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Even after many weeks, substance abuse pt's might have severe mood swings, insomnia, and anxiety. Today's treatments generally involve medication, some form of behavior treatment, usually cognitive behavior therapy, along with a strong emphasis on some type of support group, usually Alcoholics Anonymous. It works the same way because the oral form of the drug, only it is injected to the body once per month. Ordinarily, the liver stops working ethanol in 2 steps: first into acetaldehyde, then into acetic acid. You have plenty of hiding places for alcohol You drink in secret You can't stop drinking after two or three drinks While drinking you forgot a significant commitment The next day you don't remember everything you did when you were drinking You look forward for your next drink You become upset when people confront you about your drinking You lost fascination with doing issues you used to enjoy because drinking is you think about now. 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