Overcoming Alcohol Dependence: Removing Va Records

how to remove alcohol dependence on va record

Alcohol use disorder (AUD) is a common issue among veterans, and it can lead to severe health, social, and economic problems. The Department of Veterans Affairs VA offers a range of treatments and services for veterans struggling with alcohol dependence, including therapy, medication, and alcohol rehab programs. While the VA does not directly provide disability benefits for alcoholism or alcohol use disorder, veterans may receive benefits if their alcohol use is a symptom of a service-connected condition, such as post-traumatic stress disorder (PTSD). This article will explore the various ways veterans can address alcohol dependence and seek support through the VA.

Characteristics Values
Treatment options Behavioural therapies, pharmacological treatments, preventative screening, inpatient programs, medications, group therapy, individual therapy, contingency management, motivational enhancement therapy
Support services Confidential support, 24 hours a day, 365 days a year, self-help resources, mobile applications, online chat, text message support, crisis line, community centres, homeless programs
Benefits Disability rating determines compensation, higher rating = higher compensation, additional benefits for secondary conditions caused by alcohol use disorder
Diagnosis Must meet criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM), having two or more symptoms in a 12-month period may indicate alcohol use disorder

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Treatment options: therapy, medication, rehab, and more

Treatment options for alcohol dependence vary depending on individual needs and preferences. The VA offers many services for veterans experiencing alcohol use disorder, including alcohol rehab, behavioural therapies, pharmacological treatments, preventative screening, and inpatient programs.

Therapy

Behavioural treatments are aimed at changing drinking behaviour through counseling. These treatments are led by healthcare providers and are supported by studies that demonstrate their effectiveness. Group therapy is also an option for veterans seeking alcohol addiction treatment. Motivational enhancement therapy (MET) is a form of therapy that focuses on changing unhealthy alcohol use. Contingency management (CM) is another form of therapy in which patients receive incentives for completing recovery behaviours such as verified abstinence.

Medication

Medications can be used to deter drinking, especially during times when individuals are at greater risk of returning to drinking, such as during a divorce or the death of a family member. Medications can also help manage withdrawal symptoms, reduce cravings, prevent a return to use, and reduce the risk of death related to substance use disorder. Medications should be prescribed by a healthcare provider who can advise on risk factors and potential side effects. Three medications are currently approved in the United States to help reduce drinking and prevent a return to drinking: naltrexone, acamprosate, and disulfiram. Naltrexone can help reduce cravings, while disulfiram causes unpleasant symptoms when alcohol is consumed, discouraging drinking.

Rehab

Alcohol rehab is a vital part of the recovery process. The VA provides alcohol rehab treatments that may include behavioural therapies, pharmacological treatments, preventative screening, and inpatient programs. If you have VA benefits, you can talk to your VA provider about starting treatment at a rehab facility.

Other Treatment Options

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) offers a free online Alcohol and Drug Education course that can help individuals understand alcohol use disorder. The NIAAA also provides an Alcohol Treatment Navigator®, an online tool that helps individuals find a qualified treatment provider near them. Alcoholics Anonymous is an international fellowship that supports anyone with an alcohol problem, and the SAMHSA National Helpline offers free, confidential support and referrals for substance use treatment.

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VA disability benefits for alcohol dependence

Alcohol use disorder (AUD) is a medical condition that impairs a person's ability to quit drinking, regardless of the negative effects it may have on their health, relationships, or work. Veterans are prone to developing AUD as a coping mechanism for their service-related mental health issues, such as post-traumatic stress disorder (PTSD).

The Department of Veterans Affairs (VA) acknowledges alcohol addiction as a disability due to its prevalence among veterans. While VA does not provide a specific rating for alcoholism, it does offer disability benefits for conditions linked to alcohol use, including mental health issues and chronic pain.

Veterans who misuse alcohol due to pain or mental health problems arising from their military service may be eligible for disability benefits. To qualify, the alcohol misuse must not be a result of the veteran's own "willful misconduct," defined as "an act involving conscious wrongdoing or known prohibited action." The VA must prove by a "preponderance of evidence" that the veteran's condition resulted from willful misconduct to deny benefits on these grounds.

Veterans with service-connected PTSD who develop alcohol dependence as a coping mechanism may be eligible for increased VA benefits. For example, if a veteran with service-connected PTSD develops cirrhosis of the liver due to prolonged alcohol use, they may receive additional benefits for the liver condition on a secondary basis. The VA may increase the PTSD rating depending on the severity of the symptoms caused by AUD.

To receive VA disability benefits for alcohol dependence, veterans must provide evidence of a current alcohol use disorder and a nexus opinion by a medical professional relating the AUD to a service-connected condition, such as PTSD. Treatment options are available through VA mental health services, including therapies, medication, or a combination of both. These treatments can help veterans manage their cravings, build a support system, and cope with triggers that may lead to relapse.

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Confidential support and crisis hotlines

  • SAMHSA National Helpline: Call 1-800-662-4357. Counselors offer referrals to treatment centers, support groups, and community-based services. They also have an online Treatment Services Locator.
  • National Drug Helpline: Call 1-844-289-0879. Calls are always free and confidential.
  • Veterans Crisis Line: Call 1-800-273-8255 or text 838255. Counselors connect you with resources and support.
  • LGBTQ+ National Hotline: 1-888-843-4564. Trained LGBTQIA+ volunteers provide free and confidential support, information, and local resources. Monday – Friday 1 pm to 9 pm, Saturday 9 am to 2 pm Pacific time.
  • National Alliance on Mental Illness (NAMI): Call 1-800-950-6264 or text “Helpline” to 62640. Offers peer support, answers questions, and provides practical resources and next steps.

In addition to hotlines, there are other resources that can provide confidential support for alcohol dependence. For example, the VA offers many services for veterans dealing with alcohol use disorder, including behavioral therapies, pharmacological treatments, preventative screening, and inpatient programs. Alcoholics Anonymous is another resource that supports anyone with an alcohol use problem.

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Signs and symptoms of alcohol use disorder

Alcohol use disorder (AUD), sometimes called alcoholism, is a common medical condition. People with AUD exhibit changes in their mood and behaviour, including:

  • Craving drinks containing alcohol
  • Continued drinking despite the negative impact on their relationships with family, friends, and colleagues
  • Drinking more than intended or for longer than intended
  • Spending a lot of time obtaining, drinking, or recovering from drinking alcohol
  • Repeatedly trying to reduce alcohol consumption but failing to do so
  • Failing to meet work or family obligations
  • Giving up important social, work, or recreational activities
  • Drinking in risky settings that put the individual in danger
  • Continued drinking despite worsening physical and mental health challenges

The VA offers many services for veterans dealing with AUD, including behavioural therapies, pharmacological treatments, preventative screening, and inpatient programs. Treatment for AUD may include medication and therapy. Medications can help manage withdrawal symptoms, reduce cravings, prevent relapse, and reduce the risk of death related to substance use disorder.

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Self-help resources and support groups

Self-help resources are an important component of recovery from alcohol dependence. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) offers a range of e-health tools to help individuals cut down or quit drinking. These include:

  • A-CHESS: A mobile tool to prevent a return to drinking.
  • CBT4CBT: A self-guided, web-based cognitive-behavioral therapy program that teaches skills to help reduce drinking.
  • CheckUp & Choices: A digital self-help program to guide people in deciding whether to change their drinking habits and developing new skills.

Additionally, the NIAAA Alcohol Treatment Navigator® is a three-step roadmap to evidence-based treatment, offering a step-by-step process to finding a qualified treatment provider. The Substance Abuse and Mental Health Services Administration (SAMHSA) also provides fact sheets, videos, brochures, and other resources to support individuals in their journey towards recovery.

For those seeking a support group as part of their recovery, Alcoholics Anonymous (AA) is a well-known and widely accessible option. AA is a mutual self-help group that provides hope, strength, and encouragement on the road to sobriety. Meetings can be found in most communities and online, and they involve participants sharing their personal histories and encouraging progress along a 12-step program with a strong spiritual component. Other support groups with similar models include Cocaine Anonymous and Women for Sobriety, the first national organization to focus specifically on the needs of alcoholic women.

There are also alternative support groups with different approaches, such as:

  • LifeRing: A secular (nonreligious) peer support network supporting abstinence from alcohol and drugs.
  • Secular Organizations for Sobriety: An alternative to spiritual support groups, this network of local and online groups helps individuals achieve and maintain sobriety.
  • SMART Recovery: A research-based support program empowering members to build skills in motivation, coping, problem-solving, and lifestyle balance.
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Frequently asked questions

Some signs of alcohol dependence include being unable to cut down or stop drinking, experiencing cravings or urges to drink, drinking more or longer than intended, neglecting responsibilities, continuing to drink despite health challenges, and drinking in risky settings.

The VA offers various treatment options for alcohol dependence, including therapies (individual and group), medications, inpatient programs, and detox.

You can access VA treatment by visiting your nearest VA medical center or clinic, calling the Veterans Crisis Line, or using the online resources and support groups available.

It is important to note that alcohol dependence may be linked to underlying mental health disorders. Seeking treatment for both conditions is crucial. If there are errors or misstatements in your medical record, speak to your doctor to get them corrected.

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