Cindy was a thirty-two-year-old accountant who realized that she had some drinking issues. For instance, within the past six months she has felt the need to have quite a few drinks before going to work, two months ago she failed a random urine alcohol test at her place of employment, four weeks ago she got arrested by the state highway patrol for "driving under the influence", and last but not least, for approximately six months she has begun to forget what she says and does when she drinks with her friends.

Not unlike multitudes of other drinkers, Cindy's involvement with alcohol started out gradually and remained at this level for quite some time due to the fact that every now and then she engaged in sporadic social drinking. In reality, for almost three years, every time she went out with her buddies to drink, she made sure to drink in a responsible manner. Something about her drinking activities, however, seemed to fundamentally change when her husband divorced her.

Cindy got especially down in the dumps about the loss of her husband, and as a way to quit fixating on her dismal feelings she decided to start hanging around more routinely with some of her buddies who love to drink and have fun. It didn't take long, nonetheless, before her drinking escalated substantially the more often she went to and drank at private parties, sporting events, happy hours, family get-togethers, and dinner dates with her pals.

To put it briefly, she was having a blast drinking just like everybody else in her group of friends without much forethought about the alcohol short term effects and particularly about the alcohol long term effects she has been going though. Yet in the recesses of her mind she knew about the adverse alcohol effects on the body and on the mind and that she more likely than not required alcohol rehab but stayed away from the thought as much as she could.

One morning during her annual physical, her healthcare practitioner asked her if she drank alcohol. Not wanting to tell falsehoods to her doctor, Cindy "came clean" and said that she frequently drinks more than she should. As a matter of fact, she articulated that she regularly drinks in an excessive manner. Then Cindy told her healthcare practitioner about her depression. More precisely, she articulated that shattered relationships frequently started a depressing cycle of events typified by increased drinking which further led to more dismal feelings that, in turn, resulted in more drinking. And this is explicitly what happened when her husband and she got divorced eight months ago.

Cindy's physician then told her the following: "I am not trying to make a sudden diagnosis, but with your medical condition we may be dealing with two separate problems. As a result, I think we probably need to schedule an appointment for you to get an alcohol abuse and alcohol addiction evaluation from my partner, Dr. Petroff, who is a substance abuse and chemical dependency specialist."

"Whether your drinking condition is more related to alcohol addiction or alcohol abuse is not clear, but I feel that further assessment is justifiable. Then I think we need to schedule an appointment for you to get a psychological evaluation from another one of my partners, Dr. Carlson, who is a counseling psychologist."

"I want to get some more insights about your dejection and see how much your drinking and depression are interrelated." Cindy expressed her agreement with her healthcare practitioner's plan of attack and thanked him for his assistance and concern.

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