Drinking Problem and Alcohol Abuse and Assessment Options

People drink alcoholic beverages to celebrate specialdrink heavily on the weekends. This is referred to as
occasions with friends or loved ones. They drink tobinge drinking. Other abusers may require several
enhance enjoyment of social activities, to complementdrinks at a specific time of the day, such as
certain meals, and to participate in religious ceremonies.immediately after work. Some alcohol abusers try to
In broader terms, people often drink to relax andcontrol the addiction by consuming steady, controlled
reduce the stress of daily responsibilities.doses throughout the day yet never overdrinking. This
Despite its association with happiness, alcohol isis called "maintenance drinking" whereby people learn
classified a depressant in the medical communityways to avoid a sudden drop in their blood alcohol
because it slows down the central nervous system.level. Yet, over time, tolerance to alcohol increases, and
Shortly after consuming alcohol, depressed nerves canthe individual has no choice but to increase
cause slurring of speech, inferior motor coordination,consumption in order to achieve intoxication or a blood
involuntary eye movements, unsteady walking, andalcohol level that makes them feel comfortable.
impaired attention. Alcohol is lethal in high dosesRegardless of the level of consumption, all of these
because it depresses nerve functioning in the brain todrinking patterns are signs of alcohol abuse and
the point where breathing stops and cardiac arrestperhaps even dependence. To determine if you or
ensues.someone you know is abusing alcohol, there are
Contrary to common belief, alcohol dependent peopleseveral standardized screening questionnaires to
are not individuals who are continuously intoxicated.identify the severity of the problem. For instance, there
Rather, they depend on drinking to cope with stressfulis the Alcohol Use Disorders Identification Test
situations and negative emotions on a consistent basis.(AUDIT), the CAGE, and the Michigan Alcoholism
This is called alcohol abuse. Today an estimated 90Screening Test (MAST). Laboratory tests are often
million Americans suffer from alcohol abuse, making itused to screen for alcohol dependence, and they are,
the number one health problem today -- both in theby and large, liver function tests. The MCV, or Mean
United States and in more than forty countries aroundCorpuscular Volume, measures the size of red blood
the world.cells. For instance, when red blood cells are enlarged,
Heavy drinking and public drunkenness are not the onlythe causes are generally chronic drinking.
signs of alcohol abuse. When you observe someoneThe most sensitive liver enzyme test is the GGT, or
with a drinking problem, he or she may appear to beGamma Glutamyl Transferase, which detects alcoholic
fully functional, going to work and living life. Such adrinking at the earliest stage. In this test, liver enzyme
person may seemingly have nothing wrong with them,levels seem to go up earlier, remain up longer, and
and by all measures will appear normal.come down slower than in other liver function tests.
This is typically the case with alcohol-dependentAST or Aspartate Aminotransferase (formerly
individuals. Most fly under the radar, unnoticed. Yet,SGOT) is also helpful as is the alkaline phosphatase
they are everywhere in our society. These people aretest.
your family members, close friends, professionalAll of these tests can be valuable tools to assess a
co-workers, and even spiritual advisors. Perhapsdrinking problem. In conjunction with testing, it is wise to
someone close to you right now is abusing alcohol, andconsult with your physician for a complete health
you do not even know it. Surprisingly, only a smallassessment. Then, one can determine the precise
percentage of problem drinkers are in such anseverity of the problem as it affects one's behavior
advanced stage where bystanders can clearlyand health as well as the negative impact it may be
recognize their abuse.having on family members and loved ones.
Some who abuse alcohol may not drink all week, yet