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How Counsellors Perform An Alcohol Assessment

By Rosella Campbell


There are a lot of cases wherein people would have alcohol or drinking problems, especially in the city of Minneapolis, MN. It is because of this that patients who are suffering from this type of problem would undergo a complete alcohol assessment. This will help the therapist know as to how bad the problem is.

Now in order to assess whether one would have a drinking problem or not, there are actually three ways to do this. The three ways will first determine whether the patient does have a condition or not. Now these three methods of determining would be the MAST, the CAGE, and the TWEAK methods.

The first one is known as the Michigan Alcohol Screen Test and was made popular during the year 1971. Basically, the counsellor will be asking questions about how alcoholism is the result of such personal problems like work problems, family problems, and other kinds. This method will allow the patient to be able to realize himself that he actually does have a problem when it comes to drinking.

The next method is known as the CAGE method and each letter corresponds to the question that the therapist would have to ask the patient. The letter C corresponds to whether people have asked him to cut down on drinking. The letter A represents whether the patient has been annoyed when people comment on his alcoholic habits. The letter G represents whether one has feelings of guilt for drinking. The E aims to let the patient have an eye openers or drinks early in the morning.

There is also the TWEAK method which is quite similar to the CAGE method but is a little bit more complete. The TWEAK method is composed of letters that serve as abbreviations for the words tolerance, worried, eye openers, amnesia and cut down. By taking a look at these five aspects, one will be able to evaluate the drinking problem of an alcoholic.

The T would determine the tolerance of the alcoholic or how much he can drink. The W would determine who in his family members are worried about him. The E would determine whether one would have morning drinks in order to calm down his hangovers. The A would determine whether one would start to forget a lot of important things in his life. The K would determine whether the patient has ever thought of cutting down.

Of course if one has to undergo an evaluation, he might have physical problems. So aside from mental treatment, he might need physical treatment too because some of his internal organs are most likely damaged. He would have to undergo an overall physical examination and be given medical treatment.

For the drinking problem, most patients have to undergo detoxification. After the detoxification, they will be given anti depressants to dull the withdrawal effects. After that is done, then he will be attend some psychotherapy sessions in order to completely cure his condition and make sure that it does not come back.




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