2FAMILY HEALTH AND PSYCHOLOGYthe use of substance despite the physical health issues. worsening of mental health or psychological problems such as depressed mood, anxiety, sleep disturbance, or blackouts e) continuing with substance use despite the deterioration of the relationship with others f) giving up the personal life activities for the drinking alcohol, g) building up tolerance to the substance where subsequent intake increase in large amount over time and h) experiencing of withdrawl symptoms when not using and may include irritability, anxiety, fatigue, tremor, nausea/vomiting and seizure. As per the DSM-V criteria the following symptoms should be noticeable within 12 months (American Psychiatric Association, 2013). It can be concluded from the DSM-V criteria that George is suffering from Alcohol use disorder which is the problem drinking. It is the chronic brain disease that is characterisedby the loss of control over alcohol intake and a compulsive alcohol use. It is also characterized with negative emotional regulation and state when not using (Kopak et al., 2014). George clearly demonstrated each of the features of the substance use disorder as per the DSM-V criteria. George has always preferred and enjoyed social drinking and in recent times he has increased the intake amount. It means he was taking more than planned earlier. He was unable to withdraw from drinking although at house he was hampering his work life. He was sent home from work considering that he is intoxicated and it badly interfered with his job. A considerable number of times he has called in sick over the past few years. It also indicates that he was neglecting his physical health aspect for alcohol. His wife worries that he may lose his job which indicates that he is failing to fulfil major role obligations. It can also be considered the sign of craving the alcohol. He has also received warning from his boss on the note that his behaviour was unacceptable at workplace. It indicates that he continuing with substance use despite the deterioration of the relationship with others. At workplace, George spoiled his relationship with boss. At home he deteriorated his

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