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the media reported that actor Mikhail Efremov guilty in an accident with a fatal outcome, was diagnosed with chronic alcoholism, so the result is going to petition for lifelong deprivation of his right to drive. Lawyer Ephraim denies it, but not all experts agree with him. We decided to find out in which cases diagnosed with “chronic alcoholism”, does it need to be tested at the hospital, and could the actor, being an alcoholic, to be successful and in-demand artist.

Meets the psychiatrist, the psychiatrist Alla Sosnina.

– Attorney Michael Ephraim claims that the actor after the accident, is under house arrest, so the psychiatrist was not examined and the medical examination he did not pass, how then could he make a diagnosis of “chronic alcoholism”?

– let’s Start with the fact that in this case more correct to speak about “dependency syndrome” of several psychotropic substances. We already know that after an accident in the blood of the actor was found not only alcohol but also drugs. Besides, he never hid the fact that regularly drinks this he has said repeatedly in interviews.

But is the recognition of the artist that he regularly “podmahivat” is sufficient for the diagnosis?

– Alcohol dependence according to the International classification of diseases refers to a group of mental disorders and behavioral disorders, so the diagnosis is made the psychiatrist on the basis of certain criteria. They are only 6, but even two is enough to say that people suffering from alcohol dependence.

– What are the criteria?

– for Example, the alcoholic is lost gag reaction to excessive alcohol consumption (for a healthy person is a natural mechanism of warning about the poisoning of the body). Chronic alcohol dependence indicated by the fact that he loses control over the amount of alcohol consumed. It is also noted partial amnesia, when a person does not remember what he did in the state of alcoholic intoxication. There is often a withdrawal syndrome (breaking) after the cessation of alcohol intake. And of course binge drinking is also an important criterion.

But without a medical examination could establish that these pathological conditions are present in the life of Ephraim?

Recently, Mikhail Olegovich conducted psychological and psychiatric examination, the Commission was a psychiatrist. He could on the basis of tests to put such a diagnosis. For example, there is a special “Michigan test for alcoholism” of 25 questions, however, this is only one of the methods of diagnosis, and the court may impose an extended drug testing, during which carry out a range of clinical trials.

– Actor INR��on and successfully worked in theater and film, could the alcoholic to be so popular in the profession?

Why not, he has repeatedly admitted in an interview that alcohol helps him in the work. Another thing is that this period inevitably would have ended tragically. The disease has several stages. At first the man drinks from time to time, can last for quite a long period without alcohol. But gradually it is becoming harder to control when you drink and when you can’t. Alcohol turns into doping and begins to occupy a high place in the hierarchy of values, no sense of proportion, every day more and more difficult to stop in time, not to drunk to indecent condition.

next, second, stage, the addiction is so strong that it “trained” the body of an alcoholic can drink up to 2 liters of alcohol per day without periods of sobriety.

– what about the hangover? Except the next morning he can get behind the wheel or get on stage and brilliantly to play in the play?

– In this case, experts speak of “plateau tolerance”. From the outside, it may look pretty well, man leads an active lifestyle running, and quite successfully, it is able during the day to be content with small doses of alcohol, because he knows — in the evening he will have a blast! And now for our evening libations, it is ready to stand all day, but this one does not guess, even himself. Therefore, in the second stage, many alcoholics deny their addiction. They think that they have everything under control. And in fact, without alcohol they cannot go, otherwise their covers depressed, depression, they all goes wrong. This period of the disease can last from 5 to 15 years.

There is a third stage of alcoholism, during which the person not only can not stop drinking, but he couldn’t do it dramatically, without the help of doctors otherwise it will provoke acute psychosis, delirium tremens, or, as people say, “come to the squirrel”.

What stage of alcohol dependence can be Ephraim?

– the Doctor has no right to diagnose in absentia. But talk about an easy stage in this case is hardly necessary. Remember how many times the actor got in a scandal because of a drinking problem: his plane was not allowed, he was swearing on stage during a performance. I think he’s already at the stage of addiction, when it becomes very difficult to control their behavior. The more he has the typical symptom of chronic alcoholism – amnesia. The actor admitted that he doesn’t remember the time of the accident.

is it True that chronic alcoholics are permanently denied a driver’s license?

‘ of Course not. Alcoholism is a chronic disease, but it treatll. If an artist will be a course of treatment, and the psychiatrist will fix it stable remission for three years, he can again drive a vehicle.

continuing the theme – in the article “Five years of strict regime: as the diagnosis of Ephraim affect the verdict”