multiple causes, with genetic, physiological, psychological and social factors all playing a role (Sher & Trull). For some alcoholics, psychological traits such as impulsiveness, low self-esteem and a need for approval prompt inappropriate drinking. Others drink as a way of coping with emotional pain. Still others use alcohol to "medicate themselves". Heavy drinking can cause physiological changes that make more drinking the only way to avoid discomfort. Genetic factors cause some people to be especiall
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