Alcoholism is a progressive disease.

One of the difficulties in recognizing alcoholism as a disease is it just plain doesn't seem like one. It doesn't look, sound, smell and it certainly doesn't act like a disease. To make matters worse, generally it denies it exists and resists treatment. Alcoholism has been recognized for many years by professional medical organizations as a primary, chronic, progressive and sometimes fatal disease. The National Council on Alcoholism and Drug Dependence offers a detailed and complete definition of alcoholism, but probably the simplest way to describe it is "a mental obsession that causes a physical compulsion to drink."

Mental obsession? Did you ever wake up in the morning with a song playing over and over in your head? It might have been a commercial jingle you heard on television or a song from the radio, but it kept playing and playing and playing. Remember what that was like? No matter what you did, that silly tune kept on playing. You could try to whistle or sing another song or turn on the radio and listen to another tune, but the one in your head just kept on playing. Think about it. There was something going on in your mind that you didn't put there and, no matter how hard you tried, couldn't get it out!

If you don't get diagnosed by your physician, you are more likely not to believe you have a disease, even if you admit that you might over-indulge occasionally on alcohol. It's when you begin to feel you cannot live without alcohol that you should realize you have a problem. When heavy or frequent drinkers suddenly decide to quit "cold turkey" they will experience some physical withdrawal symptoms -- which can range from the mildly annoying to severe and even life-threatening.

For someone who is alcoholic or alcohol dependent, the symptoms include all of those associated with alcohol abuse (above). But alcoholics also continue to drink in spite of all the problems it has caused in their lives.When alcohol abuse reaches the alcohol dependence stage, the person also experiences at least three of seven other symptoms, including neglect of other activities, excessive use of alcohol, impaired control of alcohol consumption, persistence of alcohol use, large amounts of time spent in alcohol-related activities, withdrawal symptoms and tolerance of alcohol.

No wonder denial is an almost universal symptom of the disease. For those who have come to the realization that they do have a problem, help may be as close as the white pages of the telephone directory. But for those who need help and do not want it, intervention may be the only alternative. However, if you have decided, for whatever reason, that you want to stop drinking, there is a world of help and support available. To get a better picture of where you are now, so that you can make an informed decision about how to proceed, perhaps the first person to talk with should be your family doctor.

There is no way to predict how any individual will respond to quitting. If you plan to stop drinking and you have been drinking for years, or if you drink heavily when you do drink, or even if you drink moderately but frequently, you should consult a medical professional before completely cutting yourself off from alcohol.

Some of the psychological symptoms are: feelings of jumpiness or nervousness; feelings of shakiness; anxiety; irritability or easily excited; emotional volatility, rapid emotional changes; depression; fatigue; difficulty with thinking clearly; having bad dreams. Some of the physical symptoms are: headache - general, pulsating; sweating, especially the palms of the hands or the face; nusea; vomiting; loss of appetite; insomnia, sleeping difficulty; paleness; rapid heart rate (palpitations); eyes, pupils different size (enlarged, dilated pupils); clammy skin; abnormal movements; tremor of the hands; involuntary, abnormal movements of the eyelids.

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