Alcohol Use Disorder: Addictive Behaviors

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Table of Contents

John’s Case
John’s Prior Treatment
Proposed Alcohol Abuse Prevention Models
Proposed John’s Treatment Strategies
Treatment Goals
Conclusion
References

Alcohol use disorder is a chronic relapsing brain disease characterized by the following:

Compulsive alcohol use
Loss of control over alcohol intake
Negative emotional state when not using alcohol.

Alcohol abuse has led to health deterioration and a number of problems in John’s life, including:

Addiction
Behavior
Health issues

John’s Case

John was introduced to alcohol abuse by his teenage friends during adolescence and had multiple prior treatment attempts.
John had periods of sobriety but ultimately returned to alcohol use.
John often experiences significant functional impairment and social isolation.

John has undergone different prior treatments:

Cognitive-Behavioral Therapy (CBT)
Motivational Enhancement Therapy (MET)
Alcoholics Anonymous (AA) meetings

John’s Prior Treatment

The prior treatments were essential in several ways:

CBT involved meeting with a therapist to discuss thoughts, feelings, and behaviors related to alcohol use.
MET included regular meetings with a sponsor and attendance at Alcoholics Anonymous (AA) meetings.
AA is a self-help group that supported John in his struggle with alcohol addiction.

Proposed Alcohol Abuse Prevention Models

Some of the alcohol abuse prevention models that could be used to deliver support to John are:

The community reinforcement approach and family training (CRAFT)
Community-based interventions for alcohol misuse in young people (COMBI)
Multidimensional family therapy (MDFT)
Motivational interviewing (MI)
Community-based interventions for alcohol misuse in young people (COMBI)
Multidimensional family therapy (MDFT)
Motivational interviewing
Multidimensional family therapy (MDFT)
Motivational interviewing (MI)
Motivational interviewing (MI)

The key principles of MI include:

Expressing empathy and understanding
Focusing on the person’s own motivations and goals
Avoiding judgmental or confrontational language
Supporting self-direction and self-reliance

Proposed John’s Treatment Strategies

Concerning John’s treatment strategies, I can propose:

Detoxification
Rehabilitation
Aftercare

Treatment Goals

The goal of treatment for alcohol use disorder is:

To achieve and maintain abstinence from alcohol
To resolve any associated problems with alcohol consumption

Conclusion

Alcohol use disorder is a serious and potentially fatal disease that affects millions of people around the globe. It can lead to cirrhosis of the liver, heart disease, and other life-threatening conditions. Treatment for alcohol use disorder is available, but it requires professional help. Aftercare, rehabilitation, and detoxification are some of the best treatment strategies. Furthermore, some of its prevention models are CRAFT, COMBI, MDFT, and MI.

References

Blaine, S. K., & Sinha, R. (2017). Alcohol, stress, and glucocorticoids: From risk to dependence and relapse in alcohol use disorders. Neuropharmacology, 122, 136-147. Web.

Breuninger, M. M., Grosso, J. A., Hunter, W., & Dolan, S. L. (2020). Treatment of alcohol use disorder: Integration of Alcoholics Anonymous and cognitive behavioral therapy. Training and Education in Professional Psychology, 14(1), 19. Web.

DiBartolo, M. C., & Jarosinski, J. M. (2017). Alcohol use disorder in older adults: Challenges in assessment and treatment. Issues in Mental Health Nursing, 38(1), 25–32. Web.

DiClemente, C. C., Corno, C. M., Graydon, M. M., Wiprovnick, A. E., & Knoblach, D. J. (2017). Motivational interviewing, enhancement, and brief interventions over the last decade: A review of reviews of efficacy and effectiveness. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 31(8), 862–887. Web.

Govender, K., Beckett, S. E., George, G., Lewis, L., Cawood, C., Khanyile, D., Tanser, F., & Kharsany, A. B. (2019). Factors associated with HIV in younger and older adult men in South Africa: Findings from a cross-sectional survey. BMJ Open, 9(12), e031667. Web.

Kirby, K. C., Benishek, L. A., Kerwin, M. E., Dugosh, K. L., Carpenedo, C. M., Bresani, E.,… & Meyers, R. J. (2017). Analyzing components of Community Reinforcement and Family Training (CRAFT): Is treatment entry training sufficient?Psychology of Addictive Behaviors, 31(7), 818. Web.

Liddle, H. A., Dakof, G. A., Rowe, C. L., Henderson, C., Greenbaum, P., Wang, W., & Alberga, L. (2018). Multidimensional Family Therapy as a community-based alternative to residential treatment for adolescents with substance use and co-occurring mental health disorders. Journal of Substance Abuse Treatment, 90, 47–56. Web.

Magill, M., Ray, L., Kiluk, B., Hoadley, A., Bernstein, M., Tonigan, J. S., & Carroll, K. (2019). A meta-analysis of cognitive-behavioral therapy for alcohol or other drug use disorders: Treatment efficacy by contrast condition. Journal of Consulting and Clinical Psychology, 87(12), 1093. Web.

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