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Recommend Evidence-Based Treatment: Know the Options National Institute on Alcohol Abuse and Alcoholism NIAAA

A successful intervention must be planned carefully to work as intended. A poorly planned intervention can worsen the situation — your loved one may feel attacked and become isolated or more resistant to treatment. An intervention presents your loved one with a structured opportunity to make changes before things get even worse, and it can motivate him or her to seek or accept help. For more information about treatment options, see NIAAA’s Treatment for Alcohol Problems booklet.

What are 3 interventions or treatments for alcoholism

At the same time, it’s a way to get higher quality, one-on-one care that maintains privacy. Research shows that most people who have alcohol problems are able to reduce their drinking or quit entirely. Overall, gather as much information as you can about the program or provider before making a decision on treatment.

Treatment for Alcohol Problems: Finding and Getting Help

Consequently, before beginning long-term alcoholism treatment, many patients require a detoxification period during which they become alcohol free under controlled conditions. Depending on the severity of the withdrawal symptoms, those services can be delivered in either an inpatient or outpatient setting. In addition to 12-step programs and behavioral therapies, one pharmacological agent, disulfiram (Antabuse®), has been available and used in alcoholism treatment since the late 1940s. Food and Drug Administration (FDA) also approved the medication naltrexone (ReVia™) for alcoholism treatment based on the results of randomized clinical trials. To date, however, naltrexone is not widely used, although pharmacotherapy has shown promising results in improving treatment outcome. Alcohol is a major contributor to global disease and a leading cause of preventable death, causing approximately 88,000 deaths annually in the United States alone.

The term “behavioral treatment” is used broadly here to include various nonpharmacological therapies whose objective is to change behavior (i.e., to reduce alcohol consumption). These approaches include behavioral therapy, cognitive therapy, various types of psychotherapy, counseling, and other rehabilitative strategies. To help colleges and universities identify interventions appropriate for their campuses, NIAAA created CollegeAIM—the College Alcohol Intervention Matrix—in conjunction with leading college alcohol researchers. CollegeAIM is a comprehensive, easy-to-use tool that rates nearly 60 individual- and environmental level interventions based on factors such as effectiveness, cost, and ease of implementation.

Advances in the science and treatment of alcohol use disorder

Ideally, health professionals would be able to identify which AUD treatment is most effective for each person. NIAAA and other organizations are conducting research to identify genes and other factors that can predict how well someone will respond to a particular treatment. These advances could optimize how treatment decisions are made in the future.

  • A specialist can conduct the intervention, but the family members of the alcohol abusers have to be present during the session.
  • An additional challenge to development of pharmacological treatments for alcohol use disorder is the high placebo response rates seen in drug trials (106).
  • A talk therapy session could take place in a one-to-one, group, or family setting.
  • If your loved one doesn’t accept treatment, be prepared to follow through with the changes you presented.
  • These advances could optimize how treatment decisions are made in the future.

Controlled European studies have found that acamprosate treatment can almost double the abstinence rate among recovering alcoholics (Sass et al. 1996). Researchers in the United States are currently conducting a multisite randomized clinical trial of acamprosate. Hayashida (1998) has indicated that outpatient detoxification offers several advantages. For example, the patient may be able to use the same facility for both detoxification and subsequent long-term outpatient treatment. In addition, the patient may be able to more easily maintain family and social relationships and thus experience greater social support. Finally, the costs are lower for outpatient than for inpatient detoxification.

Behavioral Treatment Approaches and their Efficacy

This level of care allows patients to attend treatment during the day before heading back home when the day is over. In PHP, you’ll check in 5 days a week and will receive 4 hours of group therapy daily. Conversely, according to one large, well-designed study, disulfiram did not increase the rate of sustained abstinence or time to relapse among the patients (Fuller et al. 1986). In addition, only a subgroup of study participants (i.e., patients who showed evidence of greater social stability) drank less frequently when taking disulfiram than did patients with similar characteristics who received an inactive medication (i.e., a placebo) or no medication.

  • In addition to the medications described here, scientists are evaluating other pharmacotherapeutic approaches to alcoholism treatment (for more information on recent advances and future trends in pharmacotherapy, see the article in this issue by Johnson and Ait-Daoud, pp. 99–106).
  • For more information about treatment options, see NIAAA’s Treatment for Alcohol Problems booklet.

Individuals with alcohol dependence may drink partly to reduce or avoid withdrawal symptoms. Developmental factors are not the only consideration in designing preventive interventions. A person’s genetic makeup, health status, demographic and cultural background, and individual life experiences are also important factors, as is the broader sociocultural context in which one lives. This may include alcohol-related policies, community attitudes toward alcohol use, and exposure to social media. Such individual and environmental determinants, as well as interactions among them, affect the likelihood that a person will misuse alcohol, develop AUD, or suffer adverse alcohol-related outcomes. In the 1980s, animal studies discovered that naltrexone also reduced alcohol consumption.

Factors contributing to the effectiveness of treatments

An indirect meta-analysis of these two drugs concluded that nalmefene may be more effective than naltrexone (33), although whether a clinically relevant difference between the two medications really exists is still an open question (34). Network meta-analysis and microsimulation studies suggest that nalmefene may have some benefits over placebo for reducing total alcohol consumption (35, 36). The approval of nalmefene in Europe was accompanied by some controversy (37); a prospective head-to-head trial of nalmefene and naltrexone could help clarify whether nalmefene has added benefits to the existing medications available for alcohol use disorder. Last, nalmefene was approved in Europe as a medication that can be taken “as needed” (i.e., on days when drinking was going to occur).

What are 3 interventions or treatments for alcoholism

The past decade has seen remarkable advances in alcoholism treatment research. Researchers and treatment providers now have a better understanding of the effectiveness of nonpharmacological treatments and of key elements in 12-step programs. In addition, research on effective pharmacotherapies for alcoholism is entering a new era.

What are the different levels of intensity for AUD treatment?

It is believed that the main reason the Sinclair Method has not caught on in the U.S. is two-fold. In the U.S., 12-step programs based on abstinence seem to dominate treatment plans prescribed by doctors, and doctors do not like that the Sinclair Method encourages people with alcohol dependency problems to continue drinking. With less than one percent of those seeking help for alcohol dependence receiving a prescription, medication is underutilized.

A large body of evidence shows that both individual and environmental interventions can be effective at preventing alcohol-related harm. Effective environmental interventions for college students include restricting happy hours and alcohol price promotions, banning Sunday alcohol sales, enforcing minimum drinking age laws, and increasing the cost of alcohol. „Although medical management is somewhat more intensive than the alcohol dependence interventions offered in most of today’s health care settings, it is not unlike other patient care models such as initiating insulin therapy in patients with diabetes mellitus.“

Groups for family and friends

It was first manufactured by Wyeth-Ayerst Laboratories under the brand name Antabuse. Disulfiram was first developed in the 1920s for use in manufacturing processes. The alcohol-aversive effects of Antabuse were first recorded in the 1930s.

  • Thanks to years of research, doctors and health professionals now have a full menu of options to treat alcohol use disorders.
  • People who are getting treatment for AUD may also find it helpful to go to a support group such as Alcoholics Anonymous (AA).
  • You may not know what to do when your friend or family member drinks too much.
  • AUD may be somewhat different for everyone, and for that reason, a variety of treatment approaches are available to better speak to each person’s individual needs.

Patients with less severe AUD may be able to receive treatment in primary care via brief interventions (see Core article on brief intervention) and FDA-approved AUD medications. For people with more severe AUD or with mental health comorbidities, it’s wise to seek evidence-based behavioral health treatment with a licensed professional therapist to set the stage for lasting change (see Core article on mental health issues). However, regardless of your level of alcohol abuse, seeking the guidance of medical and mental health professionals can promote a better understanding of this chronic disease and help inform the course of treatment that you ultimately select. Some alcoholics suffer from co-occurring psychiatric conditions, such as depression and anxiety. In some patients, these psychiatric conditions precede, and possibly even precipitate, alcohol abuse and dependence.

Currently, the vast majority of alcoholic patients are treated in outpatient facilities. Those programs offer alcoholism services of various intensity and duration. Day hospital programs (i.e., intensive outpatient programs) involve the patient for several hours per day, several days per week and were developed as alternatives to inpatient programs. Day hospital programs allow the patients to maintain their family roles while simultaneously receiving treatment. Less intensive out-patient services generally offer counseling sessions (i.e., group sessions, individual sessions, and—if necessary—family or couples therapy) once or twice per week. For many patients, those services are intended as maintenance therapy after the patients have received initial inpatient or intensive outpatient treatment.

  • As a result of their varied treatment histories, the two groups differed in certain patient characteristics.
  • Gaining a better understanding of recovery in the absence of treatment, particularly modifiable psychological, neurobiological, and epigenetic factors, could provide novel insights for medications and behavioral treatment development.
  • Common side effects of naltrexone may include nausea, headache, dizziness, and sleep problems.
  • Evaluate the coverage in your health insurance plan to determine how much of the costs your insurance will cover and how much you will have to pay.
  • In addition, the typical length of stay in inpatient programs has decreased substantially.
  • Emergency department (ED) clinicians are in a unique position to interact with people struggling with opioid addiction…
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Sober Living Home Tharros House Sober Living in Boston Massachusetts

Visit the Vanderburgh House website to learn more about their sober homes. We were founded jointly by Vanderburgh House, an operator of sober houses in Massachusetts, and Vanderburgh Communities, an organization supporting sober living and recovery home operators. We’re expanding across the United States as our resources permit! If you would like to add a listing to our sober house directory, please let us know. Established with a mission to help residents achieve life-long recovery by providing the most nurturing environment, Eco Sober House is a refuge for individuals attempting to abstain from alcohol and drugs.

sober house boston

It means that the center establishes and promotes a healthy lifestyle, ensures a comfortable and safe stay for person service applying, and takes measures to combat alcoholism, drug addiction, and gambling. Eco Sober Houses are a transitional living in Boston, MA, that offers guidance in a period of healing, innovative programs that maintain your progress, and a safe environment that caters to your unique system of healing and support. Living at Eco Sober Houses’ many recovery homes will help you maintain a life of sobriety, as well as help Eco realize its mission of helping residents achieve life-long recovery. The charges of wire fraud and wire fraud conspiracy provide for a sentence of up to 20 years in prison, three years of supervised release and a fine of up to $250,000.

Eco Sober House Boston Rehabilitation Program and Services

The Massachusetts U.S. Attorney’s office charged a Kingston sober home owner with 43 counts of wire fraud, mortgage fraud, money laundering, and other charges related to several different schemes Tuesday. The Eco Sober House price for services should be discussed in advance. For example, addiction may take longer to overcome, or, conversely, the program participant quickly recognizes the problems and goes through the steps to overcome them. Therefore, we recommend that you discuss the features and terms with managers, as well as the conditions of your stay in the center. Eco Sober House offers an inclusive 12-step program complemented with counseling and an encouraging, supportive environment.

How long have sober houses been around?

Polcin and Henderson explain that SLHs began in the 1830's through institutions like the YMCA, YWCA, and the Salvation Army. Unlike today, these homes were generally run by religious groups with strong convictions about sobriety, and residents were often required to participate in religious services.

These meetings are designed to help clients acquire a comprehensive skillset to aid their recovery process. At Arlo House, we know that every recovery journey is unique. We support clients as they ease their way back into life by giving them support in navigating day to day living, while maintaining a foundation of structure that guides them as they begin to build a new life for themselves. We offer our clients a variety of support services and state-of-the-art facilities. Cleggett — the owner of the business, which he founded in 2016, according to the indictment — was separately charged with four counts of wire fraud and two counts of making false statements to a mortgage-lending business. The rules at every sober living house may be different, but generally, there are common-sense limitations on things you can and can’t bring with you.

Sober Houses in Massachusetts

Studies confirm that the absence of a stable, alcohol and drug free living environment is a monumental obstacle to maintained sobriety for even the most motivated individuals (see the latest study here). Massachusetts sober houses are certified by the Massachusetts Alliance for Sober Housing or MASH. In Cleggett’s case, he reportedly enlisted Bay Staters suffering from drug addictions to go to dubious recovery centers in South Florida. Two men whose move Cleggett allegedly “brokered” died of drug overdoses soon after, but Cleggett denied involvement. In 2017, The Boston Globe and STAT wrote that Cleggett was allegedly engaging in a practice called “brokering” through his sober homes. There were periods when I stopped drinking, but not for long.

Regardless of one’s race, heritage, religious beliefs, gender, or sexual identity, Eco Sober House accepts and enjoins its residents to its programs with utmost inclusivity. After hard work, I wanted to get rid of fatigue and the inability to change something in my life. Ended up waking up beaten and robbed in an incomprehensible area of the city.

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One Year of Sobriety: My Experience & What You Can Expect When You Quit Drinking

And there’s no services out there. And I’m sort of on this mission to a couple of recovery V standards. So, I’ve done I brought this workshop to Betty Ford Hazleton, and I’m invited to do it in different treatment programs. And it’s so well received, but it’s really at the beginning phases of trying to change how we do recovery. Yeah, the antidote really is expressing your thoughts, your feelings and your needs, it gets right back to it. The original antidote was described as creating a culture of appreciation.

What happens after a year of sobriety?

After a year of sobriety, you'll find you're thinking more clearly, you can remember things better, and you can focus and make decisions better. Those feelings of anxiety and depression that were likely a part of your life after the first few months of sobriety are now gone.

Because drugs or alcohol aren’t an all-consuming addiction anymore, spouses can fully be present and enjoy each other’s company—and that can lead to a renewed appreciation of each other. There is also a greater understanding of a partner’s trigger situations, and couples know how to avoid them. Couples may also be taking the necessary steps to make sure their marriage stays healthy.

How Long Till I Am Sober?

Putting a marriage back together after rehab won’t be easy, but it can be done with hard work, patience, and communication. Professional help is recommended as a couple works to rebuild their relationship. At Tulip Hill Recovery in Murfreesboro, sober house Tennessee, we are a family-run facility offering comprehensive rehab for drug and alcohol addiction. We understand healing involves more than just those struggling with addiction. Families deserve to heal in a safe environment.

What is the hardest month of sobriety?

For many people, the first few weeks of sobriety are the hardest. You may have withdrawal symptoms that are physically and emotionally uncomfortable. Cravings are also common during this time, which can tempt you to relapse. Treatment can help you get through this challenging period.

Once compromised, trust is very challenging to get back. Substance abuse can create a rift between spouses, causing trust issues, communication breakdowns, and financial strain. This means that when someone enters recovery, it is not only a personal journey but also a journey that impacts their loved ones and their closest relationship.

Getting Help for Your Alcoholic Spouse

In AA if that’s not possible, at least their beverage of choice. And to this day, we don’t have any wine in the house red wine in between my husband drinks beer, and occasionally heard out called that was never as it didn’t call to me. And so, you know, some women are like, it’s my problem. I don’t want to impact anyone else. And I’m just like, well, when you’re trying to eat healthy, you serve your husband, asparagus and chicken and he just has to deal with it.

  • So, people who’ve been impacted by alcohol need, really to look at what am I feeling?
  • It is normal to have some feelings of uncertainty and discomfort when you decide to stop drinking, but over the long term, sobriety comes with numerous benefits.
  • And I know that when I was drinking, you know, I mentioned that sometimes I didn’t remember stuff.
  • So, there’s, there’s resources there.
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How Long Does Weed Marijuana Stay In Your System

The main components of cannabis include tetrahydrocannabinol (THC) and cannabidiol (CBD). Also, please refrain from asking advice about legally or governmentally administered tests (includes probation, court, DOT, military, governmental jobs etc.). Although they’re not very different from any regular pre-employment test, I can’t help specifically with these due to legal reasons. I’ve always been an avid researcher when it comes to things of interest or that matter to me.

  • Another issue often brought up is that hair tests pick up more carboxy THC from darker-colored hair, due to the greater presence of eumelanin, which the metabolite bonds with.
  • A urine drug test is used to test for drug use over the three days preceding the test.
  • Testing positive for marijuana may be a sign of substance abuse issues or addiction.
  • Namely, after you’ve been asked to take a surprise drug test, and the 90 days of paranoia hits you harder than the hit did.
  • Although conventional wisdom says at least 30 days, the answer is not straightforward.

However, this is wrong for hair and cannot help anyone pass a hair follicle drug test. One possible way to cheat a hair test is through bleaching hair to pass a hair follicle drug test. Bleaching hair eliminates more than 80% of drug components and their metabolites from an individual’s system. This is because hair is broken down and destroyed during bleaching which then leads to loss of metabolites from the hair.

How Long is Cannabis Detectable via Drug Testing?

While the authors concluded hair analysis is appropriate for detecting marijuana consumption, they said the approach was unreliable for detecting light cannabis consumption. Hair tests tend to be less reliable than other forms of cannabis drug testing. For those who can, a detox is the next best method when trying to pass a hair follicle drug test. Natural detox methods are the safest and include lifestyle changes, like diet and exercise. In hair follicles, clinicians can detect cannabis up to 90 days past usage, but in some cases, depending on the hair growth rate, THC can be detected for up to 12 months.

  • When you smoke, vape, or consume weed, all you’re virtually doing is facilitating the launch of the drug’s lively compounds into your bloodstream.
  • The main purpose of this method is to clear the metabolites from hair.
  • The test is cheap, and results can be ready in as little as 10 minutes.
  • The standard 1.5-inch sample taken near the root provides a snapshot of drug use over the past 90 days.

Drugs can be detectable in urine for hours or days, depending on the drug. Urine drug tests are among the most common types of tests because they are easy and non-invasive to administer. For example, urine tests can be given by a person with limited or no medical training, unlike blood tests. The urine sample can then be brought to a lab where it can be analyzed by experts.

How Long Does Marijuana Stay In Your Hair?

Although you may have a general idea of how long marijuana stays in your system, several factors can influence its elimination time. However, some reports found the half-life of THC may be significantly longer, or about 3-4 days. Using cannabis during pregnancy can negatively affect fetal growth and development. how long does weed stay in your system These kits don’t work reliably, and drinking large quantities of water in a short period of time can be fatal. Cannabis that’s ingested may remain in your system slightly longer than cannabis that’s smoked. More potent cannabis, which is higher in THC, may also stay in your system for longer.

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Exercising Gratitude

This is true for both negative thinking, positive thoughts, and gratitude. As one can see, there are many people who have used gratitude in their own lives and attest to how powerful and healing it can be. From Aesop to Oprah Winfrey, the power of gratitude has transformed lives and healed relationships. If you or someone you know is struggling with addiction during the holidays, reach out to Changing Tides Treatment. Our team is here to provide support and guide you through the journey to recovery.

Gratitude isn’t just a nice thing to do — it’s a key component to long-term recovery. As you focus on being grateful even when things go wrong, you’ll find that there is still so much you can be thankful for. It doesn’t have to be a grandiose feeling of appreciation every day. You can simply feel grateful that you made it through or that you didn’t take your bad day out on anyone else. The body needs healthy foods to heal from addiction, so improving your diet can play a major part in recovery. Explore new foods, or learn to cook – but take specific steps to give your body the energy it needs to work on recovery.

What are some ways to cultivate a thankful mindset in addiction recovery?

Gratitude strengthens sobriety, reduces relapses, and provides generally better outcomes after treatment. Learning to adopt a grateful attitude takes a tremendous amount of patience and practice. According to Harvard Health Publications, gratitude ultimately will help with not only addiction recovery but the rest of life as well. Even the process of learning how to practice gratitude helps you learn the patience that you need to complete your recovery and avoid relapse. Gratitude impacts recovery by reminding you of what you have and what you’ve accomplished. People who practice a grateful attitude tend to be more peaceful and happy.

The FHE Health team is committed to providing accurate information that adheres to the highest standards of writing. This is part of our ongoing commitment to ensure FHE Health is trusted gratitude in recovery as a leader in mental health and addiction care. When someone is addicted to drugs or alcohol, getting and using them becomes a priority –and recovery should be a priority as well.

Ways to Maintain an Attitude of Gratitude in Addiction Recovery

Taking time to focus on gratitude, especially during the holidays, allows us to be present, content, and feel more positive emotion. Just being grateful for the gift of recovery is a great place to start your gratitude practice. Instead of focusing on material possessions this holiday season, these nine tips can help you practice gratitude in recovery and learn how to be thankful and content with what you already have. At Lifeskills South Florida, we’re here for those seeking help with a drug or alcohol addiction. Entering treatment is the first step to recovery, and we focus on equipping clients with coping and self-care skills for reintegration back into life once out of treatment.

Practicing gratitude by thanking someone who lets you cut in line in the supermarket because you only have one item is an appropriate way of showing gratitude and ingraining it into your own practices. If you started to expect such a favor all the time, however, your entitlement could lead to refusal and then hostile thinking. Gratitude for even the smallest courtesies can promote a consistent sense of thankfulness. If someone holds the door for you or lets you merge into traffic on a busy road, make a conscious effort to be grateful. Once you’ve been able to adjust to this mindset of gratitude as your default, negativity will creep into your mind far less often, even when negative circumstances arise.

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‚Alcohol Nearly Killed Me 16 Months Later My Life Has Transformed‘

While some of these changes can be uncomfortable for some time, they will eventually begin to improve the longer you abstain from alcohol use. (Pomegranate juice and sparkling cider are, far and away, the favorites.) On New Year’s Eve, hundreds of members signed a pledge not to imbibe. In another life, they may have cherished the evening’s bar crawls and midnight toasts; now they settled into their couches early, nursing a soda water, laptops open. On Reddit, there is a subreddit titled /r/stopdrinking, which deems itself a “support group in your pocket! ” The forum’s goal is building a community for those struggling with alcohol abuse and addiction to support them in controlling or stopping their drinking. Late-stage, or end-stage alcoholism, is a full-blown addiction to alcohol, often with damaging physical and mental health effects.

alcoholism reddit

I tried my best to show her there was no shame in asking for help and offered support whenever she decided to do so. But, unlike the people in this subreddit, she didn’t recognize she had a problem with alcohol. Alcohol can cause problems in relationships, such as conflicts, communication problems, and trust issues.

Stage 2: Middle Stage Alcoholism

Women who had two or more drinks per day and men who had four or more drinks per day had significantly increased mortality. Once the initial symptoms of withdrawal have subsided, you may find that you have more energy than you did before you stopped drinking. This is because alcohol is a depressant, so when it’s no longer in your system, your body has more energy to work with. Like other symptoms, the impact on mood depends on the amount and duration of your alcohol use. For light or moderate drinking, you might experience a more temporary, mild effect on mood.

alcoholism reddit

Call 911, 999, or whatever emergency line appropriate if your issue is critical and gtf off reddit! I haven’t done any irreversible damage as a result of being a CA but I’ve recently realised it’s an inevitable conclusion if Why Do I Bruise So Easily? I keep doing what I’m doing. I am very VERY lucky that if I stop now, I’ll get away with it. I have to make a choice and I’m not 100% sure which choice I’ll take. Logically and rationally, getting sober is the best choice.

Alcohol’s Role Taking Hold

However, certain food groups also have benefits when it comes to helping with the discomfort of withdrawal symptoms and detoxification. Individuals in the intermediate familial subtype are, on average, age 38 and are usually employed. About 50% of these individuals are from families with multigenerational alcoholism, and almost all have experienced clinical depression. Unless you have religious or personal restrictions, a few drinks with friends or a glass of wine with dinner is usually not an issue. The problem starts, though, when you begin abusing the substance.

  • Alcohol provides a positive experience for the user.
  • This is a space for us to share and seek support on our own journey with alcohol, and is not a place to talk about someone else’s drinking.
  • There is rebuilding I need to do in my relationships with my family.

When they do attempt to stop drinking, they may experience withdrawal symptoms. The body can become distressed even when a person stops drinking for a short time. This is the rarest subtype, making up only 9% of people addicted to alcohol in the United States. Most individuals in this subtype are middle-aged and started drinking early.

After One Day

And furthermore, does he have to stop all alcohol and/or drugs? Is there a healthy real way to limit and control or is that just bullshit? My background with family members all in recovery is a pretty strict you can’t do anything or it has to be stopped or it will consume you. A support group such as Al-Anon Family Groups may also be a helpful source of support when you have someone in your life with a drinking problem.

  • I stopped talking to my buddy Dennis and I stopped going to see my brother for years because I was really embarrassed about how I looked and where I was at with my drinking.
  • It should not be used in place of the advice of your physician or other qualified healthcare providers.
  • R/stopdrinking is most helpful when all community members have a chance to weigh in.
  • When a person with alcoholism reaches end stage alcoholism, they have reached a point that is dramatically different from the initial stages.