Summary:DiagnosingSUD

GenericDSM-5CriteriaforSUD(mustspecifysubstance)

ImpairedControl
Takingthesubstanceinlargeramountsoroveralongerperiodthanwasoriginally
intended
2.Havingapersistentdesiretocutdownorregulatesubstanceusebutreporting
multipleunsuccessfuleffortstodoso
3.Spendingagreatdealoftimeobtaining,using,orrecoveringfromeffectsofthe
substance
4.Craving,asmanifestedbyanintensedesireorurgeforthedrugthatmayoccurat
anytime(butismorelikelywheninanenvironmentwherethedrugwaspreviously
obtainedorused)

SocialImpairment
5.Recurrentsubstanceuseresultsinfailuretofulfillmajorobligationsatwork,school,
orhome
6.Continuedsubstanceusedespitesocialorinterpersonalproblemscausedor
exacerbatedbytheeffectsofthesubstance
7.Importantsocial,occupational,orrecreationalactivitiesaregivenuporreduced
becauseofsubstanceuse

RiskyUse
8. Recurrentsubstanceuseinsituationsinwhichitisphysicallyhazardous
9.Continuedsubstanceusedespiteknowledgeofhavingaphysicalorpsychological
problemthatislikelytohavebeencausedorexacerbatedbythesubstance

PharmacologicalCriteria
10.Tolerance,signaledbyincreasingdosesofthesubstancetoachievethedesired
effectoramarkedlyreducedeffectwhentheusualdoseisconsumed
11.Withdrawalsymptomsoccurringwithabruptreductionorcessationofsubstanceuse
inanindividualwithpreviousprolongeduseofthesubstance

*PharmacologicalcriteriaaloneisinsufficientfordiagnosisofSUDifoccurringduringthe
courseofappropriatemedicaltreatment

Specifiers:
Mild2-3
Moderate4-5
Severe6+

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