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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Alcohol Addiction And Sleeplessness In A Person

My boyfriend is an alcoholic but also i think he has some mental illness. The alcoholism runs on his dads side of the family but from stories ive heard and alot of his actions im really starting to believe there is something wrong. He is very sensitive, locks the doors in the middle of the day. Barely sleeps, nitemares. His grandmother used to nail her windows shut i guess. His dad cant get over his mothers and cries constantly and drinks alot. He says he loves people but hates being around people at the sametime. Ive been trying to persiade him to get help but he doesnt seem to think he has problems.
Mon, 4 Sep 2017
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Addiction Medicine Specialist 's  Response
Ok, there are a set of techniques called motivational interviewing skills. You start wtih something that the person does not like about his life and ask first does he like this about his life. and could this be connected wiht alcohol use. if he says no, then ask what percent likelihood does it think it might be connected. if it is non-zero then if it is a 10% possible then how long not drinking would be worth the 10% to just see.

Ok, mental illness is a position of stuff in the brain. However that stuff gets into that place is only important because of how it may say how to Not get it into that spot. Head injury. Having a job that makes you stay up all night and takes away your ability to eat or have fun. Drug use. etc.
Getting chemicals that change the stuff or change in lifestyle moves the stuff.
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Dentist Dr. Rifat's  Response
There’s no cure for alcohol dependence or alcoholism. Overcoming addiction can be a long process that requires both personal dedication and various treatments or therapies. Your optimal treatment plan will depend on your personal circumstances, including your:
prior history of alcohol dependence
level of support from family and friends
personal commitment to becoming and remaining sober
financial situation
If you’re ready to face your addiction, make an appointment with your doctor. They will likely ask you a series of questions to determine your level of addiction. These questions can also help them determine which treatment option is best suited to your needs. They may also want to speak with some of your friends or relatives to gauge your addiction, symptoms, and treatment opportunities.
Your doctor or therapist may recommend one or more of the following treatment options:
detoxification
behavior modification
counseling
medications
Detoxification
Many treatment plans begin with a detoxification program to help break your body’s physical addiction to alcohol. Detoxification is often performed in an inpatient therapy treatment center or hospital. It typically takes one week to complete. Because the symptoms of physical withdrawal can be dramatic, you may also be given medications to help prevent:
shaking
confusion
hallucinations
convulsions
Behavior modification
People who misuse alcohol are often addicted to the act of drinking, as much as the alcohol itself. For that reason, you may need to learn skills and coping mechanisms to help you avoid alcohol once you leave a treatment center or return to familiar environments where the urge to drink may be stronger. Your doctor may refer you to a counselor or other treatment program to help you learn those skills and coping strategies.
Counseling
Your doctor may also refer you to one-on-one or group counseling. Support groups can be especially helpful when you’re going through treatment for alcohol addiction. A support group can help you connect with other people who are facing similar challenges. They can help answer questions, provide encouragement, and direct you to support resources.
Medications
Several medications are used to treat alcohol addiction. They include:
disulfiram, an alcohol-sensitizing drug that may lower your desire to drink by making you sick when you consume alcohol. When combined with alcohol, it can cause flushing, nausea, vomiting, and headaches.
acamprosate, which may help combat alcohol cravings by restoring the balance of certain chemicals in your brain.
naltrexone, which blocks the feel-good effects that alcohol has on your brain. Without those good feelings, you may feel less inclined to drink.
Naltrexone is available in the form of an oral tablet or injection. Vivitrol is an injected form of the drug that your doctor can give you once a month. It may be more reliable and convenient than oral pills, especially if you think you may forget or be unwilling to take a pill every day.
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Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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Suggest Treatment For Alcohol Addiction And Sleeplessness In A Person

Ok, there are a set of techniques called motivational interviewing skills. You start wtih something that the person does not like about his life and ask first does he like this about his life. and could this be connected wiht alcohol use. if he says no, then ask what percent likelihood does it think it might be connected. if it is non-zero then if it is a 10% possible then how long not drinking would be worth the 10% to just see. Ok, mental illness is a position of stuff in the brain. However that stuff gets into that place is only important because of how it may say how to Not get it into that spot. Head injury. Having a job that makes you stay up all night and takes away your ability to eat or have fun. Drug use. etc. Getting chemicals that change the stuff or change in lifestyle moves the stuff.