Certified Addiction Counselor (CAC) Practice

A key characteristic of Stage 4 alcohol withdrawal is delirium tremens (DTs). DTs is a severe form of alcohol withdrawal that typically occurs in individuals who have been consuming alcohol heavily for an extended period and then abruptly reduce or eliminate their intake. This condition can develop 48 to 96 hours after the last drink and presents with severe symptoms, including confusion, agitation, hallucinations, and autonomic instability, making it a critical medical emergency.

The presence of DTs can lead to life-threatening complications, including seizures and cardiovascular issues, thus requiring immediate medical attention. Recognizing the signs of DTs is essential for effective treatment and intervention in individuals experiencing alcohol withdrawal, as it significantly influences their prognosis and safety. Understanding the severity of this stage underscores the importance of proper monitoring and management during alcohol detoxification processes.