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P9 - Alcohol: Signs & Symptoms

Liliana Mendoza

Created on September 26, 2025

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Transcript

Alcohol: Signs & Symptoms

Click on each of the categories down below to view the signs and symptoms associated with each type to reveal the 'Next' button in black.

Sensory Function Impairments

Indicators of Alcohol Misuse

Observable Signs of Alcohol Use

Mental Function Impairments

Psychomotor Function Impairments

Odor of Alcohol

Next

Drug or Alcohol Signs & Symptoms: Performance Indicators

Click on each of the following categories down below to learn about the performance indicators of drug or alcohol use to reveal the 'Next' button in black.

Attendance and Attitude

Work Output Issues

Common Performance - Related Symptoms

Supervisors should watch for sudden or sustained changes in job performance that may indicate substance use or impairment.

Next

Statistics & Results

If you are in Full-Screen mode, exit out and click the 'Next Activity' yellow button in 360L to proceed when finished.

Indicators of Alcohol Misuse
  • Drinking early in the day
  • Frequent intoxication
  • Inability to control drinking
  • Ongoing social or family issues
  • Behavior changes
  • Blackouts
  • Self-injury or dangerous behavior
  • Legal trouble
Odor of Alcohol
  • Alcohol has a distinctive smell
  • Odor persists on the breath after drinking
  • Breath mints or mouthwash may be used to cover it, but odor often remains
Work Output Issues
  • Significant increase in errors
  • Reduced quality and/or quantity of work
  • Inappropriate or delayed responses to instructions
Psychomotor Function Impairments
  • Speech is often affected early:
    • Slurring
    • Over-enunciation
    • Exaggerated or slowed speech
  • Motor skills decline:
    • Reduced coordination and fine motor control
    • Delayed reflexes and reaction times
Mental Function Impairments

Alcohol use affects:

  • Judgment
  • Decision-making
  • Memory
  • Basic cognitive tasks (e.g., computation, reasoning)

Observable Signs of Alcohol Use
  • Slurred speech
  • Unsteady gait
  • Slowed reflexes
  • Rapid or erratic eye movement
  • Poor coordination
  • Distorted judgment
  • Difficulty focusing
  • Drowsiness or stupor
Important Note on Observation
  • Many symptoms may be caused by other conditions
  • A good rule of thumb: Look for at least two observable signs
  • The odor of alcohol is the most definitive indicator of recent use
Sensory Function Impairments
  • Perception is altered
  • Vision:
    • Impaired tracking
    • Reduced night and peripheral vision
  • Hearing:
    • Decreased sensitivity and sound discrimination
  • Taste:
    • Diminished sensitivity
Attendance and Attitude
  • Frequent absences or excessive use of sick leave
  • Apathetic or disengaged attitude
  • Lack of accountability or follow-through
Note: These are usually long-term indicators, and must be combined with visual, physical, behavioral, and speech or body odor indicators.
Common Performance-Related Symptoms
  • Delayed or faulty decision-making
  • Impulsive behavior or unusual risk-taking
  • Difficulty concentrating
  • Lack of motivation
  • Impaired mental functioning
  • Decreased alertness and awareness