The alcoholic: "but I haven't got a problem, doctor".

In this progressive disability, the earliest possible intervention gives the best chances of success. The doctor is often faced with alcohol related physical problems. To recognize and confront a patient with early alcohol problems, he needs an awareness of the early behavioural as well as physical markers of excessive drinking. He requires an understanding of the reasons for the denial so often met, and the facility of openness in confronting his patient.