Cindy was a forty-seven-year-old dental assistant who knew that she had some problems with her drinking. For instance, within the past three months she has experienced the need to have a drink or two before going to work, four months ago she failed a random saliva alcohol test where she is employed, two weeks ago she got pulled over by the state highway patrol for "driving under the influence", and finally, for almost two months she has begun to forget what she does and says when she goes out drinking with her buddies.

Not unlike huge numbers of other drinkers, Cindy's experiences with alcohol began slowly and remained at this pace for quite a long period of time because from time to time she engaged in intermittent social drinking. In fact, for roughly six months, every time she drank, she made sure to drink moderately. Something about her drinking behavior, nonetheless, seemed to totally change when she divorced her husband.

Cindy got especially depressed about the divorce from her husband, and as a way to abstain from dwelling on her discouraging feelings she came to a decision that she would begin palling around more regularly with some of her buddies who love to have fun drinking. It didn't take very long, however, before her drinking escalated to a significant degree the more habitually she went to and drank at sporting events, family get-togethers, private parties, happy hours, and dinner dates with her pals.

To put it briefly, she was partying just like everyone else in her group of pals without giving much thought to the alcohol short term effects and particularly about the alcohol long term effects she has been experiencing. Yet somewhere in the recesses of her brain she realized the facts about the negative alcohol effects on the body and on the mind and that she more likely than not needed alcohol rehabilitation but avoided the thought as much as she could.

One day during her twelve month physical examination, her physician asked her if she drank alcohol. Not wanting to tell falsehoods to her doctor, Cindy "came clean" and stated that she commonly drinks more than she should. In fact, she articulated that she frequently drinks in a hazardous and irresponsible manner. Then Cindy informed her physician about her general state of despair. More to the point, she stated that ruined relationships many times caused a negative chain of events typified by increased drinking which further resulted in more disheartening feelings that, in turn, resulted in more drinking. And this is precisely what took place when she and her husband got divorced ten months ago.

Cindy's doctor then said the following: "I am not trying to make an overly quick diagnosis, but with your medical condition we may be dealing with two separate matters. Consequently, I think we ought to schedule an appointment for you to get an alcohol abuse and alcoholism appraisal from my partner, Dr. Vedda, who is a drug and alcohol addiction specialist."

"Whether your drinking condition is more related to alcohol abuse or alcohol dependency is unclear at this time, but I think that further assessment is warranted. Then I feel we probably should make an appointment for you to get a psychological assessment from another one of my partners, Dr. Manning, who is a clinical psychologist."

"I need to get a better handle on your pessimism and see how much your drinking and depression are intertwined." Cindy displayed her approval of her healthcare professional's "game plan" and thanked him for his time and concern.

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