Stages Of Alcohol Dependence

This describes the signs and symptoms of each stage in addition to exploring treatment options.

Early or Adaptive Stage
Middle Stage
Late Stage
Treating Alcoholism and Addiction
Relapse to drinking or making use of drugs

1-- The Adaptive or early Stage of Alcoholism and Addiction

The adaptive or early stage of alcoholism and dependency is marked by enhancing tolerance to alcohol and physical adjustments in the body which are mostly unseen.

This increased tolerance is marked by the alcoholic's or addict's capability to take in higher amounts of alcohol or drugs while appearing to suffer few impacts and continuing to work. This tolerance is not developed simply due to the fact that the alcoholic or addict beverages or abuses excessive but rather because the alcoholic or addict is able to drink great quantities because of physical modifications going on inside his or her body.

The early stage is challenging to identify. By looks, an individual may be able to drink or use a lot without ending up being drunked, having hangovers , or suffering other apparent ill-effects from alcohol or drugs. An early stage alcoholic or addict is commonly equivalent from a non-alcoholic or addict who happens to be a fairly heavy drinker or drug user.


In the office, there is most likely to be little or no obvious impact on the alcoholic's or addict's efficiency or conduct at work. At this phase, the alcoholic or drug user is not likely to see any problem with his/her drinking or substance abuse and would belittle any attempts to suggest that she or he might have an issue. The alcoholic or addict is just not familiar with what is going on in his or her body.

2-- The Middle Stage of Alcoholism and Addiction

There is no clear line in between the middle and early phases of alcohol addiction and addiction, however there are several qualities that mark a new stage of the condition.

Many of the satisfactions and benefits that the alcoholic or addict acquired from drinking or making use of drugs during the early stage are now being changed by the harmful facets of alcohol or drug abuse. The drinking or substance abuse that was done for the function of getting high is now being changed by drinking or substance abuse to fight the discomfort and misery dued to prior drinking or drug use.

One fundamental quality of the middle phase is physical reliance. In the early stage, the alcoholic's or addict's tolerance to higher amounts of alcohol or drugs is increasing. Along with this, however, the body becomes made use of to these amounts of alcohol and drugs and now struggles with withdrawal when the alcohol or drug is not present.

Another standard attribute of the middle stage is yearning. Alcoholics and addicts develop an extremely powerful need to consume or use drugs which they are eventually not able to control. As the alcoholic's or addict's tolerance increases in addition to the physical reliance, the alcoholic or addict loses his or her ability to manage drinking or drug use and yearns for alcohol or drugs.

The alcoholic or addict simply loses his or her ability to restrict his or her drinking or drug use to socially appropriate times, patterns, and places. The alcoholic or addict can not deal with as much alcohol or drugs as they when might without getting inebriated, yet needs increasing quantities to prevent withdrawal.

Another function of middle phase alcoholics or addicts is blackouts. Blackouts might also take place in early stage alcoholics and addicts.

The alcoholic or addict fights with loss of control, withdrawal symptoms, and food cravings. This is the point where the alcoholic or addicted employee might be facing corrective action.

3-- The Late Stage of Alcoholism and dependency

The late, or deteriorative stage, is very well identified as the point at which the damage to the body from the toxic impacts of alcohol or drugs appears, and the alcoholic or addict is dealing with a host of ailments.

An alcoholic or addict in the final phases may be destitute, extremely ill, psychologically baffled, and drinking or use drugs practically continuously. The alcoholic or addict in this phase is suffering from many physical and mental problems due to the damage to important organs.

Why does an alcoholic or addict continue to drink or utilize drugs despite the recognized realities about the disease and the apparent unfavorable repercussions of continued drinking and drug use? In the early phase, the alcoholic or addict does not consider him or herself ill since his or her tolerance is increasing. In the middle phase, the alcoholic or addict is unconsciously physically reliant on alcohol or drugs.

An alcoholic or drug addict will deny that he or she has an issue. If an alcoholic or drug addict did not deny the existence of an issue, he or she would most likely look for help when faced with the overwhelming problems caused by drinking or using drugs.

4-- Treating Alcoholism and Addiction

An alcoholic or drug addict will rarely stop consuming or abusing drugs and stay sober without professional help. He or she usually will not stop consuming or utilizing drugs without some kind of outside pressure. This pressure may come from household, friends, clergy, other health care professionals, law enforcement or judicial authorities, or a company. For instance, a spouse may threaten divorce, or the alcoholic or addict might be arrested for driving under the influence.

One Can Quit Anytime in the Cycle
There was at one time an extensive belief that addicts and alcoholics would not get help till they had "hit bottom." This theory has usually been rejected as numerous early and middle stage alcoholics and drug user have quit drinking or using drugs when faced with repercussions such as the loss of a task, a divorce, or a convincing caution from a doctor concerning the possibly deadly effects of continued drinking or substance abuse.

Early Treatment
There are evident advantages to getting the alcoholic or druggie into treatment previously instead of later on. One advantage is that, the earlier treatment is begun, the probability of having cheaper treatment, such as outpatient care, is increased. There is likewise a greater likelihood of success in treatment with an individual who has not yet lost everything and still has a supportive environment to return to, consisting of an undamaged family, health, and a task. In addition, the company has a stake in the early treatment of alcohol addiction and addiction, because the employee will have a higher chance of returning sooner to complete operating on the job if the disease is detained at an earlier point. Early treatment is merely less disruptive and can help the alcoholic prevent future misconduct and poor performance. If an alcoholic or druggie doesn't get help until extremely late in the disease, there may have been irreparable damage done.

Obligation for Treatment
The alcoholic or drug addict does not initially have to desire to get help to go into treatment. Employers are a very potent force in getting the alcoholic into treatment.

There are different kinds of treatment and programs for alcohol addiction and addiction. Some alcoholics and drug addicts do stop consuming on their own, this is unusual. A lot of alcoholics and drug abuser require some type of professional treatment or aid. Ongoing assistance helped with by 12-step programs such as AA or NA are an important to long-lasting recovery .

5-- Relapse

A essential and frustrating facet of treating alcohol addiction and dependency is regression or a go back to drinking or making use of drugs and prevails. An alcoholic or drug addict frequently relapses due to a range of aspects including:

• Inadequate treatment or follow-up
• Cravings for alcohol and drugs that are tough to manage
• Failure by the alcoholic or addict to follow treatment guidelines
• Failure to alter way of life
• Use of other mood changing drugs
• Other unattended mental or physical diseases
Relapses are not constantly a return to consistent drinking or substance abuse and may just be a onetime event. However, regressions should be handled and viewed as a sign to the alcoholic or addict that there are locations of his or her treatment and recuperation that require work. Regression prevention is a location in the treatment field that is getting enhanced interest and research. A basic part of any efficient treatment program will consist of regression prevention activities.

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