National Certified Addiction Counselor, Level I (NCAC I) Practice Exam 2026 – Comprehensive All-in-One Guide to Exam Success!

The early stage of alcohol dependence is characterized by a range of psychological and emotional responses related to the consumption of alcohol. Feelings of guilt about drinking often emerge at this stage, as individuals may recognize that their drinking habits are starting to affect their lives or the lives of those around them. This guilt can stem from various sources, such as societal norms, personal values, or the consequences of drinking behavior, leading the individual to feel conflicted about their alcohol use.

During the early stage, individuals might still be able to function socially and professionally, but the internal struggle is evident. This stage often involves attempts to moderate drinking or reduce consumption in response to these feelings of guilt. Awareness of the consequences of their drinking habits typically begins at this point, leading to a sense of accountability and self-reflection.

As the individual progresses through the stages of alcohol dependence, the reactions to drinking often become more complex, and feelings of guilt may diminish as dependence deepens, shifting focus to the physiological need for alcohol.