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Is substance abuse in the DSM? A major change from DSM -IV to DSM -5 is the combination of substance abuse disorder and substance dependence disorder into a single SUD. How much do you have to drink to be considered an alcoholic? Here are some guidelines for drinking alcohol responsibly, as long as you do not have a drinking problem. Healthy men up to age 65 should limit themselves to: No more than 4 drinks in 1 day. No more than 14 drinks in a week.
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