{"id":1713,"date":"2015-06-28T02:30:51","date_gmt":"2015-06-28T02:30:51","guid":{"rendered":"https:\/\/treatmentmaps.net\/?page_id=1713"},"modified":"2015-11-15T01:35:13","modified_gmt":"2015-11-15T01:35:13","slug":"alcohol-section-4","status":"publish","type":"page","link":"https:\/\/treatmentmaps.net\/?page_id=1713","title":{"rendered":"Alcohol Section 4"},"content":{"rendered":"<div style=\"overflow: auto; width: 482px; height: 740px; float: left;\">\n<div style=\"height: 740px;\"><a id=\"alcoholmap1a\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2572\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc1A-feb-2015.jpg\" alt=\"alc1A feb 2015\" width=\"450\" height=\"556\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc1A-feb-2015.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc1A-feb-2015-243x300.jpg 243w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1707\/#alcoholmap1a\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1709\/#alcoholmap1a\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1769\/#alcoholmap1a\">32<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1789\/#alcoholmap1a\">42<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"alcoholmap1b\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2596\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc1B.jpg\" alt=\"alc1B\" width=\"450\" height=\"476\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc1B.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc1B-284x300.jpg 284w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1711\/#alcoholmap1b\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1713\/#alcoholmap1b\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1715\/#alcoholmap1b\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1717\/#alcoholmap1b\">6<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1765\/#alcoholmap1b\">30<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1801\/#alcoholmap1b\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"alcoholmap2\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2589\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-2-Rev.jpg\" alt=\"Map 2 Rev\" width=\"450\" height=\"569\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-2-Rev.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-2-Rev-237x300.jpg 237w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1713\/#alcoholmap2\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1717\/#alcoholmap2\">6<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1719\/#alcoholmap2\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1731\/#alcoholmap2\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1767\/#alcoholmap2\">31<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1783\/#alcoholmap2\">39<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"alcoholmap3\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2590\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-3-Rev.jpg\" alt=\"Map 3 Rev\" width=\"450\" height=\"527\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-3-Rev.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-3-Rev-256x300.jpg 256w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1721\/#alcoholmap3\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1751\/#alcoholmap3\">23<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1799\/#alcoholmap3\">46<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"alcoholmap4a\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2591\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-4A-Rev.jpg\" alt=\"Map 4A Rev\" width=\"450\" height=\"499\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-4A-Rev.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-4A-Rev-271x300.jpg 271w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1723\/#alcoholmap4a\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1725\/#alcoholmap4a\">10<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1727\/#alcoholmap4a\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1729\/#alcoholmap4a\">12<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1763\/#alcoholmap4a\">29<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=2567\/#alcoholmap4a\">49<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"alcoholmap4b\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2592\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-4B-Rev.jpg\" alt=\"Map 4B Rev\" width=\"450\" height=\"391\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-4B-Rev.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/Map-4B-Rev-300x261.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1737\/#alcoholmap4b\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1749\/#alcoholmap4b\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1757\/#alcoholmap4b\">26<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1761\/#alcoholmap4b\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1777\/#alcoholmap4b\">36<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1793\/#alcoholmap4b\">44<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"alcoholmap5a\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2580\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc5A.jpg\" alt=\"alc5A\" width=\"450\" height=\"522\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc5A.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc5A-259x300.jpg 259w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1733\/#alcoholmap5a\">14<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1795\/#alcoholmap5a\">15<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1737\/#alcoholmap5a\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1739\/#alcoholmap5a\">17<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1741\/#alcoholmap5a\">18<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1743\/#alcoholmap5a\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1745\/#alcoholmap5a\">20<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1749\/#alcoholmap5a\">22<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"alcoholmap5b\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2581\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc5B.jpg\" alt=\"alc5B\" width=\"450\" height=\"544\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc5B.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc5B-248x300.jpg 248w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1755\/#alcoholmap5b\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1759\/#alcoholmap5b\">27<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1771\/#alcoholmap5b\">33<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1775\/#alcoholmap5b\">35<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1779\/#alcoholmap5b\">37<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"alcoholmap6\"><\/a><strong>ALCOHOL MAPS:<\/strong> <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=89\">1A<\/a> | <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=91\">1B<\/a> | <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=93\">2<\/a> | <a title=\"Alcohol Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=95\">3<\/a> | <a title=\"Alcohol Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=99\">4<\/a> | <a title=\"Alcohol Map 5A\" href=\"https:\/\/treatmentmaps.net\/?page_id=101\">5A<\/a> | <a title=\"Alcohol Map 5B\" href=\"https:\/\/treatmentmaps.net\/?page_id=103\">5B<\/a> | <a title=\"Alcohol Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=105\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2582\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc6.jpg\" alt=\"alc6\" width=\"450\" height=\"488\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc6.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/alc6-277x300.jpg 277w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1733\/#alcoholmap6\">14<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1743\/#alcoholmap6\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1755\/#alcoholmap6\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1761\/#alcoholmap6\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1771\/#alcoholmap6\">33<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1775\/#alcoholmap6\">35<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1779\/#alcoholmap6\">37<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1781\/#alcoholmap6\">38<\/a><\/div>\n<\/div>\n<div style=\"overflow: auto; width: 458px; height: 740px; float: right;\">\n<p><strong>4. PSYCHOLOGICAL AND PHYSIOLOGICAL DEPENDENCE<\/strong><\/p>\n<ul><em>This section is intended to be used in conjunction with <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=1709\/#alcoholmap1a\">Section 2<\/a>, <a title=\"Alcohol Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=1711\/#alcoholmap1b\">Section 3<\/a>, and <a title=\"Alcohol Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=1789\/#alcoholmap1a\">Section 42<\/a>, making use of information gathered in intake sessions.<\/em><\/ul>\n<p>General symptoms of dependence on alcohol were listed under &#8220;Alcohol Misuse&#8217; in <a href=\"https:\/\/treatmentmaps.net\/?page_id=1711\/#alcoholmap1b\">Section 3d<\/a>. Dependence differs from abuse mainly in being ongoing rather than episodic.<\/p>\n<p>There are a number of criteria for evaluating an individual&#8217;s level of dependence upon alcohol. Among the most important are &#8211;<\/p>\n<ul>\n<li>chronicity, or the length of time that a person has been dependent. With time, a person changes, the consequences of drinking become more pervasive, and alternatives to drinking are harder to access.<\/li>\n<li>frequency and amount of drinking. The more often a person drinks, the more he\/she limits other opportunities and alternative choices. The greater the amount, the greater the damage done each time.<\/li>\n<li>negative consequences of drinking, including the extent to which the person&#8217;s life and judgment have been compromised. A person who is dependent on alcohol will most likely continue to drink, even in the face of clear evidence that drinking is having serious negative consequences (e.g.: blackouts, accidents, or behaving badly).<\/li>\n<\/ul>\n<p>The extent of a person&#8217;s dependency can&#8217;t be defined precisely by the quantity that he\/she drinks [although there are guidelines that can help] but rather by the place of drinking in the person&#8217;s life and functioning. A dependent person needs alcohol in order to function while at the same time functioning less effectively because of it.<\/p>\n<p><strong>4a. Psychological Dependence<\/strong><\/p>\n<p>The psychologically dependent patient is convinced that he\/she needs alcohol on a regular basis to function interpersonally, vocationally, or when alone, e.g.: to participate in relationships, to maintain employment, to sleep, to meet new people, etc.<\/p>\n<p>The psychologically dependent person may or may not also be physiologically dependent. However, there is a tendency for psychological dependence to turn into physiological dependence, if the person&#8217;s perceived need increases in quantity or frequency over time. When a person is both psychologically and physiologically dependent, the physiological dependency must typically be treated first.<\/p>\n<p>There are also degrees of severity of a person&#8217;s psychological dependence. For example, a person may feel a strong need to drink, before a social event, yet be able to function effectively without it. Another person may avoid all situations where alcohol isn&#8217;t available to help manage his\/her social anxiety.<\/p>\n<p><strong>4b. Physiological Dependence<\/strong><\/p>\n<p>This occurs when the patient&#8217;s body has adapted to regular use of alcohol, to the point that stopping regular use may lead to physical withdrawal symptoms.<\/p>\n<p>A person is probably physiologically dependent if he\/she<\/p>\n<ul>\n<li>regularly drinks enough to get drunk (3 or more drinks per day, depending on the person&#8217;s size) A person may be willing to talk about how he\/she was feeling when drinking; that could give clues about the amount or about being drunk.<\/li>\n<li>drinks regularly enough that alcohol is never completely out of his\/her system. A person who sips vodka all day would fit this category.<\/li>\n<li>starts each day with a drink. Asking when the person has his\/her first drink each day may get at this.<\/li>\n<\/ul>\n<p>One test is whether the person has gone without drinking for a day or more in the past few weeks. If the person was able to go without drinking for a couple of days or more, find out for how long and what happened. After 18-36 hours, a physiologically dependent person will start to experience withdrawal symptoms [listed below], as blood alcohol level lowers substantially. A patient who can&#8217;t abstain for 36 hours may be presumed to be physiologically dependent.<\/p>\n<p><span style=\"text-decoration: underline;\">WITHDRAWAL SYMPTOMS<\/span> can include:<\/p>\n<ul>\n<li>Alteration in mood, especially anxiety, irritability or depression.<\/li>\n<li>Psychological distress.<\/li>\n<li>Impaired functioning at work and elsewhere.<\/li>\n<li>Increased autonomic activity: sweating or rapid heartbeat.<\/li>\n<li>Speeded-up psychomotor activity.<\/li>\n<li>Hand tremor or worsened hand tremor.<\/li>\n<li>Sleeplessness or frequently interrupted sleep.<\/li>\n<li>Nausea or vomiting.<\/li>\n<li>Short-lived hallucinations or delusions (visual, tactile, auditory).<\/li>\n<li>Grand mal seizures.<\/li>\n<\/ul>\n<p>In an uncomplicated withdrawal, the symptoms may feel intense but they are brief, peak on the second day, and last only a few days. But the anxiety, irritability, and sleeplessness may persist for a few days longer.<\/p>\n<p>The heavier the patient&#8217;s drinking has been, the more severe the patient&#8217;s symptoms are likely to be. DT&#8217;s (delirium tremens: seizures, shaking, night sweats) are relatively rare: only about 5% of patients hospitalized for detox actually get them.<\/p>\n<p>People who are physiologically dependent are assumed to be psychologically dependent as well.<\/p>\n<p>Withdrawal can be life-threatening. A medically supervised detox is strongly indicated. [See <a title=\"Alcohol Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=1719\/#alcoholmap2\">Section 7<\/a>: Detox]\n<p><strong>References:<\/strong><\/p>\n<ul>\n<li><a title=\"Alcohol Map References\" href=\"https:\/\/treatmentmaps.net\/?page_id=913\/#alcoholref_bucholz01\">Bucholz, Homan and Helzer<\/a>, 1992<\/li>\n<li><a title=\"Alcohol Map References\" href=\"https:\/\/treatmentmaps.net\/?page_id=913\/#alcoholref_americanpsychiatricassociation01\">DSM IV<\/a>, p.195-196<\/li>\n<\/ul>\n<\/div>\n<div style=\"overflow: auto; width: 458px; float: right;\"><div class=\"divider\" style=\"margin-bottom:10px;border-bottom-width:1px\"><\/div>\n<a href=\"http:\/\/www.treatmentmaps.com\/topics\/alcohol-misuse\/\" target=\"_blank\"><strong>CLICK HERE TO MAKE COMMENTS OR SUGGESTIONS<\/strong> <\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>ALCOHOL MAPS: 1A | 1B | 2 | 3 | 4 | 5A | 5B | 6 SECTIONS: 1 | 2 | 32 | 42 ALCOHOL MAPS: 1A | 1B | 2 | 3 | 4 | 5A | 5B | 6 SECTIONS: 3 | 4 | 5 | 6 | 30 | 47 ALCOHOL &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":627,"menu_order":4,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1713","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1713"}],"version-history":[{"count":7,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1713\/revisions"}],"predecessor-version":[{"id":2865,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1713\/revisions\/2865"}],"up":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/627"}],"wp:attachment":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}