-maladaptive way (pattern) of substance abuse leading to clinically significant impairment or distress -experience tolerance & withdrawal
-maladaptive pattern of substance use leading to clinically significant impairment -failure to fulfill obligations -physically hazardous -substance related problems -use despite problem caused by substance
-prevalence-2/3 of Americans drink at least time to time -5% heavy drinkers -3:1 male to female ratio -7.4-9.7% meet criteria -13-23% in lifetime
types of abuse
-steady -weekends/evenings -binge
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