Book contents
- Practise Psychiatry
- Practise Psychiatry
- Copyright page
- Contents
- Acknowledgements
- Part 1: Vignettes
- Case 1: Schizophrenia
- Case 2: Delusional Disorder
- Case 3: Major Depressive Disorder
- Case 4: Dysthymic Disorder and Premenstrual Dysphoric Disorder
- Case 5: Grief
- Case 6: Bipolar Disorder
- Case 7: Generalised Anxiety Disorder
- Case 8: Panic Disorder and Agoraphobia
- Case 9: Social Anxiety Disorder
- Case 10: Separation Anxiety and Selective Mutism
- Case 11: Obsessive–Compulsive Disorder
- Case 12: Body Dysmorphic Disorder
- Case 13: Trichotillomania and Excoriation Disorder
- Case 14: Hoarding Disorder
- Case 15: Anorexia Nervosa
- Case 16: Bulimia Nervosa
- Case 17: Pica and Rumination Disorder
- Case 18: Acute Stress Disorder, Post-Traumatic Stress Disorder and Adjustment Disorder
- Case 19: Illness Anxiety Disorder and Somatic Symptom Disorder
- Case 20: Conversion Disorder and Factitious Disorder
- Case 21: Delirium and Neurocognitive Disorders
- Case 22: Mental Capacity Assessment
- Case 23: Attention Deficit Hyperactivity Disorder
- Case 24: Autism Spectrum Disorder and Intellectual Developmental Disorder
- Case 25: Alcohol Use Disorder
- Case 26: Cannabis Use Disorder
- Case 27: Stimulant Use Disorder
- Case 28: Opioid Use Disorder
- Case 29: Hallucinogen Use Disorder
- Case 30: Gambling Disorder
- Case 31: Borderline Personality Disorder
- Case 32: Antisocial Personality Disorder
- Case 33: Schizoid, Schizotypal and Paranoid Personality Disorder
- Case 34: Dependent Personality Disorder
- Case 35: Suicide Risk Assessment
- Case 36: Catatonia and Electroconvulsive Therapy
- Case 37: Neuroleptic Malignant Syndrome and Serotonin Syndrome
- Case 38: Insomnia Disorder
- Case 39: Narcolepsy Disorder
- Case 40: Breathing-Related Sleep Disorders
- Case 41: Non-Rapid Eye Movement Sleep Arousal Disorder
- Case 42: Rapid Eye Movement Sleep Behaviour Disorder
- Case 43: Dissociative Amnesia and Dissociative Identity Disorder
- Case 44: Voyeuristic, Exhibitionistic, Frotteuristic and Sexual Masochism and Sadism Disorders
- Case 45: Paedophilic Disorder
- Case 46: Transvestic and Fetishistic Disorders
- Case 47: Gender Dysphoria
- Case 48: Pyromania
- Case 49: Kleptomania
- Case 50: Child and Adolescent Mental Health Services
- Case 51: Old Age Psychiatry
- Case 52: Pregnancy and Breastfeeding
- Case 53: Hepatic Impairment
- Case 54: Renal Impairment
- Case 55: Forensic Psychiatry
- Part II: Topical MCQs
- Index
- References
Case 25: - Alcohol Use Disorder
from Part 1: - Vignettes
Published online by Cambridge University Press: 04 September 2025
Book contents
- Practise Psychiatry
- Practise Psychiatry
- Copyright page
- Contents
- Acknowledgements
- Part 1: Vignettes
- Case 1: Schizophrenia
- Case 2: Delusional Disorder
- Case 3: Major Depressive Disorder
- Case 4: Dysthymic Disorder and Premenstrual Dysphoric Disorder
- Case 5: Grief
- Case 6: Bipolar Disorder
- Case 7: Generalised Anxiety Disorder
- Case 8: Panic Disorder and Agoraphobia
- Case 9: Social Anxiety Disorder
- Case 10: Separation Anxiety and Selective Mutism
- Case 11: Obsessive–Compulsive Disorder
- Case 12: Body Dysmorphic Disorder
- Case 13: Trichotillomania and Excoriation Disorder
- Case 14: Hoarding Disorder
- Case 15: Anorexia Nervosa
- Case 16: Bulimia Nervosa
- Case 17: Pica and Rumination Disorder
- Case 18: Acute Stress Disorder, Post-Traumatic Stress Disorder and Adjustment Disorder
- Case 19: Illness Anxiety Disorder and Somatic Symptom Disorder
- Case 20: Conversion Disorder and Factitious Disorder
- Case 21: Delirium and Neurocognitive Disorders
- Case 22: Mental Capacity Assessment
- Case 23: Attention Deficit Hyperactivity Disorder
- Case 24: Autism Spectrum Disorder and Intellectual Developmental Disorder
- Case 25: Alcohol Use Disorder
- Case 26: Cannabis Use Disorder
- Case 27: Stimulant Use Disorder
- Case 28: Opioid Use Disorder
- Case 29: Hallucinogen Use Disorder
- Case 30: Gambling Disorder
- Case 31: Borderline Personality Disorder
- Case 32: Antisocial Personality Disorder
- Case 33: Schizoid, Schizotypal and Paranoid Personality Disorder
- Case 34: Dependent Personality Disorder
- Case 35: Suicide Risk Assessment
- Case 36: Catatonia and Electroconvulsive Therapy
- Case 37: Neuroleptic Malignant Syndrome and Serotonin Syndrome
- Case 38: Insomnia Disorder
- Case 39: Narcolepsy Disorder
- Case 40: Breathing-Related Sleep Disorders
- Case 41: Non-Rapid Eye Movement Sleep Arousal Disorder
- Case 42: Rapid Eye Movement Sleep Behaviour Disorder
- Case 43: Dissociative Amnesia and Dissociative Identity Disorder
- Case 44: Voyeuristic, Exhibitionistic, Frotteuristic and Sexual Masochism and Sadism Disorders
- Case 45: Paedophilic Disorder
- Case 46: Transvestic and Fetishistic Disorders
- Case 47: Gender Dysphoria
- Case 48: Pyromania
- Case 49: Kleptomania
- Case 50: Child and Adolescent Mental Health Services
- Case 51: Old Age Psychiatry
- Case 52: Pregnancy and Breastfeeding
- Case 53: Hepatic Impairment
- Case 54: Renal Impairment
- Case 55: Forensic Psychiatry
- Part II: Topical MCQs
- Index
- References
Summary
Chapter 25 covers the topic of alcohol use disorder. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the diagnosis to management of a patient with alcohol use disorder. Topics covered include symptoms and diagnosis of acute intoxication and withdrawal symptoms of alcohol use, investigations, Wernicke’s enceophaloptahy, common co-morbidity, symptoms and treatment of alcohol withdrawal, delirium tremens, pharmacological and non-pharmacological management of alcohol use disorder.
Keywords
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- Type
- Chapter
- Information
- Practise PsychiatryA Guide Through Vignettes and MCQs, pp. 247 - 261Publisher: Cambridge University PressPrint publication year: 2025
References
World Health Organization. International classification of diseases, 11th edition (ICD-11). Geneva: World Health Organization; 2024. Available from: https://icd.who.int/enGoogle Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th edition, text revision (DSM-5-TR). Washington, DC: American Psychiatric Association Publishing; 2022. Available from: www.psychiatry.org/psychiatrists/practice/dsm.Google Scholar
Willenbring, ML, Massey, SH, Gardner, MB. Helping patients who drink too much: an evidence-based guide for primary care clinicians. Am Fam Physician. 2009 Jul 1;80(1):44–50.Google ScholarPubMed
Ewing, JA. Detecting alcoholism. The CAGE questionnaire. JAMA. 1984 Oct 12;252(14):1905–7.CrossRefGoogle ScholarPubMed
Michael, A, Mirza, S, Mirza, KA, Babu, VS, Vithayathil, E. Morbid jealousy in alcoholism. Br J Psychiatry. 1995 Nov;167(5):668–72.10.1192/bjp.167.5.668CrossRefGoogle ScholarPubMed
Boland, RJ, Verduin, ML, Ruiz, P, Shah, A, Sadock, BJ, editors. Kaplan & Sadock’s synopsis of psychiatry, 12th edition. Philadelphia: Wolters Kluwer; 2022.Google Scholar
Semple, D, Smyth, R. Oxford handbook of psychiatry, 4th edition. Oxford: Oxford University Press; 2019.CrossRefGoogle Scholar
Saunders, JB, Aasland, OG, Babor, TF, de la Fuente, JR, Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption – II. Addiction. 1993 Jun;88(6):791–804.10.1111/j.1360-0443.1993.tb02093.xCrossRefGoogle ScholarPubMed
Rahman, A, Paul, M. Delirium tremens. StatPearls. Treasure Island, FL: StatPearls Publishing; 2023. Available from:www.ncbi.nlm.nih.gov/books/NBK482134/Google Scholar
Sullivan, JT, Sykora, K, Schneiderman, J, Naranjo, CA, Sellers, EM. Assessment of alcohol withdrawal: the revised Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar). Br J Addict. 1989 Nov;84(11):1353–7.CrossRefGoogle ScholarPubMed
Kessler, RC, Chiu, WT, Jin, R, Ruscio, AM, Shear, K, Walters, EE. The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2006 Apr;63(4):415–24.10.1001/archpsyc.63.4.415CrossRefGoogle ScholarPubMed
Grant, BF, Goldstein, RB, Saha, TD, Chou, SP, Jung, J, Zhang, H, et al. Epidemiology of DSM-5 alcohol use disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions III. JAMA Psychiatry. 2015 Aug;72(8):757–66.CrossRefGoogle ScholarPubMed
Chamorro, AJ, Rosón-Hernández, B, Medina-García, JA, Muga-Bustamante, R, Fernández-Solá, J, Martín-González, MC, et al. Differences between alcoholic and nonalcoholic patients with Wernicke encephalopathy: a multicenter observational study. Mayo Clin Proc. 2017 Jun;92(6):899–907.10.1016/j.mayocp.2017.02.019CrossRefGoogle ScholarPubMed
Prochaska, JO, DiClemente, CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51(3):390–5.CrossRefGoogle ScholarPubMed
Smedslund, G, Berg, RC, Hammerstrøm, KT, Steiro, A, Leiknes, KA, Dahl, HM, et al. Motivational interviewing for substance abuse. Cochrane Database Syst Rev. 2011 May 11;2011(5):CD008063.Google ScholarPubMed
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