DSM criteria for substance use disorders | Substance use disorder DSM-5

Pleaseusethoseskiplinkstoaccesseasily:Clickheretogotothenavigation.Clickheretogotothecontent.Clickheretogotothefooter.DSMcriteria​https://www.porticonetwork.caYouarehere:Fundamentalsofaddiction/Introduction/DSMcriteria/DefiningaddictionAddictivepotentialofdrugsDSMcriteriaforsubstanceusedisordersImplicationsforclinicalpracticeClickontheXbuttonorpresstheESCkeytoclosethislightbox.AboutthisassetAuthor:MelKahanandKingsleyWattEvidenceBase:Client/PersonalexpertiseRights:CopyrightDateCreated:2015-11-10DateRevised:2017-06-12×Clickheretoseethemetadataofthisasset.DSMcriteriaforsubstanceusedisordersKeychangesinsubstanceusedisordersinDSM-5In2013theAmericanPsychiatricAssociation(APA)releasedaneweditionoftheDiagnosticandStatisticalManualofMentalDisorders(DSM-5).TheDSM-5reflectssignificantchangesinhowsubstanceusedisordersaredefinedandinthediagnosticcriteriaofcertaindisorders(APA,2013b).Thetermaddictionisnolongerusedtodescribesubstanceusedisorders.Itwasfeltthatthetermwassoloadedwithassociationsthatitlackedprecision.Thesubstanceabuseandsubstancedependencecategorieshavebeenreplacedwithasinglecategory:substanceusedisorder.InDSM-IV,thedistinctionbetweensubstanceabuseanddependencewasbasedontheconceptofabuseasamildorearlyphaseanddependenceasamoreseveremanifestation,butinpractice,theabusecriteriaweresometimesquitesevere.TheDSM-5changereflectsthisclinicalreality.ThesevenDSM-IVsubstancedependencecriteriaandthreeofthefoursubstanceabusecriteriahavebeencombinedtocreate11diagnosticcriteriaforsubstanceusedisorder.TheDSM-IVrecurrentlegalproblemscriterionhasbeendroppedbecauseitwastheleastsensitive ofthe11criteria.Anewcriterion–cravingorstrongdesiretouseasubstance–hasbeenaddedtothesubstanceusedisordercriteria.Substanceusedisorderismeasuredonaspectrumfrommildtosevere.Thelevelofseverityisdeterminedbythenumberofdiagnosticcriteriaapersonmeets.Eachspecificsubstance(otherthancaffeine)isaddressedasaseparatedisorder(e.g.,alcoholusedisorder,cocaineusedisorder),butmostsubstancesarediagnosedbasedonthesameovera


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