National Certified Addiction Counselor, Level I (NCAC I) Practice Exam 2025 – Comprehensive All-in-One Guide to Exam Success!

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Which is NOT a stage of alcohol dependence?

Early

Middle

Severe

Alcohol dependence is commonly understood through various stages that reflect the progression of the disorder. The stages identified—Early, Middle, and Late—represent a continuum of severity and symptoms experienced by individuals as their alcohol use escalates and becomes more problematic.

The Early stage typically involves initial signs of misuse, including increased consumption and some associated problems but without severe impairment. The Middle stage indicates a more established pattern of drinking that may include physical dependence, tolerance, and a clearer impact on social and personal responsibilities. The Late stage is characterized by more significant health effects, severe symptoms of dependence, and a drastic deterioration in various aspects of life, including physical health and social relationships.

The classification system often used in addiction study does not include a specific "Severe" stage as a distinct categorization; instead, the severity of symptoms is assessed within the context of the aforementioned stages. Therefore, labeling a stage as "Severe" is less reflective of the commonly accepted stages of alcohol dependence. Recognizing this structure helps in understanding the progressive nature of addiction and guides treatment approaches appropriate to each stage.

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Late

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