Show your patients a standard drink chart when asking about their alcohol consumption to encourage more accurate estimates. Drinks often contain more alcohol than people think, and patients often underestimate their consumption. Advise some patients not to drink at all, including those who are managing health conditions that can be worsened by alcohol, are taking medications that could interact with alcohol, are pregnant or planning to become pregnant, or are under age 21.| www.niaaa.nih.gov
Alcohol’s harmful effects on multiple organs and body systems contribute to more than 200 health conditions and more than 178,000 deaths in the U.S. each year, making alcohol one of the leading causes of preventable death. More than half of the deaths result from chronic heavy alcohol consumption while the remainder result from acute injuries sustained while intoxicated.| www.niaaa.nih.gov
With a brief intervention, you can help patients who drink too much to cut back or quit alcohol use as needed.| www.niaaa.nih.gov
Alcohol screening and brief intervention ranks highly among effective preventive services based on its cost-effectiveness and potential to reduce clinically preventable burden. Screening for heavy drinking can be done easily and effectively if you make it a routine part of care and use a brief tool recommended by the U.S. Preventive Services Task Force that identifies people with unhealthy alcohol use.| www.niaaa.nih.gov
Alcohol use disorder (AUD) is defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as “a problematic pattern of alcohol use leading to clinically significant impairment or distress,” and is diagnosed as mild, moderate, or severe based on the number of symptoms, out of a possible 11, in the past 12 months.| www.niaaa.nih.gov
Alcohol is dually reinforcing because it can both activate the brain’s reward processing system that mediates pleasure and reduce the activity of the brain’s systems that mediate negative emotional states such as stress, anxiety, and emotional pain. Repeated, excessive use of alcohol can lead to the development of addiction, which is associated with reduced reward function and increased activation of brain stress systems. The process of becoming addicted is thus accompanied by a shift in ...| www.niaaa.nih.gov