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Perhaps the hardest step in treating alcoholism is to help patients recognize that alcohol is causing repetitive difficulties in their lives. One of the challenges is that many people gauge their own problem and intake pattern based on the habits of those around them (Daeppen et al. 1999). Because so many alcoholic people have both alcoholic relatives and heavy-drinking friends, the process of getting them in tune with the risks of continued drinking can be daunting.

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Figure 13A–1. Timeline for determining independence of psychiatric symptoms for patients in treatment for alcoholism.
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Table 13A–1. Features of motivational interviewing
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Table 13A–2. DSM-IV-TR alcohol-induced disorders

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