Lack of control over
   drinking or using

Daily or frequent use
   of alcohol or drugs

High tolerance to the     effects of alcohol or     drugs

Drinking or using     alone

Missing work or not
    fulfilling other     commitments     because of drinking     or using drugs

Blackouts (loss of     memory while     drinking or using     drugs)

Violent behavior

Damage to social    and family    relationships

Mood Swings

Secretive behavior
   (for example, sneaking
   to drink or use, hiding
   alcohol or drugs)

Hostility when     confronted about     drinking or using drugs

Not eating

Neglect of personal
   appearance and hygiene

Nausea and vomiting

Shaking

Abdominal pain and
   cramps

Numbness and tingling

Redness and enlarged
   capillaries in the face,
   especially the nose

Confusion

Liver disease (cirrhosis)

Heart problems

Decreased nerve     functioning

High blood pressure

Insomnia

Increased incidence of     cancer

Nutritional deficiencies

Brain disorder (loss of     certain brain functions due     to thiamine deficiencies)

Irritation of the    gastrointestinal tract

Fetal alcohol syndrome
   (women)

Cessation of menstrual
    periods (women)