I am the sister of the patient. My brother who is about 37 years has got excessive drinking behaviour. Over the years he has become increasingly abusive and violent. Has landed in various legal troubles due to this behaviour. Sometimes under the effect of alcohol and sometimes deliberately. He even tried to kill his wife. Do you think he can be managed with medications or need hospitalisation?
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Lybrate user, Alcohol dependence over a period of time changes a person's behaviour. Its the reward seeking behaviour that takes over and alcohol use takes precedence over everything else. However these behavioral changes can be brought under control with abstaining from alcohol and treatment. It consists of 3 stages- 1) detoxification 2) deaddiction 3) rehabilitation. Alcohol user benefits from admission at hospital/ rehabilitation centre where alcohol will not be available. Also medicines can be given to reduce craving for alcohol. So yes, he can be managed by treatment with medicines and hospitalisation.
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Alcohol dependence involves intense craving or desire to drink alcohol. People drink for pleasure or rationalize it on external factors like family problems, work tension, etc. They drink continuously, i.e. Almost daily or even weekly once or twice with withdrawal symptoms, tolerance, bodily damage, etc. You need to consult a psychiatrist and go for 3 steps of de addiction. 1st is detoxification, when alcohol is stopped and the withdrawal is made smooth with minimal discomfort, 2 nd is maintenance and further deaddiction when the physical problems and psychological state of the individual is maintained and anti-craving drugs started 3 rd rehabilitation, when relapse prevention is the goal, while maintaining deaddiction. Your brother seems to indulge in very violent behaviour with legal issues. Ideal will be in patient treatment in a de-addiction centre.
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