Tia is a Hispanic woman in her 28th year. Her primary care doctor has recommended she see your clinic. According to Tia, her primary care physician was concerned about the amount of alcohol that she claimed to have consumed over the previous three months. She claims that over the past three months, she has gradually increased her alcohol intake from one to two beers every night to four to five beers and multiple shots of either whiskey or vodka.

Tia claims that the rise in her drinking has coincided with a sharp rise in her stress levels. She claims that she needs to drink some in the morning to ease some worry and to lessen the intensity of the discomfort she experiences. According to Tia, she has had to drink more recently in order to have the same benefits as she did at first. Tia mentions that she is a little concerned about how strongly she has been craving booze. Tia claims that she experiences strong impulses to drink while she is at work. She reiterates that she experiences cravings throughout the day but has not yet started drinking while she is at work. Discuss the key symptoms experienced by Tia.