Friday, 13 June 2014

Alcohol Abuse and Stress


alcohol abuse treatmentIt’s common for people to use alcohol to help them cope with stresses in life. Alcohol drinking can lead to a short-term state of euphoria with feelings of happiness and relaxation. However, when stress is constant and you continue to drink alcohol to deal with life’s troubles, problem drinking is likely to arise. Heavy drinking will start to work against you and put you at higher risk for negative long-term effects on your body, including a host of medical and psychological problems, as well as increasing your risk for alcohol abuse and alcohol dependence.

Types of Stress

Life Stress
Marriage, divorce, moving, and career change are all examples of basic life stressors.  Also, death of a friend or family member, problems at home or work, or diagnosis of an illness can be categorized as sources of life stress as well. Life stress often results in untreated depression and anxiety.  Something to keep in mind, however, is that those with an alcohol use disorder (AUD) are at higher risk for these types of stresses. For instance, drinking alcohol can cause tension in personal relationships, problems at work, and legal ramifications.

Disasters and Catastrophes
Some studies have shown that consumption of alcohol increases in the first year after a disaster, whether it is manmade or natural. It is notable that a lot of this research focuses only on problem drinking and not on alcohol abuse per se. Studies that looked at the development of alcohol abuse after a catastrophic event are not conclusive.  For example, some studies found no increase of alcohol abuse in survivors of catastrophic events like 9/11, Hurricane Andrew, and the Oklahoma City bombing; however, there are other studies of the September 11 survivors that did find increased alcohol abuse. Similar results with respect to alcohol abuse were found in the events of Hurricane Katrina, Mount St. Helens eruption, and many other events.  However, people who experience anxiety, including PTSD, are at higher risk for abusing alcohol compared to those without an anxiety disorder.

Troubles from Childhood
Childhood stress, including emotional, sexual, and/or physical abuse or neglect are among the most prominent of childhood stressors that can lead to alcohol abuse later in life. These stressors have long-term effects on a person’s life and account for a large proportion of psychopathology in adults, primarily involving major depression, chronic depression and anxiety disorders.  Studies have shown that childhood abuse increases the risk for both adolescent and adult alcohol use, as well as a higher rate of adult alcohol abuse.  Maltreatment or abuse in childhood is likely to occur more often in children of alcoholics because of poor parenting practices and possibly genes that increase the risk of alcohol abuse. Further psychological research is necessary in order to learn how the childhood stresses and abuse relate to alcoholism.

Socioeconomic Stress
Prejudice and discrimination as a result of minority or poverty status can lead to a high degree of stress, which can be emotional and/or physical. These stressors can be mild, such as being followed around in a store, or extreme, like being the victim of a hate crime. Long term socioeconomic stress, emotional and physical abuse are all associated with lifetime incidence of depression, anxiety and alcohol abuse.

How Stress Effects the Body
Stress is a state of emotional and psychological strain brought on by events that foster feelings like anger, anxiety, fear, or sadness. Stress is characterized by anything that threatens your body’s ability to function in its normal fashion. Drinking alcohol further impairs the body’s functioning, putting you at an even higher risk of harm by worsening the response to stress.  Continuous stress along with chronic heavy alcohol drinking can impair the body’s ability to return to its initial physiologic balance.

Higher Risk Individuals
Studies have shown that both men and women with higher-than-normal stress levels tend todrink alcohol more frequently. Furthermore, men were found to drink alcohol as a coping mechanism more often than women. For instance, in people who reported at least six stressful events, alcohol binge drinking was approximately 1.5 times higher in men than in women, and alcohol abuse was about 2.5 times higher in men than in women.

Veterans are more likely to use alcohol to relieve stress, especially if they’ve seen active combat. Posttraumatic stress disorder (PTSD) is often found in veterans who’ve seen war (about 14 to 22 percent in recent years), which makes them at higher risk of alcohol abuse and alcohol dependence.

Stress and Recovery
Patients who’ve gone through alcohol recovery programs often relapse in order to alleviate cravings, treat anxiety, and help with insomnia. Relapse can also happen if underlying disorders, like depression or PTSD are untreated during rehab. Dual diagnosis, otherwise termed as co-morbid or co-occurring disorders or “double trouble”, is a term referring to co-existing medical conditions, namely one or more psychological disorders occurring at the same time with alcohol and / or drug abuse or dependency. Mental health disorders commonly associated with alcohol or drug abuse or dependency include depressive and anxiety disorders, and are some of the most frequent dual diagnosis disorders.

Dual Diagnosis Rehab
Because our treatment center relies on evidence based practices, our Substance Abuse Intensive Outpatient Program shares many common methods with other successful rehab programs.  The foundations of our dual diagnosis treatment program for substance abuse also rely on the principles of harm reduction, motivational interviewing, stages of change and cognitive behavioral therapy to promote recovery from alcohol abuse and drug abuse treatment. In fact, our Intensive Outpatient Program in Memphis, TN that has been proven to be effective in the treatment of dual diagnosis disorders involving alcohol abuse and drug treatment in peer reviewed treatment outcome studies.   Our treatment center  provides services to those who need more treatment than one hour a week, but less than 24 hour care, by providing three hours of treatment per day, three to five days per week, in an intensive outpatient setting.  If you or a loved one is showing signs of a  dual diagnosis disorder, alcohol abuse or needs drug treatment rehab, they should be assessed by a trained mental health professional who can help design a treatment plan that can result in recovery. Treatment for substance abuse can be highly successful.  Call us at 901-682-6136 to schedule an appointment.

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