NHS reveal a £3 Pill to help “mild alcoholics”

SASHA-black-and-white-photography-drinks-Wines-Beds-Senual-Items-drink-sexy-tags-Klasse-Wine-Glasses-wino-Suzies-alcohol_largeTens of thousands of Britons  who regularly drink two large glasses of wine a day could be now given a new pill to help them reduce their alcohol consumption. ‘ GP’s are urged to prescribe a new drug called Nalmefene, which could help up to 600,000 adults in England, who may already be described as “mild alcoholics”.

Under new NICE guidelines women who drink five units a day and men who drink 7 ½ and struggle to get by without drinking will be prescribed this drug.

To put some balance what is actually five units look like ? It’s actually 2 ½ glasses of 12% alcohol wine using 175 ml glass. The thing that I have noticed, in my private practices is that seldom do people know exactly how much alcohol they actually drinking, as glass sizes can vary enormously; I have known in the past people buying glasses that would easily contain half a bottle of wine.

Using this new drug NICE estimate that they can save 1,854 lives, over a five-year period and prevent 43,000, alcohol-related diseases and injuries. Over the past decade, deaths from liver disease have soared by a fifth and there were 4,425 in 2012, mostly people in their middle age.

One prerequisite for using this drug is that it is to be used alongside counselling. Anecdotal evidence in my local area, suggests that there is a lack of counselling provision for people with alcohol problems, in fact, when local people do access counselling it’s normally six sessions of CBT. Another factor to take into consideration is that this new drug  should only ever used for a period of six months, what other support to people have past six months is unsure.

It is reported that the NHS spends 3.5 billion annually treating patients with alcohol misuse, and it looks like this figure could rise. What is obvious to me is that provision for counselling people with an alcohol problem would help enormously. Also, educating people on what a unit of alcohol actually looks like.

Cannabis alters brain structure: conclusive proof

Recent research sponsored by the medical group Northwest at Harvard University medicine using functional MRI scanners, to analyse the brains of young cannabis users, has shown that there is a marked increase in abnormal alterations in the brain.  Previous longitudinal ( long  term)  study  carried out in Sweden shown that regular cannabis use in young adults can affect the brain’s ability to 7fd2df328018104852822dbbacabd4c8_631e35e_image_smoking-a-jointproduce the “reward chemical” dopamine, which is usually secreted in the brain during pleasurable experiences such as eating, social interaction and sex.  The Harvard University study carried out using a sample of 40 people aged between 80 and 25.Using state-of-the-art neuro-imaging techniques to analyse the brains of the research participants showed that an area in the brain called the nucleus ascumbens is unusually large in cannabis users.  While the amygdala, has notable abnormalities.  One has to take into consideration that the amygdala is often thought, as the centre of all emotions. The researchers unclear as to how these abnormalities will affect younger people, but in a 2013 longitudinal study in Sweden showed that there is a conclusive causal link between cannabis use and psychosis.  One has to bear in mind that hydroponically and selectively grown plants are now eight times stronger than the block marijuana use by the flower power generation in the 60s.  One striking fact is that whilst this study is taking place, states in the US are considering legalising cannabis use, with Colorado leading the way.  One has to ask, how long is it before legalise cannabis use is on the statute books in the UK.

Lonely Uk??

ring_B&WIn a recent newspaper article in The Mail newspaper spoke of “Lonely UK” and that the number of middle aged people who are now living on their own has been rising, due to a decline in marriage with the office of National statistics giving the number of middle-aged people living on the own as almost reached 2 ½ million, giving specific figures for people aged between, of 45 and 64 with a number of men far outstrips the number of women, who are now this position. The article goes on to say that one the reasons that middle-aged women are not forging good relationships, after middle age, is that they are better qualified, with jobs that have rewarding career paths, as opposed,to the rising number of low earning men.

This has had a marked increase in the price of homes with a rapid rise of middle-aged single people stoking the requirement for homes pushing up prices and demand.  The piece goes on to comment about the benefit system, which may be the real point of this article, missing ,what I would auger, is the real story  that such a section of society feels that marriage or forming a relationship is not worth the effort.  An interesting aside to this is what is happening to society? Could this be that there is a reluctance to form relationships after one has had a long term relationship go bad? Could psychotherapy have some of the answers?

There is a growing number of divorce recovery workshops which have been springing up throughout the country these serve some purpose but maybe they fall short to do what is really necessary and for some that is group or individual therapy to find out where, why and how the last relationship ended, and what lessons could be learnt this is not to a tribute blame but to realise that there was a part to play in both parties this does not give licence to any abusive relationships, such as domestic violence.

For instance, if someone has been in a 20 year plus relationship and that should end, they may be looking for the same form of relationship but may find that some form of change must take place.  Through therapy or group therapy a person can explore and make meaning of their experience, furthermore, this can help a person not to repeat past mistakes.

Psychotherapy obviously has a large role to play in sense making of past relationships.  What can so commonly happens’ is that a person expects the relationship to be the same as their previous relationship, but with a different partner.  This can happen for both parties and evidently needs’ will not be met and thus the potential for another failed relationship.  I have heard one therapist use  a brilliant metaphor in saying that the dancers change and so has the tune.  To prolong this metaphor, if a person was used to fox trotting with a former partner and their partner new partner is used to tangoing, in his or her previous relationship, then the two will be out of step with each other and the inevitable will happen toes would be trodden on ,as a consequence,feelings damaged.  What individual or group therapy can do is explore the learning of different steps to different tunes, essentially, to learn a different dance.  This is, indeed, could be an oversimplification, there are much more complex issue, but it this metaphor gives say graphic mental image, of truly what could happen.  I think the challenges that psychotherapy therapy needs to be adaptable to the needs of society rather than the other way around. Could it be that an imagination from of coaching is needed?  It may well we UK does not adapt very well to group therapy, unlike our American cousins, who find group therapy and support groups a normal part of society.  It could in the UK group therapy is more associated with support groups such as Alcoholics Anonymous.  One thing is for sure psychotherapy/counselling must, indeed, adapt to the changing patchwork quilt of society.

I would be interested to hear your comments if you’d like to post comments on my blog site, all comments will be very much welcome negative or positive.

Male Counselling – A Different Approach?

One of the alarming facts which came to light, this year, is the rate of suicide in young men. In a March 2012 article on BBC News UK is quoted as saying that more than 3,000 male deaths in England and Wales in 2010 were ruled as suicides or undetermined fatalities. In February 2012 (Bazzano, 2012) an interesting article appeared in the counselling profession magazine, therapy today, again with some interesting statistics quoted, in the article saying that 78% of all traffic offenses and 81% of all speeding offenses were committed by males. The article went on to say that 91% of all violent incidences in England and Wales, including 80% of incidents of domestic violence were male orientated.TracyRaverBaby01

The question, has to be asked, could this change? Furthermore, what part could counselling/psychotherapy, play in helping decrease the number of incidences and the staggering number of deaths and domestic violence, the surprising thing is that most therapists are actually female; this is not to say that female therapist are not capable of working with this client group. Another interesting fact is that training courses generally have a low male uptake; my own anecdotal evidence was that I was the only male with 25 women and I’ve been told that this was not unusual. An interesting aside of this is when I was undergoing my training I was told by one trainer that male therapist do not continue seeing clients, long term, but rather write books instead. The real issue here is how many male therapists actually see the perpetrators of violence and the suicidally depressed?

Something in the system is failing if 3,000 males die each year from suicide or of an undetermined fatality, also the staggering number of reported Incidents of domestic violence, where men are the perpetrators. They clearly could have been helped. There has been a suggestion that because of the number of female counsellors that maleness has been bashed; these are not my words, I rather feel that suppressed would be a more appropriate word. Again,In an article to the counselling profession magazine, Therapy Today (Duffell, 2011) in which the writer suggests that men are unemotional, my own anecdotal evidence has found, when working with male clients, quite the contrary. I have often seen men cry when there are estranged from the family, I’ve often seen a man breakdown when he realises that he will be not able to see his children, or have contact with them, due to his own actions. Furthermore, I have often witnessed anger and frustration, in the counselling room. I think the point here is that all these emotions are not considered positive; is it just that men are unable to show the softer side of themselves due to historical social constraints? One of the expressions I’ve often heard used Today is the word “man up” this gives me the impression that men have to somehow suppressed their negative emotions and take on the systolic persona. Being a humanistic counsellor I am a firm believer that the relationship, between the client and the counsellor, is the, catalyst for real change within the client. I think the mandate for councillors in general, is that male clients should be allowed space to voice socially perceived negative emotions, such as anger, to be heard and validated. I began this blog by setting a question which I feel is not really easily answered. My own anecdotal evidence suggests that men require a different form of relationship rather than a different form of counselling. I’ll be very interested to have your comments on this blog.

Reference

Bazzano, M. (2012). Reconstructing masculinity. Therapy today 23, 90.
Duffell, N. (2011, November 2011). Manifesting men. Therapy today, 22, 87.