Addiction, not surprisingly, behaves like other mental disorders. No one is too shocked when a patient with a history of major depression develops a new episode. The same is true of alcoholism: it often follows a relapsing-remitting course characterized by partial remission.
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Alcoholism and anxiety go hand in hand. The extent of this comorbidity is clear from the numbers: as many as 45% of patients with alcohol disorders meet diagnostic criteria for a co-occurring anxiety disorder.
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Over 20 years ago, at the time of planning for DSM-IV, alcohol abuse was thought to be a milder form of alcohol dependence, or perhaps even something separate involving more episodic, as opposed to daily or near daily, drinking. However, new research has proven this is not so.
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Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where he maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.
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