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HOW TO ASSESS FOR ALCOHOL USE DISORDERS

STEP 2 Assess for Alcohol Use Disorders

Next, determine if there is a maladaptive pattern of alcohol use, causing clinically significant impairment or distress.
Determine whether, in the past 12 months, your patient’s drinking has repeatedly caused or contributed to


(family or friends)

(arrests or other legal problems)

If yes to one or more Arrow pointing right your patient has alcohol abuse.

In either case, proceed to assess for dependence symptoms.

Determine whether, in the past 12 months, your patient has

(repeated failed attempts)
(repeatedly gone over them)
(needed to drink a lot more to get the same effect)
(tremors, sweating, nausea, or insomnia when trying to
        quit or cut down)
(recurrent physical or psychological problems)
(or anticipating or recovering from drinking)
(activities that had been important or pleasurable)

If yes to three or more Arrow pointing right your patient has alcohol dependence.
Arrow pointing down
Does patient meet criteria for abuse or dependence?
No or Yes
No
Arrow pointing down
Go To Steps 3 &4 for At-Risk Drinking
Yes
Arrow pointing down
Go To Steps 3 &4 for Alcohol Use Disorders

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