Substance Related and Addictive Disorders

Drug classes (10 total)

Alcohol

Caffeine

Cannabis

Hallucinogens

Inhalants

Opioids

Sedatives

Stimulants

Tobacco

Other/unknown

2 separate categories of disorders

Substance use disorders

Substance induced disorders

Substance usse disorders - symptom classes (4 total)

Impaired control

Social Impairment

Risky usage

Pharmacological

Substance use disorder - Impaired control (4 total)

Taking the substance in larger amounts or for longer than you meant to

Wanting to cut down or stop using the substance but not managing to do so.

Spending a lot of time getting, using, or recovering from use of the substance

Cravings and urges to use the substance

Substance use disorder - Social impairment (3 total)

Not managing to do what you should at home, work, or school because of substance use

Continuing to use, even when it causes problems in relationships

Giving up important social, occupational, or recreational activities because of substance use

Substance use disorder - risky use (2 total)

Using substances again and again, even when it puts you in danger

Continuing to use, even if you have a physical or psychological problem that could have been caused or made worse by the substance

Substance use disorder - pharmacological (2 total)

Needing more of the substance to get the effect you want (tolerance)*

Development of withdrawal symptoms, which can be relieved by taking more of the substance*

Criteria not met if taking prescribed drugs under supervision*

Substance use disorder - criterion A (12 total)

A problematic pattern of substance use leading to clinically significant impairment or

distress, with at least two of the following, occurring within a 12-month period

Taking the substance in larger amounts or for longer than you meant to.

Wanting to cut down or stop using the substance but not managing to do so.

Spending a lot of time getting, using, or recovering from use of the substance

Cravings and urges to use the substance

Not managing to do what you should at home, work, or school because of substance use

Continuing to use, even when it causes problems in relationships

Giving up important social, occupational, or recreational activities because of substance use

Using substances again and again, even when it puts you in danger

Continuing to use, even if you have a physical or psychological problem that could have been caused or made worse by the substance

Needing more of the substance to get the effect you want (tolerance)*

Development of withdrawal symptoms, which can be relieved by taking more of the substance*

Criteria not met if taking prescribed drugs under supervision*

Substance use disorder - severity specifiers

Severity: mild (2-3 symptoms), moderate (4-5), severe (6+)

Substance use disorders - remission specifiers

In early remission: No criteria met for at least 3 months but less than 12 months (exception for “Craving”, which can be met)

In sustained remission: No criteria met for at least 12 months (exception of “Craving”, which can be met)

Substance use disorder - other specifiers (2)

In a controlled environment: if in environment where access to the substance is restricted

On maintenance therapy: if individual taking prescribed agonist medication (e.g., methadone for opiate disorder) and no substance use disorder criteria met for the agonist, (with exception of tolerance and withdrawal)