Unhealthy alcohol use

R Saitz - New England Journal of Medicine, 2005 - Mass Medical Soc
New England Journal of Medicine, 2005Mass Medical Soc
Foreword This Journal feature begins with a case vignette highlighting a common clinical
problem. Evidence supporting various strategies is then presented, followed by a review of
formal guidelines, when they exist. The article ends with the author's clinical
recommendations. Stage A 32-year-old man has a three-month history of difficulty sleeping.
On questioning, he mentions that he drinks four to six glasses of wine three to four times per
week. How should his case be assessed and managed? The Clinical Problem Each year in …
Foreword
This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
Stage
A 32-year-old man has a three-month history of difficulty sleeping. On questioning, he mentions that he drinks four to six glasses of wine three to four times per week. How should his case be assessed and managed?
The Clinical Problem
Each year in the United States, 85,000 deaths, along with substantial disability from medical and psychiatric consequences, injuries, and “secondhand” effects (e.g., motor vehicle crashes), are attributed to the use of alcohol. The estimated annual costs that are attributable to alcohol use are $185 billion.1,2 Unhealthy alcohol use covers a spectrum that is associated with varying degrees of . . .
The New England Journal Of Medicine