Defined as needing to use more of a substance in order to get the same high or feel the same effect, this is the tenth criterion for diagnosing a substance use disorder.
Tolerance
This first level of the stages of change model occurs before a person even realizes that there is a need for change and before they contemplate starting a new habit
pre-contemplation
Through therapy or medication, it is important to learn to manage this uncomfortable mental experience that can occur when we worry or stress over things
Anxiety
The vast majority of people who use this legal plant use it as often as 10 or 20 times a day despite knowing it is the number one killer of all addictive substances in the world
Tobacco
Know as the "King of Pop," this artist died due to complications from prescription drugs in 2009 at age 50.
Michael Jackson
When someone is experiencing negative health and mental health effects after stopping using a substance, they are experiencing this
Withdrawal
Examples of these include internal, external, and sensory
Triggers to relapse
This disorder is identified by cycles of highs and low (manic and depressive states) can be worsened by the use of mood-altering substances.
Bipolar I or II
This class of drugs used medicinally for thousands of years to relieve physical pain, but is nowadays often abused to relieve emotional pain
Opioids/Opiates
Born Gustav Elijah Ahr in 1996, this American Rapper was credited with popularizing the emo-rap sub-genre before dying from a benzodiazepine and opioid overdose in November 2017.
Lil Peep
This criterion is having a strong desire to use a substance
Cravings
This plan includes information to help an individual from using again, maybe including 12 step information, important phone numbers, or healthy recreational activities to participate in.
Relapse Prevention Plan
Known as "the pleasure chemical" in our brains, this neurotransmitter plays a major role in substance abuse and addiction
Dopamine
Originally created from fermenting fruits, this oldest known intoxicating substance has been used specifically for recreational purposes dating back to 13,000 years ago.
Alcohol
This singer of one of the most popular grunge bands in the 1990’s died by suicide in 1994 at the age of 27 after nearly a dozen overdoses from heroin.
Kurt Cobain
Examples of this criteria may include using while driving a car or in situations where it is physically hazardous
Unsafe use/Risky Use
Examples include deep breathing, talking to someone, playing a sport, going for a walk, journaling and listening to music.
Coping Skills
Defined as deeply disturbing or distressing experiences that occurred earlier in life, this experience can be considered a risk factor for developing addiction later in life
PTSD/Trauma
Despite people obtaining drugs through this legal means, some people may believe that they are not addicted even though their life may be spiraling out of control with dependency clearly increasing.
Prescription/Doctor's prescribing
This iconic musician is one of the top-earning dead celebrities today, still earning over 50 million/year for his music despite dying on the floor of his Graceland bathroom floor from complications of prescription drug addiction back in 1977
Elvis Presley
Though not directly a criteria, Failure to recognize the truth about a problem, particularly an addiction, is often referred to as this
Denial
This phrase, meaning purpose or motivation, is at the top of Maslow's Hierarchy of Needs.
Self Actualization
Described as a mental state of hallucinations and extreme paranoid delusions, stimulants such as cocaine, speed and methamphetamine, when taken for long periods can induce this
Psychosis (substance induced psychosis)
Commonly known as huffing or whippets, this category of substances are taken through breathing in toxic chemicals
Inhalants
This Pittsburgh rapper who died of accidental overdose of fentanyl, cocaine and alcohol at age 26 in 2018.
Mac Miller