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The primary distinguishing factor of alcohol withdrawal stages is the severity and type of physical symptoms that individuals may experience during withdrawal. Alcohol withdrawal can manifest in a variety of physical and psychological symptoms, which may range from mild tremors and anxiety to severe complications such as seizures and delirium tremens. The specific symptoms that arise and their intensity can help clinicians determine the stage of withdrawal and the necessary level of care or intervention required for the individual.

For instance, the presence of seizures is indicative of more severe withdrawal, while less intense symptoms might suggest a milder stage. This understanding is crucial for creating appropriate treatment plans and ensuring the safety and comfort of the individual undergoing withdrawal. Other factors such as the duration of symptoms, types of hallucinations, and time taken for symptoms to resolve can vary among individuals and are important, but the physical manifestations during withdrawal are most critical in assessing the severity of the condition.