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CASE STUDY DETAILS Jeff is a 66-year-old Caucasian man whose wife…
CASE STUDY DETAILS
Jeff is a 66-year-old Caucasian man whose wife has encouraged him to seek treatment. He has never been in therapy before, and has no history of depression or anxiety. However, his alcohol use has recently been getting in the way of his marriage, and interfering with his newly-retired life. He describes drinking increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. He notes that this amount “doesn’t give me the same buzz as it used to.” He denies ever experiencing “the shakes” or any other withdrawal symptoms if he skips a day of drinking.
Jeff comments that his wife is his biggest motivation to decrease his alcohol use. She tells him that he gets argumentative and irritable when he drinks, though he does not always remember these incidents. He has also fallen while intoxicated twice, causing bruises both times and hitting his head on one of the occasions.
The Alcohol Use Disorders Identification Test: Self-Report Version
PATIENT: Because alcohol use can affect your health and can interfere with certain medications and treatments, it is important that we ask some questions about your use of alcohol. Your answers will remain confidential so please be honest. Place an X in one box that best describes your answer to each question.
1. How often do you have a drink containing alcohol?
(0) Never (Skip to Questions 9-10)
(1) Monthly or less
(2) 2 to 4 times a month
(3) 2 to 3 times a week
(4) 4 or more times a week
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
(0) 1 or 2
(1) 3 or 4
(2) 5 or 6
(3) 7, 8, or 9
(4) 10 or more
3. How often do you have six or more drinks on one occasion?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
4. How often during the last year have you found that you were not able to stop drinking once you had
started?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
5. How often during the last year have you failed to do what was normally expected from you because of
drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
6. How often during the last year have you been unable to remember what happened the night before
because you had been drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
7. How often during the last year have you needed an alcoholic drink first thing in the morning to get
yourself going after a night of heavy drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
8. How often during the last year have you had a feeling of guilt or remorse after drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
9. Have you or someone else been injured as a result of your drinking?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
10. Has a relative, friend, doctor, or another health professional expressed concern about your drinking or
suggested you cut down?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
