Chapter One: Are You Physically Addicted to Alcohol?
Withdrawal symptoms typically commence somewhere between 6 and 24 hours after the last drink.
Most people who are actively seeking help for their problems are nearer the milder end of the spectrum (i.e. the first example), or somewhere between the two. This is because such people still have their faculties about them and are able to actively seek help. Those who have let things develop to the extent of the second example rarely seek help for themselves - by the time things have progressed this far the mind is only able to focus on one thing - finding a supply of alcohol to stay OK for the next few hours.
Of course, those lucky enough to have concerned relatives (or relatives that can no longer tolerate their behaviour), may be referred for help at any time in the progression of this disease. It is usually the case that others recognise the existence of a problem developing before the individual themselves.
The important point to take away is that wherever you are along the spectrum of development of addiction to alcohol, it is ONLY LIKELY TO GET WORSE. This again is part of the addictive process - one slowly drinks more and more to get the same effect (an effect known as 'tolerance') - levels of drinking slowly but surely build up. The only meaningful response to dealing with this situation is to SEEK HELP - and of course, if you are still reading by this time then that is exactly what you are doing, right now.
At the other end of the spectrum, a person might have their last drink at midnight and then be awake by 6am sweating profusely. If they haven't had a drink by 8am, their hands will start to shake and they will feel nauseous. If they haven't had a drink by 10am they may be vomiting, and by 3pm they will be starting to have hallucinations of insects walking on the walls. By 5pm they will have lost touch with reality, and by 7pm they may have suffered an epileptic seizure. If at any time during these events they find a supply of alcohol and start to drink, then all the above symptoms will calm down and disappear within an hour or so of continued alcohol use. This pattern is typical of people who are severely physically addicted to alcohol.
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How To Enjoy Life Without Alcohol index
The above information is copyright of Dr Bruce Trathen MBBS MRCPsych (2006). ISBN 0-9545164-0-0. The author grants permission for these guidelines to be downloaded, copied and distributed freely, but does not grant permission for their sale.
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