Dsm 5 substance abuse

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  • 1. Substance-related Disorders
  • 2.  (information from:http://www.psych.org/practice/dsm/dsm5,updated May 17, 2013) Abuse was problematic substance use thatimpaired functioning Dependence took Abuse a step further,including withdrawal, tolerance, orpsychological dependence on a substance
  • 3.  Diagnostic criteria (symptoms) are almostidentical to old abuse and dependencediagnoses◦ Taken in larger amounts than intended◦ Unsuccessful efforts to reduce or control use◦ Excessive time spent using, obtaining, or recoveringfrom use◦ Failure to fulfill major role obligations◦ Withdrawal reactions◦ Tolerance effects◦ Craving (new)◦ And others…
  • 4.  Continuum instead of separate Abuse vs.Dependence diagnoses◦ Mild: 2-3 criteria◦ Moderate: 4-5 criteria◦ Severe: 6 or more criteria New specifiers: “in a controlled environment”,“on maintenance therapy” Cannabis withdrawal
  • 5.  Gambling Disorder◦ Gambling can activate the same regions of the brainas substance use◦ Gambling can lead to many of the same problems Sex Addiction is NOT a diagnosable disorder!