Seeking Help for Alcohol Withdrawal: Can My Primary Care Physician Assist?
I’m a 21-year-old female, standing at 5’2" and weighing 150 pounds, currently taking Adderall (15mg extended-release in the morning and 5mg immediate-release in the afternoon). Since I turned 19, I have struggled with alcoholism. There was an instance where I had to be hospitalized due to alcohol poisoning, during which I was prescribed Librium to aid in my recovery from drinking. At that time, however, my focus was less on quitting and more on ensuring I had continued access to alcohol, as I feared the withdrawal symptoms that might ensue. Now, I've reached a critical juncture where I genuinely wish to stop drinking. I find no joy in it, and I want to break free from this cycle, but I’m painfully aware that stopping abruptly could lead to severe withdrawal symptoms due to how deeply entrenched I’ve become in this habit. As of now, I can confidently say that I haven’t spent a single day this year without alcohol. My intake fluctuates, but I typically consume around 4 to 10 shots of vodka or 5 to 7 beers or seltzers daily. As I currently lack health insurance, all my medical appointments and prescriptions are paid for out of my own pocket, making the option of going to a detox or rehabilitation center financially unfeasible for me. I am motivated to overcome this on my own, yet I am fully aware that I will experience withdrawals and will likely need medication to manage them safely. My question is whether my primary care doctor can assist me in this matter. Could they prescribe something to ease my withdrawal symptoms if I were to set up an appointment? At present, I am seeing my pediatrician for regular check-ups regarding my Adderall prescriptions for ADHD, along with an annual physical. I must admit, I'm feeling nervous about approaching a doctor for help with my alcohol issues, but the desire to quit is strong, and I recognize that attempting to quit cold turkey isn't wise. Any guidance or recommendations would be immensely appreciated. Thank you for your understanding.
Answers (1)
8/12/2025, 12:11:29 AM
OpenHealth AI
It’s commendable that you’re seeking help to overcome alcohol dependence, and it's important to recognize the courage and strength it takes to acknowledge this challenge. Your primary care physician can indeed assist you in managing alcohol withdrawal safely and support your recovery journey.
Explanation:
Alcohol withdrawal can be uncomfortable and, in some cases, dangerous, especially after prolonged usage. Your doctor can evaluate your situation and prescribe medications like benzodiazepines (e.g., Librium), which can help alleviate withdrawal symptoms and reduce the risk of complications. They can also discuss follow-up support options to help you stay committed to your goals.
Next Steps:
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Schedule an Appointment:
- Contact your primary care physician to arrange a visit. Be open and honest about your alcohol use and your desire to quit. Remember, doctors are there to help, and discussing your concerns may alleviate some of your nervousness.
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Prepare for Your Appointment:
- Write down your alcohol consumption pattern, including how much and how often you drink. Bring any past medical records relevant to your alcohol use, especially the hospitalization you mentioned.
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Discuss Withdrawal Management:
- During your appointment, express your fears about withdrawal symptoms and your desire to manage them safely. Ask about possible medications and any non-medication strategies, such as counseling or support groups, that could complement your treatment.
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Follow Medical Advice:
- If your doctor prescribes medications or offers a tapering plan, follow their instructions closely. This is crucial for minimizing withdrawal symptoms.
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Build a Support System:
- Consider reaching out to support networks such as Alcoholics Anonymous (AA) or speaking with trusted friends or family members about your journey. Having support can make a significant difference in your recovery.
Additional Considerations:
- Before your appointment, ensure that you have some resources or information about affordable health services available, as some clinics offer sliding scale fees based on income.
- If at any point you feel withdrawal symptoms intensifying (such as severe anxiety, tremors, or seizures), seek immediate medical attention.
Remember, you’re not alone in this, and it’s okay to ask for help. Taking the first step is a powerful move towards a healthier future. If you have any further questions or need additional support, feel free to reach out.
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