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Substance Disorders

DSM-IV-TR Axis I Substance Disorders

DisorderCriteria
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
Created by: PsychStudent
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