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Psychological factors include the urge to drink alcohol to reduce anxiety or symptoms of mental illness; the desire to avoid responsibility in family, social, and work relationships, and the need to bolster self-esteem.

Socio cultural factors include the availability of alcoholic beverages, peer pressure, an excessively stressful life style, and social attitudes that approve of frequent drinking...

However, there are various physical and psychosocial symptoms that can facilitate assessment.

The patient's history may suggest a need for daily or episodic alcohol use to maintain adequate functioning, an inability to discontinue or reduce alcohol intake, episodes of anesthesia or amnesia (blackout) during intoxication, episodes of violence during intoxication, or interference with social and familial relationships and occupational responsibilities...

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