Terms in this set (34)
Substance Use Disorders (SUDs) -Hallmark symptoms
• Behavioral, physical, & psychological dependence
-Behavioral dependence refers to substance-seeking
activities & evidence of use patterns
-Physical dependence refers to the physiologic effects of
substance use
-Psychological dependence refers to the continuous or
intermittent craving for the substance
,Dx of SUD -Dx of SUD indicated when:
• 2+ symptoms within 12 months
-Physical Symptoms
• Tolerance
Withdrawal (does not apply to inhalants and hallucinogens)
-Behavioral Symptoms
• Craving to use
• Using more than intended
• Stopping or reducing use is difficult
• Spending significant time devoted to the substance (using,
obtaining, recovering)
• Using despite acknowledging associated health problems
(physical, mental)
-Psychological Symptoms
• Using despite social, occupational, or other adverse
consequences
• Neglecting other responsibilities because of use
• Neglecting other activities because of use
• Indulging in risky or dangerous behaviors or situations
because of use
, SUD Severity -eleven features to determine the severity of SUD
• hazardous use
• social or interpersonal problems related to use
• neglected major roles to use
• withdrawal
• tolerance
• used larger amounts/longer
• repeated attempts to control use or quit
• much time spent using
• physical or psychological problems related to use
• activities are given up to use
• craving
-Mild SUD: 2 or 3 of the features
-Moderate SUD: 4 or 5 of the features without loss of control
-Severe SUD: >6 of the features with loss of control
other specifiers relate to SUDs -Early remission: criteria for SUD previously met, but not for
last 3 months.
-Sustained remission: criteria for SUD previously met, but not
for last 12+ months.
-Controlled environment: substance access is restricted.
-Maintenance therapy: taking medication therapy to
treat/reduce use.