Alcohol dependence, sometimes referred to as alcoholism , is the most severe type of alcohol problem and is characterized by three of seven symptoms experienced during a one year time period. According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, the symptoms of alcohol dependence include:

Seven Symptoms of Alcohol Dependence

• Neglect of other Activities: Important social, occupational, or recreational activities are given up or reduced because of alcohol use;
• Excessive Use: Alcohol is consumed in larger amounts over a longer period than intended;
• Impaired control: Ongoing, unsuccessful efforts to cut down or control alcohol consumption;
• Persistence of Use: Alcohol consumption is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely caused or exacerbated by alcohol;
• Large Amounts of Time Spent in Alcohol Related Activities: A great deal of time is spent in activities necessary to obtain, use or recover from the effects of alcohol;
• Withdrawal: Withdrawal symptoms, such as nausea, sweating, shakiness, and anxiety when alcohol use is stopped after a period of heavy drinking;
• Tolerance: The need for increasing amounts of alcohol in order to feel its effects.