Phase 1 - social drinking
- drinking is a pleasure
- increased tolerance and desire for alcohol
Phase 2 - warning
- looking for opportunities to drink
- initiating drinking rounds
- feeling better after drinking
- "life and soul of the party"
- alcohol brings relief, relieves tension
- drinking ends with a blackout
- hidden drinking attempts when alone, to relieve hangover symptoms
Phase 3 - critical
- remorse, "moral hangover"
- "hair of the dog" brings relief
- neglecting the family
- marital conflicts
- absence from work
- justifying drinking by numerous [social] occasions
- increase of aggressiveness, in trouble with the law
- irregular eating
- neglecting one’s own appearance
- libido disorders
- drinking binges alternating with periods of total abstinence to improve health and prove "strong will"
- taking oaths of abstinence
- sense of emptiness and helplessness
Phase 4 - chronic
- periods of prolonged drunkenness
- morning drinking - "giant hangover"
- getting drunk alone
- decrease in alcohol tolerance
- reaching for non-consumable alcohol forms
- breakup of family ties
- taking things from home to sell and stealing - to get alcohol
- professional and social debasement
- alcohol dementia - "secondary illiteracy"
- drinking becomes the only goal in life
- alcohol psychosis - "delirium"
- alcoholic epilepsy
- somatic diseases - polyneuropathy, liver cirrhosis
- extreme exhaustion