Term
Substance Dependence
A maladaptive pattern
of substance use,
leading to clinically significant impairment or distress,
as manifested by
3 (or more) of the following
in the same 12-month period: |
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Definition
3 (or more)
in 12-month period:
Tolerance
Withdrawal
taken in larger amounts or over a longer period
than was intended
desire or unsuccessful efforts
to cut down
or control substance use
a great deal of time is spent
to get, use, or recover
from its effects
important
social, occupational, or recreational activities are
given up or reduced
because of substance use
use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance
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Term
3 (or more)
in 12-month period:
Tolerance
Withdrawal
taken in larger amounts or over a longer period
than was intended
desire or unsuccessful efforts
to cut down
or control substance use
a great deal of time is spent
to get, use, or recover
from its effects
important
social, occupational, or recreational activities are
given up or reduced
because of substance use
use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance |
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Definition
3 (or more)
in 12-month period:
Tolerance
Withdrawal
taken in larger amounts or over a longer period
than was intended
desire or unsuccessful efforts
to cut down
or control substance use
a great deal of time is spent
to get, use, or recover
from its effects
important
social, occupational, or recreational activities are
given up or reduced
because of substance use
use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance |
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Term
Specify if:
With Physiological Dependence:
evidence of tolerance or withdrawal
Without Physiological Dependence:
no evidence of tolerance or withdrawal
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Definition
Course specifiers (see text for definitions):
Early Full Remission
Early Partial Remission
Sustained Full Remission
Sustained Partial Remission
On Agonist Therapy
In a Controlled Environment
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Term
Early Full Remission
This specifier is used if, for at least
1 month, but for less than 12 months,
no criteria for Dependence or Abuse have been met.
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Definition
Early Partial Remission
This specifier is used if, for
at least 1 month, but less than 12 months,
one or more criteria for Dependence or Abuse have been met (but the
full criteria for Dependence have not been met).
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Term
Sustained Full Remission
This specifier is used if none of the criteria for Dependence or Abuse have been met at any time during a period of
12 months or longer.
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Definition
Sustained Partial Remission
This specifier is used if full criteria for Dependence have not been met for a period of 12 months or longer; however, one or more criteria for Dependence or Abuse have been met. |
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Term
On Agonist Therapy
on a prescribed agonist medication, and no criteria for Dependence or Abuse have been met for that class of medication for at least the past month (except tolerance to, or withdrawal from, the agonist). This category also applies to those being treated for Dependence using a partial agonist or an agonist/antagonist.
Also: replacement therapy |
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Definition
In a Controlled Environment
This specifier is used if the individual is in an environment where access to alcohol and controlled substances is restricted, and no criteria for Dependence or Abuse have been met for at least the past month.
Examples of these environments are closely supervised and
substance-free jails,
therapeutic communities, or
locked hospital units.
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Term
Substance Abuse
(does not include compulsive use or addiction, and stopping the drug
does not lead to significant withdrawal symptoms ) |
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Definition
A maladaptive pattern of substance use
leading to clinically significant impairment or distress,
as manifested by
1 (or more)
occurring within a 12-month period:
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Term
Substance Abuse
1 (or more)
occurring within a 12-month period:
(1) recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home
(2) recurrent substance use in situations in which it is physically hazardous
(e.g., driving an automobile or operating a machine
when impaired by substance use)
(3) recurrent substance-related legal problems (e.g., arrests for substance-related disorderly conduct)
(4) continued substance use despite having persistent or recurrent social or interpersonal problems
caused or exacerbated by the effects of the substance
(e.g., arguments with spouse about consequences of Intoxication, physical fights)
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Definition
Substance Abuse
1 (or more)
occurring within a 12-month period:
(1) recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home
(2) recurrent substance use in situations in which it is physically hazardous
(e.g., driving an automobile or operating a machine
when impaired by substance use)
(3) recurrent substance-related legal problems (e.g., arrests for substance-related disorderly conduct)
(4) continued substance use despite having persistent or recurrent social or interpersonal problems
caused or exacerbated by the effects of the substance
(e.g., arguments with spouse about consequences of Intoxication, physical fights)
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Term
Substance Abuse
1 (or more)
occurring within a 12-month period:
(1) recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home
(2) recurrent substance use in situations in which it is physically hazardous
(e.g., driving an automobile or operating a machine
when impaired by substance use)
(3) recurrent substance-related legal problems (e.g., arrests for substance-related disorderly conduct)
(4) continued substance use despite having persistent or recurrent social or interpersonal problems
caused or exacerbated by the effects of the substance
(e.g., arguments with spouse about consequences of Intoxication, physical fights)
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Definition
never met the criteria for Substance Dependence for this class of substance. |
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Term
Substance Intoxication
reversible substance-specific syndrome due to recent ingestion of (or exposure to) a substance.
Clinically significant maladaptive behavioral or psychological changes that are due to the effect of the substance on the central nervous system
(e.g., belligerence, mood lability, cognitive impairment, impaired judgment, impaired social or occupational functioning) and develop during or shortly after use of the substance.
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Definition
Substance Withdrawal
A. The development of a substance-specific syndrome due to the cessation of (or reduction in) substance use that has been heavy and prolonged.
B. The substance-specific syndrome causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
C. The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder. |
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Term
Substance Intoxication Delirium
A. Disturbance of consciousness (i.e., reduced clarity of awareness of the environment) with reduced ability to focus, sustain, or shift attention.
B. A change in cognition (such as memory deficit, disorientation, language disturbance) or the development of a perceptual disturbance that is not better accounted for by a preexisting, established, or evolving dementia.
C. The disturbance develops over a short period of time (usually hours to days) and tends to fluctuate during the course of the day.
D. There is evidence from the history, physical examination, or laboratory findings of either
(1) or (2):
(1) the symptoms in Criteria A and B developed during Substance Intoxication
(2) medication use is etiologically related to the disturbance*
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Definition
Substance Withdrawal Delirium
(same as above but during/around withdrawl)
A. Disturbance of consciousness (i.e., reduced clarity of awareness of the environment) with reduced ability to focus, sustain, or shift attention.
B. A change in cognition (such as memory deficit, disorientation, language disturbance) or the development of a perceptual disturbance that is not better accounted for by a preexisting, established, or evolving dementia.
C. The disturbance develops over a short period of time (usually hours to days) and tends to fluctuate during the course of the day.
D. There is evidence from the history, physical examination, or laboratory findings that the symptoms in Criteria A and B developed during, or shortly after,
a withdrawal syndrome.
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