Treatment of alcoholism in family practice

Abstract

Treatment goals and treatment methods for alcoholism are discussed with particular emphasis on the role of the family physician in the management of this extremely common problem. The office treatment of alcoholism of moderate severity is discussed, starting with the treatment of alcohol withdrawal, followed by making a treatment contract with the patient in order to help him remain sober, and to fit the patient to the optimal treatment methods on an individual basis. Office treatment methods are then discussed in detail with reference to medication, psychotherapy, and the effective utilization of community services, including Alcoholics Anonymous. The treatment of alcoholism can be a rewarding experience, if sometimes a frustrating one. Assuming each alcoholic affects the lives of at least four others around him, the successful treatment of an alcoholic provides a considerable service to the community.