<qa>  What is the CIWA-AR defined as?- Physiological dependence on alcohol, illicit opiates or illicit sedatives as evidenced by a history of four weeks of daily use of these substances; and either tolerance or withdrawal as defined by DSM IV-TR. The standard withdrawal scales referred to in DSM IV-TR will be the CIWA-AR Sullivan et al., 1989 and the Clinical Opiate Withdrawal Scale Wesson and Ling, 2003, with P.I. review because signs on the CIWA-AR such as aware of sounds around you may reflect psychiatric illness, not withdrawal 