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Substance Use Disorder Diagnostic Criteria

When a medical professional is looking at diagnosing someone with a substance use disorder, they must look at certain criteria set forth by Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This is where you can go to learn about any mental illness. The Fifth Edition of the DSM was released by the American Psychiatric Association in 2013. It is the most up to date edition. 

There are 11 classes of drugs that the DSM-5 recognizes:

  1. Alcohol
  2. Caffeine
  3. Cannabis
  4. Hallucinogens
  5. Inhalants
  6. Opioids
  7. Sedatives
  8. Hypnotics/anxiolytics
  9. Stimulants
  10. Tobacco
  11. Other/unknown substances

There are also 11 different criteria set forth by the DSM-5 for a substance use disorder:

  1. The individual may take the substance in larger amounts or over a longer period than was originally intended.
  2. The individual may express a persistent desire to cut down or regulate substance use and may report multiple unsuccessful efforts to decrease or discontinue use. 
  3. The individual may spend a great deal of time obtaining the substance, using the substance, or recovering from its effects.
  4. Craving is manifested by an intense desire or urge for the drug that may occur at any time but is more likely when in an environment where the drug previously was obtained or used.
  5. Recurrent substance use may result in a failure to fulfill major role obligations at work, school, or home. 
  6. The individual may continue substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance. 
  7. Important social, occupational, or recreational activities may be given up or reduced because of substance use.
  8. Risky substance use may take the form of recurrent substance use in situations in which it is physically hazardous. 
  9. The individual may continue substance use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance. 
  10. Tolerance is signaled by requiring a markedly increased dose of the substance to achieve the desired effect or a markedly reduced effect when the usual dose is consumed.
  11. Withdrawal is a syndrome that occurs when blood or tissue concentrations of a substance decline in an individual who had maintained prolonged heavy use of the substance. 

If you think you are suffering from a substance use disorder, or if you are struggling with drug or alcohol use, please contact Villa Tranquil Recovery today at 214-799-3080. We are here to help you stop drinking and/or using. We can’t wait to hear from you.