Alcohol or substance abuse can be characterized by a maladaptive pattern of its usage leading to significant distress or impairment. Manifestation occurs when which of the following takes place in a one year period?
  1. Related legal problems
  2. Usage in situations that are physically harmful
  3. Failure to fulfill role obligations
  4. Any of the above
Explanation
Answer: D - Symptoms of an alcohol or drug abuser include repeated absences from work or school, driving an automobile when impaired, arrests for disorderly conduct and arguments with a spouse in relation to the problem. Persistent or recurrent social problems may occur such as physical fights.
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