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Alcoholism

Alcoholism Overview

Alcohol problems vary in severity from mild to life threatening and affect the individual, the person's family, and society in numerous adverse ways. Despite all of the focus on drugs such as cocaine, alcohol remains the number one drug problem in the United States. According to community surveys, over 13% of adults in the United States will experience alcohol abuse or dependence (also referred to as alcoholism) at some point in their lives.

Withdrawal, for those physically dependent on alcohol, is much more dangerous than withdrawal from heroin or other narcotic drugs.

  • Alcohol abuse refers to excessive or problematic use with one or more of the following:

    • Failure to fulfill major obligations at work, school, or home

    • Recurrent use in situations where it is hazardous (such as driving a car or operating machinery)

    • Legal problems

    • Continued use of alcohol despite having social, family, or interpersonal problems caused by or worsened by drinking
  • Alcohol dependence refers to a more serious disorder and involves excessive or maladaptive use leading to 3 or more of the following:

    • Tolerance changes (need for more to achieve desired effect, or achieving the effect with lesser amounts of alcohol)

    • Withdrawal symptoms following a reduction or cessation of drinking (such as sweating, rapid pulse, tremors, insomnia, nausea, vomiting, hallucinations, agitation, anxiety, or seizures) or using alcohol to avoid withdrawal symptoms (for example, early morning drinking)

    • Drinking more alcohol or drinking over a longer period of time than intended (loss of control)

    • Inability to cut down or stop

    • Spending a great deal of time drinking or recovering from its effects

    • Giving up important social, occupational, or recreational activities

    • Continuing to drink despite knowing alcohol use has caused or worsened problems


Next: Alcoholism Causes »

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Alcoholism

Drug Dependence & Abuse Overview

Drug abuse and drug dependence represent different ends of the same disease process.

Drug abuse is an intense desire to obtain increasing amounts of a particular substance or substances to the exclusion of all other activities.

Drug dependence is the body's physical need, or addiction, to a specific agent. Over the long term, this dependence results in physical harm, behavior problems, and association with people who also abuse drugs. Stopping the use of the drug can result in a specific withdrawal syndrome.

  • Drug abuse is a common problem that plagues all ethnic groups and social classes worldwide. Control of drug abuse is a top priority of the United States Surgeon General as outlined in the Healthy People 2010 goals for the nation.
  • Different people will be affected by drugs in different ways. Some people are more prone to addiction ...

Read the Drug Dependence & Abuse article »


Read What Your Physician is Reading on eMedicine

Alcoholism »

Alcoholism is common, serious, and expensive.

Read More on eMedicine »

Medical Dictionary