As the body adapts to repeated use of a substance such as alcohol, it becomes harder and harder to control intake or stop voluntarily.
1. In the past 12 months, I have consumed alcohol in larger amounts than I intended.
2. In the past 12 months, I have consumed alcohol for a longer period than I intended.
3. I am always able to stop drinking when I want.
4. I sometimes wonder whether I am dependent on alcohol.
5. I have experienced one or more blackouts as a result of alcohol use.
6. I have experienced medical problems as a result of alcohol use.
7. I sometimes feel bad about my alcohol use.
8. I devote a good deal of time to getting alcohol, consuming it, or recovering from using it.
9. I have continued to use alcohol despite knowing it is causing physical or psychological problems.
10. I have continued alcohol use despite having recurring social or relationship problems caused by my use of alcohol.
11. I experience cravings or a strong desire to use alcohol.
12. Family members or friends have voiced concerns to me about my alcohol use.
13. I have tried stopping the use of a substance one or more times but resumed use.
14. I find myself needing increasing amounts of alcohol to achieve the desired effect.
15. I experience unpleasant effects when I stop using alcohol.
16. I have sometimes neglected work or school because of the use of alcohol.
17. I have sometimes neglected family obligations because of the use of alcohol.
18. I have given up important work, social, or recreational activities because of alcohol use.
19. I have continued to use alcohol in situations in which it is physically hazardous.
20. I have used alcohol to relieve the unpleasant effects I experience when not drinking.