Cindy was a forty-seven-year-old receptionist who knew that she had a drinking problem. For instance, within the past three months she has felt the need to have one or two drinks before going to work, two months ago she tested positive for a saliva alcohol test at work, five months ago she got arrested for "driving under the influence", and finally, for around three months she has begun to fail to remember what she does and says when she goes out drinking.

Similar to other drinkers, Cindy's experiences with alcohol started out slowly and remained at this tempo for quite a long period of time due to the fact that every once in a while she engaged in casual social drinking. In actual fact, for roughly two years, every time she went out to drink, she made sure to drink in a responsible manner. Something about her drinking circumstances, nonetheless, seemed to fundamentally change when she got divorced from her husband.

Cindy got extremely dejected about the divorce from her husband, and as a way to stop dwelling on her dismal emotions she came to a decision that she would start associating more frequently with some of her buddies who love to have fun drinking. It didn't take long, however, before her drinking escalated significantly the more habitually she went to and drank at private parties, family get-togethers, dinner dates, sporting events, and happy hours with her friends.

In short, she was having fun drinking just like everyone else in her group of friends without giving too much thought to the alcohol short term effects and particularly about the alcohol long term effects she has been exhibiting. Yet somewhere in the recesses of her brain she knew about the negative alcohol effects on the body and on the brain and that she probably needed alcohol treatment but sidestepped the thought as much as she could.

One afternoon during her twelve month physical, her physician asked her if she drank alcohol. Not wanting to lie to her physician, Cindy "came clean" and stated that she frequently drinks more than she should. In reality, she articulated that she routinely drinks in a hazardous and irresponsible manner. Then Cindy told her physician about her depression. More precisely, she stated that broken relationships usually started a dismal chain of events typified by increased drinking which further led to more depressing feelings that, in turn, led to more drinking. And this is precisely what happened when she and her husband got divorced eight months ago.

Cindy's healthcare practitioner then said the following: "I am not trying to make a spur-of-the-moment judgment, but with your medical situation we may be facing two separate matters. As a result, I think we need to schedule an appointment for you to get an alcohol addiction and alcohol abuse appraisal from my partner, Dr. Galloway, who is an alcohol and drug abuse specialist."

"Whether your drinking circumstance is more associated with alcohol abuse or alcohol dependency is not clear, but I think that further assessment is defensible. Then I feel we ought to make an appointment for you to get a psychological exam from another one of my partners, Dr. Cohen, who is a clinical psychologist."

"I want to get a better grip on your dejection and see how much your depression and drinking are intertwined." Cindy expressed her approval of her doctor's strategy and thanked him for his time and concern.

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