What is one sign that someone may be reaching the fourth stage of alcoholism?

The presence of body tremors when not drinking is a significant indicator that someone may be reaching the fourth stage of alcoholism, often characterized by physical dependence on alcohol. At this advanced stage, a person's body has adapted to the regular presence of alcohol, and withdrawal symptoms—such as tremors—can manifest when alcohol is not consumed. This physiological response illustrates how the body has become reliant on alcohol to function normally, highlighting the severity of the addiction and the need for intervention.

In contrast, the other signs listed do not typically indicate advanced alcohol dependence. Increased social activity may occur for various reasons unrelated to alcohol use; expressing emotions clearly could be a reflection of personal growth or non-related issues; and reduced drinking frequency would suggest a move towards moderation or recovery rather than a worsening condition. Understanding these differences helps clarify the physical and behavioral symptoms associated with the various stages of alcoholism.