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Alcohol dependence is a previous (DSM-IV and ICD-10) psychiatric diagnosis in which an individual is physically or psychologically dependent upon alcohol (also chemically known as ethanol). In 2013, it was reclassified as alcohol use disorder in DSM-5, [1] which combined alcohol dependence and alcohol abuse into this diagnosis.
In 2019, a 25-year-old man presented with symptoms consistent with alcohol intoxication, including dizziness, slurred speech and nausea. He had no prior alcoholic drinks but had a blood alcohol level of 0.3 g/dL. The patient was given 100 mg of the antifungal fluconazole daily for 3 weeks, and his symptoms were resolved. [8]
ICD-10: Alcohol harmful use, or Alcohol dependence syndrome Definitions are similar to that of the DSM-IV. The World Health Organization uses the term "alcohol dependence syndrome" rather than alcoholism. [107]
Psychoactive substance-induced psychotic disorders outlined within the ICD-10 codes F10.5—F19.5: F10.5 alcohol: [8] [9] [10] Alcohol is a common cause of psychotic disorders or episodes, which may occur through acute intoxication, chronic alcoholism, withdrawal, exacerbation of existing disorders, or acute idiosyncratic reactions. [8]
Alcohol-induced mood disorder: Coded 291.8 in the DSM-IV. 291.1: Alcohol-induced persisting amnestic disorder: 291.2: Alcohol-induced persisting dementia: 291.x: Alcohol-induced psychotic disorder: 291.5: Alcohol-induced psychotic disorder, with delusions: 291.3: Alcohol-induced psychotic disorder, with hallucinations: 291.89: Alcohol-induced ...
291.x Alcohol-induced psychotic disorder.5 With delusions.3 With hallucinations; 291.89 Alcohol-induced mood disorder (coded 291.8 in the DSM-IV) 291.89 Alcohol-induced anxiety disorder (coded 291.8 in the DSM-IV) 291.89 Alcohol-induced sexual dysfunction (coded 291.8 in the DSM-IV) 291.89 Alcohol-induced sleep disorder (coded 291.8 in the DSM-IV)
Total recorded alcohol consumption per capita of individuals 15 years or older, in liters of pure alcohol. Alcoholism is the main cause of alcoholic polyneuropathy. In 2020 the NIH quoted an estimate that in the United States 25% to 66% of chronic alcohol users experience some form of neuropathy. [7]
Repeated episodes of excessive drinking, especially at an early age, are thought to cause a profound increase in the risk of developing an alcohol-related disorder (ICD-10, harmful use/dependence syndrome). Heavy drinking is also closely associated with depression.