It is accompanied by unwanted behavioral consequences such as missed classes, missed work, or destructive actions. Symptoms of abuse to one s body include double vision, slurred speech, loss of coordination, vomiting, black-outs, or hangovers. The third stage, alcohol dependence, involves both psychological and physical dependence. Psychological dependence is a state in which one believes that alcohol is necessary to cope with everyday living. There may be noticeable changes in one s mood or behavior nearly every time one drinks.
Physical dependence is a state in which one s body depends on alcohol to function normally.
In the process of dependence, long-term damage can occur to one s central nervous system, liver, heart, and digestive system. I find it difficult to relax without a drink. I occasionally feel bad about my drinking. My friends or family have told me they think I have a drinking problem. I have lost track of time or events that occurred while I was drinking.