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Do I Have a Problem with Alcohol?

Do I Have a Problem with Alcohol?. Jacob Spilman, LPC, LMFT, CEAP Spilman & Associates LLC 833 SW 11 th Ave Suite 218 Portland OR 97239 (503) 227-3187. From: ALCOHOL PROBLEMS IN INTIMATE RELATIONSHIPS: IDENTIFICATION AND INTERVENTION A Guide for Marriage and Family Therapists

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Do I Have a Problem with Alcohol?

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  1. Do I Have a Problem with Alcohol? Jacob Spilman, LPC, LMFT, CEAP Spilman & Associates LLC 833 SW 11th Ave Suite 218 Portland OR 97239 (503) 227-3187

  2. From: ALCOHOL PROBLEMS IN INTIMATE RELATIONSHIPS: IDENTIFICATION AND INTERVENTION A Guide for Marriage and Family Therapists February 2003 Linda J. Roberts, Ph.D. The University of Wisconsin-Madison Madison, Wisconsin Barbara S. McCrady, Ph.D. Rutgers - The State University of New Jersey Piscataway, New Jersey

  3. How Much Do Most People Drink? • Roughly 66% of the population consumes 2 alcoholic drinks or less per week. • 54% of Men • 77% of women Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  4. How Much Do Most People Drink? • The majority of us don’t routinely use alcohol to: • Socialize • Relieve Boredom • Relieve Stress Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  5. From: ALCOHOL PROBLEMS IN INTIMATE RELATIONSHIPS: IDENTIFICATION AND INTERVENTION A Guide for Marriage and Family Therapists February 2003 Linda J. Roberts, Ph.D. The University of Wisconsin-Madison Madison, Wisconsin Barbara S. McCrady, Ph.D. Rutgers - The State University of New Jersey Piscataway, New Jersey

  6. CAGE Screening Instrument • Have you ever felt you should Cut down on your drinking? • Have people Annoyed you by criticizing your drinking? • Have you ever felt bad or Guilty about your drinking? • Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)? Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  7. CAGE Screening Instrument • You may be at risk for alcohol-related problems if alcohol consumption: • For adult males less than 65 years old: • 14 or more drinks per week, or • 5 or more drinks during any given day • For all adult females and males 65 years or older: • 7 or more drinks per week, or • 4 or more drinks during any given day • Or: • 1 or more CAGE questions (referring to the past year) were positive. Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  8. CAGE Screening Instrument • If CAGE indicates a possible problem, it should be followed up with a thorough assessment for Risky Drinking, Alcohol Abuse, or Alcohol Dependence. • CAGE should not be used as the sole criteria for diagnosis since it’s only a screening device. Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  9. From: ALCOHOL PROBLEMS IN INTIMATE RELATIONSHIPS: IDENTIFICATION AND INTERVENTION A Guide for Marriage and Family Therapists February 2003 Linda J. Roberts, Ph.D. The University of Wisconsin-Madison Madison, Wisconsin Barbara S. McCrady, Ph.D. Rutgers - The State University of New Jersey Piscataway, New Jersey

  10. You don’t have to be addicted to have a problem with Alcohol – Risky Drinking • High-volume drinking over the course of a week: • Males: 14 or more standard drinks per week (average) • Females: 7 or more standard drinks per week (average) Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  11. You don’t have to be addicted to have a problem with Alcohol – Risky Drinking • High-quantity consumption on any given day • Males: 5 or more standard drinks • Females: 4 or more standard drinks Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  12. You don’t have to be addicted to have a problem with Alcohol – Risky Drinking • Engaging in risky drinking behavior • Contexts that pose a particular danger • During pregnancy • When certain health conditions are present • When certain medications are taken • Driving or operating machinery • Decisions around money • Decisions around sex Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  13. Primary & Secondary Drug Effects • The use of any drug has a primary and secondary effect. Primary Effect Secondary Effect 4-5 Hours of Agitation & Depression 1 Hour Euphoria 1 standard drink or 1.5 oz shot hard liquor or 12 oz beer or 5 oz wine Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  14. You Don’t Have to Drink Every Day To Be Affected by Alcohol • The liver detoxes 1 oz. of alcohol per hour. • The effects of alcohol are cumulative. Primary Effect Secondary Effect 4-5 Hours of Agitation & Depression 1 Hour Euphoria 1 standard drink or 1.5 oz shot hard liquor or 12 oz beer or 5 oz wine Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  15. You Don’t Have to Drink Every Day To Be Affected by Alcohol • 3 drinks can affect you emotionally for 15-18 hours • 4 drinks can affect you emotionally for 20-24 hours • You can drink every other day and still be affected by alcohol the entire week! Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

  16. Should I Get Help? • If you have concerns about your use of alcohol or drugs, speak to a medical or mental health professional who specializes in this issue. Spilman & Associates LLC www.jacobspilman.com (503) 227-3187

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