 Did you all know that 3 million deaths worldwide every year is due to the harmful use of alcohol which constitutes the 5.3 percentage of worldwide deaths? I am Dr. Satish. I am here to talk about alcoholism and its harmful effect on us. Alcoholism is when a person has no control over the alcohol consumption despite its harmful effect on the occupational life, personal life, social life, even a person develops a lot of physical health concerns and still a person has no control over it. This is how we can define alcoholism. So the short term symptoms can be where a person can show nausea, vomiting, increased heartbeat or the person can show restlessness, agitation and the person can even show some sort of irritability. When we talk about the long term symptoms which are mostly physical health issues, probably there can be insomnia where a person has difficulty in sleeping at night and without alcohol they cannot sleep anymore and there could be sexual dysfunction which is the major cause of alcoholism lately. People do have psychological sexual dysfunction and without alcohol people find it very difficult to manage them and then there are other physical disorders like cardiovascular disorders, hypertension, low blood pressure which can also lead to high risk of diabetes. The first cause we can attribute to the social causes, probably the main reason is stress where everybody in the world today are going through stress. The major stress can come from the work life when a person says that they are working for a longer duration of time and when they have issues with the workplace at the end of the day they depend on alcohol and nowadays it's a trend that work hard party hard where five days of a week the person has to work and the end of the week where a person goes to a party binge drink as much as they want and the second thing could be lifestyle. It's a trend so it's a trend that where everybody are having a peer pressure that if they're in a group to look cool they have to drink so there's a peer pressure which is an added risk of it and other than the stress and other than the peer pressure now talking about the risk factors biologically if the father drinks for a longer period of time genetically the son also has a predispositional genetic factor with a child has higher risk of drinking when the child grows up so that is how biological and genetic factors can be spoken about when we talk about the family marital disturbances the family disturbances which can also lead to it and the last thing would be the personality some people who are predispositionally vulnerable to anxiety or being very depressed can have a higher risk of consuming alcohol yes alcoholism is a medical condition and that requires treatment in fact there are various different modalities of treatment it depends on the severity if a person shows mild or moderate and severe depending on which the initial assessments are done to identify what kind of treatment so let's talk about the severity the severe intensity mostly pharmacotherapy where some sort of a psychiatric interventions are done medications are given and the second which is mostly moderate to mild features psychotherapies and counseling so we first identify what are the vulnerabilities like as i already mentioned in the previous video talking about the social factors biological factors family factors is it the work stress or is it the personality we identify them and based on that there are different psychotherapies available the most common are cognitive behavioral therapy or stress inoculation therapy relaxation techniques cognitive distractions and many more prevention of alcoholism is definitely up to the stress management as we previously discussed stress is everywhere it's in every part of our day but stress can never be escaped so ultimately a person is depending on alcohol to overcome the stressful day or how to relax at the end of the day so finding a coping mechanism finding an alternative to alcohol alcohol is simply but a habit which can develop into a medical condition so developing a coping technique where a person depends on social support where a person depends on family in fact we call family as a resilience where the person who is more accustomed being with the family mostly has a less risk factors of drinking alcohol and those people who have better coping mechanisms that is people who depend on playing music listening to music or people who have drawing painting who loves cooking who enjoys going out to people do have a lower risk of managing the alcohol it is only when the person has no um no activity to do outside of the work life say when you finish your work come home i'm so bored i don't know what to do these are the situations where people easily depend on alcohol and that's how addiction begins so having a different activity to manage through the day can easily the person can easily overcome the alcohol behavior