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Substance Dependence Symptoms and DSM-IV Diagnosis
Substance
Dependence Symptoms and Diagnosis Overview:
Substance Dependence symptoms and diagnostic criteria follow below. While some of these
Substance Dependence symptoms may be recognized by family, teachers, legal and medical
professionals, and others, only properly trained mental health
professionals (psychologists, psychiatrists, professional counselors etc.) can
or should even attempt to make a mental health diagnosis. Many additional
factors are considered in addition to the Substance Dependence
symptoms in making proper diagnosis, including frequently medical and
psychological testing considerations. This information on Substance
Dependence symptoms and diagnostic
criteria are for information purposes only and should never replace the judgment and comprehensive assessment of a trained mental health clinician.
Criteria
for Substance Dependence
A maladaptive pattern of substance use, leading to clinically
significant
impairment or distress, as manifested by three (or more) of the following,
occurring at any time in the same 12-month period:
(1)
Tolerance, as defined by either of the following:
(a)
A need for markedly increased amounts of the substance to
achieve
intoxication or desired effect.
(b) Markedly diminished effect with continued use of the same
amount of
the substance.
(2)
Withdrawal, as manifested by either of the following:
(a) The
characteristic withdrawal syndrome for the substance
(refer to Criteria A and B of the criteria
sets for Withdrawal from the specific substances)
relieve
or avoid
withdrawal symptoms.
(3) The
substance is often taken in larger amounts or over a longer period than was
intended.
(4) There
is a persistent desire or unsuccessful efforts to cut down or control substance
use.
(5) A
great deal of time is spent in activities necessary to obtain the
substance (e.g., visiting multiple doctors
or driving long distances), use the
substance (e.g., chain-smoking), or recover from its effects.
(6) Important
social, occupational, or recreational activities are given up or reduced because
of substance use
(7)
the substance 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 (e.g.,
current cocaine use despite recognition of
cocaine-induced depression, or
continued drinking despite recognition that an ulcer was made worse by
alcohol consumption)
Specify
if:
With
Physiological Dependence:
evidence of tolerance or withdrawal
(i.e., either Item 1 or 2 is
present)
Without Physiological Dependence:
no
evidence of tolerance or
withdrawal (i.e., neither
Item 1 nor 2 is present)
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
Information
from Diagnostic and Statistical Manual of Mental Disorders DSM-IV
Additional
Information and webpage by
Paul Susic
MA
Licensed Psychologist Ph.D. Candidate
(Health and Geriatric Psychologist)
See additional Diagnosis and
Treatment Codes Above Right Hand Corner
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