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ALCOHOL DEPENDANCE

Continued...

Manifestations of the alcohol withdrawal state Time to peak: 1-3 days; duration: 5-7 days SYMPTOMS AND SIGNS:

MILD to MODERATE DEPENDENCE * Anxiety, agitation, hyperarousal, restlessness, nervousness, insomnia * Nausea, vomiting, sweating, mild tremors * Cutaneous flushing, high blood pressure and pulse

SEVERE DEPENDENCE * Paranoid delusions, panic * Visual / auditory hallucination, disorientation, severe tremors (delirium tremens) * Dilated pupils, ataxia, convulsions, clouding of consciousness

The Twelve Steps of A.A.

[*] 1. We admitted we were powerless over alcohol--that our lives had become unmanageable 2. Came to believe that a Power greater than ourselves could restore us to sanity 3. Made a decision to turn our will and our lives over to the care of God as we understood Him 4. Made a searching and fearless moral inventory of ourselves 5. Admitted to God, to ourselves and to another human being the exact nature of our wrongs. 6. Were entirely ready to have God remove all these defects of character 7. Humbly asked Him to remove our shortcomings 8. Made a list of all persons we had harmed, and became willing to make amends to them all 9. Made direct amends to such people wherever possible, except when to do so would injure them or others 10. Continued to take personal inventory and when we were wrong promptly admitted it 11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and power to carry that out 12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs [*] www.alcoholics-anonymous.org/em24doc6.html The official international home page for A.A. is:
www.alcoholics-anonymous.org/index.html
_{Author/s: W. Marvin Davis
COPYRIGHT A Thomson Healthcare Company.}
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