1. ALCOHOLISM Alcoholism is a chronic disease characterized
by a tendency to drink more than was intended;
unsuccessful attempts at stopping drinking and continued drinking despite adverse social and occupational consequence.

2. Alcohol interferes with ability to socialize and to work and leads to many destructive behaviors.
Drunkenness may disrupt family and social relationship.
married couples divorce
extreme absenteeism from work can lead to unemployment
If an alcoholism suddenly stop drinking withdrawal symptom are likely to set in and usually begin at hrs

3. EARLY SYMPTOMS Tremor weakness Sweating Nausea
Alcoholic epilepsy(rum fits)
Alcoholic hallucinosis
Hallucination accusatory & threatening
Apprehension /fear
Loss of appetite
Insomnia/paranoid
morbid jealousy/anger/amnesia
Anxiety and suicidal thoughts

4. other symptoms Loss of lidibo
Secondary impotence/premature ejaculation
Rape
Sexual deviation
Reduction of sperm count
reduced testis
Irregular menstration/miscarriage/

5. SEVERE SYMPTOMS Delirium tremen Increased confusion Sleeplessness
Nightmare
Excessive sweating
depression
Raised purse rate
Fever
Hallucinations
Disorientation
Persistence tremors – sometimes extended to the head & body- becomes uncoordinated and could lead to death.

6. Korsakoff’s sydrome
Occur to people who drink heavily & are malnourished and have deficiency of vit B ( particularly thramine)
Lose of recent memory - making up stories to try to cover up the inability to remember.

7. WERNICKES ENCEPHALOPATHY
Abnormal eye movement
Confusion
Uncoordinated movement
Abnormal nerve function
NB: two glasses of wine a day isn’t associated with these problems

8. Alcohol produces both psychologic and physical dependence.
Alcohol interferes with ability to socialize and to work and leads to many destructive behaviors.
Drunkenness may disrupt family and social relationship. m
arried couples divorce;
extreme absenteeism from work can lead to unemployment
If an alcoholism suddenly stop drinking withdrawal symptom are likely to set in usually begin at hrs
Alcohol produces both psychologic and physical dependence.
Alcohol interferes with ability to socialize and to work and leads to many destructive behaviors.
Drunkenness may disrupt family and social relationship.
married couples divorce;
extreme absenteeism from work can lead to unemployment
If an alcoholism suddenly stop drinking withdrawal symptom are likely to set in usually begin at hrs

9. INTERVENTION Take comprehensive history Do physical examination
Mental status assessment must be done
Apply unconditional positive regard
Help the patient to identify their problems
Involve the patient and relatives through out this period of therapy.
For minor symptoms, give psychotherapy.
Have a very good referral system.

10. TREATMENT Large doses of vitamin C & B complex especially thiamine
Intravenous fluids
Magnesium and glucose are often given to prevent some of the symptom of alcoholic withdrawal and to avoid dehydration
Antipsychotic are generally given to small number of people with alcoholic hallucinosis e.g.
Haloperidal 5mg bd one month
Benzhexol 5mg od one month
Diazepam 20mg in divided doses 1st day
’’ mg 2nd day
‘’ mg 3rd day
‘’ mg od for 3days
Anticonvulsive drugs
Epanutin 100mg—200MG TID 5/7
Phenobarbitone 30mg tid 5/7

11. THANK YOU