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What is the difference between alcohol abuse and alcoholism The Centers for Disease Control and Prevention CDC defines alcohol abuse as a pattern of drinking that results in harm to ones health interpersonal relationships or ability to work.The CDC adds that long-term alcohol abuse can turn into alcohol dependence also known as alcohol addiction or alcoholism which is a chronic disease. AccordingtoStacieAllphinDirectorofAdolescentServicesatMemorialHermann-Texas Medical Center in Houston the terminology has changed from addiction to substance use disorder and can be categorized as mild moderate or severe. It all depends on the consequencessays Allphin.If you break the law by drinking when youre underage its abuse if it causes problems in your daily life and you or others are making excuses its more severe. Alcohol abuse in teens manifests itself a bit differently than in adults as their bodies are still developing.Though any teen may take part in risky behavior specific teen groups may be more susceptible to alcohol abuse Those with close relatives or close friends who abuse alcohol Teens suffering from anxiety disorders or depression Individuals who easily succumb to peer pressure or desperately desire tofit in Those suffering from low self-esteem Teens who experienced any childhood trauma To identify the difference between normal teen behavior and potential alcohol abuse maintain open communication with your teen.Teens will typically exhibit many of the following physical signs when abusing alcohol redbloodshot eyes constant cough heightened fatigue or general sleeping problems increase or decrease in weight mysterious injuries that suddenly appear which may have been caused by accidents when drunk frequent nausea headaches or sensitivity to sound which is particularly common inthemorningduetoahangoverotherdruguseincludingsmokingcigarettesslurredspeech trouble concentrating blackouts. Social or emotional signs may include withdrawal from and less communication with familymembersmoretimespentoutwithfriendsoratpartieslossofinterestinactivitiesthey once enjoyed depression and mood swings irritable short temper overly defensive change in group of friends and keeping them hidden from you school issues including cutting class and absences lower grades teacher complaints legal trouble secretive behavior andor lying alcohol missing from your liquor cabinet running away. What can you do If any of the above warning signs exist get your teen help immediately. Try talking to them or let them confide in another close family member your family doctormental healthprofessionalteacherguidancecounselorormemberoftheclergy. InTexas For immediate and confidential help 247 contact the Outreach Screening Assessment and Referral Centers OSARLMHA. Contact ValueOptionsNorthSTAR Program serving Collin Dallas Ellis Hunt Kaufman Navarro and Rockwall Counties Access Line Phone 1-888-800-6799 Crisis Phone 1-866-260-8000 valueoptions.comnorthstarservices.htm You may also call or contact 211Texas. Dial 2-1-1 or call 877-541- 7905. Nationwide Al-Anon-Alateen 888 4AL-ANON Alcoholics AnonymousWorld Services 212 870-3400 American Council on Alcoholism treatment referral line 800 527-5344 Mothers Against Drunk Driving 800 GET-MADD National Council on Alcoholism and Drug Dependence 800 NCA-CALL National Institute on Alcohol Abuse and Alcoholism 301 443-3860 Does Your Teen Need Help Teen Alcohol Abuse Signs andWhat to Do About It If you break the law by drinking when youre underage its abuse if it causes problems in your daily life and you or others are making excuses its more severe. - Stacie Allphin Director of Adolescent Services at Memorial Hermann-Texas Medical Center