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Problem drinkers misdiagnosed?

Depressed? Anxious? Relationship problems? It could be the drink.

Published on July 29th 2010.


Problem drinkers misdiagnosed?

People with alcohol problems are at risk of being misdiagnosed according to new research by Lookatyourdrinking.com- a website offering online therapy for problem drinkers. Before going through the therapy programme, over a third (38 per cent) of 1060 patients admitted they had previously received help for other conditions, but did not have their problem drinking (which existed at the same time) picked up or treated.

Before going through the therapy programme, over a third (38 per cent) of 1060 patients admitted they had previously received help for other conditions, but did not have their problem drinking (which existed at the same time) picked up or treated.

Although these patients had never previously sought treatment for their drinking problem, they had got help for conditions such as depression, relationship problems, overwork and burn out, anxiety problems, general psychiatric problems and grief, as well as a range of other reasons. However, despite these problems being recognisable symptoms associated with problem drinking, their drinking habits were not diagnosed.

Typically, patients are referred to alcohol therapy if their alcohol consumption is deemed to be a problem. Experts at Lookatyourdrinking.com believe the fact that this did not happen, indicates that their therapist or psychologist did not recognise their behaviour as being part of a drinking problem and treated them for another psychological disorder without getting to the root of the problem.

According to Dr David Bremner, consultant psychiatrist and Medical Director at Lookatyourdrinking.com: “In order to make any definitive conclusions, further research is needed. However, early indications suggest that people could be being misdiagnosed and are not receiving the treatment they really need.

“They could need help for problem drinking rather than other conditions which can manifest as a result of excessive alcohol consumption. It is vital that therapists and psychologists are looking out for this when seeing patients. It is also possible that some patients deliberately hide their drinking problem from their therapist. This is where online therapy can be invaluable, as it can be undertaken anonymously and therefore overcomes any issues of stigma or shame.”

Lookatyourdrinking.com is part of Tactus International- an organisation that treats 2,500 patients a year for alcohol addiction, eating disorders, gambling addiction, cannabis addiction and benzodiazepine addiction.

The company has noticed increased use of online therapy to a large population who would possibly not otherwise seek help. The programme is based on Cognitive Behavioural Therapy which has proven to be very effective in face-to-face treatment. Therapists work with clients to find individual solutions, whether it is cutting down alcohol consumption or quitting altogether. For more information please visit www.lookatyourdrinking.com

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ADJuly 29th 2010.

What a good idea go to this website and for free they will asses you and start to help you. Then you pay £200 if they help or you feel you need more help then pay a further £300 and they'll give you a little more help, still need more? the next payments £400 then £500 then £600. what a great charging structure to use with people who are clearly vaunerable and prone to dependence.

If you need help go to your doctor, call the samaritans, got to AA etc.

BCJuly 30th 2010.

Problem with any counselling service is that they always start looking at reasons why you drink. That makes matters worse as it potentially churns up a load of irrelevant history,justifies the reason and slaps an unwanted label on you. All I wanted to do was stop. I have, but it wasn't counselling that helped in the end. It was just going cold turkey on my own and although it was horrible for months and drink (and so called friends) tempted me for a long time after. I am alright now (5yrs) and kept my private life and thoughts just to myself. Best wishes to anyone who is in distress about their alcohol use. Fight it yourself because no matter what 'support' 'counselling' or 'advice' you get, its geared up the same for everyone. But any alcoholic reading this knows that we alcoholics are complex individuals and we and only we. understand our own issues.

JohnJuly 31st 2010.

I think Dr Bremner is in what his profession like to refer to as "denial" if he only thinks that it is "possible" that drinkers hide their drinking from their therapists. Drinkers not only hide their drinking from their therapists but also from their friends, families and, ultimately, themselves. I've had experience with alchoholics who won't admit to excessive drinking when they are literally at death's door from their behaviour. As for on-line therapy being good because it avoids "shame", heavy drinkers usually exhibit the most shameful behaviour possible but deal with it by pretending that their appalling behaviour never happened.

BCAugust 1st 2010.

John is right in all but one thing. heavy drinkers rarely comprehend what the bad behaviour was because firstly they were pissed and secondly we cant remember. I have only a blurred recollection of 20+ yrs. When I hear stories of my drinking antics now it sounds like people are talking about someone else and not me. Its useful that bit. I don't carry guilt, just cringe now and again.

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