The Spectrum of Alcohol Use: Epidemiology, Diagnosis, and

Med. Clin. North Am. · Jan 2022

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The Spectrum of Alcohol Use: Epidemiology, Diagnosis, and Treatment.

In the United States, alcohol is the most common substance used and the spectrum of unhealthy alcohol use is highly prevalent. Complications of unhealthy alcohol use affect nearly every organ system. ⋯ Pharmacologic treatment of alcohol use disorder, the most severe form of unhealthy alcohol use, is underutilized despite the availability of multiple effective medications. Although behavioral therapies are an important component of treatment, they are overemphasized at the expense of pharmacotherapy.

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- Shawn M Cohen, Ryan S Alexander, and Stephen R Holt.
- Program in Addiction Medicine, Section of General Internal Medicine, Yale School of Medicine, 367 Cedar Street, Harkness Hal A, Suite 417A, New Haven, CT 06510, USA. Electronic address: Shawn.cohen@yale.edu.
- Med. Clin. North Am. 2022 Jan 1; 106 (1): 43-60.
AbstractIn the United States, alcohol is the most common substance used and the spectrum of unhealthy alcohol use is highly prevalent. Complications of unhealthy alcohol use affect nearly every organ system. One of the most frequent and potentially life-threatening of these complications is alcohol withdrawal syndrome for which benzodiazepines remain first-line therapy. Pharmacologic treatment of alcohol use disorder, the most severe form of unhealthy alcohol use, is underutilized despite the availability of multiple effective medications. Although behavioral therapies are an important component of treatment, they are overemphasized at the expense of pharmacotherapy.Copyright © 2021 Elsevier Inc. All rights reserved.

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The Spectrum of Alcohol Use: Epidemiology, Diagnosis, and Treatment.

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