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Lesson 42: Alcohol Use Disorders (Lessons 1521-1540)

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Lesson 42: Alcohol Use Disorders – Alcohol Dependence (Lessons 1521–1540) · Course Catalog

Symptom characteristics:
Alcohol use disorder (AUD) is characterized by persistent alcohol use leading to impaired control, tolerance and withdrawal, intense cravings, and decreased functioning in areas such as learning, work, and relationships. It is often accompanied by comorbidities and safety risks.
Course Objectives:
Under the premise of safety, a comprehensive approach of "screening and grading, motivation enhancement, behavioral strategies, medication assistance, peer support, family boundaries, relapse prevention, and long-term follow-up" is adopted to reduce risks and restore function and quality of life.
  1. Understanding the spectrum of AUD: from harmful drinking to dependence; focusing on function and risk rather than moral judgment.
  2. Key points for identifying tolerance, withdrawal, craving, decreased self-control, and functional impairment.
  3. A multi-factor interaction model of biological susceptibility, psychological coping mechanisms, and social environment.
  4. Comprehensive approach: motivation enhancement, behavioral strategies, medication assistance, and peer support.
  5. Standardized screening, combining risky drinking thresholds with functional dimension assessments.
  6. Identify high-risk signs such as tremors, anxiety, and seizures to determine when hospitalization or medical monitoring is necessary.
  7. Trigger-craving-response chain; reduce peak values through delay, transfer, and substitution behaviors.
  8. Create "if-then" scripts for gatherings, overtime work, stress, and mood swings.
  9. Empathy and gap exploration foster inner change, avoiding arguments and labeling.
  10. Record the closed loop of triggers, refactoring ideas, alternative responses, and reward plans.
  11. Indications, contraindications, and expected efficacy; synergy with psychological interventions.
  12. Gain sustained support, reflect on lessons learned, and build social connections to reduce isolation.
  13. Shift from criticism to support; clarify boundaries regarding alcohol, money, and cohabitation.
  14. Treat relapse as a process event: identify early signs, seek help promptly, and get back on track quickly.
  15. Complications can amplify the risks of drinking; establish a safety net and referral channels.
  16. Clearly define the legal consequences and work risks, and implement "no drunk driving" and alternative travel solutions.
  17. Zero tolerance principle and collaboration with families/schools; protecting development and maternal and infant safety.
  18. Monitor liver function, cardiovascular health, and nutritional status, and establish a follow-up schedule.
  19. Rebuilding exercise, sleep, diet, and interpersonal relationships; replacing gaps with value orientation.
  20. Phase goals + scale review + support system to consolidate alertness and quality of life.
  21. “"Traditional free mandala" is the most open form of creation, without presupposing structure, theme or symbolism, emphasizing lines and colors that flow naturally from within.
  22. Please complete the course evaluation to review your learning and provide suggestions. This will help you deepen your understanding and help us improve the course.
Note: This content is for self-understanding and training purposes only and is not a substitute for professional medical diagnosis and emergency treatment. If red flag symptoms or significant functional impairment occur, please seek medical attention in person immediately and follow professional advice.

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