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Alcohol remains the most widely used drug in Australia, despite declining drinking rates over the past decade. While many Australians consume alcohol within recommended limits, a significant number still experience serious issues with alcohol use — including addiction.
What is Alcohol Addiction?
Alcohol dependence, or alcohol use disorder (AUD), occurs when a person is unable to stop or reduce drinking despite clear negative effects on their health, relationships, and obligations. Their body becomes physically dependent on alcohol with repeated use, and sudden stopping can lead to alcohol withdrawal, which is dangerous to undertake without medical help.
Alcohol withdrawal symptoms may range from uncomfortable to fatal. They occur when an individual who is alcohol dependent stops drinking or reduces it significantly.
Common Alcohol Withdrawal Symptoms:
- Sweating
- Anxiety or irritability
- Nausea and vomiting
- Loss of appetite
- Insomnia
- Tremors or shaking
- Seizures or fits
- Hallucinations or delusions
- Fast heart rate and blood pressure (may lead to stroke or heart attack)
What Is Alcohol Withdrawal Delirium (Delirium Tremens)?
In 3–5% of cases, individuals will experience a severe form of withdrawal called Alcohol Withdrawal Delirium (AWD) or Delirium Tremens. This is a medical emergency.
- Severe disorientation and confusion
- Severe agitation or anxiety
- Hallucinations and paranoia
- Dangerously fluctuating and changing blood pressure
- Shaking or tremors
- Seizures
AWD may take 24–48 hours after ceasing alcohol intake and last for 7–14 days. If not treated by immediate medical intervention, it may be lethal.
How to Withdraw from Alcohol Safely
If stopping drinking or assisting another person in detoxification, safety is paramount. It is the best approach depending on individual needs, history of drugs, and support available.
Safe Alcohol Withdrawal Options:
- Medically supervised detox in a treatment centre
- Withdrawal support at home (in some areas via withdrawal nurses)
- GP-prescribed medication to suppress cravings and withdrawal (e.g., naltrexone, acamprosate)
Important: Before attempting to withdraw from alcohol at home, always see a GP or healthcare adviser.
Post-Withdrawal Ongoing Support
Detox is merely the start of long-term recovery. Most people require ongoing support such as:
- Counselling or psychotherapy
- Residential rehab programs
- Peer support groups (like AA or SMART Recovery)
- Med therapy
- Routine GP check-ups and mental health therapy
If you are not sure where to start, call the National Alcohol and Other Drug Hotline: 1800 250 015. They can refer you to youth or adult treatment in your area.
Where to Get Help
National Alcohol and Other Drug Hotline: 1800 250 015
Visit [ADF Help and Support Services](https://adf.org.au/help-support/)
Read: [Alcohol Withdrawal Management – SA Health](https://www.sahealth.sa.gov.au)
Last Thoughts: Talk to Somebody Before You Quit
You can break the habit of alcohol dependence, but quitting without consulting a doctor can be risky. If you're ready to quit or even thinking about it, you can get help. You don't have to go alone.
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