Substance Related and Addictive
Disorders
- Criteria for intoxication- presence of clinically significant problematic
behavioral or psychological changes that develop during or shortly after
substance ingestion
- Criteria for withdrawal- presence of a characteristic withdrawal
syndrome (insomnia, hand tremor, vomiting, anxiety) that develops
within several hours to a few days after the cessation or reduction in
heavy and prolonged use of a substance
Alcohol Use Disorder
DSM-5 Diagnostic criteria for Alcohol Use Disorder
A. A problematic pattern of alcohol use leading to clinically significant
impairment or distress, as manifested by at least 2 of the following, occurring
within a 12-month period:
• Alcohol 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
alcohol use.
• A great deal of time is spent in activities necessary to obtain alcohol, use
alcohol, or recover from the effects.
• Craving, or a strong desire or urge to use alcohol.
• Recurrent alcohol use resulting in a failure to fulfill major role obligations at
work, school, or home
• Continued alcohol use despite having persistent or recurrent social or
interpersonal problems caused or exacerbated by the effects of alcohol.
• Important social, occupational, or recreational activities are given up or
reduced because of alcohol use.
• Recurrent alcohol use in situations in which it is physically hazardous.
• Alcohol 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 alcohol.
• Tolerance, as defined by either of the following:
o a need for markedly increased amounts of alcohol to achieve
intoxication or desired effect
o markedly diminished effect with continued use of the same amount of
alcohol
• Withdrawal, as manifested by either of the following:
o the characteristic withdrawal syndrome for the substance (refer to
Criteria A and B of the criteria sets for alcohol Withdrawal from the
specific substances pp. 499-500, APA,2013)
o Alcohol (or a closely related) substance such as a benzodiazepine is
taken to relieve or avoid withdrawal symptoms
,Specify if:
In early remission: Full criteria were previously met, none of the criteria have been
met for at least three months but less than 12 months, (excluding criterion regarding
craving to use alcohol)
In sustained remission: Full criteria were previously met, none of the criteria have
been met for at least 12 months or longer, (excluding criterion regarding craving to
use alcohol)
Specify if:
In a controlled environment: if individual in an environment where access to
alcohol is restricted.
Severity specifiers:
Mild: 2-3 symptoms
Moderate: 4-5 symptoms
Severe: 6 or more symptoms
Specify if:
With Physiological Dependence: evidence of tolerance or withdrawal (i.e., either Item
4 or 5 is present) Without Physiological Dependence: no evidence of tolerance or
withdrawal (i.e., neither Item 4 nor 5 is present).
Alcohol Intoxication
DSM-5 Diagnostic criteria for Alcohol Intoxication
A. Recent ingestion of alcohol.
B. Clinically significant problematic behavioral or psychological changes (e.g.
inappropriate sexual or aggressive behavior, mood lability, impaired
judgment) that developed during, or shortly after, alcohol ingestion.
C. One (or more) of the following signs and symptoms developing during, or
shortly after, alcohol use:
• Slurred speech.
• Incoordination.
• Unsteady gait.
• Nystagmus.
• Impairment in attention or memory.
• Stupor or coma.
D. The signs and symptoms are not attributable to another medical condition and
are not better explained by another mental disorder, including intoxication
with another substance.
, Alcohol Withdrawal
DSM-5 Diagnostic criteria for Alcohol Withdrawal
A. Cessation of (or reduction in) alcohol use that has been heavy and prolonged.
B. Two (or more) of the following, developing within several hours to a few days
after the cessation of (or reduction in) alcohol use described in criterion A:
• Autonomic hyperactivity (e.g. sweating or pulse rate greater than 100 bpm).
• Increased tremor.
• Insomnia.
• Nausea or vomiting.
• Transient visual, tactile, or auditory hallucinations or illusions.
• Psychomotor agitation.
• Anxiety.
• Generalized tonic-clonic seizures.
C. The signs and symptoms in criterion B cause clinically significant distress or
impairment in social, occupational, or other important areas of functioning.
D. The signs or symptoms are not attributable to another medical condition and
are not better explained by another mental disorder, including intoxication or
withdrawal from another substance.
Cannabis Intoxication
DSM-5 Diagnostic criteria for Cannabis Intoxication
A. Recent use of cannabis.
B. Clinically significant problematic behavioral or psychological changes (e.g.
impaired motor coordination, euphoria, anxiety, sensation of slowed time,
impaired judgment, social withdrawal) that developed during, or shortly after,
cannabis use.
C. Two (or more) of the following signs and symptoms developing within 2 hours
of cannabis use:
• Conjuntival injection.
• Increased appetite.
• Dry mouth.
• Tachycardia.
D. The signs and symptoms are not attributable to another medical condition and
are not better explained by another mental disorder, including intoxication
with another substance
Disorders
- Criteria for intoxication- presence of clinically significant problematic
behavioral or psychological changes that develop during or shortly after
substance ingestion
- Criteria for withdrawal- presence of a characteristic withdrawal
syndrome (insomnia, hand tremor, vomiting, anxiety) that develops
within several hours to a few days after the cessation or reduction in
heavy and prolonged use of a substance
Alcohol Use Disorder
DSM-5 Diagnostic criteria for Alcohol Use Disorder
A. A problematic pattern of alcohol use leading to clinically significant
impairment or distress, as manifested by at least 2 of the following, occurring
within a 12-month period:
• Alcohol 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
alcohol use.
• A great deal of time is spent in activities necessary to obtain alcohol, use
alcohol, or recover from the effects.
• Craving, or a strong desire or urge to use alcohol.
• Recurrent alcohol use resulting in a failure to fulfill major role obligations at
work, school, or home
• Continued alcohol use despite having persistent or recurrent social or
interpersonal problems caused or exacerbated by the effects of alcohol.
• Important social, occupational, or recreational activities are given up or
reduced because of alcohol use.
• Recurrent alcohol use in situations in which it is physically hazardous.
• Alcohol 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 alcohol.
• Tolerance, as defined by either of the following:
o a need for markedly increased amounts of alcohol to achieve
intoxication or desired effect
o markedly diminished effect with continued use of the same amount of
alcohol
• Withdrawal, as manifested by either of the following:
o the characteristic withdrawal syndrome for the substance (refer to
Criteria A and B of the criteria sets for alcohol Withdrawal from the
specific substances pp. 499-500, APA,2013)
o Alcohol (or a closely related) substance such as a benzodiazepine is
taken to relieve or avoid withdrawal symptoms
,Specify if:
In early remission: Full criteria were previously met, none of the criteria have been
met for at least three months but less than 12 months, (excluding criterion regarding
craving to use alcohol)
In sustained remission: Full criteria were previously met, none of the criteria have
been met for at least 12 months or longer, (excluding criterion regarding craving to
use alcohol)
Specify if:
In a controlled environment: if individual in an environment where access to
alcohol is restricted.
Severity specifiers:
Mild: 2-3 symptoms
Moderate: 4-5 symptoms
Severe: 6 or more symptoms
Specify if:
With Physiological Dependence: evidence of tolerance or withdrawal (i.e., either Item
4 or 5 is present) Without Physiological Dependence: no evidence of tolerance or
withdrawal (i.e., neither Item 4 nor 5 is present).
Alcohol Intoxication
DSM-5 Diagnostic criteria for Alcohol Intoxication
A. Recent ingestion of alcohol.
B. Clinically significant problematic behavioral or psychological changes (e.g.
inappropriate sexual or aggressive behavior, mood lability, impaired
judgment) that developed during, or shortly after, alcohol ingestion.
C. One (or more) of the following signs and symptoms developing during, or
shortly after, alcohol use:
• Slurred speech.
• Incoordination.
• Unsteady gait.
• Nystagmus.
• Impairment in attention or memory.
• Stupor or coma.
D. The signs and symptoms are not attributable to another medical condition and
are not better explained by another mental disorder, including intoxication
with another substance.
, Alcohol Withdrawal
DSM-5 Diagnostic criteria for Alcohol Withdrawal
A. Cessation of (or reduction in) alcohol use that has been heavy and prolonged.
B. Two (or more) of the following, developing within several hours to a few days
after the cessation of (or reduction in) alcohol use described in criterion A:
• Autonomic hyperactivity (e.g. sweating or pulse rate greater than 100 bpm).
• Increased tremor.
• Insomnia.
• Nausea or vomiting.
• Transient visual, tactile, or auditory hallucinations or illusions.
• Psychomotor agitation.
• Anxiety.
• Generalized tonic-clonic seizures.
C. The signs and symptoms in criterion B cause clinically significant distress or
impairment in social, occupational, or other important areas of functioning.
D. The signs or symptoms are not attributable to another medical condition and
are not better explained by another mental disorder, including intoxication or
withdrawal from another substance.
Cannabis Intoxication
DSM-5 Diagnostic criteria for Cannabis Intoxication
A. Recent use of cannabis.
B. Clinically significant problematic behavioral or psychological changes (e.g.
impaired motor coordination, euphoria, anxiety, sensation of slowed time,
impaired judgment, social withdrawal) that developed during, or shortly after,
cannabis use.
C. Two (or more) of the following signs and symptoms developing within 2 hours
of cannabis use:
• Conjuntival injection.
• Increased appetite.
• Dry mouth.
• Tachycardia.
D. The signs and symptoms are not attributable to another medical condition and
are not better explained by another mental disorder, including intoxication
with another substance
