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Substance Disorders
DSM-IV-TR Axis I Substance Disorders
| Disorder | Criteria |
|---|---|
| Substance Dependence | Pattern of substance use leading to clinically significant impairment. 3+ occurring w/in same 12mth period: -Tolerance -Withdrawal -Substance taken in larger amounts -Desire or unsuccessful efforts to stop substance -Time spent obtaining substance |
| Substance Abuse | Pattern of substance use causes significant impairments. 1+ Occurring w/in 12mth period: -Recurrent substance use resulting in failure of major obligations -Substance use in physically hazardous situations -Substance-related legal problems -Cont'd use |
| Substance Intoxication | Development of reversible substance-specific syndrome due to ingestion of a substance. Clinically significant maladaptive behavioral or psychological changes. Symptoms not due to a medical condition or another mental disorder |
| Substance Withdrawal | Development of substance-specific syndrome due to cessation of substance. Causes clinically significant distress or impairments. Symptoms not due to a medical condition or another mental disorder |
| Alcohol Intoxication | 1+ signs shortly after consumption of alcohol -Slurred Speech -Incoordination -Unsteady gait -Nystagmus -Impairment in attention or memory -stupor or coma |
| Alcohol Withdrawal | 2+ developing hours few days after cessation: -Autonomic hyperactivity (sweat) -Increased hand tremor -Insomnia -Nausea/Vomiting -Transient visual, tactile, auditory hallucinations/illusions -Psychomotor agitation -Anxiety -Grand mal seizures |
| Alcohol Induced Disorders | -Alcohol Intoxication Delirium -Alcohol Withdrawal Delirium -Alcohol-Induced Persisting Dementia -Alcohol-Induced Persisting Amnestic Disorder -Alcohol-Induced Psychotic Disorder, with Delusions |
| Amphetamine Intoxication | 2+ developing after use of amphetamine: -Tachycardia/Bradycardia -Pupillary Dilation -Elevated/Lowered Blood Pressure -Perspiration/Chills -Nausea/Vomiting -Evidence of weight loss -Psychomotor Agitation/Retardation -Muscular Weakness -Confusion |
| Amphetamine Withdrawal | Cessation after prolonged and Heavy use Present w/ Dysphoric mood & 2+: -Fatigue -Vivid unpleasant dreams -Insomnia or Hypersomnia -Increased Appetite -Psychomotor Retardation or Agitation |
| Amphetamine-Induced Disorders | ~Amphetamine Intoxication Delirium ~Amphetamine-Induced Psychotic Disorder, with Delusions ~Amphetamine-Induced Mood Disorder ~Amphetamine-Induced Anxiety Disorder ~Amphetamine-Induced Sleep Disorder ~Amphetamine-Related Disorder NOS |
| Caffeine Intoxication | Consumption of caffeine in excess of 250mg and 5+ after use: -Restless -Nervous -Excitement -Insomnia -Flushed Face -Diuresis -Gastrointestinal Disturbance -Muscle Twitch -Rambling thoughts/speech -Tachycardia -Inexhaustibility -Psychomotor Ag |
| Caffeine-Related Disorders | ~ Caffeine-Induced Anxiety Disorder ~ Caffeine-Induced Sleep Disorder |
| Cannabis Intoxication | 2+ w/in 2hrs of cannabis use: -Conjunctival injection -Increased Appetite -Dry Mouth -Tachycardia |
| Cannabis-Induced Disorders | ~ Cannabis-Induced Psychotic Disorder, w/ Delusions ~ Cannabis-Induced Psychotic Disorder, w/ Hallucinations ~ Cannabis-Induced Anxiety Disorder ~ Cannabis-Induced Disorder NOS |
| Cocaine Intoxication | 2+ developing after cocaine use: -Tachycardia/Bradycardia -Pupillary Dilation -Elevated/Lowered Blood Pressure -Perspiration/Chills -Nausea/Vomiting -Evidence of weight loss -Psychomotor Agitation/Retardation -Muscular Weakness -Confusion |
| Cocaine Withdrawal | Cessation after prolonged and Heavy use Present w/ Dysphoric mood & 2+: -Fatigue -Vivid unpleasant dreams -Insomnia or Hypersomnia -Increased Appetite -Psychomotor Retardation or Agitation |
| Cocaine-Induced Disorders | ~ Cocaine-Induced Psychotic Disorder, w/ Delusions ~ Cocaine-Induced Psychotic Disorder, w/ Hallucinations ~ Cocaine-Induced Mood Disorder ~ Cocaine-Induced Anxiety Disorder ~ Cocaine-Induced Sexual Dysfunction ~ Cocaine-Induced Sleep Disorder |
| Hallucinogen Intoxication | Perceptual changes occurring in a wake-state developed shortly after use. 2+ signs: -Pupillary Dilation -Tachycardia -Sweating -Palpitations -Blurred Vision -Tremors -Incoordination |
| Hallucinogen-Induced Disorders | ~Hallucinogen-Induced Intoxication Delirium ~Hallucinogen-Induced Psychotic Disorder, w/ Delusions ~Hallucinogen-Induced Psychotic Disorder, w/ Hallucinations ~Hallucinogen-Induced Mood Disorder ~Hallucinogen-Induced Anxiety Disorder |
| Hallucinogen Persisting Perception Disorder (Flashbacks) | Re-experiencing 1 or more perceptual symptoms after cessation of use, that were experienced during intoxication. Causes significant impairment or distress in social, work, or other areas of functioning |
| Inhalant Intoxication | Intentional use inhalant, shortly after 2+ develop: -Dizziness -Nystagum -Incoordination -Slurred Speech -Unsteady Gait -Lethargy -Depressed Reflexes -Psychomotor Retardation -Tremor -Muscle weakness -Blurred Vision -Stupor/Coma -Euphoria |
| Inhalant-Induced Disorders | ~ Inhalant Intoxication Delirium ~ Inhalant-Induced Psychotic Disorder, w/ Delusions ~ Inhalant-Induced Psychotic Disorder, w/ Hallucinations ~ Inhalant-Induced Mood Disorder ~ Inhalant-Induced Anxiety Disorder |
| Nicotine Withdrawal | Abrupt cessation of nicotine use, followed w/in 24hrs of 4+ signs: -Dysphoric or Depressed Mood -Insomnia -Irritability, frustration, anger -Difficulty concentrating -anxiety -Restless -Decreased Heart Rate -Increased Appetite or Gain Weight |
| Opioid Intoxication | Pupillary constriction and 1+ sign developing after use: -Drowsiness/Coma -Slurred Speech -Impairment in Attention/Memory |
| Opioid Withdrawal | Cessation in opioid use or administration of opioid antagonist. 3+ w/in or days after: -Dysphoric Mood -Nausea/Vomiting -Muscle Aches -Lacrimation or Rhinorrhea -Pupillary dilation, sweating -Diarrhea -Yawning -Fever -Insomnia |
| Opioid-Induced Disorders | ~Opioid Delirium ~Opioid-Induced Psychotic Disorder, w/ Delusions ~Opioid-Induced Psychotic Disorder, w/ Hallucinations ~Opioid-Induced Mood Disorder ~Opioid-Induced Anxiety Disorder ~Opioid-Induced Sexual Dysfunction ~Opioid-Induced Sleep Disorder |
| Phencyclidine Intoxication | W/in 4hrs of use, 2+ signs: -Nystagmus -Hypertension or Tachycardia -Numbness -Ataxia -Dysarthria -Muscle Rigidity -Seizures/Coma -Hyperacusis |
| Phencyclidine-Induced Disorders | ~ Phencyclidine Intoxication Delirium ~ Phencyclidine-Induced Psychotic Disorder, w/ Delusions ~ Phencyclidine-Induced Psychotic Disorder, w/ Hallucinations ~ Phencyclidine-Induced Mood Disorder ~ Phencyclidine-Induced Anxiety Disorder |
| Sedative, Hypnotic, or Anxiolytic Intoxication | 1+ sign after use: -Slurred Speech -Incoordination -Unsteady Gait -Nystagum -Impairment in Attention/Memory -Stupor or Coma |
| Sedative, Hypnotic, or Anxiolytic Withdrawal | 2+ developing w/in several hours to days after cessation: -Autonomic Hyperactivity -Increased Hand Tremor -Insomnia -Nausea/Vomiting -Transient visual, tactile, or auditory hallucination -Psychomotor Agitation -Anxiety -Grand Mal Seizures |
| Sedative, Hypnotic, or Anxiolytic-Induced Disorders | ~ Intoxication & Withdrawal Delirium ~ Persisting Dementia ~ Persisting Amnestic Disorder ~ Psychotic Disorder, w/ Delusions ~ Psychotic Disorder, w/ Hallucinations ~ Mood Disorder ~ Anxiety Disorder ~ Sexual Dysfunction ~ Sleep Disorder |
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PsychStudent
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