Alcoholism
Hello Dr.
Chen, my mother has a serious problem with alcohol abuse, and she often drinks secretly.
She has a history of long-term alcohol consumption that has led to a gastric ulcer.
Especially in the past few days, after arguing with my father, she has been drinking even more, almost every day consuming hard liquor.
As her children, we have tried various approaches, but nothing seems to work.
I would like to ask if there are any methods to help improve her situation.
Are there public hospitals that have alcohol rehabilitation centers?
Mi Mei, 20~29 year old female. Ask Date: 2005/01/10
Dr. Chen Wenke reply Psychiatry
Alcohol consumption can lead to habitual and behavioral issues, including long-term excessive drinking, which is well-known to cause severe damage to the gastrointestinal tract, liver, pancreas, and femur (avascular necrosis).
However, the ultimate target of alcohol is our nervous system, particularly the brain.
The consequences of prolonged exposure to alcohol in the brain can be quite dire.
Not only do nerve cells atrophy, leading to demyelination that affects normal neural signal transmission, but the entire structure and function of the brain, cerebellum, central pons, and peripheral nervous system can also undergo irreversible degenerative changes.
As a result, alcoholics and those with alcohol dependence are prone to experience confusion, poor memory and judgment, visual or auditory hallucinations, paranoid delusions, distorted sense of time, anxiety, agitation, tremors, palpitations, and even early signs of dementia-like cognitive decline.
If the situation becomes severe, it may necessitate compulsory medical treatment.
Currently, any hospital with an acute care unit offers such services.
Wishing you well.
Reply Date: 2005/01/10
More Info
Addressing alcoholism in family members can be a challenging and emotionally taxing experience, especially when it involves a loved one such as a parent. Your concern for your mother’s health and well-being is commendable, and it’s important to approach this situation with empathy, understanding, and a strategic plan. Here are some effective strategies that can help in addressing alcoholism in family members:
1. Open Communication
Start by fostering an environment of open communication. It’s crucial to express your concerns without being confrontational. Use “I” statements to convey how her drinking affects you and the family. For example, saying “I feel worried when I see you drinking so much” can be more effective than “You need to stop drinking.” This approach can help her feel less defensive and more willing to listen.
2. Educate Yourself and Your Family
Understanding alcoholism as a disease can help you and your family approach the situation with more compassion. Educate yourself about the effects of alcohol on the body, especially considering your mother’s history of health issues like gastric ulcers. Knowledge can empower you to have informed discussions and can also help in recognizing the signs of alcohol dependency.
3. Encourage Professional Help
Suggesting that your mother seek professional help can be a pivotal step. This could include therapy, counseling, or joining a support group like Alcoholics Anonymous (AA). Sometimes, hearing advice from a professional can resonate more than from family members. You can offer to accompany her to appointments or support groups to make her feel less alone.
4. Explore Treatment Options
Inquire about local treatment facilities or alcohol rehabilitation centers, including those in public hospitals. Many hospitals have specialized programs for alcohol dependency. You can research and provide her with information about these options, emphasizing that seeking help is a sign of strength, not weakness.
5. Set Boundaries
While it’s important to be supportive, it’s equally crucial to set boundaries to protect your own mental health. Let her know that while you care for her, you cannot enable her drinking behavior. This might mean not participating in activities where alcohol is present or being clear about the consequences of her drinking on your relationship.
6. Encourage Healthy Coping Mechanisms
Help her find alternative ways to cope with stress or emotional pain that do not involve alcohol. This could include engaging in hobbies, physical activities, or relaxation techniques such as yoga or meditation. Encouraging her to explore these options can provide her with healthier outlets for her emotions.
7. Family Support
Consider family therapy or support groups for families of alcoholics. These can provide a safe space for family members to express their feelings and learn how to cope with the challenges of having a loved one with an addiction. It can also help you understand how to support your mother without enabling her behavior.
8. Be Patient and Persistent
Recovery from alcoholism is often a long and difficult journey. There may be setbacks along the way, and it’s important to remain patient and supportive. Celebrate small victories and encourage her to keep trying, even if she experiences relapses.
Conclusion
Addressing alcoholism in a family member requires a multifaceted approach that combines empathy, education, and professional intervention. By fostering open communication, encouraging professional help, and exploring treatment options, you can create a supportive environment that promotes recovery. Remember to take care of your own emotional health throughout this process, as it can be quite taxing. Seeking help for yourself, whether through counseling or support groups, can also be beneficial as you navigate this challenging situation.
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