№ 5Clinical Disorders12 min read
Psychiatric Consequences of Chronic Alcohol Intake; Alcohol Withdrawal; Treatment of Alcohol Use Disorders
1. Overview & Epidemiology
- Burden (Debrecen lecture, Dr. Gajdos): the average alcohol-dependent person loses 10–15 years of life span. Alcohol affects virtually every organ system and, in high doses, causes coma and death.
- Lifetime risk of dependence (Kaplan & Sadock): ~10–15% in men, 3–5% in women; ~10% of women and 20% of men meet criteria for abuse during their lifetime. ~20–30% of psychiatric patients have an alcohol use disorder.
- Onset: insidious, spanning many years. For men, typically late teens / early twenties, but rarely recognised until the late twenties/early thirties. Onset after age 45 is rare.
- Genetics: close family members have
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