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Previous Volume 352:596-607 February 10, 2005 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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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.

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), . . . [Full Text of this Article]

Strategies and Evidence

Identification

Assessment and Diagnosis

Intervention

            Detoxification

            Brief Intervention

            Treatment for Dependence

            Counseling

            Self-Help

            Mutual Help

            Pharmacotherapy

            Pharmacotherapy for Coexisting Psychiatric Conditions

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center; and the Youth Alcohol Prevention Center and the Department of Epidemiology, Boston University School of Public Health — both in Boston.

Address reprint requests to Dr. Saitz at Boston Medical Center, 91 E. Concord St. #200, Boston, MA 02118, or at rsaitz@bu.edu.

Related Letters:

Unhealthy Alcohol Use
Schwan R., Allen J. P., Saitz R.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:2139-2140, May 19, 2005. Correspondence

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