TEXAS DWI 12 HR. EDUCATION PART 6

ABUSE: SUGGESTED DSM-5 CLASSIFICATION: 305.00 MILD ALCOHOL USE DISORDER

DEPENDENCY: SUGGESTED DSM-5 CLASSIFICATION: 303.90 MODERATE ALCOHOL USE DISORDER

cgregoreva 2014 1

• WHEN SOMEONE HAS A DRINKING PROBLEM, THERE ARE TWO TYPES OF MENTAL HEALTH

DIAGNOSES THAT THE PERSON CAN RECEIVE: ALCOHOL ABUSE AND ALCOHOL DEPENDENCE.

BOTH ALCOHOL ABUSE AND DEPENDENCE CAN LEAD TO LONG-TERM CONSEQUENCES. BOTH

DRINKING INTERFERES WITH WORK OR SCHOOL, FAMILY, AND SOCIALLY WITH SOMEONE WHO

IS DIAGNOSED WITH ALCOHOL ABUSE AND ALCOHOL DEPENDENCE. WITH BOTH DIAGNOSES,

THE PERSON MAY FIND HIMSELF IN LEGAL TROUBLE DUE TO DRINKING AND PUTS HIMSELF IN

DANGEROUS SITUATIONS SUCH AS DRINKING AND DRIVING.

cgregoreva 2014 2

DISCLAIMER

Disclaimer:

All content within this site is provided for general

information only. It should not be treated as a substitute

for the medical advice of your own doctor or health care

professional. The owners of this site are not responsible or

liable for any diagnosis made by a user based on the

content of the evagregorycounselingonline website. The

owner is not liable for the contents of any external internet

sites listed, nor does it endorse any commercial product or

service mentioned or advised on in this or any linked site.

Always consult your own Doctor if you are concerned about

your health.

c2009 Eva Gregory,MA, LCDC,SPA,CCJAP

cgregoreva 2014 3

• DISCLAIMER: LIQUORLAWS.NET HAS SUPPLIED THE INFORMATION ON THIS

WEBSITE FOR INFORMATIONAL PURPOSES ONLY. THE INFORMATION ON THIS

WEBSITE MAY NOT BE 100% ACCURATE AND SHOULD NOT BE INTENDED AS

LEGAL ADVICE. THE USE OF THIS WEBSITE DOES NOT CREATE A LAWYER-

CLIENT RELATIONSHIP.HIRING A DUI ATTORNEY IS A VERY IMPORTANT

DECISION. BEFORE HIRING AN ATTORNEY IT IS IMPORTANT TO ASK FOR

WRITTEN AND VERIFIED INFORMATION ABOUT THE ATTORNEYS

QUALIFICATIONS AND EXPERIENCE.

cgregoreva 2014 4

NOTICE

• THIS IS A 12 HOUR CLASS USING THE SAME MATERIAL THAT IS USED IN THE TEXAS DWI 12

HOUR CLASS FOR THE STATE SEAL CERTIFICATE FOR REINSTATING YOUR TEXAS DRIVER’S

LICENSE WITH THE TEXAS DEPARTMENT OF PUBLIC SAFETY.

• THE CERTIFICATE YOU RECEIVE FROM US ONLY CERTIFIES THAT YOU HAVE COMPLETED 12

HOURS OF TEXAS DWI EDUCATION UNDER A TEXAS LICENSED LCDC COUNSELOR. THE

CERTIFICATE IS A TEXAS FACILITY CERTIFICATE. IT CANNOT BE USED TO REINSTATE YOUR

DRIVER’S LICENSE. ASK YOUR JUDGE AND OR PROBATION OFFICER IF YOU CAN SUBMIT A

CERTIFICATE WITHOUT A TEXAS STATE SEAL FOR VALIDATION OF COMPLETING 12 DWI

EDUCATIONAL HOURS AND IT BE APPROVED BY YOUR COURT SYSTEM. THIS IS YOUR

RESPONSIBILITY. ONCE THE CLASS IS PAID FOR THERE IS NO REFUND.

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• ALCOHOL USE DISORDERS

• THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS,

FOURTH

• EDITION (DSM-IV) RECOGNIZES TWO ALCOHOL USE DISORDERS: ALCOHOL

DEPENDENCE AND ALCOHOL ABUSE.

• ALCOHOL ABUSE: 305.00

• ALCOHOL DEPENDENCE IS CHARACTERIZED BY MULTIPLE SYMPTOMS.

• ALCOHOL DEPENDENCE; 303.90

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• AN ALCOHOL PROBLEMS FRAMEWORK

• SINCE THE 1930S, “ALCOHOLICS” HAVE BEEN THE PRIMARY FOCUS

OF ALCOHOL RELATED INTERVENTION EFFORTS IN THE UNITED

STATES. WHILE A FOCUS ON

• SEVERE PROBLEMS IS TYPICAL OF AN INITIAL SOCIETAL RESPONSE TO

A HEALTH

• PROBLEM,

• 1. ALCOHOL DEPENDENCE REPRESENTS ONLY A SMALL PORTION OF

THE ENTIRE RANGE OF ALCOHOL-RELATED PROBLEMS.

• 2. MOST DRINKING PROBLEMS ARE OF MILD TO MODERATE SEVERITY

• AND ARE AMENABLE TO RELATIVELY BRIEF INTERVENTIONS.

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MOST OF US STARTED WALKING WITHOUT GODBECAUSE WE HAD BEEN INFLUENCED BY OUR SIN NATURE

THAT WE COULD • RELAX

• HAVE FUN

• BELONG TO A GROUP

• BE ACCEPTED

• TO BE SUCCESSFUL

8cgregoreva 2014

LOOKING TO FILL THE VOID IN THE HEART IN ALL THE WRONG PLACES.• WHY IS FAITH BASED DRUG AND ALCOHOL TREATMENT SO

SUCCESSFUL?

• HERE A FEW OF THE REASONS FOR YOU TO CONSIDER. MOST

PEOPLE HAVE A VOID THAT THEY TRY TO FILL WITH DRUG AND

ALCOHOL. THIS VOID CONTINUES TO GROW AND PEOPLE WHO

HAVE THE DISEASE OF ADDICTION OR ALCOHOLISM CONTINUE

TO FILL THAT VOID. IN TRADITIONAL DRUG AND ALCOHOL

TREATMENT CENTERS, THE FOCUS IS PRIMARILY ON THE

SUBSTANCE ABUSE AND WHAT THE EFFECTS ON THE BODY AND

MIND ARE.

• THEY VERY RARELY DISCUSS HOW IT AFFECTS THE SPIRIT OR

HEART OF A PERSON.

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PSYCHOLOGICAL POWERLESSNESS• CHEMICALLY DEPENDENT PEOPLE HAVE AN URGE TO

INDULGE IN THE PLEASURE OF SELF OF THEIR CHOICE

• THAT URGE RULES THEIR LIVES

• THEY FORSAKE MANY OR EVEN ALL OF THEIR VALUES.

• THROWING AWAY

• THE FAMILY,

• JOB,

• PERSONAL WELFARE,

• RESPECT,

• AND INTEGRITY.

• JUST TO SATISFY THE URGE.10cgregoreva 2014

DAILY LIFE….• THE STRESSES AND STRAINS OF DAILY LIFE--- FAMILY PROBLEMS,

JOB HASSLES, AND MANY MORE---ARE MORE EVIDENCE THAT

WE ARE POWERLESS.

11cgregoreva 2014

ABUSE

• ABUSE OCCURS WHEN THERE IS A PATTERN OF ONE OR MORE ALCOHOL-RELATED NEGATIVE CONSEQUENCES SUCH AS:

• RECURRING ROLE FAILURE RELATED TO THE USE OF ALCOHOL – FAILING TO FULFILL OBLIGATIONS AND RESPONSIBILITIES ASSOCIATED WITH ONE’S ROLE WITHIN WORK, SCHOOL OR HOME BECAUSE OF DRINKING

• RECURRING USE OF ALCOHOL IN SITUATIONS THAT COULD BE PHYSICALLY DANGEROUS – FOR EXAMPLE, DRIVING OR OPERATING MACHINERY WHILE USING ALCOHOL

• RECURRING LEGAL PROBLEMS THAT ARE ALCOHOL-RELATED – PUBLIC INTOXICATION, DRIVING WHILE UNDER THE INFLUENCE OR DISORDERLY CONDUCT, FOR EXAMPLE

• A PERSON IS SAID TO ABUSE ALCOHOL WHEN THE DRINKING, AND THE RECURRING NEGATIVE CONSEQUENCES OF DRINKING, HAVE OCCURRED WITHIN THE SAME 12 MONTH PERIOD. ADDITIONALLY, IN ORDER FOR AN INDIVIDUAL TO BE DIAGNOSED AS HAVING ALCOHOL ABUSE, HE OR SHE MUST CONTINUE TO DRINK DESPITE HAVING HAD SUCH ALCOHOL-RELATED PROBLEMS.

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• ALCOHOL ABUSE MEANS HAVING UNHEALTHY OR DANGEROUS DRINKING HABITS,

SUCH AS DRINKING EVERY DAY OR DRINKING TOO MUCH AT A TIME. ALCOHOL

ABUSE CAN HARM YOUR RELATIONSHIPS, CAUSE YOU TO MISS WORK, AND LEAD TO

LEGAL PROBLEMS SUCH AS DRIVING WHILE DRUNK (INTOXICATED). WHEN YOU ABUSE

ALCOHOL, YOU CONTINUE TO DRINK EVEN THOUGH YOU KNOW YOUR DRINKING IS

CAUSING PROBLEMS.

• IF YOU CONTINUE TO ABUSE ALCOHOL, IT CAN LEAD TO ALCOHOL DEPENDENCE.

ALCOHOL DEPENDENCE IS ALSO CALLED ALCOHOLISM. YOU ARE PHYSICALLY OR

MENTALLY ADDICTED TO ALCOHOL. YOU HAVE A STRONG NEED, OR CRAVING, TO

DRINK. YOU FEEL LIKE YOU MUST DRINK JUST TO GET BY.

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ALCOHOL DEPENDENCE

• THE DIAGNOSTIC REQUIREMENTS FOR ALCOHOL DEPENDENCE ARE FAR MORE COMPREHENSIVE. ALCOHOL DEPENDENCE IS GENERALLY CONSIDERED TO BE AN ALCOHOL-RELATED ILLNESS WITH PHYSIOLOGICAL SYMPTOMS. UNLIKE ALCOHOL ABUSE, THE DIAGNOSIS OF DEPENDENCE ADDRESSES SYMPTOMS OF ALCOHOL TOLERANCE AND ALCOHOL WITHDRAWAL. THE DIAGNOSTIC CRITERIA OF ALCOHOL DEPENDENCE INCLUDE:

• EVIDENCE OF A CHANGE IN TOLERANCE FOR ALCOHOL-DRINKING MAY INCREASE TO ACHIEVE INTOXICATION, FOR EXAMPLE

• WITHDRAWAL SYMPTOMS-HANGOVERS, TREMORS, SHAKES, ETC

• THE DESIRE TO STOP OR DECREASE USE

• UNSUCCESSFUL EFFORTS TO STOP OR DECREASE USE

• PREOCCUPATION WITH ALCOHOL USE

• NEGATIVE CONSEQUENCES OF DRINKING

• CONTINUED DRINKING DESPITE NEGATIVE CONSEQUENCES OR THE DESIRE TO STOP

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YOU MIGHT BE DEPENDENT ON ALCOHOL IF YOU HAVE THREE OR MORE OF THE FOLLOWING PROBLEMS IN A YEAR:

YOU CANNOT QUIT DRINKING OR CONTROL HOW MUCH YOU DRINK.

• YOU NEED TO DRINK MORE TO GET THE SAME EFFECT.

• YOU HAVE WITHDRAWAL SYMPTOMS WHEN YOU STOP DRINKING. THESE INCLUDE FEELING SICK TO YOUR STOMACH, SWEATING, SHAKINESS, AND ANXIETY.

• YOU SPEND A LOT OF TIME DRINKING AND RECOVERING FROM DRINKING, OR YOU HAVE GIVEN UP OTHER ACTIVITIES SO YOU CAN DRINK.

• YOU HAVE TRIED TO QUIT DRINKING OR TO CUT BACK THE AMOUNT YOU DRINK BUT HAVEN'T BEEN ABLE TO.

• YOU CONTINUE TO DRINK EVEN THOUGH IT HARMS YOUR RELATIONSHIPS AND CAUSES PHYSICAL PROBLEMS.

• ALCOHOLISM IS A LONG-TERM (CHRONIC) DISEASE. IT'S NOT A WEAKNESS OR A LACK OF WILLPOWER. LIKE MANY OTHER DISEASES, IT HAS A COURSE THAT CAN BE PREDICTED, HAS KNOWN SYMPTOMS, AND IS INFLUENCED BY YOUR GENES AND YOUR LIFE SITUATION.

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• WHAT ARE SOME SIGNS OF ALCOHOL ABUSE OR DEPENDENCE?

• CERTAIN BEHAVIORS MAY MEAN THAT YOU'RE HAVING TROUBLE WITH ALCOHOL. THESE INCLUDE:

• DRINKING IN THE MORNING, OFTEN BEING DRUNK FOR LONG PERIODS OF TIME, OR DRINKING ALONE.

• CHANGING WHAT YOU DRINK, SUCH AS SWITCHING FROM BEER TO WINE BECAUSE YOU THINK IT WILL HELP YOU DRINK LESS OR KEEP YOU FROM GETTING DRUNK.

• FEELING GUILTY AFTER DRINKING.

• MAKING EXCUSES FOR YOUR DRINKING OR DOING THINGS TO HIDE YOUR DRINKING, SUCH AS BUYING ALCOHOL AT DIFFERENT STORES.

• NOT REMEMBERING WHAT YOU DID WHILE YOU WERE DRINKING (BLACKOUTS).

• WORRYING THAT YOU WON'T GET ENOUGH ALCOHOL FOR AN EVENING OR WEEKEND

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• A STANDARD DRINK IS 1 CAN OF BEER, 1 GLASS OF WINE, OR 1 MIXED DRINK. ALCOHOL IS PART OF MANY PEOPLE'S LIVES AND MAY HAVE A PLACE IN CULTURAL AND FAMILY TRADITIONS. IT CAN SOMETIMES BE HARD TO KNOW WHEN YOU BEGIN TO DRINK TOO MUCH.

• YOU ARE AT RISK OF DRINKING TOO MUCH AND SHOULD TALK TO YOUR DOCTOR IF YOU ARE:1

• A WOMAN WHO HAS MORE THAN 3 DRINKS AT ONE TIME OR MORE THAN 7 DRINKS A WEEK.

• A MAN WHO HAS MORE THAN 4 DRINKS AT ONE TIME OR MORE THAN 14 DRINKS A WEEK.

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HOW MUCH DRINKING IS TOO MUCH?

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• BEER, WINE, AND HARD LIQUOR (DISTILLED SPIRITS) ALL CONTAIN ALCOHOL. THE FOLLOWING COMMON ALCOHOLIC DRINKS CONTAIN EQUAL AMOUNTS OF ALCOHOL AND ARE OFTEN REFERRED TO AS A DRINK OR A STANDARD DRINK:

• ONE MIXED DRINK CONTAINING 1.5 FL OZ (44 ML) OF 80-PROOF HARD LIQUOR, SUCH AS GIN, WHISKEY, OR RUM

• ONE 5 FL OZ (148 ML) GLASS OF WINE

• ONE 12 FL OZ (355 ML) BOTTLE OF BEER OR WINE COOLER

• PROOF IS THE AMOUNT OF ALCOHOL IN HARD LIQUOR OR DISTILLED SPIRITS. THE PERCENTAGE OF PURE ALCOHOL IN THE HARD LIQUOR IS USUALLY ONE-HALF THE PROOF. FOR EXAMPLE, A 100-PROOF LIQUOR IS ABOUT 50% PURE ALCOHOL. THUS, THE HIGHER THE PROOF, THE MORE PURE ALCOHOL THE HARD LIQUOR CONTAINS.

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• ALCOHOLISM IS NOT ONLY AN ADDICTION, BUT IT CAN ALSO BECOME A FORM

OF SELF-ABUSE WHEN A PERSON CAN NO LONGER CONTROL THEIR ADDICTION.

THERE ARE ALSO MANY HEALTH RISKS ASSOCIATED WITH THE DISEASE, AND

PROLONGED USE CAN LEAD TO SUCH ISSUES AS CIRRHOSIS OF THE LIVER OR

PANCREATITIS (INFLAMMATION OF THE PANCREAS). IN SOME INSTANCES,

ALCOHOLISM CAN BE HEREDITARY. THERE ARE MANY SIGNS OF ALCOHOL

ABUSE, BUT IMMEDIATE SIGNS WILL BE APPARENT IN FACIAL FEATURES.

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• A FUNCTIONING ALCOHOLIC IS TYPICALLY NOT SOMEONE WHO IS PHYSICALLY DEPENDENT,

BUT RATHER SOMEONE WHO IS PSYCHOLOGICALLY OR EMOTIONALLY DEPENDENT ON

ALCOHOL. LOOK FOR A FUNCTIONING ALCOHOLIC'S LEISURE ACTIVITIES TO REVOLVE

AROUND ALCOHOL WITH HELP FROM A LICENSED MENTAL HEALTH COUNSELOR.

UNFORTUNATELY, THERE COMES A POINT IN TIME WHEN SOME PEOPLE CAN NO LONGER

HANDLE AN OCCASIONAL DRINK. WHILE THESE PEOPLE MIGHT NOT BE QUITE READY TO ADMIT

THAT A PROBLEM EXISTS, THERE ARE PHYSICAL SYMPTOMS THAT WILL BECOME EVIDENT WITH ALCOHOL ABUSE.

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• FIRST SIGN

• THE FIRST PHYSICAL SIGN OF ALCOHOL ABUSE IS WHEN DRINKING HAS CROSSED OVER THE LINE FROM SOCIAL DRINKING TO IT BECOMING A PRIORITY. THIS IS WHEN THE PERSON MIGHT START ONLY ENGAGING IN ACTIVITIES THAT INCLUDE DRINKING.

• PHYSICAL SIGNS AND SYMPTOMS

• PEOPLE MAY BEGIN TO COMPLAIN ABOUT NUMBNESS IN THE HANDS OR FEET, OR HAVE NUMEROUS OCCASIONS WHEN THEY HAVE A STOMACH ACHE OR AND UPSET STOMACH.

•

cgregoreva 2014 22

HOW DO YOU KNOW THEY ARE HAVINGA DRINKING PROBLEM?

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HOW DO I KNOW?

• 1. NOTICE HOW OFTEN HE DRINKS ALONE. DRINKING WITH FRIENDS OR WORKMATES DURING SPECIAL OCCASIONS DOES NOT USUALLY INDICATE A PROBLEM. BUT IF HE IS DOING IT MOST OF THE TIME, ESPECIALLY WHEN HIS ALONE, CAN BE A SIGN OF ALCOHOLISM. YOU MAY SEE HIM DRINK ALONE IN A BAR OR HE MAY DO IT SECRETLY.

2. OBSERVE HER TOLERANCE FOR ALCOHOL. INCREASE TOLERANCE FOR ALCOHOL IS ANOTHER INDICATION OF AN ALCOHOLIC INDIVIDUAL. OVERTIME, HER SYSTEM DOES NOT RESPOND TO MODERATE INTAKE OF ALCOHOL ANYMORE, BECAUSE SHE IS USED TO DRINKING IT EVERY TIME. AS A RESULT, SHE INCREASES HER DOSE WHEN SHE DRINKS, AND DOES IT MORE THAN SHE USED TO UNTIL SHE FEELS INTOXICATED—WHICH IS WHAT SHE WANTS TO DO.

• 3. TAKE NOTE OF HOW HE CONSIDER DRINKING AS A PART OF HIS DAILY ROUTINE. AN ALCOHOLIC PERSON OFTEN SETS UP A SCHEDULE FOR HIS BOOZE. FOR EXAMPLE, IF HE VISITS THE BAR OR THE LIQUOR STORE DAILY AFTER WORK, THIS MAY BE A SIGN THAT HE HAS AN ALCOHOL PROBLEM. YOU WILL NOTICE HIM MAKING EXCUSES JUST TO HAVE A DRINK.

•

cgregoreva 2014 24

• 4. WATCH HOW HER MOOD CHANGES IF HER DRINKING SCHEDULE IS HAMPERED. AN

ALCOHOLIC PERSON USUALLY DEVELOPS A VERY STRONG DESIRE TO DRINK THAT IS BEYOND

HER CONTROL. HER URGE TO DRINK IS JUST AS STRONG AS HER URGE TO EAT WHEN SHE IS

HUNGRY. SO THAT'S WHY WHEN HER TIME TO DRINK IS DISTURBED, SHE OFTEN BECOMES

IRRITABLE AND REMAINS THIS WAY UNTIL HER COMPULSION IS GRATIFIED.

• 5. FIND OUT HOW HE REACTS IF YOU QUESTION HIS DRINKING. AN ALCOHOLIC PERSON

TYPICALLY RESPONDS IN A NEGATIVE WAY WHEN YOU START TO ASK HIM QUESTIONS ABOUT

HIS DRINKING. HE CONSTANTLY DENIES OR LIES ABOUT THIS ISSUE AND NEVER FACES THE

FACT THAT HE IS DRINKING TOO MUCH.

1

cgregoreva 2014 25

• 6. MONITOR HER DAILY FUNCTIONS WITHOUT ALCOHOL. AN ALCOHOLIC

PERSON FINDS IT HARD TO CARRY OUT TASKS WITHOUT CONSUMING ANY

ALCOHOL. SHE CONSIDERS ALCOHOL AS HER ENERGY DRINK, THAT IF EVER SHE

DOESN'T GET ANY OF IT IN A DAY, WILL MAKE IT DIFFICULT FOR HER TO

PERFORM WHATEVER TASK SHE NEEDED TO DO. OFTENTIMES, SHE MAY END UP

KEEPING ALCOHOL IN UNLIKELY PLACES SUCH AS IN HER OFFICE, CAR OR AT

HOME JUST TO MAKE SURE THAT SHE HAS SOMETHING TO DRINK.

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• 7. KEEP A CLOSE EYE ABOUT HOW HE DEALS WITH THE ISSUES OF HIS LIFE. WHEN IT

COMES TO HIS HEALTH ISSUES, An alcoholic person often fails to take care of himself--his

appetite decreases because his concentration is more focused on drinking and nothing

else; and even if he has an existing health problem, it won't stop him from doing it at all.

His FINANCIAL and legal issues are going downhill as well--he is always late at paying

bills and often loses track of where his money went; and he usually becomes a physical

threat to his family and to others due to his intoxicated and violent behavior. His job can be

in jeopardy as a result of his alcohol problem--he often goes to work late, works

inefficiently due to poor concentration and even misses days of work because he is always

too drunk to get up and move.

an alcoholic person often fails to take care of himself--his appetite decreases because his concentration is more focused on dr

Read more: http://www.ehow.com/how_4541358_tell-person-alcoholic.html#ixzz2xTkzzQBZ

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• 8. TRY TO SEE IF SHE SHOWS EPISODES OF WITHDRAWAL. A PERSON SUFFERING

FROM WITHDRAWAL SYMPTOMS IS A SEVER SIGN OF ALCOHOLISM. THIS IS A STATE

WHERE A PERSON FEELS SICK WHENEVER THERE IS NO ALCOHOL IN HER SYSTEM--

SHE OFTEN FEELS NAUSEOUS, SWEATS PROFUSELY, SHAKES A LOT AND IS

CONSTANTLY ANXIOUS. WITHDRAWAL SYMPTOMS ARE WAY MORE SEVERE THAN

JUST A PLAIN HANGOVER. SUCH SYMPTOMS ARE OFTEN MANIFESTED FIRST THING IN

THE MORNING WHEN SHE WAKES UP AND BECOME WORSE THROUGH OUT THE DAY.

THESE SYMPTOMS CEASE TO TAKE PLACE ONLY IF SHE DRINKS AGAIN

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ALCOHOLISM

MORE/LESS ALCOHOL NEEDED FOR DESIRED

EFFECT

WITHDRAWAL SYMPTOMS OR DRINK TO AVOID

WITHDRAWAL

DESIRE OR UNSUCCESSFUL EFFORTS TO CUT

DOWN

DRINKING LARGER AMOUNTS OR FOR LONGER

PERIOD THAN PLANNED

ACTIVITIES REDUCED/GIVEN UP BECAUSE OF

DRINKINGAny three reveal alcoholism. C-1

49

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Contributed to difficulty/inability to meet

home, school, or work responsibilities?

Put self in physical danger (driving, sports

activities, etc.)?

Led to problems with the legal system?

Led to problems with others (friends, family,

fights, etc.)?

Any one YES answer reveals abuse.

Has using alcohol or drugs in the last year...

SUBSTANCE ABUSE

C-2

50

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SIGNS OF ALCOHOLISM

•INCREASE IN TOLERANCE

• Craving alcohol

• Drinking to cope

• Preoccupation with drinking

• Personality change

• Feelings of remorse, guilt, shame, self-hatred

• Blackouts

• Rationalization

• Blaming others C-3

51

?? ? ?

cgregoreva 2014 31

• Use of other drugs

• Age at which drinking began

• Heavy smoking

• Leisure activities focus on alcohol

• Family history

• Different behavior after drinking

• DWI-PI-MIP arrests

OTHER SIGNS OF ALCOHOLISM

C-6

54

cgregoreva 2014 32

• BINGE

DRINKING• Delirium tremens (DT’s)

• Physical problems

• Money problems

• Work problems

• Gulping/sneaking drinks

• Hiding/protecting source

• Denial

SIGNS OF ALCOHOLISM

C-4

52

cgregoreva 2014 33

• Loss of sexual potency

• Difficulty in sleeping

• “Telephonitis”

• “Not that bad yet”

• Changing jobs

• Drinking alone

• Opinion of AA/NA

C-5

53

OTHER SIGNS OF ALCOHOLISM

cgregoreva 2014 34

NDP - ADAPTED

• NAME DATE

•

• PLEASE READ EACH QUESTION CAREFULLY, AND THEN CHECK THE MOST CORRECT ANSWER IN

• THE BOX PROVIDED. CHECK ONLY ONE

• BOX FOR EACH QUESTION.

• 1. HOW MANY TIMES HAVE YOU BEEN ARRESTED ON CHARGES INVOLVING ALCOHOL?

• (DO NOT

• COUNT THE PRESENT DWI ARREST.) ___________(TIMES)

• 2. IS SOMEONE CLOSE TO YOU CONCERNED ABOUT YOUR DRINKING?

• YES ( ) NO ( )

•

• 3. WITH WHOM DID YOU DO MOST OF YOUR DRINKING BEFORE THIS

ARREST?

• HUSBAND/WIFE ( ) RELATIVE ( ) FRIENDS ( )

• STRANGERS ( ) ALONE ( )

• 4. DO YOU BELIEVE YOUR DRINKING MAY BE CAUSING YOU PROBLEMS?

• YES ( ) NO ( )

• NO, BUT IT USED TO CAUSE ME PROBLEMS ( ) NOT SURE ( )

•

PLEASE ANSWER THE NDP QUESTIONNAIRE AND E-MAIL TO:eva_Gregory@ymail.com Questions are on 4 slides.

cgregoreva 2014 35

• 5. DO YOU WANT HELP FOR A DRINKING PROBLEM?

• YES ( ) NO ( ) NOT SURE ( )

•

• 6. DO YOU FEEL YOU ARE A NORMAL DRINKER?

• YES ( ) NO ( )

• 7. HAVE YOU EVER AWAKENED THE MORNING AFTER SOME DRINKING THE NIGHT

• BEFORE AND FOUND YOU COULD NOT REMEMBER A PART OF THE EVENING?

• YES ( ) NO ( )

• 8. DOES YOUR WIFE, HUSBAND, A PARENT, OR OTHER NEAR RELATIVE EVER WORRY OR COMPLAIN ABOUT YOUR DRINKING?

• YES ( ) NO ( )

• 9. CAN YOU STOP DRINKING WITHOUT A STRUGGLE AFTER ONE OR TWO DRINKS?

• YES ( ) NO ( )

• 10. DO YOU EVER FEEL BAD ABOUT YOUR DRINKING?

• YES ( ) NO ( )

• 11. DO YOUR FRIENDS OR RELATIVES THINK YOU ARE A NORMAL DRINKER? YES ( ) NO ( )

• DO YOU EVER TRY TO LIMIT YOUR DRINKING TO CERTAIN TIMES OF

THE DAY OR TO

• CERTAIN PLACES?

• YES ( ) NO ( )

• 13. ARE YOU ALWAYS ABLE TO STOP DRINKING WHEN YOU WANT

TO?

• YES ( ) NO ( )

•cgregoreva 2014 36

• 14. HAVE YOU EVER ATTENDED A MEETING OF ALCOHOLICS ANONYMOUS?

• YES ( ) NO ( )

• 15. HAVE YOU GOTTEN INTO FIGHTS WHEN DRINK?

• YES ( ) NO ( )

• HAS DRINKING EVER CREATED PROBLEMS BETWEEN YOU AND YOUR WIFE, HUSBAND,

• PARENT, OR OTHER NEAR RELATIVE?

• YES ( ) NO ( )

• 17. HAS YOUR WIFE, HUSBAND, A PARENT, OR OTHER NEAR RELATIVE EVER GONE TO

• ANYONE FOR HELP ABOUT YOUR DRINKING?

• YES ( ) NO ( )

• 18. HAVE YOU EVER LOST FRIENDS BECAUSE OF DRINKING?

• YES ( ) NO ( )

• 19. HAVE YOU EVER GOTTEN INTO TROUBLE AT WORK BECAUSE OF DRINKING?

• YES ( ) NO ( )

• 20. HAVE YOU EVER LOST A JOB BECAUSE OF DRINKING?

• YES ( ) NO ( )

• 21. HAVE YOU EVER NEGLECTED YOUR OBLIGATIONS, YOUR FAMILY, OR YOUR WORK FOR 2 OR MORE DAYS IN A ROW BECAUSE YOU WERE DRINKING?

• YES ( ) NO ( )

• 22. DO YOU DRINK BEFORE NOON FAIRLY OFTEN?

• YES ( ) NO ( )

• 23. HAVE YOU EVER BEEN TOLD YOU HAVE LIVER TROUBLE? CIRRHOSIS?

• YES ( ) NO ( )

•

cgregoreva 2014 37

• 24. AFTER HEAVY DRINKING, HAVE YOU EVER HAD DELIRIUM TREMENS (DT’S) OR SEVERE SHAKING?

• YES ( ) NO ( )

• 25. AFTER HEAVY DRINKING, HAVE YOU EVER HEARD VOICES OR SEEN THINGS THAT WEREN’T REALLY THERE?

• YES ( ) NO ( )

•

• 26. HAVE YOU EVER GONE TO ANYONE FOR HELP ABOUT YOUR DRINKING?

• YES ( ) NO ( )

• 27. HAVE YOU EVER BEEN IN HOSPITAL BECAUSE OF DRINKING?

• YES ( ) NO ( )

• 28. HAVE YOU EVER BEEN IN JAIL, EVEN FOR A FEW HOURS, BECAUSE OF DRUNKENNESS BEHAVIOR? (COUNT THE PRESENT ARREST)

• YES ( ) NO ( )

• 29. HAVE YOU EVER BEEN IN A HOSPITAL TO BE “DRIED OUT” (DETOXIFIED) BECAUSE OF DRINKING?

• YES ( ) NO ( )

• 30. HAVE YOU EVER BEEN A PATIENT IN A

PSYCHIATRIC HOSPITAL OR ON A PSYCHIATRIC WARD

OF A GENERAL HOSPITAL?

• YES ( ) NO ( )

cgregoreva 2014 38

CITATIONS

• JACOBSON, G.R.

• DETECTION, ASSESSMENT, AND DIAGNOSIS OF

ALCOHOLISM: CURRENT TECHNIQUES. IN M.

GALANTER (ED.), RECENT DEVELOPMENTS IN

ALCOHOLISM, VOL. 1; NEW YORK: PLENUM PRESS,

1983.

• MISCHKE, H.D. AND VENNERI, R.L. RELIABILITY AND

VALIDITY OF THE MAST, MORTIMERFILKINS.

QUESTIONNAIRE AND CAGE IN DWI ASSESSMENT.

JOURNAL OF STUDIES ON

• CHARACTERISTICS OF CONVICTED DRUNKEN

DRIVERS, QUARTERLY JOURNAL OF STUDIES ON

ALCOHOL, 1973, 34, 927-936.

• MORTIMER, R.G., FILKINS, L.D., AND LOWER, J.S.

COURT PROCEDURES FOR IDENTIFYING PROBLEM

DRINKERS: FINAL REPORT. DOT CONTRACT FH-11-

7615, HIGHWAY SAFETY

• RESEARCH INSTITUTE, UNIVERSITY OF MICHIGAN,

ANN ARBOR, 1971.

• WENDLING, A., AND KOLODY, B. EVALUATION OF THE

MORTIMER-FILKINS AS A PREDICTOR OF ALCOHOL-

IMPAIRED DRIVING RECIDIVISM. JOURNAL OF STUDIES

ON ALCOHOL, 1982, 43, 751-766.

• ALCOHOL,

• 1987, 48, 492-501.

• SELZER,

• M.L. THE MICHIGAN ALCOHOLISM SCREENING TEST: THE

QUEST FOR A NEW

• DIAGNOSTIC INSTRUMENT. AMERICAN JOURNAL OF

PSYCHIATRY, 1971,127, 89-94.

• YODER, R.D., AND MOORE, R.A.cgregoreva 2014 39