AUDIT: Alcohol Use Disorders Identification Test
Last reviewed
Ten questions about drinking over the past year, scored 0–40
The AUDIT was developed by the World Health Organization as a screen for drinking that is risky before it becomes damaging. Its ten questions cover three things: how much and how often you drink, early signs of dependence, and harm that drinking has already caused. It was validated across six countries and is now the standard alcohol screen in UK primary care and NHS services. It takes about two minutes.
Alcohol sits awkwardly with post-viral illness. It worsens sleep quality and lowers overnight HRV, it dilates blood vessels and pulls fluid, which is exactly what someone with POTS is trying to avoid, and hangovers and post-exertional malaise compound each other. Many people find their tolerance collapses after the illness begins. Others lean on alcohol to get to sleep or to cope with a shrunken life. Neither is a moral matter; both are worth knowing about, especially before starting medication. If you track HRV, the HRV tracker will usually show you what a drink costs.
Your AUDIT score
Understanding your score
Each question scores 0 to 4 and the total runs from 0 to 40. The WHO's zones are: 0–7 low risk; 8–15 hazardous drinking, where brief advice on cutting down is recommended; 16–19 harmful drinking, where a fuller assessment and structured support are recommended; 20 or more possible dependence, where referral for specialist assessment is recommended. UK guidance uses the same cut-offs under the labels increasing risk, higher risk and possible dependence.
The first three questions measure consumption, the middle three dependence symptoms, and the last four harm. The breakdown above shows which of those is driving your score. A high consumption score with nothing else is a different conversation from a low consumption score with a dependence item or two.
The WHO notes that the threshold of 8 is a general-population figure and that a lower threshold may be appropriate for women, for people over 65, and for anyone whose health makes alcohol riskier. A post-viral illness with sleep disruption, orthostatic intolerance or medication is a reasonable example. If your score is 5 to 7 and you notice alcohol makes your symptoms worse, that is worth taking seriously on its own terms.
This is not a diagnosis. If your score is 8 or more, or if you are worried about your drinking regardless of the number, talk to your GP. In the UK, NHS alcohol advice and Drinkaware offer confidential support. If you have been drinking heavily every day, do not stop suddenly without medical advice, as withdrawal can be dangerous.
Your results over time
Complete this again in a few weeks and the change will show here.
Symptom scores change slowly. A monthly retake is enough to see a trend.
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