Unknown substance use disorder: Difference between revisions
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{{CMG}} {{AE}} {{KS}} | {{CMG}} {{AE}} {{KS}} | ||
==Overview== | ==Overview== | ||
==Differential Diagnosis== | |||
*Other (or unknown) substance/medication-induced disorder | |||
:*[[Anxiety disorder]] | |||
:*[[Delirium]] | |||
:*[[Depressive disorder]] | |||
:*Major or mild neurocognitive disorder | |||
:*[[Psychotic disorder]] | |||
:*[[Sexual dysfunction]] | |||
:*[[Sleep disorder]] | |||
*Other medical conditions | |||
*Substance use disorders | |||
*Use of Other or unknown substances without meeting criteria for other (or unknown) substance use disorder<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | |||
==Risk Factors== | |||
*[[Antisocial personality disorder]] | |||
*Behavioral disinhibition | |||
*[[Conduct disorder]] | |||
*Childhood maltreatment or trauma | |||
*Early onset of substance problems | |||
*Easy availability of the substance | |||
*Limited early self-control<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | |||
==Diagnostic Criteria== | |||
===DSM-V Diagnostic Criteria for Other (or Unknown) Substance Use Disorder <ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | |||
{{cquote| | |||
*A.A problematic pattern of use of an intoxicating substance not able to be classified within the [[alcohol]]; [[caffeine]]; [[cannabis]]; [[hallucinogen]] ([[phencyclidine]] and others); inhalant;[[opioid]]; [[Benzodiazepines|sedative, hypnotic, or anxiolytic]]; stimulant; or tobacco categories and leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period: | |||
*1.The substance is often taken in larger amounts or over a longer period than was intended. | |||
*2.There is a persistent desire or unsuccessful efforts to cut down or control use of the substance. | |||
*3.A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects. | |||
*4.Craving, or a strong desire or urge to use the substance. | |||
*5.Recurrent use of the substance resulting in a failure to fulfill major role obligations at work, school, or home. | |||
*6.Continued use of the substance despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of its use. | |||
*7.Important social, occupational, or recreational activities are given up or reduced because of use of the substance. | |||
*8.Recurrent use of the substance in situations in which it is physically hazardous. | |||
*9.Use of the substance 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. | |||
*10.Tolerance, as defined by either of the following: | |||
::*a.A need for markedly increased amounts of the substance to achieve intoxication or desired effect. | |||
::*b.A markedly diminished effect with continued use of the same amount of the substance. | |||
*11.Withdrawal, as manifested by either of the following: | |||
::*a.The characteristic withdrawal syndrome for other (or unknown) substance. | |||
::*b.The substance (or a closely related substance) is taken to relieve or avoid withdrawal symptoms. | |||
Specify if: | |||
*In early remission: After full criteria for other (or unknown) substance use disorder were previously met, none of the criteria for other (or unknown) substance use disorder have been met for at least 3 months but for less than 12 months (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the substance,” may be met). | |||
*In sustained remission: After full criteria for other (or unknown) substance use disorder were previously met, none of the criteria for other (or unknown) substance use disorder | |||
have been met at any time during a period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the substance,”may be met). | |||
Specify if: | |||
*In a controlled environment: This additional specifier is used if the individual is in an environment where access to the substance is restricted. | |||
}} | |||
==References== | ==References== | ||
Latest revision as of 18:59, 11 November 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
Overview
Differential Diagnosis
- Other (or unknown) substance/medication-induced disorder
- Anxiety disorder
- Delirium
- Depressive disorder
- Major or mild neurocognitive disorder
- Psychotic disorder
- Sexual dysfunction
- Sleep disorder
- Other medical conditions
- Substance use disorders
- Use of Other or unknown substances without meeting criteria for other (or unknown) substance use disorder[1]
Risk Factors
- Antisocial personality disorder
- Behavioral disinhibition
- Conduct disorder
- Childhood maltreatment or trauma
- Early onset of substance problems
- Easy availability of the substance
- Limited early self-control[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Other (or Unknown) Substance Use Disorder [1]
| “ |
by the substance.
Specify if:
have been met at any time during a period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the substance,”may be met). Specify if:
|
” |
References
- ↑ 1.0 1.1 1.2 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.