Are YOU drinking too much? Answer these 10 questions to find out: 専門家s 明らかにする／漏らす the classic 警告 調印するs you've become 扶養家族 on booze

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From ワイン o'clock to the 悪名高い 'one for the road', there are countless 適切な時期s for us to booze on a 正規の／正選手 basis.

But have you crossed the line from a '害のない' drink to dependency? And would you be able to 位置／汚点／見つけ出す the 調印するs?

専門家s are 警告 that millions of us are overdoing it ? and it could be more difficult to 削減（する） 負かす／撃墜する or やめる than we think.

Not only can 激しい drinking 荒廃させる our 肝臓s, bones and brain 独房s, it also 増加するs the 危険 of 不景気, 離婚 and redundancy.

Indeed, the 王室の College of Psychiatrists has 明言する／公表するd that alcohol 原因（となる）s much more 害（を与える） than 違法な 麻薬s like ヘロイン and cannabis. 'It is a tranquilizer, it is 中毒の, and is the 原因（となる） of many hospital admissions for physical illnesses and 事故s,' 専門家s there 警告する.

What's even more 関心ing is that many of us vastly underestimate how much we drink ? and the 影響 it has on us.

How do you know if 'happy hour' has turned into a 関心ing 問題／発行する? Take this 10-step 実験（する） (below), made in 協会 with the World Health Organization, to find out

'激しい drinking has become 標準的にする／正常にするd ? alcohol is ingrained in so many areas of our lives and there is a lot of 圧力 to drink,' says Dr Iqbal Mohiuddin, a 顧問 psychiatrist with a special 利益／興味 in 中毒s and 臨床の lead at Serena House a 医療の detox and 治療 中心 in London's Harley Street.

'Many people I see either don't realize or are in 否定 about their alcohol 消費 ? I often 嫌疑者，容疑者／疑う it's 二塁打 what people 収容する／認める to.

'Part of the problem is many of us have no idea how many 部隊s are in さまざまな drinks ? its nearly always more than you think ? and can 変化させる 広範囲にわたって even の中で different types of ワイン and beers.'

SIZING UP YOUR DRINK

In the UK

This graphic by DrinkAware explains the UK's 指導基準s for drinking.?

They explain that the アル中患者 content in 類似の types of drinks 変化させるs a lot, and just one pint of strong lager or a large glass of ワイン ca n 含む／封じ込める more than three 部隊s of alcohol.

On a 瓶／封じ込める of ワイン or a can of lager and you'll see either a 百分率, followed by the abbreviation ‘ABV’ (alcohol by 容積／容量), or いつかs just the word ‘vol’.?

ワイン that says ‘13 ABV’ on its label 含む／封じ込めるs 13 パーセント pure alcohol.?

While some ales are 3.5 パーセント, some lagers can be around 6 パーセント.

Some ワインs can 含む／封じ込める 上向きs of 14 パーセント alcohol.??

In the US

This graphic is by 実体 乱用 and Mental Health Services 行政 (SAMHSA).

It explains how the US advises people on drinking 限界s.?

They 申し込む／申し出 examples of four different drinks of 変化させるing sizes, to show how alcohol content is different.??

A DANGEROUS LINE

But when do your long lunches, after-work drinks or that 'decompression' glass of ワイン at home become a 原因（となる） for 関心?

'Not everyone who drinks ひどく will become 扶養家族, or an アル中患者,' explains Dr Mohiuddin.?'But some of us are definitely predisposed to it.

'It's a mixture of 遺伝子s and 環境. Many people with a drinking problem have a family history of it ? a parent, aunt/uncle, a grandparent. It doesn't mean everyone in a family will 苦しむ.

'However, if the 環境 is there ? perhaps a 職業 with a 激しい drinking culture - a problem can develop.'

Around 20 パーセント of people in Britain and the USA drink to a 危険な level, 人物／姿／数字s show.

'It's 平易な for many people to get through a 瓶／封じ込める of ワイン a night, and over time, this can creep 刻々と 上向きs, to two or even three,' says Dr Mohiuddin.

'In my experience, a lot of 激しい drinkers ? both men and women - 刻々と move の上に harder things.?

'They may start with beer or perhaps ワイン and then 進歩 on to 激しい spirits such as vodka or whiskey.

'However it's not やむを得ず what you are drinking or where, it's the 量 and the 影響 it's having on your life (see below). Some people will be able to 削減（する） 負かす／撃墜する, while others will try and then realise they can't ? a 調印する of dependence.

'There is a 重要な 割合 of 激しい drinkers who don't realise or are in 否定 that they could be 機能（する）／行事ing ? albeit progressively いっそう少なく 機能（する）／行事ing ? アル中患者s.'

THE WARNING SIGNS

'The main problem is that it's やめる 平易な for some people to slip into drinking 定期的に ? and the soothing 影響 it gives you becomes like using a tranquilizing 医薬 such as diazepam,' explains Dr Mohiuddin.

'But over time, the 利益s wear off quicker and you need more alcohol to get the same 影響.'

'Many people associate 存在 an アル中患者 with drinking in the morning, the old adage of 'vodka on the cornflakes' or sitting on a park （法廷の）裁判 with a can of cider ? but there are many more subtle 調印するs of dependence and/or alcoholism.'

This graphic by SAMHSA 輪郭（を描く）s how alcohol can detrimentally 影響する／感情 your health

The 王室の College of Psychiatrists has produced a 名簿（に載せる）／表（にあげる） of classic symptoms that show your drinking has stepped up to a worrying level. These 含む:

• You 定期的に use alcohol to 対処する with 怒り／怒る, 失望／欲求不満, 苦悩 or 不景気 - instead of choosing to have a drink, you feel you have to have it.
• You 定期的に use alcohol to feel 確信して
• Your drinking 影響する／感情s your 関係s with other people ? they may tell you that, when you drink, you become 暗い／優うつな or 積極的な. Or, people around/w ith you look embarrassed or uncomfortable when you are drinking.
• You stop doing other things to spend more time drinking - these other things become いっそう少なく important to you than alcohol.
• You carry on drinking even though you can see it is 干渉するing with your work, family and 関係s.
• You hide the 量 you drink from friends and family
• Your drinking makes you feel disgusted, angry, or suicidal ? but you carry on in spite of the problems it 原因（となる）s
• You start to drink earlier and earlier in the day and/or need to drink more and more to feel good/get the same 影響
• You start to feel 不安定な and anxious the morning after drinking the night before
• You get 'memory blanks' where you can't remember what happened for a period of hours or even days

THE 1O QUESTIONS THAT REVEAL YOUR ALCOHOL RISK:

One 審査 道具 used 広範囲にわたって by 医療の professionals is the AUDIT (Alcohol Use Disorders 身元確認，身分証明 実験（する）s). Developed in 共同 with the World Health Organisation, the 10-question 実験（する） is considered to be the gold 基準 in helping to 決定する if someone has alcohol 乱用 problems.

The 実験（する） has been 再生するd here with 許可 from the 世界保健機構.

To 完全にする it, answer each question and 公式文書，認める 負かす／撃墜する the corresponding 得点する／非難する／２０.

YOUR SCORE:

0-7: You are within the sensible drinking 範囲 and have a low 危険 of alcohol-関係のある problems.

Over 8: 示す harmful or 危険な drinking.

8-15: Medium level of 危険. Drinking at your 現在の level puts you at 危険 of developing problems with your health and life in general, such as work and 関係s. Consider cutting 負かす／撃墜する (see below for tips).

16-19: Higher 危険 of 複雑化s from alcohol. Cutting 支援する on your own may be difficult at this level, as you may be 扶養家族, so you may need professional help from your GP and/or a counsellor.

20 and over: Possible dependence. Your drinking is already 原因（となる）ing you problems, and you could very 井戸／弁護士席 be 扶養家族. You should definitely consider stopping 徐々に or at least 減ずる your drinking. You should 捜し出す professional help to ascertain the level of your dependence and the safest way to 身を引く from alcohol.

厳しい dependence may need medically 補助装置d 撤退, or detox, in a hospital or a specialist clinic. This is 予定 to the 見込み of 厳しい alcohol （麻薬中毒の）禁断症状s in the first 48 hours needing specialist 治療.

OVERALL:

In general, a 得点する／非難する／２０ of 1 or more on Question 2 or Question 3 示すs 消費 at a 危険な level.

Points 得点する／非難する／２０d above 0 on questions 4-6 (特に 週刊誌 or daily symptoms) 暗示する the presence or the beginning of alcohol dependence.

Points 得点する／非難する／２０d on questions 7-10 示す alcohol-関係のある 害（を与える） is already 存在 experienced.

HOW TO CURB YOUR DRINKING BEFORE IT'S TOO MUCH

• 始める，決める yourself a 的 to 減ずる the 量 of alcohol you drink.
• 避ける high-危険 drinking 状況／情勢s and work out other things you can do instead of drinking.
• 選ぶ for lower-strength 選択s, such as 4 パーセント beers or 10 パーセント ワインs.
• 伴う／関わる your partner or a friend who can help agree a goal and keep 跡をつける of your 進歩.

WHAT TO KNOW IF YOUR'E DRINKING HEAVILY

If you are drinking ひどく, do not stop suddenly ? see your GP or another 医療の professional, says Dr Mohiuddin.?

'Some people manage to stop suddenly without any problems, but others may have （麻薬中毒の）禁断症状s such as nausea, vomiting, shakiness, sweating, 増加するing 苦悩, 頭痛 and even hallucinations. In fact, going '冷淡な turkey' if you're a very 激しい drinker is 高度に risky and could be 致命的な. Hence, it is not recommended.'

And if you 恐れる you can't stop or 削減（する） 負かす／撃墜する on your own, there are many specialist alcohol 労働者s who can help. Your GP should be able to tell you about services 利用できる in your area.

Some people, 特に those wit h a possible or real dependence, will need more 包括的な help and 治療. For example, says Dr Mohiuddin, if you've been using alcohol as a de-stressor, or to try and 封鎖する out your worries, therapy can help you 演説（する）／住所 these 問題／発行するs and find other, 非，不，無-destructive ways of 取引，協定ing with them.'

'There are also 医療の detox 中毒 治療 centres such as the central London clinic, Serena House. 部隊s like these 供給する 顧問-led progammes for alcohol and 麻薬 中毒.?

In the 事例／患者 of alcohol and 確かな 麻薬s a 医療の detox is 必須の ? there can be serious health 関わりあい／含蓄s linked to sudden 撤退.?

There are also a wide 範囲 of 実験（する）s to help staff ascertain the 損失 done to the 団体／死体 by 麻薬s and alcohol, 許すing 患者s to get tailored 治療 計画（する）s that 控訴 their needs with the help if therapists, doctors and a 十分な nursing team.

'Another 選択 is to …に出席する a support group for drinking problems, such as アル中患者s 匿名の／不明の, where there are other people in your 状況／情勢 who understand and can give you support,' says Dr Mohiuddin.?

'There are 会合s all over the world and they're 解放する／自由な to …に出席する.'

And for friends or 親族s worried about someone they know or 嫌疑者，容疑者／疑う has a drinking problem, there is Al-Anon ? a spin-off of アル中患者s 匿名の／不明の.?