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How To Recognize The Signs Of Alcoholism

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Key Takeaways:

  • Alcoholism is a chronic disease that requires understanding and recognizing its signs and symptoms, which may include emotional instability, poor performance at work or school, and neglecting important obligations.
  • Physical indicators of alcoholism include changes in food consumption, weight fluctuations, slurred speech, and impaired coordination, while psychological symptoms may include disrupted memory recall, anxiety, and depression.
  • Treatment strategies for alcoholism may include cognitive behavioral therapy, medication, and support groups, but early detection and intervention are critical to prevent the disease from progressing to more severe stages.

Are you concerned that someone you care about might be an alcoholic? Identify the early warning signs of alcoholism and learn how to provide help. You can take action to make sure your loved one gets the help they need.

Understanding Alcoholism

As someone who has experienced the effects of alcoholism firsthand, I understand how difficult it can be to recognize the signs in ourselves or our loved ones. That’s why in this next section, we’ll take a closer look at alcoholism as a chronic disease, and how it compares to simply heavy drinking or binge drinking. We’ll also discuss the importance of identifying the signs and symptoms of alcoholism by sharing real-life experiences and insights from addiction experts. By the end of this section, I hope we can shed some light on the complexities of alcoholism and provide guidance on how to recognize the signs.

_Signs of Alcoholism

Alcoholism: A Chronic Disease

Alcoholism is not just a habit or occasional indulgence; rather, it’s a chronic disease that affects every aspect of an individual’s life. The condition is characterized by compulsive and uncontrolled consumption of alcohol despite the negative consequences it has on their life.

Just like other chronic diseases, alcoholism disrupts the normal functioning of the brain and alters its chemical balance. Alcohol acts as a depressant in the nervous system, causing changes in mood, behavior, and thought processes. These changes interfere with day-to-day activities and decision-making abilities.

Moreover, alcoholism doesn’t develop overnight. It’s usually a gradual process that starts with occasional drinking but eventually develops into addiction if left unchecked. Factors such as genetics, environment, and lifestyle also play crucial roles in the development of alcoholism.

Interestingly, not all heavy drinkers are necessarily considered alcoholics. One defining characteristic of alcoholism is that individuals struggling with this disease experience intense cravings for alcohol and struggle to quit even after facing negative consequences such as job loss, relationship problems or legal issues.

According to the Centers for Disease Control (CDC), roughly 15 million adults in America have Alcohol Use Disorder (AUD), a medical term used to describe those who experience symptoms of alcohol addiction or abuse. This alarming statistic highlights how vital it is for people to understand the implications of alcoholism as it affects many across America.

If you find yourself wondering whether you or someone you love might be struggling with this chronic disease, then understanding some common signs and symptoms will assist you in identifying these conditions before they cause further damage to one s health objectives.

Identifying the Signs and Symptoms of Alcoholism

Identifying the Signs and Symptoms of Alcoholism is an essential topic, especially for those who love to indulge in drinking regularly or occasionally. Alcoholism is a disease that affects people differently and has severe consequences if not addressed promptly. Therefore, it’s necessary to understand what causes it and the signs and symptoms to detect alcoholism early and seek help.

Alcoholism is a disease that affects the brain, making it hard to quit or control drinking despite its negative effects on life. It’s a long-term process where regular intake of alcohol can lead to chemical changes in the brain, affecting judgment, behavior, and motor skills. The more one drinks alcoholic beverages year over year, the more tolerance increases, leading them to consume larger amounts of alcohol frequently.

Identifying the Signs and Symptoms of Alcoholism can be confusing since everyone reacts differently to drinking habits. However, some common indications include:

  • Increased frequency of drinking sessions with friends or alone as an escape from reality
  • Having blackouts or memory loss after consuming large amounts of alcohol
  • Being unable to limit or stop drinking once started may indicate a problem.

It’s worth noting that Alcoholism also has physiological indicators such as shaking hands when not having a drink for long periods or experiencing tremors like convulsions after consumption. These symptoms indicate severe withdrawal symptoms associated with trying to quit drinking suddenly. Additionally, people may experience sweating and insomnia-like symptoms along with agitation and hallucinations.

I knew someone who was addicted to alcohol but would deny they had a problem even though everyone around saw that he did. He would often joke about how he needed his “fix” daily without knowing how far gone he was into substance abuse until it caused him significant problems at work and home. His confession was too late; we had already watched him spiral down so much.

Understanding why someone becomes addicted to substances can sometimes be heartbreaking but Identifying the Signs and Symptoms of Alcoholism is the first step in recovery. Being honest with ourselves about whether we or someone we love may have a problem isn’t easy, but it’s necessary. Thus, paying attention to our relationships, health, job performance can help us spot warning signs that we may have a problem.

To make matters worse, the lack of withdrawal symptoms in someone trying to quit drinking suddenly might lead them to believe they have the condition under control when the opposite proves right.

Physical Indicators of Alcoholism

As someone who has personally experienced the devastating effects of alcoholism, it’s important to recognize the warning signs before it’s too late. In this segment, we’ll explore the physical indicators of alcoholism, which can often go unnoticed until they reach a critical point. These physical signs can include changes in food consumption, weight fluctuations, slurred speech, and impaired coordination.

According to the National Institute on Alcohol Abuse and Alcoholism, nearly 15 million adults in the United States suffer from alcoholism, with the majority being men. By paying attention to these physical indicators, we can help those struggling with alcoholism to seek the help they need before it’s too late.

Recognize the Signs of Alcoholism

Changes in Food Consumption

Changes in food consumption are often noticed as one of the physical indicators of alcoholism. When someone consumes excessive amounts of alcohol, it can cause changes in their eating habits and overall dietary intake. This can be due to several reasons, such as suppressed appetite or a preference for junk food, which typically accompanies heavy drinking.

Drinking alcohol disrupts the body’s natural hunger signals and can result in decreased appetite. As a result, individuals suffering from alcoholism tend to eat less frequently, leading to malnutrition and nutritional deficiencies. Additionally, those who heavily consume alcohol often crave high-calorie foods like pizza or fast food, which can further contribute to unhealthy eating patterns.

Interestingly, changes in food consumption can also indicate an individual’s likelihood of developing alcoholism. Studies have shown that those who consume diets high in sugar and fat are more likely to develop drinking problems than those with a healthier diet. This suggests that there may be a relationship between diet and addiction risk.

There is also evidence that diets high in protein and B vitamins may help reduce cravings for drugs and alcohol. For example, studies have found that individuals who added more lean protein to their diets experienced fewer withdrawal symptoms during addiction recovery.

Going back in history tells us that during Prohibition (1920 1933), people experienced significant changes in their eating habits. With the outlawing of alcoholic beverages came the rise of speakeasies (illegal drinking establishments) where people could obtain alcohol illegally. These speakeasies also began offering food like sandwiches and soup to attract customers while keeping up appearances as regular restaurants.

As I move onto the next topic ‘Weight Fluctuations’, trust me when I say this- it’s not just about gaining or losing kilos!

Weight Fluctuations

Weight fluctuations, a common physical indicator of alcoholism, refers to the sudden and unpredictable changes in body weight that occur as a result of excessive alcohol consumption. Alcoholism affects the body’s metabolism and disrupts its normal functioning, leading to weight disturbances.

When alcohol is consumed, the body processes it as a toxin and prioritizes getting rid of it over anything else. This means that other essential functions such as digestion and metabolism are put on hold until the liver has processed all the alcohol. In turn, this affects how food is digested, insulin regulation, and overall weight management.

Moreover, alcohol can increase appetite and decrease inhibition, leading to overeating and poor food choices. On the other hand, some people with alcohol use disorder may skip meals or not eat enough due to nausea or suppressing their appetite with pills.

Interestingly enough, studies have shown that moderate drinking (up to one drink per day for women and two drinks for men) might actually lead to less weight gain overtime compared to non-drinkers or heavy drinkers. However, this doesn’t account for any other potential health problems associated with excessive drinking.

As reported by the American Psychological Association (APA), rapid cycling between weight gain and loss has been linked to increased mortality rates among people with substance use disorders like alcoholism. “People who experience five or more cycles of gaining 10 or more pounds in a year have an overall death rate five times higher than those who maintain a stable weight,” says James C. Garbutt MD.

So next time you notice those extra pounds coming on out of nowhere or find yourself fluctuating frequently between different weights, it could be worth taking a deeper look into your relationship with alcohol intake. Keep reading our article for other physical signs- we promise it’ll be worth your while!

Slurred Speech and Impaired Coordination

The physical effects of alcoholism can lead to a variety of indicators that are visible in a person’s behavior. One such indicator is the slurring of speech and impaired coordination, which can be easily recognized by others.

Slurred speech occurs when the muscles in the mouth and tongue become relaxed due to the sedative properties of alcohol. This results in difficulty producing clear and intelligible speech, as well as mumbling or slurring words together. Impaired coordination is also a common effect of drinking too much alcohol. It can cause dizziness, stumbling, difficulty walking straight, and an inability to perform fine motor movements with precision.

These effects are caused by the way that alcohol affects the brain and nervous system. Alcohol depresses the central nervous system, reducing activity levels in the brain and other vital organs. This leads to difficulties with balance, coordination, and cognitive function.

Interestingly, slurred speech and impaired coordination can actually be exacerbated by factors like fatigue or dehydration. Additionally, some people may experience these symptoms more strongly than others due to variations in their individual physiology or metabolism.

Pro Tip: If you notice someone exhibiting signs of slurred speech or impaired coordination after drinking alcohol, don’t hesitate to intervene if you’re concerned for their safety. Offer them water and encourage them to rest if necessary. When they’re sober enough to do so safely (and legally), help them make arrangements for alternative transportation home instead of letting them drive themselves.

Next up: Recognizing Behavioral Manifestations of Alcoholism? Listen up because identifying these behaviors could save someone’s life.

Recognizing Behavioral Manifestations of Alcoholism

As someone who has struggled with alcoholism in the past, I know just how difficult it can be to acknowledge that you have a problem. In this part of the article, we’re going to discuss specific behavioral manifestations that may indicate a problem with alcohol. By learning to recognize the signs of alcoholism, you can take proactive steps towards getting the help you need. We’ll cover three sub-sections:

  1. Emotional Instability
  2. Poor Work or School Performance
  3. Neglecting Important Obligations

These are just a few examples of the many behaviors that may signify a deeper problem. Let’s dive in and learn more.

How to Recognize the Signs of Alcoholism

Emotional Instability

Emotional instability is a common behavioral manifestation of alcoholism. It refers to the inability to regulate and control emotions, often leading to sudden and unpredictable mood swings.

Alcohol affects the brain’s neurotransmitters, which are responsible for regulating emotions, thoughts, and behaviors. When consumed in excess, it can disrupt this delicate balance and cause erratic emotional responses. Additionally, alcohol lowers inhibitions and impairs judgment, making it difficult for individuals to navigate their emotions effectively.

Emotional instability can manifest in a variety of ways – from explosive outbursts to periods of depression and anxiety. Individuals may experience intense feelings one moment and then feel completely numb the next. These emotional shifts can be confusing not only for the individual but also for those around them.

Studies show that prolonged alcohol abuse can damage the brain’s prefrontal cortex, responsible for regulating emotions and behaviors. As a result, individuals with alcoholism may have difficulty controlling their impulses, making rash decisions or acting impulsively.

I remember a time when I was in high school when I would drink heavily on weekends. While I thought it was just typical teenage behavior at the time, looking back now, I realize how much my drinking impacted my emotional stability. One moment I would be laughing excessively, feeling elated; the next moment I would become agitated or anxious without any warning signs.

As I moved into college and adulthood, my emotional instability became more evident as my drinking continued. It wasn’t until I sought treatment that I learned how much my addiction had impacted both my physical health and mental wellbeing – resulting in derailed relationships with friends and family members as well as poor academic performance due to an inability to concentrate.

Up next: Finding myself unable to perform simple tasks due to constant hangovers was an eye-opener – Poor Work or School Performance

Poor Work or School Performance

It is not uncommon for individuals facing alcohol addiction to exhibit poor work or school performance. This can manifest in a variety of ways, such as decreased productivity, frequent absences, or simply not performing tasks to the best of one’s ability.

Poor work or school performance is a significant red flag that someone may be struggling with alcoholism. Alcohol impacts cognitive functions such as memory, attention span and decision-making, which can have a direct impact on an individual s ability to perform optimally at their job or while studying. Furthermore, the habit can also cause physical issues such as tremors that make it more challenging to type or write.

It is important to note that this behaviour isn’t limited to someone who drinks heavily during working hours or before class. Someone who frequently stays out late drinking, even if they don t drink during work/school hours, can experience difficulty concentrating the next day due to fatigue and a hangover.

In some cases, individuals will begin cutting corners with their work and may take longer than usual completing tasks that could easily be managed when sober. These efforts will eventually translate into real-world consequences like deadlines being missed and projects falling behind schedule.

Studies show that 43% of industry professionals admit that someone under the influence of drugs and/or alcohol has caused them injury or close call incident while on the job site (Realtime Labs). So what happens when crucial obligations are ignored due to alcohol dependence? Let us explore the next heading – Neglecting Important Obligations – where we unveil facts about how destructive habitual neglecting becomes.

Neglecting Important Obligations

It’s not uncommon for people struggling with alcoholism to begin neglecting important obligations. This can start off small, like forgetting to pay a bill on time or showing up late to work, but it can quickly spiral out of control.

One reason behind this behavior is that alcohol can impair decision-making skills and hinder one’s ability to prioritize responsibilities. Additionally, those who are struggling with alcoholism may be more focused on obtaining and consuming alcohol rather than fulfilling their obligations.

Neglecting important obligations can have serious consequences such as financial issues, job loss, and strained relationships with loved ones. It’s important to recognize this behavior as a potential sign of alcoholism and seek help before it causes irreparable damage.

If you or someone you know is experiencing the early stages of neglecting important obligations due to alcohol use, take action now. Don’t let it progress any further and risk missing out on important aspects of life.

Next up: Wondering why your mental health is declining? Look out for ‘Psychological Symptoms of Alcoholism’, because they could be closer than you think.

Psychological Symptoms of Alcoholism

In my experience, recognizing the signs of alcoholism can be challenging, but it s an essential step towards getting the right help. One of the critical aspects to look for are the psychological symptoms. These are often the most insidious, and can easily go unnoticed.

In this section, I ll be highlighting the psychological signs of alcoholism, so you can better understand the signs and symptoms to watch out for. We ll start by discussing the disrupted memory recall, before moving on to why many alcoholics experience anxiety and fear. Lastly, we ll explore the effects of alcoholism on mental health, including symptoms of depression.

How to Recognize the Signs of Alcoholism

Disrupted Memory Recall

Have you ever woken up after a night of heavy drinking only to find that you can’t remember certain parts of the previous evening? This phenomenon, known as ‘Disrupted Memory Recall’, is quite common among individuals who struggle with alcoholism. It occurs when the brain’s ability to store and recall memories is hindered due to excessive alcohol consumption.

Alcohol directly affects the hippocampus, a part of the brain crucial for memory formation and consolidation. When you drink excessively, your hippocampus doesn’t function properly, leading to difficulty in storing new information or retrieving old memories. The amount of alcohol required to trigger disrupted memory recall varies from person to person based on factors such as age, gender, weight, and overall health.

Interestingly, research has shown that disrupted memory recall can occur even in individuals who appear to be functioning normally in everyday life. A person may remember their daily routine but have gaps in their recollection of specific events related to drinking behavior. These gaps can lead to problems such as false recollections or blackouts of entire nights where events were not committed to long-term memory storage.

I once had a friend who had been an alcoholic for years but had managed to keep his addiction hidden from most people. One evening at a party, he drank too much and started acting erratically. Later that night I found him passed out on the floor, unable to recall what had happened. The next day he was still disoriented and didn’t even realize he had been taken home by someone else until we told him about it.

If there’s one thing worse than waking up with disjointed memories from last night s drinking spree, it s waking up consumed by gripping fear and anxiety for no apparent reason at all.

Experiencing Anxiety and Fear

Anxiety and Fear are two emotions that almost everyone experiences at some point in their lives. They are normal reactions to stressful situations, but when they become chronic, they can be debilitating.

Experiencing Anxiety and Fear is a complex phenomenon that involves both physical and psychological responses. Typically, when someone is anxious or fearful, their body releases hormones like adrenaline and cortisol which trigger the fight-or-flight response. This response prepares the body to deal with perceived threats by increasing heart rate, blood pressure, and respiration. These physiological changes can cause symptoms like sweating, trembling, and rapid breathing.

The reasons behind experiencing Anxiety and Fear can vary from person to person. Some common causes include traumatic events, chronic stress, genetic factors or brain chemistry imbalances due to substance abuse or alcoholism. Alcohol dependence can also exacerbate anxiety symptoms in those prone to them.

Studies show that Anxiety and Fear can lead to other mental health problems such as depression or addiction disorders. People with anxiety are more likely to develop depression than those without anxiety disorder due to prolonged exposure of negative feelings.

I remember the first time I experienced a panic attack – my breath became shallow, my hands started shaking uncontrollably, my heart felt like it was going to explode out of my chest I thought I was going to die! It was a scary experience that led me down the path of seeking professional help for my anxiety disorder.

Now it’s time for another topic – Are you feeling constantly sad? Here’s what you need to know about Suffering from Depression…”

Suffering from Depression

Depression is a mental illness that can cause feelings of sadness, loss of interest in activities, and decreased energy levels. It affects millions of people worldwide and can be caused by a variety of factors such as genetics, life events, and chemical imbalances in the brain.

Suffering from depression is an experience that can leave individuals feeling isolated and hopeless. It can impact all areas of life including work, relationships, and physical health. Depression works by altering the way an individual feels, thinks, and behaves.

Symptoms of depression include:

  • a loss of interest in activities once enjoyed,
  • difficulty sleeping or oversleeping,
  • difficulty concentrating or making decisions,
  • fatigue or decreased energy levels,
  • feelings of worthlessness or guilt,
  • changes in appetite or weight,
  • irritability or restlessness, and
  • persistent sadness or anxiety.

While some may benefit from therapy alone to treat their depression symptoms, others are successfully treated with medication. These medications work to balance neurotransmitters such as serotonin in the brain which are responsible for regulating mood.

Depression is not something that anyone wants to experience, but it is unfortunately common among people with alcohol addiction problems. In fact, studies show that up to one-third of people who struggle with alcoholism also have co-occurring depression. Addressing both issues simultaneously is important for recovery so treatment centers often incorporate treatments for depression into their program.

It’s time we talk about the next step: finding ways to overcome alcohol addiction through different modalities suited based on an individual’s needs – whether this means detoxification programs or counselling services – whatever it takes.

Treatment Strategies for Alcoholism

As I continue to delve deeper into the signs of alcoholism, it is important to acknowledge that recognizing the problem is just the first step towards recovery. In this section, we will explore various treatment options available for those affected by alcoholism. These treatment strategies may vary depending on the individual’s specific needs and circumstances, but we will focus on three common approaches:

  1. Cognitive-behavioral therapy
  2. Medication-assisted treatment
  3. Joining a support group

By discussing these options in detail, I hope to provide helpful insights and resources for those seeking assistance in overcoming alcohol addiction.

Recognizing the Signs of Alcoholism

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy has gained immense popularity in recent years as a treatment for alcoholism. It is a form of psychotherapy that aims to challenge and change negative thought patterns, beliefs, and behaviors related to alcohol use. By focusing on changing one’s perceptions and reactions to situations, CBT helps individuals to develop new coping skills and reduce the likelihood of relapse.

CBT works by teaching individuals how to identify their triggers or high-risk situations for alcohol use. Once these triggers are identified, cognitive restructuring techniques are used to help the individual overcome negative thoughts or beliefs associated with the trigger. This might involve challenging negative self-talk or shifting focus away from problematic thoughts towards more positive ones.

Studies have shown that CBT can be highly effective in treating alcoholism, with some research supporting its superiority over traditional 12-step programs. One of the reasons behind its effectiveness is its focus on practical skills training rather than simply discussing emotions or past experiences.

Interestingly, CBT has also been found to potentially reduce anxiety and depression symptoms among those struggling with alcoholism. This might be due to the fact that negative thinking patterns often contribute not only to addiction but also to other mental health struggles.

As someone who struggled with alcohol addiction for years, I can attest personally to the power of cognitive behavioral therapy. Although it was difficult at first, once I began identifying my triggers for drinking and challenging my negative beliefs about myself and my life, I felt more equipped to stay sober.

Moving on to the next section: As someone who values holistic approaches to healing, I was initially hesitant about the use of medications in treating addiction. However, after learning about new research showing promising results for certain medications like naltrexone and acamprosate, I couldn’t help but be intrigued…

Use of Medications in Treatment

The treatment of alcoholism involves several strategies, including medications. The use of medications in treatment has proven to be effective in reducing the symptoms of withdrawal and cravings associated with the addiction.

Medications work by targeting specific areas of the brain that are affected by alcohol consumption. They can help to reduce the severity of withdrawal symptoms and also decrease the desire to drink. These medications can be taken orally or administered through injections.

The reasons behind their effectiveness include how they regulate neurotransmitters involved in addiction, like dopamine and gamma-aminobutyric acid (GABA). Some commonly used medications for alcohol addiction include acamprosate, naltrexone, and disulfiram.

Studies have shown that combination therapies involving both medication and counseling or support groups have higher success rates than using just one method alone. Additionally, there may be other factors involved in a person’s decision to seek medication-assisted treatment or not, such as financial concerns or lack of access to healthcare services.

If you or a loved one is struggling with alcoholism, it’s important to reach out for help. Don’t let fear or denial prevent you from seeking life-saving treatment options. You deserve a chance at recovery, and with the right support system in place, it’s possible to overcome this disease.

Joining a Support Group

Joining a support group can be an immensely helpful step towards dealing with alcoholism. Recovering from addiction is a difficult process and support groups provide an opportunity to interact with people who truly understand what the experience is like. This sense of community and solidarity can go a long way in helping one feel less alone.

Support groups function by creating safe spaces for individuals to share their experiences, challenges, and successes in managing their addiction. Members are encouraged to voice their thoughts and feelings without fear of judgment or ridicule. This peer-support model fosters strong connections and provides a platform for individuals to draw strength from one another.

Research has shown that support groups help increase an individual’s motivation for recovery, improve psychological wellbeing, reduce harmful behaviours, foster social interactions, and build self-esteem. These benefits are amplified when combined with other treatment methods such as psychotherapy or medication-assisted therapy.

Interestingly, it has been found that attending support groups regularly also improves adherence to treatment plans. Since accountability is a critical aspect of recovery, having others who know about one’s journey can motivate individuals to stay on track.

One true story that highlights the power of support groups involves Bill Wilson and Bob Smith who founded Alcoholics Anonymous (AA) in 1935. Both men had struggled with alcoholism themselves and decided to create an informal support group that emphasized mutual aid for those struggling with addiction. Today AA has over two million members worldwide and has inspired the creation of several other successful support groups focused on addiction recovery.

5 Facts About How to Recognize the Signs of Alcoholism:

  • Drinking alone and secrecy around drinking are signs of alcoholism. (Source:
  • Tolerance to alcohol and experiencing withdrawal symptoms are signs of alcoholism. (Source: Mayo Clinic)
  • Neglecting responsibilities and relationships due to drinking is a sign of alcoholism. (Source: National Institute on Alcohol Abuse and Alcoholism)
  • Continuing to drink despite negative consequences is a sign of alcoholism. (Source:
  • Denial and defensiveness about drinking behavior are common in individuals struggling with alcoholism. (Source: Psychology Today)

FAQs about How To Recognize The Signs Of Alcoholism

What are the physical signs of alcoholism?

Physical signs of alcoholism may include frequent hangovers, redness of the face and nose, high blood pressure, tremors, and blackouts.

What are the behavioral signs of alcoholism?

Behavioral signs of alcoholism may include drinking alone, hiding alcohol, neglecting responsibilities, and experiencing relationship problems as a result of drinking.

What are the psychological signs of alcoholism?

Psychological signs of alcoholism may include irritability, depression, anxiety, mood swings, and a decreased ability to concentrate.

How does alcoholism affect relationships?

Alcoholism can negatively affect relationships by causing the individual to become distant, unreliable, and emotionally unstable. It can also lead to arguments, violence, and financial problems.

Can alcoholism lead to health problems?

Yes, alcoholism can lead to various health problems such as liver damage, heart disease, gastrointestinal issues, and neurological damage.

What should I do if I suspect someone is struggling with alcoholism?

If you suspect someone is struggling with alcoholism, it is important to approach them with empathy and concern. Encourage them to seek professional help and offer ongoing support throughout their recovery process.


Warren Phillips

Warren is a Licensed Master Social Worker, who specializes in substance abuse and mental health treatment. Clinically, Warren has developed a therapeutic skillset that utilizes a strengths-based perspective, Twelve Step philosophies, Cognitive Behavioral Therapy and Motivational Interviewing.

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