Alcoholism - Last Stage
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There are
four alcoholism stages. The fourth and last stage of alcoholism is characterised by a chronic loss of
control regarding drinking behavior.
In the earlier stages of alcoholism, the alcoholic had a choice whether he or she would take
the first drink.
In the last stage of alcoholism, however, an alcoholic no longer has a choice: he or she
must drink in order to function on a daily basis.
The Regrettable Characteristics of Alcoholism in the Last Stage
Alcoholism Stages. The fourth and last stage of alcoholism is characterised
by an almost total loss of control concerning drinking behavior. In the earlier stages of the
disease, the person may have been successful in maintaining a job.
Now, however, drinking starts earlier in the day and usually continues
throughout the day.
Very few, if any
full-time jobs can be maintained once a person is in this emotional and physical state.
In the earlier stages of dependency, the alcoholic had a choice whether he or she would take the
first drink.
Once the alcoholic had the first drink, he or she usually lost all control and would then continue
drinking.
In the last stage of alcoholism, however, alcoholics no longer have a choice: they must
drink.
During the last stage of alcoholism, benders are typical. That is, in this stage, the
alcoholic gets helplessly drunk and may remain in this condition for days at a time. The unattainable goal for
the alcoholic at this time is to find the feeling of euphoria they once experienced.
In this stage, they alcoholic manifests an utter disregard for everything, including food, shelter,
family, and job. These occasional flights into oblivion are best described as drinking to get away from the
problems caused by drinking.

| Treatment of the alcoholic can be divided into 3 stages. Initially, the person has
to be medically stabilized. Next, he or she must undergo a detoxification process, followed by
long-term abstinence and rehabilitation. |
In the second or third alcoholism stages the alcoholic's hands may have trembled slightly on
mornings after getting drunk.
In the final stage of alcoholism however, alcoholics get "the shakes" whenever they try or are
forced to abstain from drinking. These tremors are an indication of a severe nervous disorder that now
affects the entire body.
| A strong family history of alcoholism is a warning that you are at increased risk of
becoming an alcoholic. Increased awareness of such a risk may help modify your attitude toward
alcohol consumption. |
The Shakes and the DTs
When "the shakes" are combined
with hallucinations, the result is known as "the DTs" or delirium tremens, a potentially fatal form of alcohol
withdrawal if the alcoholic does not receive medical attention. After an attack of the DTs, many
alcoholics promise to never drink again.
Sadly, most of them do not and can not fulfill their promise, and so they eventually return to
drinking, and the process starts all over again.
| Once sober, patients can begin rehabilitation. Many enroll in hospital-based or
freestanding alcoholism treatment centers. According to a 1991 survey by the U.S. Department of
Health and Human Services, nearly 575,000 people were treated in 8,298 facilities in the United
States on Sept. 30, 1991. Of those, 12 percent were treated as inpatients, 88 percent as
outpatients. |
The Need to Hide the Booze
In the final stage of alcoholism, having an easily accessible supply of alcohol close at hand (to
avoid "the shakes") becomes the most important thing in the life of the alcoholic.
During this stage, the alcoholic will do almost anything to get the alcohol they require. Once
the alcohol is secured, the alcoholic will usually hide their bottles so that they can get a drink whenever they
need it, which usually means any hour of the day or the night.
During the third stage of alcohol dependency, the drinker starts to experience
serious relationship, work-related, and financial problems. Additionally, he or she starts to avoid
friends and family and experiences a loss of interest in things that used to
be important. |
Alcoholism Last Stage Symptoms
The
following represents some of the key symptoms of the 4th stage of alcoholism:
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the possibility of alcoholic psychosis
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the realization of being out of control
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benders, or lengthy intoxications
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continual loss of control
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the collapse of the alibi system
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obsession with drinking
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unreasonable resentments and hostility toward others
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vague spiritual desires
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"the shakes"
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auditory and visual hallucinations
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moral deterioration
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nameless fears and anxieties such as feelings of impending doom or destruction
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the "DTs"
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impaired thinking
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devaluation of personal relationships
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persistent remorse
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loss of tolerance for alcohol
| Acute alcoholism is strongly associated with very serious pneumonia. One study on
laboratory animals suggests that alcohol specifically damages the bacteria-fighting capability of
lung cells. (Chronic alcoholism also causes changes in the immune system, although in people
without any existing medical problems these changes do not appear to be significant.) |
Alcoholism - Last Stage: Conclusion
Alcoholism -
Last Stage. The fourth and last stage of alcoholism is characterised by an almost total loss of
control regarding drinking behavior.
In the earlier stages of the disease, the person may have been successful in maintaining a job. Now, however,
drinking starts earlier in the day and usually continues throughout the day.
As a consequence, few, if any, full-time jobs can be maintained once a person has reached the last stage of
alcoholism. In the earlier stages of the disease, the person actually had a choice whether he or she would
take the first drink.
Once the alcoholic had the first drink, however, he or she usually lost all control and would then continue
drinking. In the last stage of alcoholism, unfortunately, an alcoholic no longer has a choice: he or she
must drink in order to function.

| Screening for problem drinking and alcoholism needs to become an integral part of
the routine health screening questionnaire for adolescents and all adults, particularly women of
child-bearing age, because of the risk of fetal alcohol syndrome. |
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