Certain conditions require complete abstinence from alcolol. They are pregnal concurrently taking a medication that may a harmful drug reaction, if the has condition that is either associated with or exacerbated with alcohol use. Some patients engage in risky drinking but do not meet the criteria of AUD as determined by the AUDIT score. The clinician must rely on their professional judgment to determ if reducing alcohol or abstinence is the more appropriate goal. Factors to consider include family history of alcohol consumption either in the current or preceding generations age and any history of traumal njuries or events related to drinking