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Thursday, July 10, 2014

How Counsellors Perform An Alcohol Assessment

By Rosella Campbell


The cases of alcoholism in Minneapolis, MN has been increasing a little bit since the last year. Now since the numbers have gone up, alcoholic counsellors have been more diligent when it comes to trying to treat the patients. Of course in order to do this, they have to give the patients an alcohol assessment.

Now there are three very common ways a counsellor will be able to determine if a patient has a problem or not. These three methods will also determine what level of alcoholism one has already attained. These methods are known as the MAST, CAGE, and TWEAK.

The first one is known as the Michigan Alcohol Screen Test and was made popular during the year 1971. Basically, the counsellor will be asking questions about how alcoholism is the result of such personal problems like work problems, family problems, and other kinds. This method will allow the patient to be able to realize himself that he actually does have a problem when it comes to drinking.

The next method is known as the CAGE method and each letter corresponds to the question that the therapist would have to ask the patient. The letter C corresponds to whether people have asked him to cut down on drinking. The letter A represents whether the patient has been annoyed when people comment on his alcoholic habits. The letter G represents whether one has feelings of guilt for drinking. The E aims to let the patient have an eye openers or drinks early in the morning.

There is also the TWEAK method which is quite similar to the CAGE method but is a little bit more complete. The TWEAK method is composed of letters that serve as abbreviations for the words tolerance, worried, eye openers, amnesia and cut down. By taking a look at these five aspects, one will be able to evaluate the drinking problem of an alcoholic.

The T would determine the tolerance of the alcoholic or how much he can drink. The W would determine who in his family members are worried about him. The E would determine whether one would have morning drinks in order to calm down his hangovers. The A would determine whether one would start to forget a lot of important things in his life. The K would determine whether the patient has ever thought of cutting down.

Of course once the counsellor has already determined that the patient does have a problem, the counsellor will first refer him to a medical doctor to get a physical examination. It is best to find out first if there are any urgent health issue. That way, treatment can be given right away.

Now as for the alcoholism treatment, the first step is of course detoxification or flushing of the alcohol from the body. The next thing that would be done would be to prescribe antidepressants to the patients just in case of withdrawal effects. Of course when that is done, one would have to go through regular psychotherapy to make sure that the problem does not come back.




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