DSM- Substance-Related and Addictive Disorders

What is the high-yield picture of Substance Use Disorder?

Problematic pattern of use causing impairment/distress across impaired control, social impairment, risky use, and pharmacologic criteria.

Timeline/onset: 2+ symptoms within 12 months

Spectrum/severity: Yes: mild 2-3, moderate 4-5, severe 6+

Important note: 10 substance classes; caffeine has intoxication/withdrawal but no DSM caffeine use disorder.

What timeframe, age, or number is most important for Substance Use Disorder?

2+ symptoms within 12 months

How do you differentiate Substance Use Disorder on an exam vignette?

Differentiate intoxication/withdrawal from a use disorder; tolerance/withdrawal alone during proper medical treatment may not count.

What is the high-yield picture of Gambling Disorder?

Persistent problematic gambling with loss of control, chasing losses, concealment, jeopardized roles, and reliance on others.

Timeline/onset: 4+ criteria within 12 months

Spectrum/severity: Yes: mild/moderate/severe

Important note: Episodic/persistent; remission specifiers.

What timeframe, age, or number is most important for Gambling Disorder?

4+ criteria within 12 months

How do you differentiate Gambling Disorder on an exam vignette?

Only non-substance addictive disorder in the main DSM diagnostic section.