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Untitled Document. Those who inject drugs are also at a higher risk for HIV and hepatitis and may be more likely to experience an unplanned pregnancy or contract a sexually transmitted infection. What's more, drug and alcohol use can cause an altered mood, exacerbating stress and depression as well as other symptoms of mental illnesses. There are many factors to consider when making a diagnosis of alcoholism, formally known as alcohol use disorder, or AUD. Some signs that a person’s drinking is problematic include continuing to drink despite negative effects on their relationships, physical health, job or other important obligations. Alcoholism should be diagnosed by an addiction specialist who can outline an appropriate detox and treatment plan. If the person has not tried cutting back, you could suggest this strategy as a first step.

Some people in the risky stages of substance use, or even in the early stage of addiction, are able to cut back and consistently use only minimal amounts in the future.