Substance Use Disorder Defined\r\nSubstance use disorder includes substance addiction and substance abuse. An individual must meet a certain set of criteria in order to receive this diagnosis.\r\nWhat Is Substance Use Disorder?\r\nThis diagnosis was designed to allow doctors to address both addictive and non-addictive substance use in clients. The previous version treated addiction and abuse as two separate issues. Under the new version, DSM-5, there are\u00a0eight types of substance use disorders\u00a0that doctors can diagnose, including:\r\n\r\n \tAlcohol\r\n \tCannabis (e.g. marijuana)\r\n \tHallucinogens (e.g. LSD, peyote)\r\n \tInhalants\r\n \tOpioid (e.g., heroin)\r\n \tSedatives, hypnotics, or anxiolytics (e.g. Valium, Xanax)\r\n \tStimulants (cocaine, methamphetamine)\r\n \tTobacco\r\n\r\nDiagnosis is based on a set of 11 behaviors. Each fall into four basic categories, as follows.\r\n\r\nImpaired control:\u00a0Impaired control includes using a substance for longer periods of time than intended. This may also include using larger amounts than intended. A few examples include:\r\n\r\n \tWanting to reduce use, yet being unsuccessful in doing so\r\n \tSpending excessive time getting\/using\/recovering\r\n \tCravings that are so intense it is difficult to think about anything else\r\n\r\nSocial impairment:\u00a0People may continue to use despite problems with\u00a0work, school or social obligations. This may include:\r\n\r\n \tRepeated work absences\r\n \tPoor school performance\r\n \tChild neglect\r\n \tFailure to meet household responsibilities.\r\n\r\nPeople may continue to use despite having personal problems caused by its use. This may include arguments with family members about the substance use. Many people will lose important friendships because of continued use. Meaningful activities may be abandoned or due to substance use.\r\n\r\nRisky use:\u00a0This is repeated use in physically dangerous situations. This may include using alcohol or other drugs while operating machinery or driving a car. Some people continue to use addictive substances even when they know it is causing physical and mental problems. An example is a person who continues to drink alcohol despite having liver failure.\r\n\r\nPharmacological indicators\u00a0(tolerance and withdrawal): Tolerance occurs when a person needs to increase the amount of a substance to achieve the same desired effect. The \u201cdesired effect\u201d could be to avoid withdrawal symptoms or to get high. Withdrawal is the body\u2019s response to the abrupt cessation of a drug after it has developed a tolerance to it. Multiple factors may play a role in the level of withdrawal symptoms. These symptoms mainly depend on the type of drug and duration of use.\r\nSubstance Use Disorder Statistics\r\n\r\n \tThere are an estimated 17.6 million Americans with\u00a0alcohol use disorder. Only about 20 percent receive treatment. According to the Centers for Disease Control and Prevention (CDC), excessive alcohol use results in 88,000 deaths a year.\r\n \tIn the past year, 4.2 million people ages 12 and older met the criteria for\u00a0cannabis use disorder.\r\n \tAbout 246,000 Americans had a\u00a0hallucinogen use disorder\u00a0in 2014.\r\n \tIn 2014, an estimated 546,000 people ages 12 and older were current users of inhalants.\r\n \tIn 2014, an estimated 1.9 million people had an opioid use disorder related to prescription pain relievers and about 586,000 had an opioid use disorder related to heroin use. Since 1999,\u00a0opiate-related overdose deaths\u00a0have\u00a0increased 265 percent among men and 400 percent among women. The potent interaction of opioids with alcohol and other sedative-hypnotic drugs can produce lethal interactions.\r\n \tAccording to the APA, 11 to 15 percent of all adults in the U.S. have a bottle of Xanax in their medicine cabinet.\r\n \tAbout 913,000 people ages 12 and older had a cocaine use disorder in 2014.\r\n \tOf the estimated 1.6 million people ages 12 and older who used stimulants for nonmedical purposes in 2014, 569,000 were methamphetamine users.\r\n\r\nHeavy Substance Intake\r\nHeavy substance intake is a level of substance use that is no longer safe. It puts an individual at risk for negative consequences. This is usually defined as five or more drinks on the same occasion, for five or more days in the past 30 days. Heavy users\u00a0consume their drug on a regular basis. They may consume unusually large amounts.7\r\n\r\nRegardless of the term used, if you or a loved one is struggling with heavy substance use, dependence or addiction, contact\u00a0Promises\u00a0today. Our compassionate, highly trained addiction counselors are here to help you overcome these addictions.