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Aims/objectives: Rationale: Ethanol dependency is among the most frequent psychiatric
disorders regardless of age and sex and currently affecting an increasing number of
women and children. Its treatment stands on the clinician's decision, family and/or
social group support. Our aim is to assess the efficacy of using risperidone long-acting
injection along with psychotherapy in gamma type alcohol dependency.
Materials and methods
Method: Case study. Gathering self-reported data, psychotherapy sessions for the patient
and his/her family, data analysis.
For relevance purposes we shall present below the case of a 30 yo Caucasian male with
a history of alcohol consumption since he was 12 yo. During the past year his alcohol
consumption started to follow a daily pattern. The patient's psychopathological presentation
is dominated by psychomotor agitation, hypnic disorders, hetero-aggression, interpretative
thoughts, depressive ideation, low self-esteem, social, professional and family desinsertion.
Following the first four hospital admissions during which he received thymoregulatory,
antidepressive and sedative agents his alcohol consumption increased and symptomatology
intensified. During his fifth hospital admission the patient received risperidone
2 mg per day, as a neuroleptic agent, followed by risperidone long-acting injection
25 mg once every 2 weeks. After hospital discharge his condition improved incrementally.
Two months after hospital release he relapses for two days but is able to cease consumption
without external help. The patient is currently professionally and socially active
and his family interactions are healthy. Along with risperidone long-acting injection
therapy he was admitted to family therapy sessions every week during the first two
months, every two weeks for the next two months followed by a monthly session during
the next 6 months.
Using risperidone long-acting injections along with narrative therapy has protracted
the abstinence period and has also contributed to social and family reinsertion.