Most alcoholic's don't even know they have a problem. So what are the signs of alcoholism and when should you, as a family member, start worrying that you might have a problem?

Joining us to answer these questions is Dr. Sadaqat Ai. He is graduate from Dow Medical College, Karachi and is a recognized Addiction Psychiatrist with a background of training at "HAZELDEN" and Vitalsmarts USA. He is the project director of Willing Ways, Pakistan a state of the art facility for the alcoholism treatment.

dr-sadaqat-aliDr. Sadaqat Ali , a graduate from Dow Medical College, Karachi is a renowned professional in the field of addiction psychiatry. He has a background of getting trained at “HAZELDEN” and “Vital Smarts”, USA. Dr. Sadaqat Ali is the Project Director of Willing Ways (Pvt.) Limited and Sadaqat Clinic (pvt.) limited.  Dr. Sadaqat’s name was included in the international Who’s Who directory of professionals which was the first ever distinction of any Pakistani doctor.
Editor: Arman Ahmed

Q: 1 Dr. Sadaqat, what's the difference between somebody who is an alcoholic and someone who just likes a drink or two?

A: Well, an alcoholic is someone who has a problem with his drinking. Either he is troubled it, or someone else bears the brunt. There are some specific criteria that we use to deter-mine alcoholism. We have a CAGE questionnaire. If some-one has made unsuccessful attempts to Cut Down, that It-leans there's an issue about his drinking. The second (me is Annoyance. Actually this ranges from irritability to rage. One should • be pleased alter drinking after all that is why one drinks. Instead, we see him changing in front of our very eyes. Ile goes from cranky and irritable to rude, obnoxious or aggressive. He becomes louder and nothing seems right to him. The more he drinks the worse he grows. The third criterion is Guilt, which is saying, I think, I shouldn't be doing this.

It is not a mind-set that is prone to alcoholism. It is a "body-set" which is vulnerable. Drinking requires a pro drinking mileu; whilst alcoholism requires a conducive genetic makeup.

Use of alcohol in the mornings. There is a rule of thumb: If somebody points a finger at your drinking, its alcoholism.

 Q: 2 But someone who likes to take a drink at dinner, a glass of wine, that's not a problem, is it?

A: It's not a problem, if it's not a problem. If it doesn't disturb his social and occupational functioning, if it doesn't disturb his health, it's not a problem. If it makes him more of a gentleman, then it is not a problem; rather it is a solution.

Q: 3 Dr. Sadaqat, could alcohol make you more of a gentle-man???

A: It is supposed to make one more of a gentleman and it does if one's body processes it in a normal fashion. It is supposed to make one sociable, relaxed, creative and confident. People don't drink alcohol to slur their speech, stagger their gate, throw up, repeat themselves over and over again or feel annoyed. They don't become drunk or pass out by design. People become alcoholic by default. What's more, alcohol-ism does not happen to every-body who drinks. Only 10% will ultimately cross that invisible at risk.

Q : 4 Is it a mind-set which is prone to alcoholism?

A: No! The mind set may be prone to drinking only: but it is a “body-set” requires a pro drinking environment: whilst alcoholism requires a conducive genetic make up. Drinking is a matter of body, the seat of drinking is in the mind, the seat of alcoholism in the body.