There is a tradition in America of expanding a problem further down the spectrum, a name for which is "problem inflation." One way this is done is to link any signs that people have an incipient problem with the cases of people who suffer the worst forms of that problem.
No one sets out intending to become an "almost alcoholic." Similarly, people do not become almost alcoholics for the same reason. There are many pathways into the almost alcoholic zone, and for that reason there needs to be many solutions.