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It is a gradual process that is often not evident to an individual until serious consequences have occurred. Most people who discontinue high-risk alcohol use patterns do so on their own. In addition, drinking problems may diminish with age. It is important to note that those who are going to be able to develop low-risk drinking patterns usually do so within fitness/self help a few months of starting a controlled drinking program (Miller, Leckman, Delaney, & Tinkom, 1992). Relapse is common. Many who try controlled drinking eventually resort to abstinence. Early fitness/self help stage problem drinkers tend fitness/self help to be more successful at controlled drinking than those who have drank heavily for years. Controlled drinking involves a diligent, conscious, and methodical approach to maintaining control of drinking. Most problem drinkers are reluctant to recognize that their drinking patterns are a problem until a major loss or several significant losses occur.
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