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How to Help an Alcoholic...

How to help an alcoholic…

An alcoholic can be helped to find freedom from alcohol. And, anyone can help who has some counseling or interviewing ability.

There are Two Main Signs of Alcoholism
Alcoholics suffer from an illness that stops them seeing their real condition (denial) and a tolerance to alcohol that keeps them drinking beyond safe levels (loss of control).

Denial of the Effect of Alcohol
Everyone uses denial. It is a normal subconscious way to carry out day to day activities without annoying interference. To illustrate; Stop for a minute and listen to the sounds around you. More than likely you will hear sounds that you were not aware of previously. If you listened to these sounds constantly you would probably get an overload of noise and may not be able to carry out your normal duties.

But denial does not just occur and may be so deeply ingrained in the subconscious that it is no longer a decision to deny anything.

In the noise example from above; denial begins as simple avoidance and minimizing of noises around you. You build up a resistance, a second nature of denial of interfering noises by blocking out more and more. After awhile you are not aware that you are blocking out anything.

Alcoholics are no different. They just block out another form of annoyance, the amount they drink and the effect of their drinking. And, again it starts out in small ways and builds over time.

Unfortunately for alcoholics their denial is contributing to the damage done by alcohol.

Loss of Control of Alcohol
Recent research suggests that alcoholics are born with a genetic variation that encourages them to drink. Males with alcoholic fathers need more alcohol to satisfy them than their non-afflicted peers. They need to drink more to get the same affect as males without an alcoholic father.

Additionally, alcoholics develop changes at the cellular level in the brain. These changes actually demand more alcohol be consumed and fed through these altered cells. In a similar way that we all experience hunger for food and out bodies demand more food. Alcoholics have an extra demand for alcohol.

So we have two aspects making an alcoholic drink more alcohol. There is the genetic demand for more and a change in the brain cells demanding more.

Loss of Control plus Denial of Effects
An alcoholic has slowly built up a subconscious defense about how much is drunk and the effect it is having. And, the alcoholic body demands more in the two ways discussed above.

One would imagine that in these circumstances an alcoholic is doomed to oblivion. Many do continue to the ultimate oblivion.

But, alcoholics can be helped – in the right circumstances. And they can be helped early in the progression of the disease to avoid the ultimate oblivion.

A Window of Opportunity
Problem drinkers and alcoholics will eventually create a problem for themselves, or with other people, or a legal problem, or problems at work – sometimes affecting all these areas at the same time.

When this happens the drinker is in a ‘window of opportunity’ for listening to someone who cares, who really wants to help, who can help.

Anyone Can Help
If you care and can see the suffering of the drinker you have what it takes to help a problem drinker. You may be a loved one, a family member, a friend, a work mate or a healthcare professional.

With a little training you will learn the particular action needed to enable anyone to see the reality of their problem and help them take action to solve the problem.

Best Practice Helping Plan
Over the past 65 years healthcare workers have been trying out many types of counseling and helping plans for alcohol abuse. One action program has stood out as being consistently successful in getting alcoholics into recovery.

This program has now been refined so that anyone can help. The technique, Twelve Step Facilitation (TSF), can be learnt and optimized by anyone in a few hours. You quickly become a sophisticated helper.

Disturb Denial
A short training course, Brief TSF, leads you through the processes of helping the alcoholic identify alcohol related problems for themselves. This process disturbs alcoholic denial and motivates the person to want to take action.

Motivation and Action Plan
But, more than motivation is needed. The alcoholic needs to know what to do and also support to carry out an action plan. Brief TSF training includes sections on all of these.

The action plan includes putting the alcoholic in touch with other recovering people immediately they make a decision that they have a real problem.

Brief TSF is based on the spiritual idea that a Power greater than the self can restore one to wholeness. The Power of listening to recovering peer stories of experience, strength and hope is the initial path to a spiritual awakening.

Family and Friends of Alcoholics
The interview style may also be applied to family and friends who may be suffering from the effects of a loved ones drinking. They too need a workable action plan. The Brief TSF interview training includes section about loved ones, children and friends of alcoholics.

Compassion and Empathy
You can help when the alcoholic is hurting! You already suspect the person has a drinking problem. A short training course will help you decide. Training before the next window of opportunity occurs is essential.

Robin Foote, BA, NCAC, TSF.

Copyright © Robin J Foote 2005. This article may be copied and freely distributed providing the link to is maintained.

Mr Foote is a healthcare professional with over 20 years experience helping alcoholics, addicts and compulsive gamblers find freedom from their addictions.

Mr Foote has refined the BriefTSF training from research and clinical experience to the point that anyone can now help an alcoholic with a little training.