Alcoholism is a disease. It is chronic (in that it lasts a person's lifetime). It usually follows a predictable course and it has symptoms. Then there are the damaging effects of alcohol abuse outside the body. Many alcoholics find it difficult to manage their lives, leading to legal problems and relationship problems that can result in the destructive breakup of marriages and families. Unfortunately, such problems often lead to more drinking and even more problems - driving drunk, for example, and the chance of accidentally killing someone.

The physiological aspects of alcohol dependence are associated with a much greater potential for medical problems such as acute alcohol withdrawal. The first criteria usually associated with alcohol dependence are considered to be tolerance and alcohol withdrawal. The remaining criteria usually are defined as behavioral and cognitive dimensions of alcohol dependence including impaired control when an individual consumes larger amounts of alcohol over longer periods of time than they intend to, and when persistent desires or unsuccessful attempts to cut down or control drinking are not successful despite knowledge of a persistent recurrent physical or psychological problem, and alcohol use becoming incredibly important to the individual, including spending a great deal of time drinking, recovering from its effects, or when important social and occupational activities are given up or reduced because of drinking. These are all key criteria in the diagnosis of alcohol dependence.

The consequences of alcohol abuse are numerous and greatly affect the way people live their lives. At first, people don't believe they have a problem because the way they drink seems normal and the same as everyone else's drinking habits. However, drinking can become a way for people to deal with their problems, which is definitely an indication of alcohol dependence. Mental health problems as a result of drinking are also a sign of alcohol dependence. Most people feel that drinking relieves the symptoms of problems such as anxiety, panic attacks, or bipolar disorder. However, the fact is that drinking actually increases their symptoms. Physical symptoms are also a problem that drinking can cause, such as liver disease.

Teens are often very susceptible to the lure of alcohol. According to a 2004 survey of high school students by the U.S. Centers for Disease Control and Prevention, about 75% of high school students have at least tried alchohol. Many of them have had episodes of heavy drinking. It is a known fact that a leading death factor in teen-related car accidents is alcohol. Alcohol can affect the way the brain fuctions, especially the areas controlling decision-making and emotions, meaning that growth and development can be greatly hindered in teens if they drink alcohol. Memory and learning abilities can be affected, harming a teen's performance in school. The worst danger is that use of alchol in a teen can progress to abuse, and perhaps to addiction.

Family risk factors for teenagers developing drinking problems include low parent supervision or communication, family conflicts, inconsistent or severe parental discipline, and a family history of alcohol or drug abuse. Individual risk factors include problems managing impulses, emotional instability, thrill-seeking behaviors, and perceiving the risk of using alcohol to be low. Girls who drink, as well as teens who begin drinking prior to the age of 14 years and those whose mothers have drinking problems, are more likely to develop alcoholism. Teen risk factors for alcoholism differ a bit between the 14- to 16-year-old and 16- to 18-year-old age groups, in that the latter tend to be less likely to drink in excess when they have a close relationship with their mothers.

Many substances can bring on withdrawal-an effect caused by cessation or reduction in the amount of the substance used. Withdrawal can range from mild anxiety to seizures and hallucinations. Withdrawal from alcohol can cause anxiety, irregular heartbeat, tremor, seizures, and hallucinations. In its severest form, withdrawal combined with malnutrition can lead to a life-threatening condition called delirium tremens (DTs). Alcohol is the most common cause of liver failure in the US. The drug can cause heart enlargement and cancer of the esophagus, pancreas, and stomach. In addition to its direct health effects, officials associate alcohol abuse with nearly half of all fatal motor vehicle accidents. In 1992, the total economic cost of alcohol abuse was estimated at $150 billion.

The management of alcohol withdrawal through detoxification is an incredibly important initial intervention for a significant number of alcohol dependent people. The objective of alcohol withdrawal is maintaining some comfort as the alcoholic goes through the early stages of treatment, the prevention of treatment complications, and preparing the individual for alcohol rehabilitation. The successful management of alcohol withdrawal is an important aspect of preparing an individual for subsequent efforts at alcohol rehabilitation. Social detoxification which involves the nonpharmacological treatment of alcohol withdrawal has also been shown to be effective. This involves frequent reassurance, reality orientation, personal attention, monitoring of vital signs and general nursing care. Social detoxification is most appropriate for individuals with mild to moderate alcohol withdrawal symptoms. Many individuals have significant medical problems associated with alcoholism which substantially complicate therapy, so it is absolutely essential that therapists refer those individuals whose conditions require medical management.