Alcohol Withdrawal Syndrome

The patient is a 44‑year‑old male with a history of alcohol and tobacco dependence, presenting with irritability, aggression, impulsivity, mood fluctuations, and inappropriate behavior. His illness began in 2013 following marital discord, which led to increased alcohol consumption and repeated admissions to rehabilitation centers with limited improvement. Over the years, his drinking escalated to daily intake, accompanied by threats toward family members, quarrels with his spouse, and eventual marital separation. He developed medical complications involving the liver and pancreas, and experienced recurrent convulsions. Despite counseling and multiple rehabilitation attempts, his behavior remained unstable, characterized by restlessness, manipulative tendencies, excessive spending, and abusive language. Childhood history reveals normal development but convulsions from age five to twelve following a febrile illness. Academically, he was highly intellectual, excelling in fine arts and earning a gold medal, later working in animation and freelance art before becoming unemployed. Family history is notable for convulsions but no psychiatric illness. Currently, the patient is stable under structured therapy and rehabilitation programs, with ongoing treatment for alcohol dependence, behavioral regulation, and seizure management, showing improved stability with family support and professional care.