Mason Delacroix
Alcohol use disorder (AUD), or alcoholism, is a common condition where individuals are unable to stop drinking despite the negative impact on their health, safety, and personal relationships. Treatment for AUD typically involves medication and behavioural therapy, and there are thousands of treatment providers across the nation. When seeking treatment, it is important to find a provider that meets your needs and budget. There are two types of doctors that can help treat AUD: addiction medicine physicians and addiction psychiatrists. Both types of doctors can conduct independent assessments, develop treatment plans, and prescribe medications. Addiction medicine physicians are often primary care doctors who can provide a comprehensive medical examination and brief counselling. On the other hand, addiction psychiatrists are mental health experts who are well-equipped to manage patients with multiple mental health issues and can offer medications and talk therapy.
| Characteristics | Values |
|---|---|
| Type of doctor | Addiction medicine physicians, addiction psychiatrists, therapists |
| Qualifications | Board-certified addiction specialists |
| Treatment type | Medication, behavioural therapy, cognitive-behavioural therapy, motivational enhancement, contingency management |
| Treatment setting | Inpatient, outpatient, online self-guided |
| Other | Search for doctors via American Board of Addiction Medicine (ABAM) and the American Board of Psychiatry and Neurology (ABPN) |
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What You'll Learn
Addiction Medicine Physicians
Alcohol use disorder (AUD), or alcoholism, is a common medical condition in which individuals are unable to stop drinking, even when drinking negatively impacts their health, safety, and personal relationships. Treatment for AUD typically includes medication and behavioural therapy, and studies show that most people are able to reduce their alcohol consumption or quit drinking altogether with treatment.
If you or someone you know is struggling with AUD, seeking professional help is crucial. Addiction medicine physicians are medical doctors specialising in addiction medicine who can provide comprehensive care for individuals struggling with alcohol use disorders. Here are some key aspects of their role:
- Addiction medicine physicians often serve as primary care doctors and are qualified to conduct thorough medical examinations to assess all health issues, whether or not they are directly related to alcohol use.
- They can offer brief counselling to help motivate patients to make positive changes in their lives and guide them towards recovery.
- These specialists are trained to develop treatment plans and prescribe medications to address alcohol-related problems.
- They may work in a variety of settings, including small private practices, health clinics, or hospitals, making their services accessible to those seeking treatment.
- Addiction medicine physicians are often board-certified, having undergone extensive training and passed rigorous examinations. They maintain their certification by staying up to date with the latest advancements in their field through continuous training.
- They can provide outpatient care, including regular office visits, telehealth sessions, or intensive outpatient programmes, depending on the patient's needs and the severity of their condition.
- These physicians are well-versed in the various "levels of care" for alcohol treatment, as defined by the American Society of Addiction Medicine (ASAM), and can help determine the most appropriate level of care for each patient.
When seeking an addiction medicine physician, it is important to prioritise board-certified specialists, as they have undergone additional training and evaluation to ensure their expertise in the field. Resources such as the American Board of Addiction Medicine (ABAM) and the American Board of Psychiatry and Neurology (ABPN) can be utilised to locate qualified professionals in your area.
Additionally, it is worth noting that the road to recovery from alcohol use disorder is a journey that unfolds one step at a time. While seeking professional help is a crucial first step, other suggestions to support the process include engaging in regular exercise to manage stress, identifying triggers that prompt the urge to drink, and seeking support through 12-step programmes or therapy to connect with others who understand your experience.
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Addiction Psychiatrists
If you or someone you know is struggling with alcohol use disorder, seeking professional help is a crucial step towards recovery. Alcohol use disorder (AUD) is a common condition where individuals find themselves unable to stop drinking despite the negative impact on their health, safety, and personal relationships. Treatment often involves medication and behavioural therapy, and many people are able to reduce their alcohol consumption or quit drinking altogether with the right support.
When it comes to finding the best doctor to treat alcohol use disorder, one option is to consult addiction psychiatrists. Addiction psychiatrists are medical doctors specialising in addiction medicine and are experts in mental health. They are well-equipped to manage the complex interplay between addiction and mental health, especially in patients with multiple mental health issues.
To find a qualified addiction psychiatrist, you can refer to the directories of certifying boards such as the American Board of Addiction Medicine (ABAM) and the American Board of Psychiatry and Neurology (ABPN). These boards maintain records of board-certified addiction specialists, who have undergone extensive training and passed rigorous examinations. Maintaining board certification also requires ongoing participation in training courses, ensuring that these specialists remain up-to-date with the latest advancements in their field.
Additionally, resources like the NIAAA Alcohol Treatment Navigator and the AAAP Patient Referral Program (or Physician Locator) can assist in finding addiction psychiatrists and other types of treatment providers. These programs offer quick access to information on specialists and can help individuals navigate the various treatment options available.
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Finding a therapist
Alcohol use disorder (AUD) is a common medical condition that affects millions of adults in the United States. People with AUD are often unable to stop drinking, even when drinking negatively affects their health, safety, and relationships. AUD can be mild, moderate, or severe, but the good news is that most people with AUD can benefit from treatment. Treatment options include medication and behavioural therapy, and there are many specialists who can help.
When looking for a therapist to treat alcohol use disorder, it is important to find a qualified professional with experience in treating addiction. Here are some steps to consider when searching for a therapist:
- Ask for referrals: Start by asking your primary healthcare provider for referrals to therapists or treatment programs that specialise in addiction. They can provide recommendations and help you understand your treatment options. You can also ask friends, family, or other healthcare professionals for suggestions.
- Check credentials: Ensure that the therapist you are considering is licensed and certified to provide addiction treatment services. Board certification is a sign of quality, as it indicates that the therapist has undergone extensive training and passed rigorous exams. You can verify a therapist's credentials through professional associations or regulatory bodies.
- Specialisation and experience: Look for therapists who specialise in treating alcohol use disorder or substance use disorders. They should have experience in helping patients with similar struggles and be up to date with the latest research and treatment approaches. Some therapists may also have additional specialisations, such as family therapy or cognitive-behavioural therapy, which can be beneficial depending on your specific needs.
- Treatment approach: Different therapists may use varying therapeutic approaches, such as cognitive-behavioural therapy (CBT), motivational enhancement therapy, or contingency management. Learn about these approaches and consider which might be the best fit for your personal needs and preferences. Some therapies may focus on individual sessions, while others incorporate group therapy or family therapy.
- Availability and location: Consider the therapist's availability and whether their office location is convenient for you. Treatment for AUD may require frequent or ongoing appointments, so ensure that the therapist's availability aligns with your schedule and that you are comfortable with the travel distance to their office.
- Cost and insurance: Discuss costs and insurance coverage before committing to a therapist. Ask about their fees, whether they accept your insurance, and what your insurance covers regarding addiction treatment services. Understanding the financial aspects upfront will help you make an informed decision and avoid unexpected expenses.
- Telehealth options: With the advancements in telehealth services, you may also consider therapists who offer remote sessions. Telehealth can provide greater flexibility and accessibility, especially if there are limited therapists specialising in addiction in your area.
When seeking a therapist for alcohol use disorder, it is important to remember that recovery is a journey, and finding the right therapist for your needs is an important first step. Don't be afraid to ask questions, seek referrals, and trust your instincts when deciding on a therapist.
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Inpatient vs outpatient treatment
Alcohol use disorder (AUD) is a common medical condition that impairs the ability to stop or manage alcohol consumption despite negative impacts on health, social life, or work. Treatment for AUD includes medication and behavioural therapy. Studies show that with treatment, most people are able to reduce their alcohol consumption or stop drinking entirely.
There are two main types of treatment programs for AUD: inpatient and outpatient. The right treatment for each person will depend on their unique circumstances, including the severity of their alcohol addiction, their home environment, and the presence of other physical or mental health conditions.
Inpatient rehab requires patients to reside in a facility that offers a controlled environment conducive to recovery. It provides a structured routine with scheduled activities and therapies throughout the day, which helps establish healthy habits and coping strategies. Inpatient programs are typically more intensive, with round-the-clock care, and often have rules that limit leaving the premises and receiving visits from family or friends. The duration of inpatient rehab is usually shorter but more concentrated, ranging from a few weeks to several months.
Outpatient rehab, on the other hand, allows patients to live at home or in a sober living environment while attending treatment sessions at a rehab centre. It is highly variable in its structure, but all types of outpatient rehab can work well for people with strong support systems in their homes. Outpatient programs offer more flexibility, with treatment sessions scheduled around the patient's personal and work life. The duration of outpatient rehab can be longer, with the frequency and duration of sessions varying based on the individual's progress and needs.
There are three levels of outpatient care: Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), and General Outpatient Program (GOP). Partial hospitalization programs are specialized treatment programs for those who need extensive therapeutic intervention but do not require 24-hour supervision. Intensive outpatient programs offer structured therapy and support but with a lower time commitment. General outpatient programs offer the least intensive form of outpatient treatment, suitable for individuals who require minimal support and supervision.
When deciding between inpatient and outpatient treatment, it is important to consider the benefits and drawbacks of each option. Inpatient programs provide 24-hour medical supervision and a supportive peer environment, which can help distract individuals from withdrawal symptoms and cravings. However, they may have limited duration and can be challenging in terms of limiting access to family and friends. Outpatient programs offer flexibility and allow individuals to maintain their daily routines, but they do not provide immediate medical attention in case of emergencies and may have difficulty monitoring alcohol avoidance.
It is crucial to understand your personal needs and talk to a treatment provider to determine the most suitable form of rehabilitation. The NIAAA provides a Navigator with recommended questions to ask addiction doctors and spot quality treatment providers.
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Managing withdrawal symptoms
Withdrawal symptoms from alcohol can range from mild to severe, with the most severe cases being life-threatening. These symptoms typically begin within six to 24 hours of stopping or significantly decreasing alcohol intake. Mild symptoms include anxiety, nervousness, irritability, excessive sweating, upset stomach, heart palpitations, increased blood pressure, and tremors. More severe symptoms include hallucinations, seizures, and delirium tremens (DTs), which can cause psychosis and a disconnection from reality.
If you are experiencing alcohol withdrawal symptoms, it is important to seek medical help. Doctors can prescribe medications to alleviate discomfort, prevent the worsening of symptoms, and minimize the likelihood of further withdrawal complications. Benzodiazepines are often the first treatment suggested by doctors for alcohol withdrawal. These sedatives help to rebalance brain chemicals and reduce the risk of delirium tremens. Other medications, such as anti-seizure drugs, can also be prescribed to reduce cravings for alcohol.
In some cases, inpatient treatment may be recommended to provide 24/7 support and monitoring for mental and physical symptoms. This can include detoxification, where medical professionals administer medications to manage withdrawal symptoms, as well as counselling and therapy to address underlying issues and behavioural patterns.
It is important to note that not everyone experiences alcohol withdrawal in the same way. The severity and progression of symptoms can vary depending on the individual's level of physical dependence, duration of alcohol abuse, and other factors. Relapses are common during the withdrawal process, and it is crucial to have a plan in place to handle them. This may include seeking support from loved ones or therapists and reminding yourself of your reasons for wanting to stop drinking.
Withdrawal from alcohol can be a challenging and uncomfortable process, but with proper medical management and support, it is possible to successfully navigate through it and reduce the risk of complications.
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Frequently asked questions
There are several types of doctors that can help treat alcohol addiction, also known as Alcohol Use Disorder (AUD). These include:
- Addiction Medicine Physicians: Doctors trained to diagnose and treat alcohol addiction and other health conditions related to substance use disorder.
- Addiction Psychiatrists: Doctors with a subspecialty in addiction psychiatry, offered by the American Board of Psychiatry and Neurology.
- Neurologists: In some cases, neurologists can be part of a treatment team of experts to help someone suffering from alcohol addiction.
Alcohol Use Disorder can be mild, moderate, or severe. If you are craving your next drink, it may be a sign of AUD. Other symptoms include drinking despite the damage it does to your relationships or planning your day around your next drink. If you are experiencing any of these symptoms, a healthcare provider can help you decide on the best course of action.
When looking for an addiction doctor, you can ask about their services offered, availability, costs, and insurance. You can also look for board certification, which is a sign of quality.
You can find board-certified addiction doctors through the American Board of Addiction Medicine (ABAM) and the American Board of Psychiatry and Neurology (ABPN). Search by state to find options in your area.
Treatment options for alcohol addiction include medication, behavioural therapy, and support groups. It is important to remember that there is no one-size-fits-all solution, and what works for one person may not work for another.
