[Diagnosis and treatment of alcoholism: psychiatric aspects]

The image of the chronic alcohol patient has changed. Diagnosis is only possible if the doctor assumes alcohol abuse in all his patients. The diagnosis can only be made taking psychiatric, somatic and psychosocial aspects into consideration. Because of the tendency of the patient to deny, an independent history is necessary. Questionnaires, such as the 'Münchner Alkoholismustest', may be helpful. Therapy by the family physician is initiated with a careful somatic, psychiatric and psychosocial work-up, counselling and care. An important factor is the close collaboration between physician and social worker.