Alcohol is a central nervous system depressant. After consumption, the following may occur:

• Disinhibition and initial euphoria.
• Relaxation and a sense of greater sociability (a perceived effect).
• He speaks in a slur. (difficulty articulating words).
• Coordination Issues motor and balance skills.
• Impaired judgment y conductas de riesgo (accidentes de tráfico, prácticas sexuales sin protección).
• In severe intoxication: vomiting, decreased level of consciousness (alcoholic coma), and respiratory depression.

Withdrawal Syndrome (upon stopping or reducing use after prolonged use): tremors, sweating, anxiety, insomnia, nausea, tachycardia, and hypertension. In severe cases, hallucinations, seizures, and delirium tremens (confusion, agitation, and fever), a potentially life-threatening medical emergency. That's why, if you drink every day or in large quantities, Don't try to detox on your own at home: Seek medical attention.

Alcohol use often coexists with other mental disorders; we refer to this co-occurrence as dual diagnosis. Sometimes the mental disorder precedes substance use, and other times it develops afterward, which is why it is important to assess and treat both at the same time. It may include, among other things:

• Depression and anxiety disorders.
• Bipolar Disorder and Other Mood Disorders.
• Alcohol-induced psychotic disorder.
• Sleep Disorders.
• Cognitive decline.

Tratamos a la vez el consumo y el trastorno asociado, porque abordar solo una parte suele dificultar la evolución.

Regular or heavy alcohol consumption may be associated with various medical complications. Not everyone has them: These depend on the amount, duration of consumption, and individual factors. Among those described:

• Liver-related: fatty liver (steatosis), alcoholic hepatitis, and cirrhosis.
• Digestive: gastritis, pancreatitis, and bleeding.
• Cardiovascular: high blood pressure, arrhythmias, and cardiomyopathy.
• Neurological: cognitive impairment, polyneuropathy, and Wernicke's encephalopathy (confusion, balance disturbances, and abnormal eye movements), which can lead to Korsakoff's syndrome (a memory disorder); both are caused by a thiamine (vitamin B1) deficiency.
• Oncology: an increased risk of various types of cancer.
• Sexual dysfunction.

La valoración médica inicial ayuda a detectarlas y a abordarlas lo antes posible.

The treatment consists of two stages:

• Medically supervised detoxification. Por el riesgo de la abstinencia, se realiza con control médico y, cuando procede, con la medicación que prescriba el médico responsable, de forma ambulatoria u hospitalaria según el caso. La medicación se administra siempre by prescription and according to an individualized treatment plan: Do not self-medicate, and do not combine alcohol with benzodiazepines or other sedatives, due to the risk of respiratory depression.
• Withdrawal. Psicoterapia con respaldo científico (terapia cognitivo-conductual, entrevista motivacional y prevención de recaídas) en formato individual y, cuando está indicado, trabajo con la familia o la pareja. Si el equipo médico lo considera indicado, puede valorarse un apoyo farmacológico dentro del plan. Seguimiento a largo plazo.

We work with the Unified Transdiagnostic Model (MUT), nuestro modelo de tratamiento transdiagnóstico, que combina las terapias con mayor respaldo científico y atiende al mismo tiempo el consumo y lo que suele acompañarlo, como la ansiedad o la depresión (patología dual). El tratamiento puede ser outpatient clinic —compatible with your daily life— or with admission if your situation calls for it. We always decide this together with you.

This treatment is part of our substance abuse treatment in Madrid, where we also addressed the cocaine, the cannabis and the heroin. We also cover the mephedrone and the nitazenes. You can learn more about our addiction treatment center in Madrid, the detox center and the outpatient treatment, with or without income.

El proceso comienza con una entrevista clínica de valoración, en la que un profesional sanitario del equipo revisa tu caso y te orienta sobre las opciones de tratamiento. Si a partir de ahí se establece un plan de tratamiento, las sesiones de psicoterapia individual parten de 85 €. Las condiciones económicas del plan completo se detallan en esa misma entrevista, antes de empezar.

La frecuencia se define después de la primera valoración, con el profesional sanitario que lleve el caso, y se ajusta según la evolución del tratamiento.