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Substance Use Disorders

Substance Use Disorders. Chapter 11. Substance Abuse. one (or more) of the following, occurring within a 12-month period :  failure to fulfill major obligations at work, school, or home use in situations in which it is physically hazardous substance-related legal problems

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Substance Use Disorders

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  1. Substance Use Disorders Chapter 11

  2. Substance Abuse • one (or more) of the following, occurring within a 12-month period:  • failure to fulfill major obligations at work, school, or home • use in situations in which it is physically hazardous • substance-related legal problems • use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance • The symptoms have never met the criteria for Substance Dependence for this class of substance.

  3. Substance Dependence • three (or more) of the following, occurring at any time in the same 12-month period:  • Tolerance - either of the following:  • markedly increased amounts of the substance to achieve intoxication or desired effect  • markedly diminished effect with continued use of the same amount of the substance 

  4. Withdrawal - either of the following:  • the characteristic withdrawal syndrome for the substance • the same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms • the substance is often taken in larger amounts or over a longer period than was intended  • 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) • recover from its effects  • important social, occupational, or recreational activities are given up or reduced because of substance use

  6. 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., continued drinking despite recognition that an ulcer was made worse by alcohol consumption) 

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