ObjectivesZZThe aim of this study is to develop guidelines for psychosocial treatment of alcohol use disorder. MethodsZZAccording to the ADAPTE manual, the Korean alcohol use disorder treatment guidelines were developed by the guideline development committee. Recommendations from foreign guidelines were evaluated regarding the applicability and acceptability to domestic circumstances. In addition, a survey from experts was conducted, along with a review of Korean literature. By these means, recommendations of psychosocial treatment for alcohol use disorder were established. ResultsZZThe main findings of the survey were as follows : 1) Although Group therapy was not recommended by foreign clinical guidelines, it was considered as a first-line treatment by Korean experts. 2) Among many psychosocial treatment programs, cognitive behavior therapy (CBT), coping skills training, 12-step facilitation, and Group therapy were commonly used programs in Korea. Finally, the following treatment methods were selected for recommendations : Group therapy, motivational enhancement treatment, CBT, behavioral self-management, alcoholic anonymous, 12-step facilitation, psychodynamic psychotherapy, psychoeducational intervention, continuous case management, and community residential rehabilitation program. ConclusionZZJust as in treatment of chronic diseases such as hypertension, continuity is important for management of alcohol use disorder. Therefore, not only pharmacological treatment but also psychosocial treatment should be provided comprehensively after treatment of acute withdrawal symptoms.

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werethefirst-linedrugsforpatientswithalcoholwithdrawalandcombinedpsychoticsymptoms. 6)127.5mg(95%CI111-145)for2.8monthsofprophylacticthiamineand213.5mg(95%CI 190-240)for6.2monthsofthiamineforWernicke-Korsakoff'ssyndromewererecommended. ConclusionZZWehopethattheseKoreanaddictiontreatmentguidelines,addedbytheKorean experts'consensus,willbehelpfulinpromotingtheefficacyoftreatmentforalcoholwithdrawal. J Korean Neuropsychiatr Assoc 2013;52:67-75 KEY WORDSZZ Addiction·Guidelines·Alcoholwithdrawal·Benzodiazepine· Symptomtriggeredtherapy·Thiamine.

Prevention through screening and early intervention in the primary care setting are the best treatment strategies for alcohol use disorder. Alcohol use disorder is characterized by compulsive alcohol use potentially resulting in death. Recognizing alcohol use disorder as a chronic relapsing brain disorder is the starting point for treatment. Binge drinking and prolonged use of alcohol can not only result in changes to one's mood state, cognitive functions, and behavior, but also has damaging effects on the brain and other organs. In addition, prolonged alchol use can result in mental illness, physical disease, or social, financial, or legal problems. Like other chronic diseases such as diabetes or hypertension, alcohol use disorder has no cure, and is characterized by relapses requiring longitudinal long-term management strategies, of which treatment adherence and medication compliance are important components. Treatment for alcohol use disorder will be more effective when it combines biological, psychological, and social context approaches. (J Korean Diabetes 2012;13:85-90)