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Alcohol dependence usually has a profound impact on many aspects of the individual's life as well as those around him. Given its complexity, it is interesting that treatment programs are multidisciplinary in order to meet the patient's diverse needs (social, psychological, professional and even legal aspects, as shown in several studies), being more effective in changing the patterns of behavior that the Lead to the use of the substance, as well as its cognitive processes and social functioning.
Patient assessment may involve several health professionals, such as clinicians and psychiatrists, psychologists, occupational therapists, physical educators, social workers and nurses. When diagnosed, it should be counseled in the medium to long term to ensure treatment success, which varies according to the progression and severity of the disease.
Abstinence should be the goal of treatment, but for many reasons, this may not be achieved at the beginning or even over time. Despite this, the individual can still have benefits of remaining in the process, with minimization of psychosocial losses, treatment of clinical and psychiatric comorbidities, and other addiction-related conditions. It is also noted that the greater the number of actors involved in the process (family, friends, teachers, co-workers), the greater the chances of adherence to treatment and recovery.
The family, in particular, is a key player both in preventing harmful use of alcohol and in cases where the problem is already in place. In fact, it is not a few times when treatment starts with the family, especially because the alcohol user does not accept their problem, does not recognize that the use of alcoholic drinks has negative consequences or is unmotivated to seek help.
Specific and targeted follow-up for family members is essential so they can understand the disease and its consequences and then receive proper guidance on how best to help the loved one and himself. In addition to Family Counseling (or Counseling), the purpose of which is to provide information about the substance, guide the family on how to deal with addiction, and provide means for them to become aware of the problem, there are two other frequently applied models
Systemic therapy
it is aimed at the interdependent nature of the family relationship and how theserelationships influence (positively or negatively)
The disease, from the perspective of the family as a system. The focus of treatment is to intervene in the complex patterns of relationships between family members to the point of generating positive changes for the whole core.
Cognitive-Behavioral Therapy (family and couple)
considering that behaviors associated with alcohol misuse can be reinforced through family interactions, this approach has as main objectives to change behaviors that act as a trigger for alcohol use, to improve communication Of family members and strengthen and expand social skills.Source : cisa.org.br
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