Substance-Related & Addictive Disorders
This occurs after cessation of or reduction in heavy and prolonged substance abuse
Withdrawal
The 11 criteria for substance use disorders are broken down into this number of groupings
4
Substance use disorder in which 2-3 symptoms are present
Mild
If full criteria for substance use disorder was previously met more than three months ago, but less than twelve months ago.
In early remission
Marissa presents to treatment for use of alcohol. She displays the following symptoms:
Continuing to use despite issues in her marriage
Not being able to attend work due to being intoxicated
Alcohol use disorder, mild
This non substance-related disorder is included in the DSM-5 and DSM-5 TR
Gambling Disorder
Taking the substance in larger amounts or for longer than you're meant to.
Wanting to cut down or stop using the substance but not managing to.
Spending a lot of time getting, using, or recovering from use of the substance.
And
Cravings and urges to use the substance.
Make up which grouping of criteria
Impaired Control
This powerful desire to consume a substance is more likely to occur in an environment in which the substance was previously obtained or used
Cravings
If patient is taking a prescribed medication for medication assisted therapy
On Maintenance Therapy
Skipper meets 5 criteria for cocaine use disorder. Skipper is in jail.
Cocaine use disorder, moderate
In a controlled environment
Problematic behavioral or psychological changes such as belligerence, mood changes, and impaired judgements may all be a result of...
Intoxication
Using substances again and again, even when it puts you in danger.
And
Continuing to use, even when you know you have a physical or psychological problem that could have been caused or made worse by the substance.
Make up which grouping of criteria
Risky Use
The presence of 6+ symptoms of a substance use disorder would be classified as...
Severe
If full criteria for substance use disorder was previously met more than twelve months ago.
In sustained remission
Gunther continues to drink in larger amounts and wants to cut down on his alcohol use. Gunther has a history of opiate use disorder and is currently on suboxone.
Alcohol use disorder, mild
Opioid use disorder, on maintenance therapy
The development of a reversible substance-specific syndrome due to ingesting a substance.
Intoxication
Not managing to do what you should at work, home, or school because of substance use.
Continuing to use, even when it causes problems in relationships.
And
Giving up important social, occupational, or recreational activities because of substance use.
Make up which grouping of criteria
Social Impairment
An individual with the following symptoms present: tolerance, withdrawal, persistent desire to quit, and failure to fulfill work obligations, would have a substance use disorder with this level of severity
Moderate
These categories can be used to further describe the current state of the substance use disorder
In early remission
In sustained remission
On maintenance therapy
In a controlled environment
Jeeves shops daily despite losing money and harming his relationships. What disorder might Jeeves have?
There is not a substance use disorder diagnosis associated with this class of drugs
Caffeine
This is the term used to describe the need for more of a substance to experience the desired effect
Tolerance
An individual with a opiate use disorder who is: using heroin in larger amounts than meant to, and using heroin in dangerous environments, would be classified as having an opiate use disorder with this level of severity...
Mild
To be used if the patient is in an environment where the substance is restricted
In a controlled environment
Nigel does not have any history of substance use disorders. Nigel recently experimented with methamphetamines for the first time and began seeing Barney the Dinosaur and thinking he was the president of the United States.
Methamphetamine-induced psychotic disorder