Psychiatrist for Alcohol Use Disorder

What Is Alcohol Use Disorder?

Alcohol use disorder (AUD), commonly referred to as alcoholism, is a medical condition in which individuals struggle to control their alcohol consumption despite its negative impact on their lives. This condition can range from mild to severe and may disrupt personal relationships, careers, and overall health.

Although some people with AUD may relapse or struggle with stopping alcohol use completely, treatments such as behavioral therapy and medication have proven effective. Many individuals with AUD successfully reduce or cease drinking with the right support and care.

Symptoms of Alcohol Use Disorder

The symptoms of AUD primarily involve changes in behavior and mood, rather than the typical physical signs of illness like pain or fever. Common symptoms include:

Strong cravings for alcohol.
Continuing to drink despite negative impacts on personal relationships or responsibilities.
Drinking more or for longer periods than originally intended.
Spending significant time obtaining, drinking, or recovering from alcohol use.
Repeated unsuccessful attempts to cut down or stop drinking.
Neglecting work, family, or social obligations due to alcohol use.
Abandoning hobbies or activities to focus on drinking.
Using alcohol in dangerous situations, such as driving.
Continuing to drink despite knowing it worsens medical or mental health conditions.
Building a tolerance to alcohol, requiring more to feel its effects.
Experiencing withdrawal symptoms when not drinking or drinking to avoid these symptoms.

How Much Is Too Much?

The American Medical Association recommends the following daily and weekly limits:

For individuals assigned male at birth (AMAB): No more than two drinks per day. Heavy drinking is defined as five or more drinks in a day or 15 or more drinks per week.
For individuals assigned female at birth (AFAB): No more than one drink per day. Heavy drinking is four or more drinks in a day or eight or more drinks per week.

What Causes Alcohol Use Disorder?

The exact cause of AUD is not fully understood, but several factors may contribute:

Genetics: A family history of AUD increases the likelihood of developing the condition.
Mental Health Conditions: Disorders like depression, post-traumatic stress disorder (PTSD), or ADHD can increase the risk.
Environmental Factors: Exposure to high stress or trauma can act as a trigger for developing AUD.

Complications of Alcohol Use Disorder

Heavy, long-term alcohol use can lead to serious health complications, including:

Alcohol-induced cardiomyopathy (heart muscle damage).
Liver diseases such as cirrhosis and hepatitis.
Increased risk of esophageal cancer.
Cerebellar degeneration, affecting coordination and balance.
Delirium tremens (DT), a severe withdrawal condition causing seizures and hallucinations.

Diagnosing Alcohol Use Disorder

Healthcare providers diagnose AUD by conducting physical examinations and using the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).

The severity of AUD is determined by the number of symptoms present:

Mild: Two to three symptoms.
Moderate: Four to five symptoms.
Severe: Six or more symptoms.

Treatment Options for Alcohol Use Disorder

Treatment plans for AUD vary based on individual needs. Common approaches include:

Behavioral Therapy

Counseling and therapy sessions with addiction specialists or psychologists help individuals modify their drinking behaviors and develop healthier coping mechanisms.

Medication

Several medications can aid in managing AUD:

Naltrexone: Reduces alcohol cravings.
Acamprosate: Helps individuals maintain abstinence.
Topiramate and Gabapentin: Reduce cravings in some cases.

Support Groups

Programs like Alcoholics Anonymous (AA) or other peer support groups provide a network of individuals who understand the challenges of recovery.

Preventing Alcohol Use Disorder

To lower the risk of developing AUD, it’s important to practice low-risk drinking habits:

For AFAB individuals: No more than four drinks in one day or eight drinks per week.
For AMAB individuals: No more than five drinks in one day or 15 drinks per week.

If drinking becomes excessive, consider cutting back or quitting and consult a healthcare provider for guidance.

Prognosis for Alcohol Use Disorder

Recovery from AUD is possible with treatment. While relapses can occur during stressful life events, most individuals with AUD reduce or stop drinking entirely with the right support. Open communication with healthcare providers and ongoing support are key to maintaining sobriety.

Living with Alcohol Use Disorder

Taking care of yourself during recovery is essential. Here are some strategies:

Incorporate regular exercise to reduce stress and improve mood.
Recognize and avoid triggers that may lead to drinking.
Participate in support groups or work with a therapist to stay accountable.

When to See A Psychiatrist for Alcohol Use Disorder

If alcohol use is impacting your health, relationships, or daily responsibilities, it’s time to seek professional support. PsychBright Health in Los Angeles offers compassionate and effective care tailored to individuals struggling with alcohol use disorder. Our experienced psychiatrists use evidence-based treatments to help you regain control and achieve lasting recovery. Contact us today to take the first step toward a healthier future.

Conditions We Treat

Treatments Provided