A mother brought her daughter for a college admission physical. Mother reports she is concerned that her daughter may be ‘binge drinking’ during spring break and other holidays. Of the following, which is considered binge drinking?

A 32 year-old man comes to your office because he needs a refill on his allopurinol. As you go over his social history and alcohol use, he informs you that he drinks up to 16 drinks a week. He has tried to cut it down to 5 drinks per week but he could not. His wife is not happy with his drinking and it caused ‘some disturbance’ in their relationship. Which of the following is the most likely diagnosis in this patient regarding his alcohol use?