Alcoholism is a progressive disease.

By: David Peters

One of the difficulties in recognizing alcoholism as a disease is it just plain doesn't seem like one. It doesn't look, sound, smell and it certainly doesn't act like a disease. To make matters worse, generally it denies it exists and resists treatment. Alcoholism has been recognized for many years by professional medical organizations as a primary, chronic, progressive and sometimes fatal disease. The National Council on Alcoholism and Drug Dependence offers a detailed and complete definition of alcoholism, but probably the simplest way to describe it is "a mental obsession that causes a physical compulsion to drink."

Because of this, nine out of ten primary care physicians in the United States fail to correctly diagnose alcohol abuse even when their adult patients present classic early symptoms, according to a survey by the Center on Addiction and Drug Abuse (CASA) at Columbia University. The doctors responding to the survey cited lack of adequate training in medical school, residency or continuing medical education courses; skepticism about treatment effectiveness; discomfort discussing substance abuse, time constraints and patient resistance.

That is an example of a simple mental obsession -- a thought process over which you have no control. Such is the nature of the disease of alcoholism. When the drinking "song" starts playing in the mind of an alcoholic, he is powerless. He didn't put the song there and the only way to get it to stop is to take another drink. The problem is the alcoholic's mental obsession with alcohol is much more subtle than a song playing in his mind. In fact, he may not even know it's there. All he knows is he suddenly has an urge to take a drink -- a physical compulsion to drink.

Compounding the problem is the progressive nature of the disease. In its early stages, taking one or two drinks may be all it takes to get the "song" to stop. But soon it takes six or seven and later maybe ten or twelve. Somewhere down the road the only time the song stops is when he passes out. The progression of the disease is so subtle and usually takes place over such an extended period of time, that even the alcoholic himself failed to notice the point at which he lost control -- and alcohol took over -- his life.

No wonder denial is an almost universal symptom of the disease. For those who have come to the realization that they do have a problem, help may be as close as the white pages of the telephone directory. But for those who need help and do not want it, intervention may be the only alternative. However, if you have decided, for whatever reason, that you want to stop drinking, there is a world of help and support available. To get a better picture of where you are now, so that you can make an informed decision about how to proceed, perhaps the first person to talk with should be your family doctor.

Sometimes admitting to yourself and others that you need help can be one of the most difficult steps to take on your road to recovery. In our society, the myth prevails that an alcohol problem is somehow a sign of moral weakness. "As a result, you may feel that to seek help is to admit some type of shameful defect in yourself. In fact, however, alcoholism is a disease that is no more a sign of weakness than is asthma or diabetes."

Some of the psychological symptoms are: feelings of jumpiness or nervousness; feelings of shakiness; anxiety; irritability or easily excited; emotional volatility, rapid emotional changes; depression; fatigue; difficulty with thinking clearly; having bad dreams. Some of the physical symptoms are: headache - general, pulsating; sweating, especially the palms of the hands or the face; nusea; vomiting; loss of appetite; insomnia, sleeping difficulty; paleness; rapid heart rate (palpitations); eyes, pupils different size (enlarged, dilated pupils); clammy skin; abnormal movements; tremor of the hands; involuntary, abnormal movements of the eyelids.

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