418 South 36th Street -428 South 36th Street-

Quincy, IL 62301

8965 Highway 36 West, Suite F -  Hannibal, MO 63401

• Odor on the breath.
• Intoxication.
• Difficulty focusing: glazed appearance of the eyes.
• Uncharacteristically passive behavior; or combative and argumentative behavior.
• Gradual (or sudden in adolescents)deterioration in personal appearance and hygiene.
• Gradual development of dysfunction, especially in job performance or school work.
• Absenteeism (particularly on Monday).
• Unexplained bruises and accidents.
• Irritability.
• Flushed skin.
• Loss of memory (blackouts).
• Availability and consumption of alcohol becomes the focus of social or professional activities.
• Changes in peer-group associations and friendships.
• Impaired interpersonal relationships (troubled marriage, unexplainable termination of deep relationships, alienation from close family members).