Wernicke-Korsakoff syndrome (WKS) is a brain and memory disorder that requires immediate treatment due to a severe lack of thiamine (vitamin B1). The disorder includes Wernicke encephalopathy and Korsakoff syndrome, which are two conditions that occur together: Wernicke’s disease (WD) and Wernicke’s psychosis. WKS is primarily associated with chronic alcohol misuse and severe alcohol use disorder (AUD). Korsakoff syndrome is a long-term condition that develops when Wernicke’s encephalopathy is left untreated or not treated soon enough.
Wernicke encephalopathy typically comes on suddenly and requires immediate treatment. Symptoms include confusion, loss of muscle coordination, and memory difficulties. Korsakoff syndrome causes problems learning new information, inability to remember recent events, and long-term memory gaps. Memory difficulties may be strikingly severe while other thinking and social skills are relatively unaffected. Most alcohol-related cases of WKS involve men and those over age 40. Women and people who are younger are more likely to develop the syndrome due to other factors.
Korsakoff syndrome is a long-term condition that develops when Wernicke’s encephalopathy is left untreated or not treated soon enough. In people with severe AUD, poor nutrition decreases the ability of the gut to absorb thiamine from food, increasing the chance of developing WK. The main features of Korsakoff syndrome are problems in acquiring new information or establishing new memories, and in retrieving previous memories. Korsakoff syndrome tends to develop as Wernicke encephalopathy as symptoms go away.
Wernicke syndrome and Korsakoff syndrome are distinct but overlapping disorders that occur due to a deficiency of thiamine (vitamin B1). Most patients first develop a delirium, marked by confabulation, gait disorder, and memory and disorientation. Korsakoff syndrome happens more slowly and is a long-term, ongoing problem that damages the part of the brain that handles memory.
📹 2-Minute Neuroscience: Wernicke-Korsakoff Syndrome
In this video, I discuss the symptoms, treatment, and primary cause of Wernicke-Korsakoff syndrome, as well as how the condition …
What is the life expectancy of someone with Korsakoff’s dementia?
Alcohol-related dementia has no specific life expectancy projections, but Wernicke-Korsakoff Syndrome affects 50 percent of people with this form of brain damage. Symptoms include memory loss, difficulty learning new things, personality changes, decreased attentiveness, impaired judgment, and impaired social skills. The life expectancy for those with Wernicke-Korsakoff Syndrome is eight years.
How does Korsakoff syndrome progress?
Korsakoff’s syndrome, alcohol-related dementia, and alcohol-related brain damage are all conditions characterized by a decline in planning, decision-making, and risk assessment. Korsakoff’s syndrome is more gradual and characterized by attention and concentration problems, memory gaps, and difficulty learning new information. Alcohol-related dementia is more common in people in their 40s and 50s and accounts for about 10% of young-onset dementia cases. Middle-aged women are at higher risk due to differences in hormones, body fat composition, and height-weight ratios.
Can someone with Korsakoff syndrome live alone?
Korsakoff’s syndrome is a severe alcohol-related condition that can lead to poor prognosis and even death if not treated. Most individuals develop this condition and require supported living, making prevention crucial. Even if a person stops drinking, the condition will remain, affecting family and loved ones. Recovery rates depend on early diagnosis and treatment. The National Institute on Alcoholism reports that 25 of Korsakoff’s patients recover well, 25 recover but take longer, and 50 make no recovery or worsen. The condition’s nature makes it difficult for individuals to stop drinking and maintain a balanced diet, leading to a large proportion of patients not responding to treatment.
What is Korsakoff syndrome characterized by ______?
Korsakoff’s syndrome is a memory disorder that presents with antegrade and retrograde amnesia, as well as confabulation. It is a specific category of memory disorder. Please be advised that this site employs the use of cookies. By continuing to access this site, you are indicating your consent to the use of cookies. Copyright © 2024 Elsevier B. V., its licensors, and contributors. All rights are reserved, including those pertaining to text and data mining, AI training, and analogous technologies.
What is the triad of Korsakoff syndrome?
Wernicke-Korsakoff Syndrome (WKS) is a neurological disorder characterized by confusion, ataxia, and nystagmus. It is a combination of two distinct syndromes: one characterized by Wernicke encephalopathy and reversible Wernicke encephalopathy, and the other by Korsakoff dementia. The symptom complex is caused by a deficiency in thiamine, a vitamin B-1. WKS is present in 16-38 patients, and ocular/visual disturbances may include vision problems, hearing loss, and vision loss.
What is Korsakoff syndrome brain damage?
Korsakoff syndrome, also known as Korsakoff’s amnesia, is a memory disorder caused by vitamin B1 deficiency and alcoholism. It damages nerve cells and brain cells involved in memory, causing symptoms like amnesia, tremor, coma, disorientation, and vision problems. Treatment involves thiamine replacement, proper nutrition, and hydration. In Wernicke’s encephalopathy, thiamine replacement is crucial before nutritional replenishment, and drug therapy may be recommended. Stopping alcohol use may prevent further damage.
What is the hallmark of Korsakoff syndrome?
Wernicke encephalopathy and Korsakoff syndrome are often considered on a spectrum due to thiamine deficiency, so clinicians should screen for both together. Wernicke encephalopathy typically presents with altered mental status, ophthalmoplegia, and ataxia, but less than 20% of patients will have all three. Signs and symptoms for Wernicke-Korsakoff syndrome include amnesia, disorientation, confabulations, and ocular motor findings like horizontal nystagmus, retinal hemorrhage, ophthalmoplegia, cranial nerve IV palsy, and conjugate gaze.
Who is most likely to develop Korsakoff’s syndrome?
Wernicke-Korsakoff syndrome is caused by a deficiency in thiamine or vitamin B1, which is common in individuals with poor nutrition. Chronic alcohol abuse is the most common social factor associated with this disorder, as it decreases thiamine absorption and utilization. Nonalcoholic causes of thiamine deficiency include malnutrition, starvation, schizophrenia, anorexia nervosa, prisoners of war, and terminal malignancies.
In the past, baby formula deficient in thiamine also led to Wernicke-Korsakoff syndrome. It can also develop during pregnancy in women with hyperemesis gravidarum, bariatric surgery, and gastrointestinal malignancies.
What is a person w
ith Korsakoff syndrome most likely to develop?
Korsakoff syndrome is a neuropsychiatric condition causing brain damage, cognitive impairment, and amnesia. It can result from thiamine deficiency, especially from chronic alcohol abuse. Wernicke-Korsakoff syndrome is a clinical diagnosis, and Wernicke encephalopathy should be suspected in those at risk for thiamine deficiency who show oculomotor findings, ataxia, or confusion. Early detection and treatment with thiamine are crucial for good outcomes.
Can a person fully recover from Korsakoff syndrome?
Korsakoff syndrome, a condition characterized by a lack of thiamine, can lead to a range of long-term outcomes. About 25% of those with Korsakoff syndrome eventually recover, while half improve but don’t completely, and 25% remain unchanged. Recovery from an episode may lead to normal life expectancy if alcohol abstinence is maintained. Experts suggest that heavy drinkers and those at risk of thiamine deficiency should take oral supplements of thiamine and other vitamins under doctor’s supervision. Those with a history of heavy alcohol use experiencing Wernicke encephalopathy symptoms should be given injectable thiamine until the clinical picture becomes clearer.
📹 Alcohol Dementia aka Korsakoff Syndrome Explained
Today’s video will cover the topic of Korsakoff Syndrome, a subtype of dementia that is most often times caused by chronic alcohol …
I have it and don’t regularly drink alcohol. However I had Arnold Chari Skull and 2 gastric bypasses. After colon rectal cancer. I could eat and keep it down. 95lbs. Every bone in my body was sticking out. I am being treated with Thalamine and 24 RX daily nearly all vitamins and minerals. IV treatment and blood infusions to help also anemic. Iron extremely low. 10 months in ICU and two Skilled Nursing Facility’s. I am finally Home Sweet Home doing well!
My aunt is a heavy alcoholic and drug abuse. She was always rageful and has a rap sheet. The family has spent lots of money on rehabs but she would never take it seriously and tortured family. She lived alone after my uncle died. ( abuse from her and crap) once she was widowed, she immediately hit the hard drugs along with her alcohol use. She didn’t want to be fat so she never would eat also she would take water pills or Crack meth scripts ect. She has been this way ever since her teens. When minors are suspected as being with sociopathic or psychopath symptoms they can’t diagnose them that young. She has literally put the family thru hell. Abusive and manipulative. She is 64 now and has KS. I found her at her house with 3rd degree burns on her body. She says the dog pulled her down the street. This was thermal full thickness burns. The house was unbelievable her feces ect ammonia everywhere. She was infected and had probably stayed that way unconscious for awhile. Nothing made sense coming out of her mouth and she has no memory. She will confabulate and make a story. Still her manipulation and meanness still can come out. She has lost all cognitive and reasoning abilities. So, weather you binge drink or severe alcoholic and you don’t eat, this is the shit that happens. When you talk to them to try to get help they will absolutely fight like he’ll and not ever get help. Now, we have her in a 24/7 facility and if she can find a way to escape she will. I’m a retired nurse and there is no way I could have her come live with me and watch her 24/7.
Very informative, My husband was recently diagnosed with this, I am shocked at how little the medical community knows about this potentially fatal disease, the lack of clinical studies is tragic! My husband lost his eyesight, his ability to walk and some long term memory, It is my opinion that alcohol is one of the deadliest drugs on the face of the earth for those that have severe addictions to it. There needs to be more studies done of this disease especially now with alcoholism on the rise, Thank You for shedding some light on this
I have a father that is die hard alcoholic and has destroyed his brain in the process. But it seems like everywhere we try to find help the places we find only help him to find more excuses to be able to drink. Like the conversation we had with his AA consultant she didn’t want to listen to us at all and went straight to my dad to tell him all the things we told her about him. Great. Now the trust between me and my dad is broken. And this article for example is better not to use to educate an alcoholic because… The decease is caused by vitamin B shortage. Not by alcohol. He will just think: ok, so if I take vitamin B supplements I can just keep drinking. If you know anything about what alcoholism is really like you know what I mean. You know I think I will just give up. If professionals actually do more harm than good and work against us people close to him than how am I supposed to help him..
I got sober 4 years ago after chronic alcoholism for 45 years. By some bit of luck i didn’t do any permanent damage to vital organs and at 61 im probably in the best physical condition ive been since my eay 20s. However im sure damage was done along the way. We pay a price for our decisions. Every one. Ill have days of true mental clarity and others where the thoughts slip and slide. Part of it is just getting older but not all of it. Still im grateful for sobriety and this second chance at life.
At last!! I know what kind of dementia my dad had!! Dad thought they’d moved into a new house. He was even argumentative about it, insisting their house was a new residence, but that they still owned the previous one. He was always worried that no one was cutting the grass there. At the nursing home, he claimed he had a long conversation with a fellow patient and that they’d come up with a new idea they were going to patent. He never lost his long-term memory, but did end up with new memories that had never existed. I’m so glad I happened upon this.
My mom was diagnosed with Korsakoffs in 1978. I know seeing her drinking all my life till I was 15 always concerned me. I went to AA meetings with her she was doing so well then my grandma died and this was the impetus to the return of heavy drinking . She ended up trying to quit a year later and she got really Ill. She became a closet drinker. Unfortunately she one night went to bed and she started to seize over and over, I heard her and ran to her in bed, she died, the paramedics came revived her, she went to hospital and never came home. She ended up in a care facility which she always said if you guys stick me in one of those places I’ll haunt you. I had no choice, the doctors did it. Oh god her short term memory was horrific. I went everyday with pictures, going over stuff and she started to improve. I know my hard work was helping but then my stepdad came and took me to Ottawa. I couldn’t see my mom and help her. The phone calls were useless. This was my nightmare that I knew would happen. I only stayed in Ottawa for 3 years I finished school came back to Vancouver but the seperation and time ruined all the hard work. I couldn’t get her back. She ended up dying from a perforated appendix. I was crushed. My mom,my best friend was gone. What a horrible time for me, years later my dad died from the same horrible disease and he had lung cancer, then my stepmom died two years later of encephalitis. It just was death after death after death. So when I see really bad drunks, I tell them you do not want this disease.
I think my father has this, his memory all of a sudden crashed. Hes “healthy” as a horse, eats nothing but healthy foods, but he drinks in excess every weekend for the past 50+yrs. He will argue tooth and nail hes not an alcoholic because he “only drinks on weekends” and has held a job all his life. I dont think hes ever gone a week without drinking. Its scary.
My father was an alcoholic most of my childhood. He needed emergency surgery and lied to the doctor. He woke up during the surgery and went ballistic. They induced a coma for nearly 4 weeks to get him off. All he does now is drive around and try to remember his life. It’s super sad. Weird how he still remembers I owe him 50$ bucks tho.😅
Thank you for this article. It explains perfectly what I experienced with my late husband. He was an alcoholic, and I was told repeatedly by Drs that he did not have dementia. It took a Psychiatrist who met with him only a handful of times over a couple of years to see what I saw. I was told that he did have a form of dementia caused by his alcoholism. It was not explained further to me. You hit every single thing on the nose in this article and now I feel a release from the confusion and guilt I’ve carried for four years.
I am currently caring (live in, for the past two years) for a relative with this condition. Shes 76 pounds, unable to walk, sit up, reposition herself and incontinent of bowels and bladder. She is truly 100 percent dependent. Because this is a 24 hour/365 day JOB for me, and her husband is completely unwilling to put her in a nursing home, or pay for outside help…its taken over my life. She attempts to get up, thinking the oven is on or she has to cook and will fall, forgetting her legs have atrophied and she essentially is permanently in the fetal position. One good thing thats come from perusal her slow decline is im in recovery now too. I was a daily drinker and i can tell you, i never want to experience what she is or put the responsibility of caring for me on anyone else. Its been 5 years of her slow decline (2 of those yrs me caring for her) but shes seemingly healthy physically (covid 3x, recovers from illness quickly, no gray hair, ect) and im not sure how much longer i can physically and mentally care for her…i assumed she would pass by now…which makes this whole condition even more insidious…its debilitating but you dont die from it.
My mother in law currently has this…she’s 100% normal presenting but constantly forgets things we tell her. She’ll also tell me the same story about when it snowed at her place decades ago whenever we discuss how cold it is at her place. She also keeps using Facebook status update as a search engine, regardless of us having to tell her to use internet explorer. She also will tell us about events she did yesterday like having dinner with her friend when we 100% know she was home all day and didn’t even speak to her friend. Little things like that. She’s retired now and is happy and comfortable but her 2 bottles of wine a night for 20 years has left her brain scrambled.
tysvm for this…. my uncle died of it…. unfortunately i wasnt in the country at the time. im an alcoholic too but have found with valium i can stay off it (i have several other medical conditions both physical and mental that benefit from it too which is why i was prescribed it) …. its been four years now n im doing gr8 n even my detox doctor said i no longer need outpatient appointments coz i was doing really well xxx <3
My late Mom was alcohol dependent, drank fist to fist with my Dad. They were very “Social” and had no pastimes except boating, which meant taking short trips and anchoring out with other boaters and drinking the summer days away. NO WAY my mother had Alzheimer’s. I saw my grandfather and father-in-law die from that and it was much faster and both became unable to walk, etc. My Mother went a good 10 years or more with “Alzheimer’s” but NEVER stopped walking (out the door in all weather, all times of night), so the house was armed with alarms and cameras and she even had an ankle monitor. Finally it was a fall in the house that cracked her ribs (but she couldn’t tell us what hurt, couldn’t talk) that resulted in her hospitalization and morphine drip and death. My 91 year old father STILL insists that she had Alzheimer’s, that the lifetime of boozing daily was never a problem, because as is often the case, the partner/spouse/friends don’t want to look at their OWN alcoholism. All dementia sucks, this one has a known cause and when people involved don’t want to admit that, it’s a death sentence. My sister and I would slip notes to their doctor (“They drink every single day!”) and were asked about it and warned to stop, and they never did. So, yes, anger is part of the mourning. 91 year old father still having his stout every evening. I give up.
Thank-you for bringing the awareness and clarifications, I could write the book. The more than worst part for mom was once diagnosed as Korsakoff she developed terminal cancer, ironic saving grace she could not remember she had it from moment to moment, you just stop saying she does. I truly believe her pain was lessened.
It’s horrible to see. I remember visiting a loved one in the hospital and nearby was a relatively young man or at least early middle age apparently dying of liver disease. It was tough to see as the family would come by. It was many years ago but the sorrow of the family at such a relatively young passing left an impression on me.
Thank you for this. I hope a lot of people see this so that they can get help for suffering loved ones before it gets to this point. This happened to my best friend. She seems to have a genetic predisposition to dependence on pills or alcohol, as others in her family have suffered also. The family is educated and cultured, and she hid her alcohol use well. She was high functioning at work until she became very sick. I didn’t know what was wrong and would often cover for her at work. Finally I took her to a doctor, as her husband was absolutely clueless and refused to help her. Her liver was starting to fail. She was called by her doctor’s office to immediately check into the hospital. I took her in and she stayed for six weeks. Initially, it looked like she had Guillian-Barre, and maybe she did. Then her wild stories started. She was visiting dead parents, or people who live in other states were coming to see her. She didn’t know who I was or where she was or how old she was. She has recovered a lot more than I thought she would. It has been about 15 years. She has severe chronic nerve pain–peripheral neuropathy. It has been so difficult to see my beautiful, talented and kind friend suffer like this. But she has stayed off alcohol and stayed close to her family. She still suffers and can’t work, but for what she went through, I would say a success story.
My second husband had this. It was so frustrating because unless you spent time with him, it wasn’t obvious. He had a set of sayings to get through conversations or repeated what the other person said. It was a 21/2 year nightmare for me. When we met, I had no idea he had a problem. He started when I went to work so I never saw it. He stopped drinking with the diagnosis, but it was too much for me.
My sister has auto brewery syndrome and has recently starting displaying these symptoms. Has there been any study’s on this connection? She lives in Arkansas and very hard to get her proper help. Anyone you may be able to give as a long distance reference/referal? At a loss of what to do for her. There are 5 people on rotation looking after her and we can get any answers.
Thank you! My husband just stopped caring about other people. No empathy, which is NOT like him. He hides his life. I find gallons HANDLES of vkdka hidden in weirdvplaces. don’t know what to do. My husband does this. I can’t explain it well, so this helps a LOT. I’m terrified he’s permanently not my husband anymore. What do I do?! It’s devastating. His family doesn’t understand. They live in a different state. They don’t have to deal with it daily. He went from telling the truth to what my kids and I would call out as a pathological liar, just lies, and lies. He started saying things like, “I’ve never tried to hurt anyone ever.” He’d say the most hurtful things to me. He was never like that before. The opposite, actually. Thank you so much. Any detox centers that you recommend?
It is an interesting phenomenon, but one that we rarely see today. Supply of the B vitamin complex and not least thiamine makes this only case studies or curiosity at best. In the last 15 years, we have not encountered a non-reversible case in our clinic. If you look even further back in time, however, you see that alcoholic dementia was more common, but even today’s alcoholics have apparently learned the lesson of eating reasonably nutritious meals, and many of them know about the syndrome, and take vitamin B complexes. It is of course most advisable that they avoid alcohol altogether. However, the reality looks different. Then we must remember that alcoholic dementia is one of the last stages of severe alcohol abuse. But sure, we give thiamine on a generous basis. It also turns out that the more B vitamin intake, the lower the risk of convulsions and delirium. We should also not forget easily absorbed magnesium in high doses as prophylaxis.
Wait a minute. That first part with the W that I can’t spell, is it happening just when the person is drinking alcohol or they have the symptoms all the time, even when they aren’t drinking. That’s important to know. It seems to me the description is typical of any drunk person, so is the W thing merely the state of being drunk?
I have a 66 yr old father inlaw who has just shown up in the worst way hes lived in thialand 7yrs sitting in bars drinking and smoking his lfe away hes returned looking like hes 88yrs old cant walk has no balance had a stint put in his lower leg from blockage in hij artery realised a yr later hes not getting better so he returned home to 🇦🇺 im at a loss as to what we do with him he cant do anything and don’t try except get in his scooter an drive to pub all day hes lost control of bladder a bowls but hes fine got him into Drs running MRI aultrasou ds bloodtests im certain hes got drinking dementia my friend died 5 yrs ago of the same thing at a young age 46 my father inlaw remi ds me of my friend abd yet anything we say to him hes not intrested and yet he expects us to look after him😢🤯😡im praying these Drs will guide us in right direction but u feel hes Dr is a bit like myself “u sat in a bar for 7ys in thia land what do u except “my partner is torn as hes never got along with his dad and left home at 13,yet here he is moving in its divided our family and everyone is miserable 24/7 and he just sits there downing 1 stubby after another,i now know why he left home 13!!
dear Dr my girlfriend is a alcoholic as in every day . she is displaying these symptoms you describe . i sailed away to another country but stay in touch . she wants to come to me and said she won’t drink. she went to rehab but only lasted 4 weeks . i care deeply but i can’t trust her . she has fits when drunk . in her mouth and hands. it’s scary to witness.
Everyone I know, personally, who had Alzheimer’s or is in the process of developing serious memory loss, has been a heavy, everyday drinker. The scariest incident I had was on the phone to my sister. We were talking about my nephew being irresponsible and how she wouldn’t help him out even though he was trying to change. She said to me, “Well, that’s not how I was raised. I was raised to take responsibility for my actions.” It was totally lost on her that she was speaking to ME, HER SISTER! It was as if she was speaking to an acquaintance who didn’t know her history. I explained to her that mom and dad would do anything to help us and they never turned their back on us. She was silent after that. I think it’s because she realized at that moment who she was speaking to. Besides that incident, her memory is trashed. She tends to convolute incidents we both lived through. She drinks wine every day, but it’s a really big bottle and has drunk for decades. I don’t even know how to address the situation with her, my baby sister.
Someone I love had a brain injury and he claims his Doctor said it was okay to drink. He’s underweight but claims he walks every day to pick up something to eat. His small income is spent, paying the rent on his rent subsidized place (because he never kept a job long). The rest he says he pays for his phone and food plus electricity. Last time he didn’t have a roommate I was worried he was going to freeze to death. I had to leave him where he was because he is not the person I used to know and had no desire to change.
Hubby had a stroke in Nov. ’23 and now has transcortial aphasia. Looking back, prev to stroke he had many of these symptoms. His CT shows prev. White spots. We are working on recovery and vit. supplements. My mom and dad were both in AA, 30+ years sober. I wish this had not been ‘hitting bottom’ for my hubby but the Lord works in mysterious ways. Blessings to y’all.
Glad this showed up in my recommended feed…. just finished perusal the US version of Shameless, Frank (William H Macy) is diagnosed with Alcohol Dementia in the middle of season 11 (but his loss of cognitive functions and memory are just barely noticeable before the diagnosis) Does the show portray the disease accurately??
Hello Doc. Andrew. I’m here to ask a question I hope you’ll respond. I’ve been unable to sleep since 2016 every night, I saw your article on melatonin so bought one bottle, I take 3 grams every night and it has no effects on me, I’m still wide awake as usual. So does it work for everyone or it doesn’t help for some people?
My uncle was diagnosed and hospitalised due to Korsakoff’s Syndrome. He used to talk about his visits to the Queen amongst other made up stories. Obviously being hospitalised meant he was taken through alcohol detox and stopped drinking. According to my relatives, one day he just asked why he was in the hospital. The delusions went away, but he had very little memory of his time in hospital.
July 31st 2021 I woke up in the morning, got up out of bed and immediately collapsed. My boyfriend woke up and says I was asking weird questions like where are we? How long have we lived here? He called 911 and I was in hospital for 2 months. I was completely numb from the chest down, incontinent, in a wheelchair with no memory as to what happened, why I was in the hospital… Side note: I only drink a few times a year and never to get really drunk. I was a heavy marijuana/tobacco smoker. A few months before I collapsed I started throwing up a few times a day. Nothing I did was helping. Marijuana made me feel less nauseated but I would still throw up. In hospital I was on IV Thiamine (B1). At home I take a B1 supplement daily. I went home in a wheelchair, in diapers. It SUCKED! but after a year and lots of physiotherapy I was able to slowly start walking again. First with a rollator, now with just a cane. After about a year and a half I started getting a bit of feeling back, I was able to tell when I needed to use the washroom and stop wearing the diapers. My memory has also improved quite a bit over the last 2 1/2 years. Im not where I used to be memory wise, but Im hoping I can keep improving. Just wanted to say if you are going through this yourself or with a family member, there is hope!
My brother passed away last year and was hospitalized with this for 4 weeks about 2 years before passing. He was practically a zombie and the professionals gave him zero chance of recovery. Oddly in his case he made what was almost a full recovery, certainly with regard to his personality and damaged memory function. In the end a drunken full and head injury took him from us. He suffered with alcoholism for over 25 years and made multiple attempts to take his life during that period. One thing I learned from my brothers self abuse is that the body is remarkable, it can recover from the worst possible abuse. RIP Paul I know you are finally at peace ❤
Dr. Kim you have finally giving me the answer that I’ve been needing. I have been with a psychiatrist for 10 years I have seasonal depression within the last four months. My memory has left blank points in my life not being able to find simple things and finding odd things in places that they should not be. I have contacted my psychiatrist. He just tells me to stop drinking, I don’t feel I drink a lot. In comparison I have been in and out of facilities I’ve been to Betty Ford and four other centers for trauma and alcohol abuse within the last four months. My mind is lost. I do have ADHD and depression I have begged my psychiatrist to pay attention to this change he will not, and he just says keep taking the medication. I am taking naltrexone. I am taking acamprosate. I really appreciate your tube information I do feel I am being overmedicated. And I am so frightened with my brain disorder. Any more information would be welcomed highly.