Substance Use Disorders

Substance Use Disorders

General RangeMild: 2-3 symptomsModerate: 4-5 symptomsSevere: 6 or more symptomsSpecifiersIn early remission(3-12mo), in sustained remission(12mo+), on maintenance therapy, in a controlled environmentRecordsAlways record the specific name of the substance (i.e. mild methamphetamine use disorder rather than mild stimulant use disorder)

Substances Abuse Disorders, Intoxication, & Withdrawal are all separate diagnoses for: Alcohol Caffeine Cannabis Hallucinogens (divided into 2 groups: phencyclidines such as PCP and ketamine; and other hallucinogens such as MDMA, DMT, and LSD) Inhalents Opioids Sedatives Stimulants Tobacco Other (or unknown) *Caffeine does not have a substance abuse disorder; tobacco does not have an intoxication; hallucinogens and inhalents do not have substance withdrawal

substance/medicatio-induced mental disorders A. disorder represents a clinically significant symptomatic presentation of a relevant mental disorderB. There is evidence from the history, physical examination, or laboratory findings of both of the following: disorder was developed during or within 1 month of a substance intoxication or withdrawal or taking a medication; and the involved substance/medication is capable of producing a mental disorder C. the disorder is not better explained by an independent mental disorder (may be indicated by preceding onset of intoxication or lasting substantially longer)D. does not occur exclusively during the course of a deliriumE. causes clinically significant distress

[Substance] Use Disorder A. a problematic pattern of [substance] use leading to clinically significant impairment or distress, as manifested by at least 2 (within a 12-month period): [substance] is often taken in larger amounts or over a longer period than was intended there is a persistent desire or unsuccessful efforts to cut down or control use a great deal of time is spent in activities necessary to obtain [substance], use, or recover craving recurrent use resulting in a failure to fulfill major role obligations at work, school, or home continued use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of use important social, occupational, or recreational activities are given up or reduced due to use recurrent use in situations in which it is physically hazardous use is continued despite knowledge of having a persistent physical or psychological problem that is likely to have been caused or exacerbated by [substance] Tolerance Withdrawal

Tolerance:A need for markedly increased amounts of the substance to achieve the desired effectORa markedly diminished effect with continued use of the same amountWithdrawal:characteristic withdrawal symptomsORa closely related substance is taken to relieve withdrawal symptoms