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What is the course of dependence for alcohol?
Generally:
Mid-20s- binge drinking, significant intoxication, blackouts & hangovers
(As heavy drinking persists->tolerance builds->alcohol consumption escalates. Increased frequency & intensity may be associated with irresistible urges often triggered by environmental cues)
Early 30s- frequent work absences, family conflicts, legal problems, & accidents
Mid-late 30s- loss of control over drinking, worsening of problems & onset of medical complications, attention to care deteriorates, despite losses- consumption dominates life, may try to conceal drinking because of guilt
Late 30s- early 40s- more medical complications, frequent hospitalizations, voluntary/involuntary efforts to stop drinking- often resumes because of withdrawl & to avoid symptoms
Continued- can be fatal + other medical complications