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Signs and symptoms of alcohol dependence An early sign of dependence is when you need more alcohol to achieve the desired effect. Increased tolerance is a physiological response we have to certain drugs: the more you consume, the more you need to consume to have the same effect. As dependence gets more established, you might find you end up spending most of your time thinking about alcohol or engaging in activities necessary to obtain, consume, or recover from the effects of drinking. Then, as dependence takes over, it’s possible you will find you get the shakes if you don’t have a drink, and so feel the need to keep drinking to avoid experiencing very unpleasant withdrawal symptoms. If you're worried you may be becoming alcohol dependent, or are concerned about someone else's drinking, warning signs to look out for include: Often feeling the need to have a drink and give priority to drinking over other activities or obligations such as work or family life Getting into trouble because of drinking Other people warning about how much you/ they are drinking Thinking your/ their drinking is causing problems for example effecting your/ their physical and mental health Needing to drink more to get the same affect If you’re worried that you have any of these symptoms, talk to a health professional at your GP surgery or seek further information from one of the organisations at the bottom of this page. Other warning signs Even if you don’t recognise the symptoms above, there are varying degrees of alcohol dependence. If you find that you ‘need’ to share a bottle of wine with your partner most nights of the week, or always go for a few pints after work just to unwind, you’re likely to be drinking at a level that could affect your long-term health. The UK Chief Medical Officers’ (CMOs') advise, to keep health risks from alcohol low, it is safest to drink no more than 14 units a week on a regular basis. If you find it very difficult to enjoy yourself or relax without having a drink, you could have become dependent on alcohol.