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Substance use disorder includes substance addiction and substance abuse. An individual must meet a certain set of criteria in order to receive this diagnosis.
This 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 eight types of substance use disorders that doctors can diagnose, including:
Diagnosis is based on a set of 11 behaviors. Each fall into four basic categories, as follows.
Impaired control: Impaired 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:
Social impairment: People may continue to use despite problems with work, school or social obligations. This may include:
People 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.
Risky use: This 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.
Pharmacological indicators (tolerance and withdrawal): Tolerance occurs when a person needs to increase the amount of a substance to achieve the same desired effect. The “desired effect” could be to avoid withdrawal symptoms or to get high. Withdrawal is the body’s 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.
Heavy 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 consume their drug on a regular basis. They may consume unusually large amounts.7
Regardless of the term used, if you or a loved one is struggling with heavy substance use, dependence or addiction, contact Promises today. Our compassionate, highly trained addiction counselors are here to help you overcome these addictions.