- Alcohol intake Hx:
- What type of alcohol?
- When did you first start? How old were you? When did you notice your alcohol intake starting to increase? When was the last time you consumed alcohol?
- How much\many?
- How frequent? Social? Episodes of binging? Specific time of the day?
- Do you use any medications\drugs in combination w\ alcohol? Smoking?
- Have you ever tried to stop drinking? If not, do you want\feel ready to stop?
- RAFFT:
- Do you drink alcohol to Relax, feel better about yourself?
- Do you drink alcohol while you’re Alone?
- Do you Forget things you did while intoxicated?
- Do your Family\Friends tell you that you should cut down?
- Have you ever gotten in Trouble while intoxicated?
- CAGE:
- Have you ever felt you should Cut down on your drinking?
- Have people Annoyed you by criticizing your drinking?
- Have you ever felt Guilty about your drinking?
- Have you ever felt you need a drink first thing in the morning (Eye-opener)?
- Medical Hx:
- Dependence Sx: if you stop drinking do you feel N\V, shakes, headaches, seizures
- Co-morbidities: DM, HTN, DLP, heart ds
- Poisoning: problems in the eyes, kidneys, liver ds (jaundice)
- Do you take any medications? OTC drugs? Recreational drugs?
- Ever been hospitalized for drinking-related injuries\illnesses?
- Allergies
- Family Hx of problems w\ drinking, mental illness?
- Psych Hx:
- Screen for: depression, bipolar, anxiety, psychosis (full symptoms, check suicide assessment file)
- Harm towards self or others, suicide risk
- Social Hx:
- How is your relationship w\ your family and friends?
- Marital status? Children?
- Occupation? Satisfied\secured?
- Stressors? (Emotional, financial)
- Have you ever been exposed to social trauma? (Loss of a loved one, violence, abuse)
