Carl: A 32-year-old man began to drink heavily after he was honorably discharged from the
military. He has been drinking very heavily and nearly continually for the past 10 years, with
blackouts, frequent arrests for public intoxication, and injuries in barroom brawls. He has received
3 DUIs and has lost several jobs due to drinking. He has been unable to reduce or stop drinking.
Whenever he starts to "dry out," he feels anxious, nauseous, and has hand tremors – so he starts
drinking again to alleviate these experiences