Substance-Related and Addictive Disorders

SUD diagnostic criterion A

impaired control, social impairment, risky use, and pharmacological criteria

SUD diagnostic criterion 1

persistent desire or unsuccessful efforts to cut down or regulate substance use

SUD diagnostic criterion 2

a great deal of time is spent obtaining, using, or recovering from the substance

SUD diagnostic criterion 3

virtually all daily activities revolve around the substance

SUD diagnostic criterion 4

cravings - an intense desire or urge for the drug

SUD diagnostic criterion 5

failure to fulfill major obligations

SUD diagnostic criterion 6

continued use despite persistent problems caused or exacerbated by the substance

SUD diagnostic criterion 7

important activities are reduced or given up because of substance use

SUD diagnostic criterion 8

recurrent use in physically hazardous situations

SUD diagnostic criterion 9

continued use despite knowledge of physical or psychological problems caused or exacerbated by the substance

SUD diagnostic criterion 10

tolerance: increased dose of substance is needed to become intoxicated and reduced effect when usual dose is consumed

SUD diagnostic criterion 11

withdrawal: cessation or reduction in substance use that has been heavy and prolonged

mild

2-3 symptoms present

moderate

4-5 symptoms present

severe

6 or more symptoms present

substance intoxication criterion A

recent ingestion of the substance

substance intoxication criterion B

clinically significant problematic behavioral or psychological changes developing during or shortly after ingestion

substance intoxication criterion C

accompanied by substance specific signs and symptoms

substance intoxication and withdrawal criterion D

not due to medical condition or better explained by another mental disorder

substance withdrawal criterion A

problematic behavioral changes due to cessation or reduction in heavy and prolonged use of substance

substance withdrawal criterion B

substance-specific syndrome

substance withdrawal criterion C

causes clinically significant distress or impairment

10 substance classes

alcohol, caffeine, cannabis, hallucinogens, inhalants, opioids, sedatives/hypnotics/anxiolytics, stimulants, tobacco, and other/unknown

in early remission

none of the criteria of the disorder have been met for at least 3 months but less than 12 months

in sustained remission

none of the criteria of the disorder have been met for 12 months or longer

stimulant use disorder medication criteria not considered

tolerance and withdrawal

gambling disorder

problematic behavior as indicated by 4 or more in a 12-month period: 1) increasing amounts of money for desired excitement, 2) restlessness/irritability when attempting to reduce or stop, 3) repeated unsuccessful efforts to control, reduce, or stop, 4) often preoccupied with gambling, 5) gambles when distressed, 6) tries to get even after loosing, 7) lies to conceal extent of gambling involvement, 8) jeopardize/lost relationships, jobs, educational or career opportunities, 9) relies on others for money