Clinicians should discuss and identify specific treatment goals with the patient regarding their alcohol use.[9]Reus VI, Fochtmann LJ, Bukstein O, et al. The American Psychiatric Association practice guideline for the pharmacological treatment of patients with alcohol use disorder. Am J Psychiatry. 2018 Jan 1;175(1):86-90.
http://www.ncbi.nlm.nih.gov/pubmed/29301420?tool=bestpractice.com
These goals may include abstinence, reduction in alcohol use, or stopping drinking in particular scenarios (e.g., before driving, when caring for children), and should be clearly documented in the patient’s medical records.[9]Reus VI, Fochtmann LJ, Bukstein O, et al. The American Psychiatric Association practice guideline for the pharmacological treatment of patients with alcohol use disorder. Am J Psychiatry. 2018 Jan 1;175(1):86-90.
http://www.ncbi.nlm.nih.gov/pubmed/29301420?tool=bestpractice.com
Techniques such as motivational interviewing may be used.[9]Reus VI, Fochtmann LJ, Bukstein O, et al. The American Psychiatric Association practice guideline for the pharmacological treatment of patients with alcohol use disorder. Am J Psychiatry. 2018 Jan 1;175(1):86-90.
http://www.ncbi.nlm.nih.gov/pubmed/29301420?tool=bestpractice.com
A key component of ongoing supportive care for alcohol withdrawal is to facilitate continuation of treatment.[5]American Society of Addiction Medicine. The ASAM clinical practice guideline on alcohol withdrawal management. J Addict Med. 2020 May/Jun;14(3s suppl 1):1-72.
https://www.doi.org/10.1097/ADM.0000000000000668
http://www.ncbi.nlm.nih.gov/pubmed/32511109?tool=bestpractice.com
If the patient wishes to stop drinking, a referral should be made to counseling/self-help groups (e.g., Alcoholics Anonymous) for support.
Alcoholics Anonymous
Opens in new window General advice should be given regarding healthy lifestyle including intake of balanced diet with adequate recommended daily allowance of vitamins, especially thiamine. The patient should also be given advice on daily/weekly recommended limits of alcohol (in the US one drink or less a day for women, two drinks or less a day for men).[114]Centers for Disease Control and Prevention. About moderate alcohol use. May 2024 [internet publication].
https://www.cdc.gov/alcohol/about-alcohol-use/moderate-alcohol-use.html