• Problematic pattern of ____ leading to
impairment or distress manifested by ≥2 with
1 year:
- More/longer than intended
- Unable to cut down
- Time to obtain/use/recover
- Cravings/urges
- Missing obligations
- Social / Interpersonal problems
- Giving up activities
- Physically hazardous situations
- Continued despite problems
- Tolerance
- Withdrawal
• Specify:
- In early remission (3-12 months) or In
sustained remission (>1 year: - In a controlled environment
• Code based on current severity (# symptoms):
1. Mild (2-3), moderate (4-5), severity (>6)
_________ Use Disorder
Alcohol Use Disorder
• As above
Cannabis Use Disorder
• As above
Phencyclidine Use Disorder
• As above without withdrawal as a symptom
Other Hallucinogen Use Disorder
• As above without withdrawal as a symptom
Inhalant Use Disorder
• As above without withdrawal as a symptom
Opioid Use Disorder
• As above without withdrawal as a symptom
• Specify: on maintenance therapy
Sedative, Hypnotic, or Anxiolytic Use Disorder
As above
• Note: tolerance/withdrawal not met if under
medical supervision
Stimulant Use Disorder
• As above
• Note: tolerance/withdrawal not met if under
medical supervision
Tobacco Use Disorder
• As above
Other (or Unknown) Use Disorder
• As above
• ≥4 of the following within 1 year
- Increasing money, Restless/irritable when cutting down,
unsuccessful efforts to cut back, preoccupied, gambles when distressed, “chases” losses, lies to conceal amount, impacts relationships or jobs, and relies on others for money.
• Specify if:
episodic OR persistent
Non-Substance Related Disorders: Gambling Disorder
• After stopping hallucinogen, re-experiencing ≥1 perceptual symptoms that
occur while on the drug
Hallucinogen Persisting Perception Disorder
• Recent ingestion of alcohol
• Problematic behavior/psychological changes after ingestion
• ≥1 sign / symptom
1. Slurred speech, incoordination, unsteady gait, nystagmus, impairment in attention or memory, stupor or coma
Alcohol Intoxication
• ≥5 symptoms:
- restless, nervous, excitement, insomnia, flushed face, diuresis, GI issues, muscle twitching, rambling thought/speech, tachy or cardiac arrhythmia, inexhaustibility, psychomotor agitation
Caffeine Intoxication
• ≥2 within 2 hours of use:
conjunctival injection, increased appetite, dry mouth, tachycardia
Specify:
1. with perceptual disturbances
Cannabis Intoxication
• ≥2 within 1 hour of use
- Vertical or horizontal
nystagmus, htn or tachycardia,
numbness, ataxia, dysarthria,
muscle rigidity, seizures or
coma, hyperacusis - Dizzy, nystagmus,
incoordination, slurred speech,
unsteady gait, lethargy,
depressed reflexes,
psychomotor retardation,
tremor, blurred vision,
stupor/coma, euphoria
Phencyclidine Use
Intoxication
• Pupillary constriction and ≥1 of
the following:
- Drowsy, slurred, memory
• Specify:
1. with perceptual disturbance
Opioid Intoxication
• ≥2 symptoms
- Pupillary dilation, tachycardia,
sweating, palpitations, blurry
visions, tremors, incoordination
Other Use Intoxication
• Recent short-term, high dose, with ≥2
Inhalant Intoxication
• ≥1 of the following:
- Slurred speech, incoordination,
unsteady gait, nystagmus,
cognitive impairment, stupor or
coma
Sedative, Hypnotic, or Anxiolytic Intoxication
• ≥2 of the following:
- Tachycardia/bradycardia,
pupillary dilation,
elevated/lowered bp,
perspiration/chills,
nausea/vomiting, evidence of
weight loss, psychomotor
agitation/retardation, muscular
weakness/resp
depression/chest pain,
confusion/seizures/dyskinesia
• Specify:
- the specific intoxicant
Stimulant Intoxication
• Intoxication of other substances
Other (or Unknown) Intoxication
• Reduction in prolonged heavy use
• ≥2 developing hours-days after cessation
- Autonomic hyperactivity
- Hand tremor
- Insomnia
- Nausea or vomiting
- Hallucinations or illusions
- Psychomotor agitation
- Anxiety
- Generalized tonic-clonic seizures
- Specify: with perceptual disturbance
Alcohol Withdrawal
