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Complications of alcoholism is defined as excessive drinking over a long period of time creating medical, psychological, and social problems for the alcoholic. Over the course of months or years of drinking, the central nervous system adapts to the alcohol and tolerance develops. Then the drinker requires more amounts of alcohol to receive the desired effect. Despite adverse effects, the person continues to drink and will likely increase the amount and frequency. Over use they experience withdrawal symptoms, high blood pressure, tremors, physical dependence, can happen when they are not drinking. 

Alcohol becomes a cycle of abuse because at risk for dependence begins. A few complications of alcoholism would be depression, low self-esteem, puberty being onset, depending on alcohol to be in society, substitution of alcohol for emotional support, being lonely, and self-medicating. 

There are medical complications of alcoholism they are: alcohol can damage all organ systems including blood-forming (anemia, easy bruising), cardiovascular (abnormal heartbeat, heart failure, high blood pressure, increased heart rate), gastrointestinal (diarrhea, gastritis, inflammation and/or cancer of the esophagus), expanded risk of infectious diseases (TB), liver damage, low blood sugar, hepatitis, liver cancer, and ulcers. 

Neurological complications of alcoholism: confusion, loss of coordination and concentration, nerve damage, psychosis, short-term memory problems, stroke, and visual difficulties.  

Some social complications of alcoholism are suffering in relationships, higher rates of divorce and separation, higher rates of domestic violence, higher rates of violence and aggressive behaviors, higher rates of legal problems, and higher rates of death. There is a high suicide rate for alcoholics it is as high as eighty percent.  

The psychological complications that are connected to alcoholism they include: Forty four percent of alcoholics have mental health disorders and they were present before their dependence; mood disorders, along with a major depression usually occurs after their dependence. 

Assessment of alcoholism relies on interviews and self-report questionnaires to assess quantity and frequency of drinking. Questions focus on two aspects: the consequence of the drinking and the perceptions of the drinking behavior. Clinics determine risk for abuse and dependence based on how much and how often a person drinks.