Cindy was a thirty-five-year-old accounts payable manager who realized that she had a drinking problem. For instance, within the past five months she has felt the need to have a few drinks before going to work, four weeks ago she failed to pass a random blood alcohol test at her place of employment, six weeks ago she got pulled over by the police for "driving under the influence", and last but not least, for approximately three months she has started to fail to remember what she says and does when she drinks with her pals.

Like many other drinkers, Cindy's involvement with alcohol started out at a "snail's pace" and continued at this level of involvement for quite some time due to the fact that every now and again she engaged in casual social drinking. In fact, for almost three years, every time she went out to drink, she made sure to drink responsibly. Something about her pattern of drinking, however, seemed to thoroughly change when she and her husband got divorced.

Cindy got very depressed about the loss of her husband, and as a way to quit obsessing about her depressing emotions she made up her mind that she would start going out more often with some of her buddies who love to "get down" and drink. It didn't take long, however, before her drinking increased considerably the more frequently she went to and drank at family get-togethers, dinner dates, sporting events, happy hours, and private parties with her buddies.

In a word, she was drinking and having fun just like everybody else in her group of friends without giving too much consideration about the alcohol short term effects and especially about the alcohol long term effects she has been exhibiting. Yet somewhere in her awareness she knew about the adverse alcohol effects on the body and on the brain and that she more likely than not required alcohol rehab but sidestepped the thought as much as possible.

One afternoon during her yearly physical exam, her healthcare professional asked her if she drank alcohol. Not wanting to lie to her doctor, Cindy disclosed the truth that she frequently drinks more than she should. In actual fact, she stated that she routinely drinks in an excessive and abusive manner. Then Cindy told her healthcare professional about her sadness. More to the point, she articulated that shattered relationships usually initiated a disheartening sequence of events typified by increased drinking which further led to more discouraging feelings that, in turn, led to more drinking. And this is specifically what happened when she and her husband got divorced five years ago.

Cindy's healthcare practitioner then stated the following: "I am not trying to make a sudden analysis, but with your medical situation we may be dealing with two separate concerns. As a result, I think we need to make an appointment for you to get an alcohol dependency and alcohol abuse evaluation from my partner, Dr. Gardner, who is an alcohol abuse and alcohol dependency specialist."

"Whether your drinking circumstance is more related to alcohol addiction or alcohol abuse is not clear, but I think that further exploration is needed. Then I think we need to schedule an appointment for you to get a psychological exam from another one of my partners, Dr. Berger, ."

"I want to get a better read on your sadness and see how much your depression and drinking are associated." Cindy showed her endorsement of her doctor's "game plan" and thanked him for his assistance and concern.

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