I recently returned from a trip to Quebec, where I learned alcoholism symptoms should not vary by culture. Sadly, they do. In the United States, having a drink in the morning is called an eye-opener and is one of the CAGE Test symptoms of alcoholism. Even WebMD lists it as a sign of a drinking problem. In Quebec, a brunch cocktail such as a mimosa or a bloody Caesar is normal. I even posted to my Facebook page that I had no clue how Canadians diagnose alcoholism because it seemed like everyone drank like fish. Interestingly enough, the alcoholism rate is higher in the U.S. than it is in Canada–but is that because of culture? There needs to be a clearly defined international standard for alcoholism symptoms–not one that seems to vary according to where you are.