Perceived benefits and negative consequences of alcohol consumption in women living with HIV: a qualitative study Full Text

OK, we can start by filling out the “easy” stuff first for Jane Doe. We can go down the table and start identifying biological factors , followed by most of the social factors based on the history we have above. We’ll leave the predisposing social factor and psychological factors for the end. She has a past history of borderline personality disorder, depression, and alcohol use disorder . She used to be a soccer player and has a history of multiple concussions. She previously completed a course of dialectical behavioural therapy, which was helpful. Given the lack of certainty about what causes addiction, controversies emerge.

The patients were interviewed as they began treatment and 65% were traced for interviews one year later. Measures of self esteem, emotional health and drinking patterns are presented over time. A prospective study of the factors influencing entry to alcohol and drug treatment. Sociodemographic gender differences in patients attending a community-based alcohol treatment centre.

Regarding Substance Abuse, Addiction and Women

In part, this may reflect that women are more likely to seek care in non-substance abuse settings, particularly primary care and mental health settings, where their drinking problems may not be recognized . Thus, alcohol screening, brief intervention and referral for specialty treatment as needed is critical across women and alcoholism health care settings, including primary care and mental health services, particularly for women. Not only do women face unique obstacles to entering and remaining in treatment, they also have specific needs while in treatment. Matters surrounding financial independence, pregnancy and child care, play key roles.

Step Factor Description Step 3 Social Early parental divorce, unstable home life, history of trauma. Additionally, the lack of coping mechanisms leading to intense thoughts of suicide. Step 7 Psychological Previously responded well to DBT, and has a history of being psychologically-minded and insightful. Protective factors include the patient’s own areas of competency, skill, talents, interest and supportive elements. Protective factors counteract the predisposing, precipitating, and perpetuating factors.

Problem drinking behavior in two community-based samples of adults: influence of gender, coping, loneliness, and depression.

In the U.S., rates of HIV infection in women are substantially higher among African-American and Hispanic women, and women living with HIV often have previous exposure to stressors such as poverty and violence . With the introduction of highly-active antiretroviral therapy in the 1990s, HIV can be a chronic disease for most persons living with HIV, but there are gender disparities related to HIV care engagement and HIV viral suppression [2–4]. Therefore, we need to understand barriers to successful HIV health outcomes that are currently relevant to women living with HIV. Many women living with HIV are drinking alcohol in order to self-manage pain or emotions, and their perceived consequences from drinking extend beyond HIV-specific medical issues.

Verywell Mind’s content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Detection of addiction in medical professionals -an eye opener GGS Medical College/Baba Farid Univ.of Health Sciences. Be aware that there is no unified theory of addition, but that an integrated approach can help explain onset and maintenance of addictive behavior.

Psychosocial Treatments for Alcohol Use Disorder

Many of these ads show drinking as an acceptable, fun and relaxing pastime. In just four decades – between 1971 and 2011 – alcohol advertising in the United States increased by more than 400%.

• Self-administered masturbation training in the treatment of primary orgasmic dysfunction.
• Outreach’s multilingual health professionals, from diverse backgrounds, are experienced working with numerous cultures, and offer women’s outpatient services in Spanish and Polish at select locations.
• Mindfulness-based group therapy for women with provoked vestibulodynia.
• It is suggested that home carers are well placed to respond to risky drinking among elderly people but that they experience both structural and personal barriers to adopting a more active role.
• I mean my health, my medication, any responsibility that I have, I don’t even eat.
• Further studies are required to define the exact place of nalmefene, compared with drugs at present used in the treatment of alcohol dependence, especially naltrexone.

Cognitive behavioral treatments are one of the most frequently evaluated psychosocial approaches to treating substance use disorders. This review presents the recent scientific data for nalmefene (Selincro®; Lundbeck, Valbi, Denmark), describes the value of this molecule in reducing alcohol consumption in alcohol-dependent patients, and discusses some practical aspects of its use. Psychosocial treatments are those that combine both psychological and social environment-focused modalities within a treatment plan. A 2014 review notes that psychosocial treatments are an effective way to treat alcohol use disorder.

Publication History

Your formulation of a patient evolves and changes as you collect more information. Formulation is like cooking, and there is no ‘right’ or ‘wrong’ way to do it, but most get better over time with increasing clinical experience. Regarding drinking consequences, we sought to identify whether participants perceived that alcohol had an effect on any HIV-specific health issues.

This likely led to an attachment style that was likely insecure and disorganized. Due to her history of abuse at age 12, she may have struggled with identity versus role confusion during that Eriksonian stage of psychosocial development. As she was unable to develop a sense of self and personal identity, these psychological factors are reflected in her https://ecosoberhouse.com/ adulthood with unstable relationships, and fears of abandonment. This has led to her adulthood self-perception of being unworthy of being loved, a constant fear of rejection, and increased rejection sensitivity. The patient appears to have adopted self-harming as a primitive coping strategy by early adulthood, and these have continued on in adulthood.