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ConditionsAUD

Alcohol Use Disorder

Drinking that has become hard to control or is causing harm.

What to know. Withdrawal can be medically serious — please don't stop suddenly without support.

First-line care
Naltrexone or acamprosate, plus support

What major medical bodies recommend first when this condition is the focus of care.

Off-label medications can be used in addition to behavioral therapy.

Disulfiram and additional off-label medications.


Symptoms

How clinicians think about it.

The DSM-5 lists eleven signs grouped into four areas. The number that fit in the past year suggests a severity — not a verdict.

LOSS OF CONTROL · 4
  • ·Using more than meant to
  • ·Wanting to cut down
  • ·Time spent using
  • ·Cravings
SOCIAL IMPACT · 3
  • ·Trouble at work / school
  • ·Relationship strain
  • ·Giving up activities
RISKY USE · 2
  • ·Risky situations
  • ·Using despite harm
PHYSICAL · 2
  • ·Tolerance
  • ·Withdrawal

Risks worth knowing

Plainly: what makes this condition dangerous.

High concern

Severe withdrawal (DTs, seizures) without medical support

High concern

Liver disease with sustained heavy use

Moderate concern

Increased cancer risk


Treatment options

What's offered, and what we usually start with.

FIRST-LINE — RECOMMENDED FIRST
01
NaltrexoneFirst-line

Daily pill or monthly injection. Reduces the reward of drinking.

02
AcamprosateFirst-line

Three times daily. Helps the brain re-stabilize after stopping.

03
Disulfiram

Causes a strong reaction if you drink. Best for people who want a strong external check.

04
Counseling and peer support

CBT, motivational interviewing, SMART Recovery, AA.


Common questions

Asked often, answered briefly.

No. We work with whatever goal you bring — moderation, periods of abstinence, or full sobriety. Reduction in drinking is itself a meaningful health outcome.

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This is not a diagnosis. These tools are for reflection and conversation. A clinician's evaluation is the only way to confirm a substance use disorder. If you are in crisis, call or text 988.
Next condition
Cannabis Use Disorder