Critical Issues in an Unmotivated Patient with Alcohol Dependence
Alcohol use disorder (AUD) is characterized by an impaired ability to stop alcohol consumption despite its adverse sociooccupational, health consequences and is associated with tolerance and withdrawal on sudden stoppage of alcohol. The patient had a history of AUD, alcoholic liver cirrhosis, HIV, a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Annals of Indian Psychiatry |
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| Online Access: | https://journals.lww.com/10.4103/aip.aip_225_24 |
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| author | Nidhi Vadhavekar Saloni Chatwani Avinash Desousa Hardik Sheth Kavitha V. Dongerkery Pradnya Deolekar |
| author_facet | Nidhi Vadhavekar Saloni Chatwani Avinash Desousa Hardik Sheth Kavitha V. Dongerkery Pradnya Deolekar |
| author_sort | Nidhi Vadhavekar |
| collection | DOAJ |
| description | Alcohol use disorder (AUD) is characterized by an impaired ability to stop alcohol consumption despite its adverse sociooccupational, health consequences and is associated with tolerance and withdrawal on sudden stoppage of alcohol. The patient had a history of AUD, alcoholic liver cirrhosis, HIV, and squamous-cell carcinoma of the vocal cords. The patient’s AUD was characterized by cluster B personality disorder traits, and treatment involved a multidisciplinary approach (acamprosate, sertraline, nicotine replacement therapy, psychotherapy, and admission into a rehabilitation center). However, all interventions failed, and the patient’s medical complications ultimately led to his demise. This case highlights the importance of considering a range of factors that contribute to poor treatment response in AUD, including motivation, personality factors, and medical comorbidities. This case also highlights the fact that there is an urgent need for stricter regulation of rehabilitation facilities in India, particularly those catering to patients with complex and comorbid conditions. |
| format | Article |
| id | doaj-art-4bc8dab7f48d430cb21627c05d3c059c |
| institution | Kabale University |
| issn | 2588-8358 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Psychiatry |
| spelling | doaj-art-4bc8dab7f48d430cb21627c05d3c059c2025-02-10T10:36:26ZengWolters Kluwer Medknow PublicationsAnnals of Indian Psychiatry2588-83582025-01-0191949610.4103/aip.aip_225_24Critical Issues in an Unmotivated Patient with Alcohol DependenceNidhi VadhavekarSaloni ChatwaniAvinash DesousaHardik ShethKavitha V. DongerkeryPradnya DeolekarAlcohol use disorder (AUD) is characterized by an impaired ability to stop alcohol consumption despite its adverse sociooccupational, health consequences and is associated with tolerance and withdrawal on sudden stoppage of alcohol. The patient had a history of AUD, alcoholic liver cirrhosis, HIV, and squamous-cell carcinoma of the vocal cords. The patient’s AUD was characterized by cluster B personality disorder traits, and treatment involved a multidisciplinary approach (acamprosate, sertraline, nicotine replacement therapy, psychotherapy, and admission into a rehabilitation center). However, all interventions failed, and the patient’s medical complications ultimately led to his demise. This case highlights the importance of considering a range of factors that contribute to poor treatment response in AUD, including motivation, personality factors, and medical comorbidities. This case also highlights the fact that there is an urgent need for stricter regulation of rehabilitation facilities in India, particularly those catering to patients with complex and comorbid conditions.https://journals.lww.com/10.4103/aip.aip_225_24alcohol use disordercluster b personality traitmultidisciplinary approach |
| spellingShingle | Nidhi Vadhavekar Saloni Chatwani Avinash Desousa Hardik Sheth Kavitha V. Dongerkery Pradnya Deolekar Critical Issues in an Unmotivated Patient with Alcohol Dependence Annals of Indian Psychiatry alcohol use disorder cluster b personality trait multidisciplinary approach |
| title | Critical Issues in an Unmotivated Patient with Alcohol Dependence |
| title_full | Critical Issues in an Unmotivated Patient with Alcohol Dependence |
| title_fullStr | Critical Issues in an Unmotivated Patient with Alcohol Dependence |
| title_full_unstemmed | Critical Issues in an Unmotivated Patient with Alcohol Dependence |
| title_short | Critical Issues in an Unmotivated Patient with Alcohol Dependence |
| title_sort | critical issues in an unmotivated patient with alcohol dependence |
| topic | alcohol use disorder cluster b personality trait multidisciplinary approach |
| url | https://journals.lww.com/10.4103/aip.aip_225_24 |
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