Substance Abuse vs Dependency

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In the eyes of FAA, is the substance abuse and dependence the same diagnosis?

14 CFR Part 67 lists Substance Dependency as a disqualifying condition for the 1st class medical. FAA must assume an airmen of a disqualifying condition to be able to issue a S.I. under this reg.

Does this mean if I am diagnosed with alcohol abuse, do I not qualify for a S.I.?
 
both diagnoses can be special issuances, one requiring more testing and evaluation.
 
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