Dr Neal Brener: Why you can't just tell an alcoholic to stop drinking

Share

Alcoholism is not a silly little self-inflicted illness. It is a major problem for the NHS. One in five beds at any one time is occupied by people with drinking problems. Unfortunately it is often not well recognised by the medical profession, and treatment options in the NHS are limited.

All too often doctors are afraid to ask the question about alcohol addiction and feel ill-prepared in their training to treat people with alcohol issues.

Alcoholism is just one facet of the drinking issue. One has to look at the consequence of drinking, not just the quantity. A person who drinks two glasses of wine and then goes and beats his wife up has a drink problem.

When treating someone with a drinking problem it is vital to look at the physical and mental effects not just on the person but the people around them. Any good treatment programme has to have a family component. The spouse and children of alcoholics can be severely damaged.

The problems celebrities have with alcoholism are rarely different from those faced by anyone else. An alcoholic is an alcoholic - they do not need an excuse to drink. But it is harder for them to get treatment because it is very difficult for a celebrity to go into a rehab unit. The press follow them and people want to sell their stories.

Addiction is an umbrella with many segments underneath it, alcohol being only one of them. Drugs, gambling, over-shopping, relationships and eating can all be involved. You have to treat the whole addiction.

For a true alcoholic it is a lifelong illness that needs constant treatment and total abstinence. You cannot have a little, because if you have a little you have a lot. Simply telling an alcoholic to stop drinking is not going to help. If that were the case George Best would not be dead. A large number of people in this country have drinking problems. It is a serious, life-threatening illness where a significant percentage of people die from their addiction.

Dr Neal Brener is a consultant psychiatrist at the Priory Hospital, north London

React Now

Latest stories from i100
Have you tried new the Independent Digital Edition apps?
iJobs Job Widget
iJobs General

Recruitment Genius: Sales Administrator - Spanish Speaking

£17000 - £21000 per annum: Recruitment Genius: This is a fantastic opportunity...

Recruitment Genius: Sales Administrator - German Speaking

£17000 - £23000 per annum: Recruitment Genius: This is a fantastic opportunity...

Recruitment Genius: Sales Administrator - Japanese Speaking

£17000 - £23000 per annum: Recruitment Genius: If you are fluent in Japanese a...

Recruitment Genius: Graphic Designer - Immediate Start

£16000 - £25000 per annum: Recruitment Genius: This is a fantastic opportunity...

Day In a Page

Read Next
 

Errors & Omissions: Hang on – that’s not how it’s supposed to be written

Guy Keleny
Rafael Nadal is down and out, beaten by Dustin Brown at Wimbledon – but an era is not thereby ended  

Sad as it is, Rafael Nadal's decline does not mark the end of tennis's golden era

Tom Peck
Is this the future of flying: battery-powered planes made of plastic, and without flight decks?

Is this the future of flying?

Battery-powered planes made of plastic, and without flight decks
Isis are barbarians – but the Caliphate is a dream at the heart of all Muslim traditions

Isis are barbarians

but the Caliphate is an ancient Muslim ideal
The Brink's-Mat curse strikes again: three tons of stolen gold that brought only grief

Curse of Brink's Mat strikes again

Death of John 'Goldfinger' Palmer the latest killing related to 1983 heist
Greece debt crisis: 'The ministers talk to us about miracles' – why Greeks are cynical ahead of the bailout referendum

'The ministers talk to us about miracles'

Why Greeks are cynical ahead of the bailout referendum
Call of the wild: How science is learning to decode the way animals communicate

Call of the wild

How science is learning to decode the way animals communicate
Greece debt crisis: What happened to democracy when it’s a case of 'Vote Yes or else'?

'The economic collapse has happened. What is at risk now is democracy...'

If it doesn’t work in Europe, how is it supposed to work in India or the Middle East, asks Robert Fisk
The science of swearing: What lies behind the use of four-letter words?

The science of swearing

What lies behind the use of four-letter words?
The Real Stories of Migrant Britain: Clive fled from Zimbabwe - now it won't have him back

The Real Stories of Migrant Britain

Clive fled from Zimbabwe - now it won’t have him back
Africa on the menu: Three foodie friends want to popularise dishes from the continent

Africa on the menu

Three foodie friends want to popularise dishes from the hot new continent
Donna Karan is stepping down after 30 years - so who will fill the DKNY creator's boots?

Who will fill Donna Karan's boots?

The designer is stepping down as Chief Designer of DKNY after 30 years. Alexander Fury looks back at the career of 'America's Chanel'
10 best statement lightbulbs

10 best statement lightbulbs

Dare to bare with some out-of-the-ordinary illumination
Wimbledon 2015: Heather Watson - 'I had Serena's poster on my wall – now I'm playing her'

Heather Watson: 'I had Serena's poster on my wall – now I'm playing her'

Briton pumped up for dream meeting with world No 1
Wimbledon 2015: Nick Bollettieri - It's time for big John Isner to produce the goods to go with his thumping serve

Nick Bollettieri's Wimbledon Files

It's time for big John Isner to produce the goods to go with his thumping serve
Dustin Brown: Who is the tennis player who knocked Rafael Nadal out of Wimbeldon 2015?

Dustin Brown

Who is the German player that knocked Nadal out of Wimbeldon 2015?
Ashes 2015: Damien Martyn - 'England are fired up again, just like in 2005...'

Damien Martyn: 'England are fired up again, just like in 2005...'

Australian veteran of that Ashes series, believes the hosts' may become unstoppable if they win the first Test