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ICD-10 classification of substance-use disorders

ICD-10 classification of substance-use disorders. MRCPsych addiction psychiatry seminars Dr Stuart Mclaren 2nd March 2012 . Block F10-F19 Mental and behavioural disorders due to:. F10 alcohol F17 tobacco F11 opioids F18 volatile solvent F12 cannabinoids F19 multiple and

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ICD-10 classification of substance-use disorders

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  1. ICD-10 classification of substance-use disorders MRCPsych addiction psychiatry seminars Dr Stuart Mclaren 2nd March 2012

  2. Block F10-F19Mental and behavioural disorders due to: F10 alcohol F17 tobacco F11 opioids F18 volatile solvent F12 cannabinoids F19 multiple and F13 sedatives other F14 cocaine F15 stimulants F16 hallucinogens

  3. 1. Clinical conditions resulting from substance use F1x.0 acute intoxication F1x.1 harmful use F1x.2 dependence syndrome F1x.3 withdrawal state F1x.4 withdrawal state with delirium

  4. 2. Clinical conditions resulting from substance use F1x.5 psychotic disorder F1x.6 amnesic disorder F1x.7 residual and late-onset psychotic disorder F1x.8 other mental or behavioural disorders F1x.9 unspecified mental and behavioural disorder

  5. ICD-10 Dependence syndrome 3 or more evident some time in the previous year: • Desire or compulsion to use the substance • Difficulties in controlling use behaviour • Withdrawal states • Tolerance • Neglect of other pleasures or interests ‘salience’ • Persistent use despite harm

  6. Classification of dependence syndrome F1x.20 currently abstinent F1x.21 currently abstinent, but in protected environment F1x.22 on clinically supervised maintenance F1x.23 currently abstinent on aversive drug F1x.24 currently using the substance F1x.25 continuous use F1x.26 episodic use

  7. Residual and late-onset psychotic disorder F1x.7 F1x.70 flashbacks F1x.71 personality or behavioural disorder F1x.72 residual affective disorder F1x.73 dementia F1x.74 other persisting cognitive impairment F1x.75 late-onset psychotic disorder

  8. Problem of the majority or minority? Cigarettes Sex Alcohol Exercise Illicit drug use Work Eating Shopping Gambling Internet Love

  9. Definitions of addiction ‘Addiction is not an elephant!’ From ‘Theory of addiction’ by Robert West (2006)

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