• Mood Swings - virtually all mood-altering drugs produce mood swings from euphoria to depression. A user may be passive and withdrawn one minute and angry or hostile the next.
• Personality Changes - a normally energetic and outgoing person becomes chronically depressed and uncommunicative.
• Defensiveness - blaming or claiming to be persecuted or victimized.
• Overly Emotional - inappropriately happy, depressed, hostile, or angry.
• Overly self-centered - always has to have their own way and will do anything to have it.
• Tendency to Manipulate - making excuses for failure or finding ways to have other people handle their problems or bear the consequences of their actions or behaviors.
• Strained Communication - unwillingness or inability to discuss important issues or concerns.
• Withdrawal from Family Activities - refusing to eat at family meals, participating in celebrations or holidays or making any adjustments to family life.
• Change in Dress and Friends - sudden deterioration of long friendships/relationships, deterioration in personal appearance and hygiene, spends time with suspicious friends and/or co-workers
• Lack of self-discipline - inability to follow rules, complete household chores, school assignments, work-related duties, keep appointments or commitments.
• Apathy - little or no interest in meaningful activities such as clubs, hobbies, sports, or other activities.
• School and Work Problems- Excessive tardiness, absences, drop in grades drop in job performance, missed deadlines, failure to turn in assignments and take tests or perhaps suspension or expulsion
• Anxious Behavior - Chronic jittery, jerky or uneven movements, fearfulness, compulsiveness and talkativeness.

• Frequently absent from work for no justifiable reason
• Tardiness and leaving work early
• Long lunches or other unnecessary breaks
• Decreased job performance
• Avoiding supervisor or other co-workers
• Poor personal hygiene/appearance

In pregnant women who drink alcohol, there is also the danger that the child will develop fetal alcohol syndrome, a cluster of health problems including unusually low birth weight, facial abnormalities, heart defects and learning difficulties.

• Change in appearance – sudden gain or loss of weight
• Poor physical coordination
• Loss or increase in appetite - changes in eating habits
• Fatigue
• Bloodshot or watery eyes
• Consistently dilated pupils
• Nausea, vomiting
• Frequent colds, sore throat, coughing
• Chronically inflamed nostrils, runny nose
• Dizzy spells, stumbling, shaky hands
• Consistent run down condition
• Speech pattern changes, slurred speech
• Irregular heartbeat

Also, the person's body has come to depend on the presence of alcohol when it performs its normal functions, including chemical reactions in the brain. This means that when alcohol use suddenly stops, the body's accustomed internal environment changes drastically, causing symptoms of withdrawal such as tremors, rapid pulse, rapid breathing, fever, insomnia, hallucinations and seizures.

The relapse process starts when a person falls into old patterns of thinking, feeling and behaving. One study found that three factors placed a person at high risk for relapse: frustration and anger, social pressure, and internal temptation. The following are signs of relapse at any stage in recovery:

• Lack of gratitude for recovery or what has been achieved in the recovery process
• Complacency when things begin to improve - the chemically dependent person believes that they no longer need to focus on their recovery efforts; they are convinced they will never begin using again
• Lack of self-care as they become exhausted, develop or return to irregular eating habits or poor health habits in general
• Self-pity - the chemically dependent person talks and acts as if no one else has it as had as they do
• Increasing denial or return to denial - the chemically dependent person starts rationalizing, justifying, minimizing or generalizing addictive thinking and behavior become
• Blaming others instead of taking personal responsibility for one's own thoughts, feelings or behavior
• Unable to accept feedback from others who are concerned
• Isolation and attempting to solve problems on their own; not sharing what is going on with others in the support group
• Wanting too much too quickly or setting unrealistic goals
• Attempting to control one's recovery through manipulation and blaming of others for their problems
• Discounting a recovery program - stopping 12-Step meetings, not utilizing a sponsor or unwilling to allow others to help.