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Cindy was a forty-three-year-old physical therapist who realized that she had some drinking issues. For instance, within the past three months she has experienced the need to have more than a few drinks before going to work, five weeks ago she failed to pass a random breathalyzer test where she works, four weeks ago she got arrested by the state highway patrol for "driving under the influence", and finally, for nearly five months she has started to fail to remember what she does and says when she goes out drinking with her friends.

Not unlike multitudes of other drinkers, Cindy's experiences with alcohol began gradually and stayed at this tempo for quite a long period of time because every now and then she engaged in sporadic social drinking. In reality, for roughly eight months, every time she went out with her pals to drink, she made sure to drink responsibly. Something about her pattern of drinking, nonetheless, seemed to drastically change when her husband divorced her.

Cindy got exceedingly down in the dumps about the divorce from her husband, and as a way to abstain from fixating on her disheartening emotions she came to the conclusion that she would begin hanging around more routinely with some of her buddies who love to have fun drinking. It didn't take too long, nevertheless, before her drinking increased significantly the more routinely she went to and drank at dinner dates, private parties, family get-togethers, sporting events, and happy hours with her pals.

In brief, she was having a blast drinking just like everyone else in her group of buddies without too much deliberation regarding the alcohol short term effects and especially about the alcohol long term effects she has been exhibiting. Yet someplace in her awareness she realized the facts about the adverse alcohol effects on the body and on the mind and that she more likely than not needed alcohol rehabilitation but stayed away from the thought as much as humanly possible.

One afternoon during her six-month physical examination, her healthcare practitioner asked her if she drank alcohol. Not wanting to tell "stories" to her doctor, Cindy "came clean" and stated that she regularly drinks more than she should. As a matter of fact, she said that she routinely drinks in a hazardous and abusive manner. Then Cindy informed her healthcare practitioner about her constant negativity. More precisely, she stated that ruined relationships often sparked a dismal progression of events characterized by increased drinking which further resulted in more dismal feelings that, in turn, resulted in more drinking. And this is precisely what took place when her husband and she got divorced four months ago.

Cindy's healthcare practitioner then articulated the following: "I am not trying to make an unprepared diagnosis, but with your medical circumstances we may be dealing with two separate matters. As a consequence, I think we probably need to make an appointment for you to get an alcohol dependency and alcohol abuse appraisal from my partner, Dr. Verlich, who is a substance abuse and chemical dependency specialist."

"Whether your drinking situation is more related to alcohol abuse or alcohol dependency is not clear at this time, but I believe that further evaluation is needed. Then I feel we should schedule an appointment for you to get a psychological evaluation from another one of my partners, Dr. Carlson, who is a clinical psychologist."

"I need to get some more information about your melancholy and see how much your depression and drinking are interlinked." Cindy displayed her agreement with her healthcare practitioner's plan of attack and thanked him for his time and concern.

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