Definitions

Alcohol dependence is a substance related disorder in which an individual is addicted to alcohol either physically or mentally, and continues to use alcohol despite significant areas of dysfunction, evidence of physical dependence, and/or related hardship.

Criteria for Diagnosis

According to the DSM-IV criteria for alcohol dependence, at least three out of seven of the following criteria must be manifest during a 12 month period:

  • Tolerance
  • Withdrawal symptoms or clinically defined Alcohol Withdrawal Syndrome
  • Use in larger amounts or for longer periods than intended
  • Persistent desire or unsuccessful efforts to cut down on alcohol use
  • Time is spent obtaining alcohol or recovering from effects
  • Social, occupational and recreational pursuits are given up or reduced because of alcohol use
  • Use is continued despite knowledge of alcohol-related harm (physical or psychological)