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In England it has been estimated that about 15 000 deaths a year are directly attributable to the medical consequences of alcohol misuse (Office for National Statistics, 2010)

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Among the symptoms and effects of alcohol addiction are the following: Increased intake of alcohol Drinking at times considered inappropriate (such as early in the morning) Avoidance of old friends in favor of drinking buddies Hiding or lying about drinking Increased depression or lack of energy Spending more time or energy acquiring and drinking alcohol Injuries from risky behavior or falls Cardiovascular issues, including high blood pressure Problems with concentration and memory Episodes of binge drinking Poor performance at work or school Dependence on alcohol for normal functioning Poor hygiene Hallucinations and irrational thinking Frequent hangovers Frequent slurred speech and lack of coordination Alcohol bottles left around the house Liver and pancreas problems Increased irritability and aggression Increased deceitfulness Increased conflicts in personal and work relationships Avoiding situations where no alcohol will be served Legal problems, including arrest, DUI, or being fired Failure to follow through on plans and responsibilities Self-isolation Because alcohol addiction gets worse as it progresses, spotting any warning signs early can help someone with addiction avoid significant problems