Therapy Works Contact: 92 (21)5870767, 0303-2074450
Ethical, Humanistic, Holistic Email: therapyworks@[Link]
Website: [Link]
ALCOHOL DEPENDENCE:
Unmanageability/ powerlessness without use
Sample questions for Assessment Based on Diagnostic criteria *
A diagnosis of alcohol dependence requires that the person meet three or more of t5he
following criteria, occurring at any time in the same 12 month period.
All questions are prefaced by "In the past 12 months…."
Drinking more or longer than intended:
Have you had times when you ended up drinking more than you meant to?
Or kept on drinking for longer than you intended?
Impaired control:
Have you more than once wanted to stop or cut down on your drinking? Or tried
more than once to stop or cut down but found you couldn’t?
Tolerance
Have you found that you have to drink much more than you once did to get the
effect you want? Or that your usual number of drinks has much less effect on you
than it once did?
Withdrawal syndrome or drinking to relive withdrawal:
When the effects of alcohol are wearing off, have you had trouble sleeping?
Found yourself shaking? Nervous? Restless? Sweating or with your heart
beating fast? Have you sensed things that aren't really there? Had seizures?
Have you taken a drink or used any drug or medicine (other than over-the-
Counter pain relievers) to keep from having bad aftereffects of drinking? Or to
get over them?
Continued use despite recurrent psychological or physical problems:
Have you continued to drink even though you knew it was making you feel
depressed or anxious? Or causing a health problem or making one worse? Or after
having had a blackout?
Time Spent related to drinking or recovering:
Have you had a period when you spent a lot of time drinking?
Or being sick or getting over the bad aftereffects of drinking?
Neglect of activities:
In order to drink, have you given up or cut down on activities that were important
or interesting to you or gave you pleasure?
We provide residential treatment for drug addiction and alcoholism
Therapy Works Contact: 92 (21)5870767, 0303-2074450
Ethical, Humanistic, Holistic Email: therapyworks@[Link]
Website: [Link]
*Diagnostic and statistical manual of mental Disorders, fourth Edition, Text Revision.
ALCOHOL ABUSE: total or near total dysfunction.
Sample Questions for Assessment Based on Diagnostic Criteria*
A diagnosis of alcohol abuse requires that the patient meet one or more of the
following criteria, occurring at any time in the same 12 – months period, and not
meet the criteria for alcohol dependence.
All questions are prefaced by "In the past 12 months…"
Recurrent drinking in hazardous situations:
o Have you more than once driven a car or other vehicle while you were
drinking? Or after having had too much to drink?
o Have you gotten in to situations while drinking or after drinking that
increased your chances of getting hurt – like swimming, using machinery,
or walking in a dangerous area or around heavy traffic?
Continued use despite recurrent interpersonal or social problems:
o Have you continued to drink even though you knew it was causing you
trouble with your family or friends?
o Have you gotten into physical fights while drinking or right after
drinking?
Failure to fulfill major role obligations at work, school or home because of
recurrent drinking:
o Have you had a period when your drinking – or being sick from drinking –
often interfered with taking care of your home or family? Caused job
troubles? School problems?
Recurrent legal problems related to Alcohol:
o Have you gotten arrested, been held at a police station, or had any other
legal problems because of your drinking?
*Adapted with permission from the Diagnostic and Statistical Manual of mental disorders, Fourth
Edition, Text Revision. Copyright 2000 American Psychiatric Association.
We provide residential treatment for drug addiction and alcoholism