Symptoms Recurrent intoxication, nausea, sweating, tachycardia Amnesic episodes (blackouts) Mood swings, depression, anxiety, insomnia, chronic fatigue Grand mal seizures, hallucinations, delirium tremens Dyspepsia, diarrhea, bloating, hematemesis, jaundice Tremor, unsteady gait, paraesthesia, memory loss, erectile dysfunction

Signs Heavy, regular alcohol consumption, heavy cigarette smoking Other substance abuse (e.g., cannabis, cocaine, heroin, amphetamines, sedatives, hypnotics, and anxiolytics) Unexpected medication response (drug interactions) Poor nutrition and personal neglect Frequent falls or minor trauma (particularly in the elderly) Accidents, burns, violence, suicide Recurrent absenteeism from work or school Spontaneous abortion, child with fetal alcohol syndrome Increased vulnerability Alcoholic parent, childhood conduct disorder, antisocial personality disorder Negative life event