After giving up alcohol, I just feel different: constant shaking, anxiety, drowsiness, and sometimes apathy or even embarrassment. I heard that doctors use a certain scale to assess how serious it is. Does anyone know what this system is and why it is needed?
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CIWA-AR is the true “gold standard” for assessing alcohol withdrawal syndrome. It is routinely used in clinics to determine whether there is a risk of critical complications, such as seizures or delirium, and to decide whether medical intervention is necessary. You can learn more in this very practical article: https://unitedrecoveryproject.com/rehab-blog/ciwa-assessment/ . For example, a score of less than 8 indicates mild withdrawal, 9–15 indicates moderate withdrawal, sometimes requiring medication, and more than 18 indicates severe withdrawal. It is important that the scale is used at regular intervals (every 2–4 hours at the start of detox), so you can dynamically respond to changing symptoms.
It turns out that there is a CIWA-AR scale — a standardized tool for assessing alcohol withdrawal syndrome. It involves rating ten symptoms — such as nausea, tremors, sweating, anxiety, hallucinations, etc. — each on a scale of 0–7, and one more item (spatial orientation) is rated up to 4. In general, if the final score is high, the patient may be prescribed medication (such as benzodiazepines) to prevent seizures or delirium.