for behavioral treatment for AUD is alcohol counseling, which involves working with a healthcare professional to identify and help change behaviors that are contributing to distressing aspects of drinking.

• #19

  https://www.nhs.uk/conditions/alcohol-misuse/treatment/

  Cognitive behavioural therapy (CBT) is a talking therapy that uses a problem-solving approach to alcohol dependence. […] Alcohol dependence doesn’t just impact on an individual it can also affect a whole family. Family therapy provides family members with the opportunity to learn about the nature of alcohol dependence and support the member of the family who is trying to abstain from alcohol.

• #20 Therapy for Alcoholism | Alcohol.org

  https://alcohol.org/therapy/

  Behavioral therapy is one of the most widely used methodologies in addiction treatment. It is highly effective and can be used in individual, group, and family settings. Approaches focus on various aspects of addiction, including motivation toward recovery, developing relapse prevention skills, substituting negative and destructive behaviors with healthy and productive ones, offering incentives for desirable behaviors, and improving relationships with others. Alcohol addiction therapy is an extremely important aspect in treating alcohol abuse and there are many different types of therapy for alcoholism which are commonly used. […] Cognitive-behavioral therapy (CBT) was first developed as a clinical approach to managing mood disorders, but later adapted to treat alcohol use disorder (AUD) other forms of addiction as well. CBT works on the theory that certain patterns of thought can contribute to maladaptive behaviors (such as continued substance use), but a decrease in such behaviors can be achieved through identifying and changing the negative thoughts and emotions. Many studies have shown that this type of treatment has benefits that continue even after treatment has concluded.

• #21 Alcohol & Drug Addiction Treatment for Veterans – Mental Health

  https://www.mentalhealth.va.gov/substance-use/treatment.asp

  Alcohol Drug Addiction Treatment for Veterans […] Recovery is possible for everyone. Substance use disorder is a mental health condition, and VA offers evidence-based treatments for the disorder that are proven to be effective for most people. […] Therapies are among the most effective evidence-based treatments for substance use disorder. […] Cognitive behavioral therapy (CBT) helps Veterans with substance use disorder develop more balanced and helpful thoughts about themselves, others, and the future. […] Motivational interviewing (MI) involves conversations between the Veteran and their provider to detect and strengthen personal motivations for change. […] Motivational enhancement therapy (MET) is a version of MI that focuses specifically on changing unhealthy alcohol or substance use.

• #22 Top 3 Evidence-Based Approaches to Alcohol Addiction Treatment

  https://blueheronrecovery.com/top-3-evidence-based-approaches-to-alcohol-addiction-treatment/

  Cognitive behavioral therapy (CBT) is a form of talk therapy that helps individuals understand the interconnectedness of their thoughts, emotions, and actions. This alcohol addiction treatment has proven to be effective for a variety of mental health concerns, including alcohol addiction. […] One of the main objectives of CBT is to promote self-awareness and address unhelpful behaviors while also fostering motivation for positive change and building effective coping strategies. […] DBT for alcohol addiction treatment is centered around supporting individuals in transforming their behaviors. […] Motivational interviewing (MI) is a counseling method that helps people resolve deeper issues to find the internal motivation to change their behavior. […] The goal of MI is to help clients develop a positive attitude towards change.

• #23 Alcohol Use Disorder > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/alcohol-use-disorder

  The Food and Drug Administration (FDA) has approved three medications for the treatment of alcohol use disorder. In general, these medications aim to reduce cravings and consumption of alcohol. […] Family counseling. For people with alcohol use disorder and their families, this form of therapy helps all involved to identify and face consequences of alcohol use in order to support reduction in or abstinence from alcohol consumption. […] Mutual help groups. These include 12-step facilitation therapy programs like Alcoholics Anonymous in which participants actively help and support one another in their recovery from alcohol use disorder. […] Counseling and behavioral therapy. […] Cognitive-behavioral therapy (CBT). This form of therapy is based on the principle that ones thoughts, feelings, and behaviors can all influence one another. The goal is to help patients reduce or stop alcohol use by adjusting patterns of thinking and feeling that can lead to consumption of alcohol.

• #24 Therapy for Alcoholism | Alcohol.org

  https://alcohol.org/therapy/

  Dialectical behavioral therapy (DBT) was initially developed to treat people with long-term suicidal behaviors, but it has become most well-known for treating borderline personality disorder, a mental health issue commonly associated with concurrent substance abuse. The technique has since been effectively applied to treating substance abuse itself. DBT ultimately aims to help patients improve their lives by synthesizing a balance between the urge to avoid painful experiences and the need to accept some of the unavoidable pain associated with life. DBT technique works through the promotion of two opposing goals change and acceptance. […] Motivational interviewing was developed to increase an individuals engagement with recovery efforts and is effective at reducing substance use. It builds on the stages of change, helping people move from thinking about making a change to actively working toward it. This form of therapy for alcohol abuse can be used alone or in conjunction with other therapeutic practices. Motivational interviewing is a short-term therapy that can be offered in individual and group settings.

• #25 Therapy for Alcoholism | Alcohol.org

  https://alcohol.org/therapy/

  Contingency management (CM) uses rewards to reinforce behavioral changes. Small prizes or vouchers for items are offered in return for positive behaviors such as negative drug or breathalyzer results. Reward values may stay the same or increase with ongoing abstinence. The rewards stop in the event of negative behavior, such as relapse. […] Twelve-step facilitation therapy involves 12-step help groups such as Alcoholics Anonymous. As therapeutic approach, 12-step facilitation encourages attendance and active participation in 12-step meetings as a goal of promoting abstinence. Most sessions are individual, although some may include family members if desired. […] Addiction affects everyone within a family, and family behavior therapy has been shown to be effective in treating addiction. Family therapy technique addresses the addiction as well as the relationships within the family, employment, parenting issues, and behavioral concerns.

• #26 Evidence-Based Treatments for Alcohol Use Disorder

  https://dhhr.wv.gov/office-of-drug-control-policy/newsletters/Pages/Evidence-Based-Treatments-for-Alcohol-Use-Disorder.aspx

  Mutual support groups: These groups are comprised of peers (i.e., other individuals struggling with alcohol or drugs) that offer support to each other in recovering or maintaining recovery from alcohol or other drug dependence or problems. […] The good news is that no matter how severe the problem may seem, evidence-based treatment with medications, behavioral therapies, and mutual-support groups can help people with AUD achieve and maintain recovery.

• #27

  https://atriumhealth.org/medical-services/prevention-wellness/behavioral-health/substance-use-disorder-treatment

  Our aftercare treatment for substance use disorders includes: Education on recovery tools and preventing relapse, Introduction to additional community resources, Access to group meetings, where you receive support from others on the same journey, Instruction for the family in recovery, as substance use disorder impacts the entire family. […] A 12-step recovery program is a structured approach to addiction recovery that highlights mutual support and spiritual principles. Participants acknowledge the powerlessness over their addiction, surrender to a higher power and engage in self-reflection. The program involves attending meetings, working through steps that include personal inventory and making amends, and providing ongoing support to others in recovery. It aims to foster spiritual growth, accountability and a lifelong commitment to sobriety.

• #28 Alcoholism – Wikipedia

  https://en.wikipedia.org/wiki/Alcoholism

  Treatment of alcoholism may take several forms. […] Due to medical problems that can occur during withdrawal, alcohol cessation should be controlled carefully. […] One common method involves the use of benzodiazepine medications, such as diazepam. […] The medications acamprosate or disulfiram may also be used to help prevent further drinking. […] Various individual or group therapy or support groups are used to attempt to keep a person from returning to alcoholism. […] Among them is the abstinence based mutual aid fellowship Alcoholics Anonymous (AA). […] A 2020 scientific review found that clinical interventions encouraging increased participation in AA (AA/twelve step facilitation (AA/TSF)) resulted in higher abstinence rates over other clinical interventions, and most studies in the review found that AA/TSF led to lower health costs.

• #29 Find help for substance abuse | USAGov

  https://www.usa.gov/substance-abuse

  For substance abuse treatment and mental health referrals, contact the Substance Abuse and Mental Health Services Administration’s (SAMHSA) National Helpline at 1-800-662-HELP (4357). […] The Alcohol Treatment Navigator explains how to choose among different treatment programs. And it offers advice on getting support for yourself or a loved one through the recovery process. […] Find medication-assisted treatment (MAT). This combines medications with counseling and behavioral therapies to treat substance use disorders. […] SMART Recovery assists young people and adults with alcohol or other addictions through group therapy.

• #30 Medication assisted treatment for alcohol dependence | SA Health

  https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/conditions/alcohol/medication+assisted+treatment+for+alcohol+dependence

  Acamprosate (Campral) works on the brain – it acts on some of the same receptors and transmitters (messengers) as alcohol. It can help to restore the chemical imbalance in brain cells caused by long-term heavy alcohol use. Acamprosate can help to reduce craving for alcohol, making it easier to resist a lapse to drinking – studies have shown it doubles the chances of staying abstinent. […] Naltrexone also acts on the brain – it blocks the effects of alcohol on the opioid receptors that cause the high or lifting of mood experienced when drinking alcohol. As a result of taking naltrexone, craving for alcohol is reduced and drinking is much less pleasurable. There are some people who are particularly sensitive to the opioid effects of alcohol – they may have a strong family history of alcohol problems. Studies have shown that naltrexone halves the chances of relapsing to heavy drinking.

• #31 Types of Alcohol Treatment | Alcohol Treatment Navigator | NIAAA

  https://alcoholtreatment.niaaa.nih.gov/what-to-know/types-of-alcohol-treatment

  These two options can be used in combination and tailored to individual needs. […] There are four basic levels of care or intensity for alcohol treatment. These levels, as defined by the American Society of Addiction Medicine, include: Outpatient. Regular office visits for counseling, medication support, or both. […] Intensive outpatient or partial hospitalization. Coordinated outpatient care for complex needs. […] Residential. Low or high intensity programs in 24-hour treatment settings. […] Intensive inpatient. Medically-directed 24-hour services; may manage withdrawal. […] If a full assessment shows that lower intensity outpatient care is appropriate, you have several options. […] You can use the Navigator to find a high-quality, traditional outpatient program. […] Telehealth phone or video sessions. In many states, insurance companies and Medicaid now cover telehealth services. These are phone or video sessions for talk therapy or medical care.

• #32 Alcohol use disorder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/diagnosis-treatment/drc-20369250

  You’re likely to start by seeing your primary health care provider. If your provider suspects that you have a problem with alcohol, you may be referred to a mental health provider. […] Treatment for alcohol use disorder can vary, depending on your needs. Treatment may involve a brief intervention, individual or group counseling, an outpatient program, or a residential inpatient stay. Working to stop alcohol use to improve quality of life is the main treatment goal. […] Treatment for alcohol use disorder may include: […] Psychological counseling. Counseling and therapy for groups and individuals help you better understand your problem with alcohol and support recovery from the psychological aspects of alcohol use. You may benefit from couples or family therapy family support can be an important part of the recovery process.

• #33 Alcohol Addiction Treatment in Phoenix, AZ | Copper Springs

  https://coppersprings.com/alcohol-addiction-treatment/

  To meet a broad range of needs, we offer two types of outpatient treatment. Our short-term Partial Hospitalization Program (PHP) is designed for people who need comprehensive care while they maintain a work, home or school schedule. This program typically lasts two to four weeks and meets during the day or evening. Our Intensive Outpatient Program (IOP) meets for a minimum of nine hours per week to help you focus on long-term change. Both of these options provide medication management, therapy, and relapse prevention strategies. […] Your recovery starts with a confidential conversation a consultation and assessment with an experienced behavioral health professional. Assessments can be scheduled 24/7 by phone or chat, and we also take walk-ins 24/7. […] Based on your assessment, our team of doctors, nurses, therapists, and specialists will work with you to develop a treatment plan specifically for you. If you decide to get help with us, your treatment plan will evolve over time as your needs change. Your personal care team will be with you every step of the way. Your treatment plan will likely include a combination of recommended therapy, medication management, and health and wellness education. […] After completing your inpatient or outpatient treatment, we also offer Alumni Support Groups to help you continue your recovery. […] Alcohol addiction is a serious illness, and most people arent able to get sober on their own. You dont have to do it alone. Were here to help.

• #34 Treatment for Alcohol Addiction: A Guide

  https://www.alcoholhelp.com/treatment/

  The sooner you or a loved one gets help, the greater the chance for lasting sobriety. […] Choosing to get help for alcoholism is one of the biggest decisions a person will make in their life. […] Detoxification is the initial step in treating alcoholism, and it can also be the most difficult. […] Because of this, the alcohol detox stage should only be completed under professional medical care. […] After detox, you will be able to move forward with other forms of treatment and therapy. […] An inpatient rehab facility is the most structured treatment environment for those overcoming alcoholism. […] Treatment professionals provide around-the-clock care and will prepare you for life after rehab. […] Frequent meetings with an alcohol counselor are important for individuals to communicate and receive guidance during their recovery.

• #34 Treatment for Alcohol Addiction: A Guide

  https://www.alcoholhelp.com/treatment/

  Your therapist will also be able to work with you on any underlying issues that may be triggering your drinking problem such as peers, family relationships, work or other circumstances. […] In the United States, there are many government-issued services and resources that can help with alcoholism. […] The three stages of alcoholism treatment include: Detoxification, Rehabilitation, Maintenance. […] The detoxification stage is the first step in the recovery process. […] After the detoxification stage, you will begin rehabilitation. […] Attending support groups, such as Alcoholics Anonymous or Al-Anon, that offer encouragement and engagement with others in recovery, group leaders and sponsors can be a positive way to make a lifestyle change and maintain sobriety.

• #35 Alcohol use disorder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/diagnosis-treatment/drc-20369250

  Continuing support. Aftercare programs and support groups help people recovering from alcohol use disorder to stop drinking, manage relapses and cope with necessary lifestyle changes. This may include medical or psychological care or attending a support group. […] For serious alcohol use disorder, you may need a stay at a residential treatment facility. Most residential treatment programs include individual and group therapy, support groups, educational lectures, family involvement, and activity therapy. […] Alcohol use disorder commonly occurs along with other mental health disorders. If you have depression, anxiety or another mental health condition, you may need talk therapy (psychotherapy), medications or other treatment.

• #36 Private Rehab for Alcoholics – Priory

  https://www.priorygroup.com/addiction-treatment/alcohol-rehab

  Priory treatment programmes for alcohol addiction are centred around the 12-step recovery programme and CBT. However, we also offer many other approaches, including DBT, mindfulness, eye movement desensitisation and reprocessing (EMDR) and more. […] We offer free addiction aftercare for 12 months to everyone who has completed our 28-day addiction treatment programme. Aftercare consists of ongoing access to support and therapy groups, family support, help with your continuing care plan, and alumni events where you can meet with other recovering addicts. […] Therapy helps you understand and address the issues that have led to your addiction and develop coping strategies for future triggers. Therapy can take place on a 1:1 basis between you and a therapist, with your family, or in a small group of your peers, led by a therapist or facilitator.

• #36 Private Rehab for Alcoholics – Priory

  https://www.priorygroup.com/addiction-treatment/alcohol-rehab

  Our alcohol addiction treatment programmes include a range of therapeutic methods, such as the 12-step model, which provides guiding principles for ongoing recovery from addiction. Cognitive behavioural therapy (CBT) is another method we use, helping you to identify and address the underlying triggers and causes for your alcohol addiction. […] After 28 days of intensive residential treatment, transitioning back to normal life can be daunting. Our aftercare programme has been designed to help you as you return to normality after your initial course of treatment. You may be offered day care appointments or outpatient one-to-one sessions, to support you as you embark on early recovery. […] At Priory, we believe in a joined-up approach that treats the physical, mental and social elements of each person. Our treatment programmes offer a person-centred approach, greatly increasing the chance of sustained recovery and a good quality of life.

• #37 Drug and Alcohol Addiction Treatment – Everything You Need To Know

  https://www.addictioncenter.com/treatment/

  Supervised medical detoxification helps people safely go through the withdrawal process from substances until they are no longer present in their system. […] Sober living homes operate as a residential bridge between an inpatient treatment center and the return to everyday life. […] Patients may be prescribed medications during detox and treatment to help with their recovery. […] After finishing an addiction treatment program, it is highly recommended that a patient join a peer support group. […] 12-step programs are considered the gold standard by many for recovering from a substance use disorder or addiction. […] AA meetings provide a group of individuals that can all relate to one another on some level about their addiction to alcohol and how it has impacted their lives. […] An addiction counselors role is to provide unbiased support for individuals going through a treatment program. […] As youve already read, theres no shortage of medications and therapies to help one through each stage of the recovery process.

• #38 Overcoming Alcohol Addiction – HelpGuide.org

  https://www.helpguide.org/mental-health/addiction/overcoming-alcohol-addiction

  Alcohol recovery is a processone that often involves setbacks. Dont give up if you relapse or slip. A drinking relapse doesnt mean youre a failure or that youll never be able to reach your goal. Each drinking relapse is an opportunity to learn and recommit to sobriety, so youll be less likely to relapse in the future.

• #39 Alcohol Use Disorder | Ohio State Mental and Behavioral

  https://wexnermedical.osu.edu/mental-behavioral/substance-use-disorder-addiction-treatment/alcohol-use-disorder

  Typically, well recommend a combination of these treatment methods to treat your alcohol use disorder. […] Were able to provide any type of care no matter the severity of your condition. […] Acute withdrawal from alcohol can be life-threatening. […] The residential treatment unit offers a safe, supportive environment for those in recovery. […] After an inpatient stay, many people continue treatment in our partial hospitalization program. […] The next level of treatment at Ohio State is intensive outpatient treatment, which is a six-week program designed for you to maintain family and work responsibilities. […] Our outpatient programs continue the work of our more intensive programs to help restore your brain to its normal patterns. […] When youre looking for help with an alcohol addiction, choosing a facility that is safe, follows evidence-based therapies and cares for your success is important. […] Ohio States treatment of alcohol use disorder is unique in Columbus, because you can have all your treatment in one place. […] We can treat mental health disorders at the same time.

• #40 Treatment for Substance Use Disorder | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/addiction-and-recovery/drug-and-alcohol-treatment

  Treatment for SUD and addiction is highly personal theres not a single path to recovery that works for everyone. […] Our addiction medicine care teams can help members with severe SUD stop drinking or using drugs safely and comfortably. […] We offer inpatient and outpatient treatment programs for members with more severe problems with alcohol or drugs. […] Counseling can help members with SUD explore the reasons behind their drug or alcohol use and come up with new, healthy coping strategies. […] In some cases, our care teams prescribe medication to treat an underlying mental health condition, like depression or anxiety. […] Medication is typically used in combination with other treatment approaches, like therapy and self-care. […] The ultimate goal of treatment is recovery. […] Your care team can help you access recovery resources, including:

• #41 Alcohol Rehab Center in Chicago | Positive Sobriety Institute

  https://www.positivesobrietyinstitute.com/alcohol-rehab-chicago/

  It is critical that each patient that enters our care receives the help they need to overcome their alcoholism. This means treating an existing mental health disorder when present as well. PSI is one of the best alcohol rehabs in Illinois, and we are fully equipped to treat not only alcohol addictions, but any co-occurring mental health disorder as well. Patients facing a co-occurring disorder diagnosis require a unique, specialized treatment that our mental health professionals and addiction experts are able to deliver. […] At our alcohol rehab center in Illinois, we encourage each recovery patient to participate in alcohol addiction counseling as part of his or her recovery. Counseling has been proven to increase an individual’s motivation to break their addiction, help build the necessary coping and problem-solving skills for remaining sober, and provide family members with the opportunity to learn about their loved one’s addiction and how they can serve as an effective source of support.

• #42 Treatment for Alcohol Problems: Finding and Getting Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA)

  https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help

  Currently, there are three medications approved for AUD in the United States, and they are an effective and important aid in the treatment of people with this condition. […] Given the diverse biological processes that contribute to AUD, new medications are needed to provide a broader spectrum of treatment options. […] Overcoming AUD is an ongoing process—one that can include setbacks. […] Because AUD is a chronic, relapsing disorder, persistence is key. It is rare that someone would go to treatment once and then never drink again. […] Seeking professional help can prevent a return to drinking—behavioral therapies can help people develop skills to avoid and overcome triggers, such as stress, that might lead to drinking. […] When addressing drinking problems, it’s important to also seek treatment for any accompanying medical and mental health issues.

• #43 Psychedelic Drug Therapy May Help Treat Alcohol Addiction | NYU Langone News

  https://nyulangone.org/news/psychedelic-drug-therapy-may-help-treat-alcohol-addiction

  Two doses of psilocybin, a compound found in psychedelic mushrooms, reduces heavy drinking by 83 percent on average among heavy drinkers when combined with psychotherapy, a new study shows. […] Our findings strongly suggest that psilocybin therapy is a promising means of treating alcohol use disorder, a complex disease that has proven notoriously difficult to manage, says study senior author and psychiatrist Michael P. Bogenschutz, MD, director of NYU Langones Center for Psychedelic Medicine. […] Current methods to prevent excessive alcohol use and dependency include psychological counseling, supervised detoxification programs, and certain drug regimens that dampen cravings. […] According to study investigators, previous research had already identified psilocybin treatment as an effective means of alleviating anxiety and depression in people with the most severe forms of cancer. And earlier research by Dr. Bogenschutz and others suggested that psilocybin could serve as a potential therapy for alcohol use disorder and other addictions.

• #44 Types of Alcohol Treatment | Alcohol Treatment Navigator | NIAAA

  https://alcoholtreatment.niaaa.nih.gov/what-to-know/types-of-alcohol-treatment

  There are even accredited, all-telehealth alcohol treatment programs. […] A computer-based cognitive-behavioral therapy program, which any physician or licensed therapist can prescribe. […] Regardless of where or how you seek treatment, it’s important to look for approaches that are evidence-based. This means the treatments are backed by large, well-designed studies. […] In addition to professionally led treatment, many people benefit from mutual support groups. Here, too, are more options than people might expect.

• #45 Types Of Therapy For Alcoholism – Alcohol Help

  https://www.alcoholhelp.com/treatment/types-therapy-alcoholism/

  Studies have indicated that yoga and meditation can function as therapy for people with substance use disorders, especially if the sessions are led by a mental health professional and supplement other treatment. […] Online therapy has grown tremendously in popularity since the COVID-19 pandemic, and is now considered to be an effective way to treat a host of conditions, including alcoholism. […] With so many therapy options, there is hope for anyone with an addiction to recover. If you or someone you know has a problem with drugs and alcohol, take action today and contact a treatment provider to learn more about treatment options.

• #46 What Is The Most Effective Treatment For Alcohol Dependence?

  https://www.peacevalleyrecovery.com/alcoholism/effective-treatment-for-alcohol-dependence/

  Below, we’ll examine the most effective therapies for alcohol dependence. […] At Peace Valley Recovery, we don’t believe in the “cookie cutter” approach many treatment facilities utilize. […] One of the most effective approaches to treating alcohol dependence is cognitive behavioral therapy (CBT). […] There are currently three medications approved by the U.S. Food and Drug Administration (FDA) that helps people stop drinking and prevent relapse. […] Family therapy is essential for a few reasons – it helps the family understand that addiction is a disease – and it facilitates a safe space to help begin healing the damages caused by active addiction. […] The effectiveness of a treatment option depends on various factors. […] The only way to find out the best option for you is to seek guidance from a medical professional at Peace Valley Recovery. […] If you’re ready to tackle your alcohol addiction head on, then it’s time to give us a call.

• #47 Alcohol use disorder: Pharmacologic management – UpToDate

  https://www.uptodate.com/contents/alcohol-use-disorder-pharmacologic-management

  For individuals without co-occurring disorders the choice of agent is guided by treatment goal and patient preferences: Treatment goal is complete abstinence – In individuals whose goal of treatment is complete abstinence, we typically use disulfiram. This is particularly true in an individual who is able to take the medication with supervision. However, we avoid disulfiram in those with advanced liver disease or in those with difficulty understanding the interaction between disulfiram and alcohol (eg, disulfiram reaction). Treatment goal is reduction of use – In individuals whose goal is reduction of use we choose from among naltrexone, acamprosate, and topiramate. Patient preference is a strong consideration (eg, monthly injection versus daily medication). […] The presence of specific co-occurring disorders is a prominent factor in our choice of initial pharmacologic management of alcohol use disorder. In individuals with one or more co-occurring disorders our choice of pharmacologic management is dependent on the effects of the disorder on the agent (eg, liver dysfunction impairs metabolism of agents) and the potential benefits of the agent in treating the co-occurring disorder (eg, topiramate in appropriate individuals with a seizure disorder, naltrexone in individuals with opioid use disorder).

• #48 Top 3 Evidence-Based Approaches to Alcohol Addiction Treatment

  https://blueheronrecovery.com/top-3-evidence-based-approaches-to-alcohol-addiction-treatment/

  Alcohol use disorder (AUD) is a medical condition that affects individuals’ ability to regulate their alcohol consumption, even when faced with negative impacts on their social life, work, or health. […] Fortunately, evidence-based alcohol addiction treatment, along with medication management in certain cases, can assist individuals with AUD in attaining and sustaining recovery. […] It is crucial to match the alcohol addiction treatment modality to the individual in order to achieve the best possible outcome. Comprehensive treatment takes into account all aspects of an individual’s well-being, going beyond solely addressing drug or alcohol abuse. Behavioral therapies, including individual, group, and family approaches, are widely recognized as effective forms of treatment. […] At Blue Heron Recovery, we utilize a variety of evidence-based approaches within our alcohol addiction treatment program. Three of the most common modalities we use include: Cognitive-behavioral therapy (CBT), Dialectical behavior therapy (DBT), Motivational interviewing (MI).

• #49 Alcohol Addiction Treatment | Alcohol Dependence Counseling

  https://www.psychiatrynyc.com/addiction-treatment/alcohol-addiction/

  The best alcohol addiction treatment combines different modes of psychotherapy, including but not limited to Cognitive Behavior Therapy and Motivational Interviewing. […] Fifth Avenue Psychiatry’s alcohol addiction treatment combines pharmacological and non-pharmacological methods customized for maximum efficacy. […] A combination of behavioral therapies, counseling, and medication is the most effective form of treatment for alcoholism. Cognitive behavioral therapy (CBT), in particular, has been shown to improve behaviors and symptoms associated with alcohol use disorder. […] At Fifth Avenue Psychiatry, we carefully assess and work with each client or family member to find the right treatment goals, whether that be a controlled drinking program or abstinence as a goal.

• #50 IDHS: Division of Alcoholism and Substance Abuse – IDHS 4025

  https://www.dhs.state.il.us/page.aspx?item=57363

  Alcohol and other drug treatment is cost effective. Each $1 invested in treatment equals $4 to $7 in savings on crime and criminal justice costs alone. […] Treatment reduces drug use by 40 to 60 percent, which is comparable to success rates of treatments for other chronic diseases, such as asthma and hypertension. […] 57.5% of those who entered alcohol and other drug services completed treatment […] 72.1% of those receiving treatment for alcohol problems were abstinent from alcohol use at discharge […] 67.8% of those receiving treatment for drug problems were abstinent from drug use at discharge.

• #51 Alcohol use disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/symptoms-causes/syc-20369243

  If your pattern of drinking results in repeated significant distress and problems functioning in your daily life, you likely have alcohol use disorder. […] Early treatment is important. […] If you feel that you sometimes drink too much alcohol, or your drinking is causing problems, or if your family is concerned about your drinking, talk with your health care provider. Other ways to get help include talking with a mental health professional or seeking help from a support group such as Alcoholics Anonymous or a similar type of self-help group. […] Many people with alcohol use disorder hesitate to get treatment because they don’t recognize that they have a problem. An intervention from loved ones can help some people recognize and accept that they need professional help. If you’re concerned about someone who drinks too much, ask a professional experienced in alcohol treatment for advice on how to approach that person.

• #52 Alcohol use disorder: Pharmacologic management – UpToDate

  https://www.uptodate.com/contents/alcohol-use-disorder-pharmacologic-management

  For individuals with a good response to treatment (met treatment goals) with pharmacologic management, we continue treatment for at least one year. For inadequate response to initial agent, we choose each of the other initial pharmacotherapy agents that are clinically acceptable in succession. […] While ketamine, glucagon-like peptide 1 agonists, nalmefene, and others have shown limited data supporting their use, we do not recommend these agents until further studies support their efficacy.

• #53 Alcohol Use Disorder (AUD) Treatment: MedlinePlus

  https://medlineplus.gov/alcoholusedisorderaudtreatment.html

  Another name for behavioral therapies for AUD is alcohol counseling. It involves working with a health care professional to identify and help change the behaviors that lead to your heavy drinking. […] For most people, treatment for an AUD is helpful. But overcoming an alcohol use disorder is an ongoing process, and you may relapse (start drinking again). You should look at relapse as a temporary setback, and keep trying. Many people repeatedly try to cut back or quit drinking, have a setback, then try to quit again. Having a relapse does not mean that you cannot recover. If you do relapse, it is important to return to treatment right away, so you can learn more about your relapse triggers and improve your coping skills. This may help you be more successful the next time.

• #54 Is there a cure for alcohol problems? | UKAT blog

  https://www.ukat.co.uk/blog/substance-abuse/alcoholism-cure/

  Counselling is an integral part of alcohol recovery. It goes hand-in-hand with both prescription medications and detox. […] Selecting the right treatment is more about research than anything else. […] Recovering from alcoholism is rarely easy. It is a long, time-consuming journey that requires continually putting one foot in front of another. […] For a lot of recovering alcoholics, relapse is a normal part of the process that has to be overcome. […] We encourage you to seek out counselling that will help you cope with the situation you find yourself in. […] However, just because alcoholism cannot be cured does not mean that it cannot be effectively treated and managed. It is, therefore, possible to live an alcohol-free life without ever experiencing a return to alcohol use.

• #55 Alcohol Use Disorder: What It Is, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/3909-alcoholism

  Studies show most people with this condition recover, meaning they reduce how much they drink, or stop drinking altogether. People do relapse. They may start drinking to cope with stressful events like losing a job, going through a divorce, or dealing with a death in their family or a close friend. Talk to your healthcare provider if you’re under stress and think you may be at risk for relapse. […] If you think you may have alcohol use disorder, you’re not alone. This condition affects millions of people. Realizing you may have an issue is the first step toward getting better, so don’t hesitate to talk to a healthcare provider. They’ll recommend treatments and resources to help you recover from alcohol use disorder.

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