Psychosocial treatment of alcohol use disorder
- Mark D Aronson, MD
Mark D Aronson, MD
- Editor-in-Chief — Primary Care (Adult); Hospital Medicine
- Section Editor — General Medicine
- Professor of Medicine
- Harvard Medical School
An alcohol use disorder is a highly prevalent and disabling condition. It is associated with high rates of medical and psychiatric comorbidity as well as early mortality. The psychiatric diagnoses, alcohol abuse and alcohol dependence, in DSM-IV-TR were replaced by one diagnosis, alcohol use disorder, in DSM-5 .
Psychosocial treatments can reduce alcohol consumption and increase abstinence, either alone or in conjunction with pharmacologic treatment. Short-term goals of psychosocial treatment include:
●Encouraging and supporting abstinence, or reduction in alcohol use
●Supporting adherence to medication for alcohol use disorder
●Promoting participation in other psychosocial services
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- Alcohol use disorder
- At-risk drinking
- "Binge" drinking
- TREATMENT GOALS
- Motivational interviewing
- Brief intervention
- Cognitive behavioral therapy
- Residential treatment
- Mutual help groups
- Contingency management
- COMBINED TREATMENT MODALITIES
- CONTINUING CARE
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS