Introduction
Alcohol abuse as a condition involves compulsive use of alcohol and impaired social or
occupational functioning, whereas alcohol dependence includes physical tolerance and
withdrawal symptoms when the drug is stopped. The World Health Organization has
published the International Classification of Diseases (ICD), designed to standardize health
data collection worldwide. The 10th edition (ICD-10) generally defines abuse and
tolerance,similar to the DSM-IV-TR.
As per the National Institute on Alcohol Abuse and Alcoholism (NIAAA) (2008),
“alcoholism is a complex disease characterized by persistent and intense alcohol-seeking,
which results in a loss of control over drinking, a preoccupation with drinking, compulsion to
drink or inability to stop, and the development of tolerance and dependence.”     Mental
disorders appear to be commonly associated with alcohol dependence. The risk of mental
disease seems to be correlated with the amount of alcohol consumed Individuals with
affective and anxiety disorders have high rates of alcohol dependence. Excessive drinking
undoubtedly aggravates concurrent Alzheimer’s or multi-infarct dementia. Nevertheless, it is
often difficult to differentiate these dementias from a supervening or underlying alcohol
dementia in practice (U.S. Department of Health and Human Services, 2000).
The final report of the Task Force on Health and Family Welfare, chaired by Dr.H. Sudarshan
2001) has urged the state Government to take “responsible action” toward the prevention and
control of alcohol abuse. The following observations were discussed:
       The rate of liquor consumption in the country is growing at a steady 15 percent
        annually.
In Karnataka, though accurate figures are not available, the sale and consumption of alcohol
and alcoholic beverages are increasing.