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"I just want to say thank you for the support provided by Headway. We have had our new full time staff, Liz, for a week and many positive outcomes are being felt building wide."

-Shannon McParland, Principal, Sioux Trail Elementary

Charlie Greenman's Thoughts on Alcohol Dependence

Posted April 7th, 2014 @ 12:04pm by: Macey Mueller

By: Charlie Greenman, MA, LP

Alcohol Dependence, or alcoholism, is a dangerous, chronic and progressive condition that exists in roughly 10% of our population. Almost every day I hear about someone who has killed, assaulted or injured someone due to alcohol abuse or dependence. About one in four of us are affected by someone with this disease. Children who grow up in homes with active alcoholism run a much higher risk of sexual, physical or emotional abuse. These children may also be at higher risk for becoming alcoholic themselves or having emotional attachments to and/or marrying alcoholics. This disease often skips generations and if untreated, can result in health problems, emotional problems and behavior problems that persist for many years, even resulting in premature death.

Someone who is alcohol dependent does not need to drink every day, have physical damage from drinking, be impoverished, unemployable or in trouble with the law. However, this is an illness that occurs on a continuum and if it is untreated it can lead to these and other, even worse outcomes. What is fundamentally true for an alcoholic is that alcohol functions as a solution to every problem and becomes a primary relationship that eventually excludes all others. The drinker begins to rely more on alcohol for comfort, companionship and, eventually, to avoid serious withdrawal symptoms. Family members and loved ones frequently find themselves caught in a cycle of what is called co-dependence: they become just as preoccupied with the alcoholic as the alcoholic is with alcohol by trying to control, change and otherwise influence the drinker to STOP DRINKING. These efforts usually fail, because they are trying to change something beyond their control, and can also enable the alcoholic to continue his or her destructive behavior. Once family members stop trying to fix the alcoholic themselves, much can be done, including accessing effective treatment for both the alcoholic and family members.

Alcohol Dependence is one of the most treatable conditions I deal with as a psychotherapist at Headway. It is very rewarding to see individuals and their families recover and heal from the impact of this devastating condition. To begin the healing process, someone -- the alcoholic or a loved one - needs to honestly admit what is going on and that drinking is the problem. Due to denial, stereotypes, shame and embarrassment this is often a difficult step to take. Without it, conditions will likely deteriorate and nothing will change. Acceptance of the problem is the first step in 12 step groups such AA, Alanon and Alateen that provide support and information about the disease and more importantly, the recovery process. This first step is the admission that the alcoholic and family are all "powerless over alcohol and that their lives have become unmanageable." These groups can be powerful allies in combating the problem once the first step is taken. Because alcoholism is so isolating for everyone I favor these kinds of groups as they help the alcoholic and family members to realize that they are not alone and that others have struggled in much the same way with the disease.

Many people find that formal treatment is an effective way to address the dysfunction due to alcohol dependence. This treatment can take place in a residential or outpatient setting and can last for weeks or months. The most effective treatments of this kind include an intensive inpatient or outpatient component and longer, less intensive aftercare. It is quite common for an alcoholic to have another mental health disorder and this should be addressed during and after any primary phase of treatment. Traumatic experiences including childhood and adult abuse, combat, or severe injury must also be addressed to prevent relapse. In my work I particularly value being able to help people who are in the recovery phase of their treatment. They have started to build a support network, have remained sober and are beginning to see themselves as valuable and worthy individuals. This is also a time when couples and family therapy can be beneficial. Families in recovery have a lot of change to navigate and are usually developing new roles and ways of communicating with each other. While these are positive changes they can feel overwhelming and frightening, especially for children. Providing a safe place in family therapy to build trust and enable honest conversation relieves children from feeling responsible for their parents' well-being.

For additional helpful resources, please visit:

The National Institute on Alcohol Abuse and Alcoholism

www.niaaa.nih.gov

or

www.minnesotarecovery.org

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