Which statement best distinguishes binge drinking from dependence?

• A. Binge drinking lasts weeks; dependence is a single event
• B. Binge drinking is drinking a large amount in one sitting; dependence involves cravings, withdrawal symptoms and loss of control
• C. Binge drinking is not harmful; dependence is harmful
• D. Binge drinking means daily use; dependence means never using

Answer: (B)

The idea being tested is how to tell the difference between binge drinking and dependence by looking at the pattern of use and the effects on behavior and physiology. The best statement is that binge drinking describes consuming a large amount of alcohol in one sitting, focusing on the pattern of how much is drunk in a short period. Dependence, on the other hand, involves more persistent problems such as cravings, withdrawal symptoms if drinking is reduced or stopped, and a loss of control over drinking. This combination shows a shift from a one-off or episodic pattern to a more chronic, compulsive use with physical and psychological symptoms. Binge drinking isn’t defined by duration (weeks) or by daily use, and dependence isn’t simply about harm in general or never using—it's about cravings, withdrawal, and difficulty controlling intake.