A renowned Psychiatrist who specializes in Addiction Psychiatry, Wayne Macfadden MD is the lead Psychiatrist at Spirit Lake Reservation in Fort Totten, North Dakota. As the first full-time Psychiatrist on the reservation, Wayne Macfadden MD established its only Suboxone® treatment clinic.
One of the clinic's function is to serve as a place for the treatment Substance Use Disorders using medication-assisted treatment (MAT), such as naltrexone for Alcohol Use Disorder. Before experiencing an Alcohol Use Disorder, patients pass through several stages. The first stage, known as the pre-alcoholic stage, starts when a person begins drinking as a social indulgence. In time, the urge to drink increases, and the individual's alcohol tolerance rises. At this point, the person may be using alcohol to reduce stress, relieve pain, or avoid worrying. In the second stage, called the early alcoholic stage, the individual may have experienced a black-out from excessive alcohol use. The person often is in denial and finds ways to consume alcohol secretly. At stage three, or the middle alcoholic stage, the individual begins to show visible signs by missing social obligations or work due to hangovers. Noticeable changes start to occur in the body, such as stomach bloating, weight gain or loss, facial redness, or sluggishness. Lastly, in the late alcoholic stage, the full effect of long-term drinking is evident. Severe health challenges associated with alcoholism, such as dementia and cirrhosis of the liver, may occur at this stage.
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AuthorWayne Macfadden MD: Expert in both Clinical and Research Psychiatry. Archives
March 2024
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