Intoxication and Withdrawal from the DSM 5.docx

Intoxication and withdrawal summary from the DSM 5

1. Alcohol Caffeine Cannabis Phencyclidine Other hallucinogen Inhalant Opioid Sedative, Hypnotic,
Anxiolytic
IntoxicationBehavioral or
psychological
changes:
Inappropriat
e sexual or
aggressive
behavior
Mood lability
Impaired
judgment
1 or more
1.Slurred speech
2.Incoordination
3.Unsteady gait
4.Nystagmus
(rapid,
uncontrollable
eye movement)
5.Impairment of
attention or
memory
6.Stupor or coma
5 or more:
1.Restlessness
2.Nervousness
3.Excitement
4.Insomnia
5.Flushed face
6.Diuresis
(increased
amount of urine)
7.Gastrointestinal
disturbance
8.Muscle twitching
9.Rambling flow of
thought and
Behavioral or
psychological
changes:
Impaired
motor
coordination
euphoria
anxiety
sensation of
slowed time
impaired
judgment
social
withdrawal
2 or more:
1.Conjunctival
injection (red
eyes)
2.Increased
appetite
3.Dry mouth
4.Tachychardia
(heart rate over
100 bpm)
Behavioral or
psychological changes:
Belligerence
Assaultiveness
Impulsiveness
Unpredictabilit
y
Psychomotor
agitation
Impaired
judgment
2 or more
1.Vertical or
horizontal
nystagmus
2.Hypertension
or tahycardia
3.Numbness or
diminished
responsiveness
to pain
4.Ataxia (loss of
muscle control)
Behavioral or
psychological changes:
Marked
anxiety or
depression
Ideas of
reference
Fear of losing
one’s mind
Paranoid
ideation
Impaired
judgment
Perceptual
changes
2 or more:
1.Pupillary
dilation
2.Tachycardia
3.Sweating
4.Palpitations
5.Blurring of
vision
6.Tremors
7.Incoordination
Behavioral or
psychological changes:
Belligerence
(aggressive or
war-like
behavior)
Assaultiveness
Apathy
Impaired
judgment
2 or more:
1.Dizziness
2.Nystagmus
3.Incoordination
4.Slurred
speech
5.Unsteady gait
6.Lethargy
7.Depressed
reflexes
8.Tremor
9.Generalized
muscle
Behavioral or
psychological
changes:
Initial
euphoria
Apathy
Dysphoria
Psychomotor
agitation
Retardation
Impaired
judgment
Pupillary
constriction
1 or more:
1.Drowsiness
or coma
2.Slurred
speech
3.Impairment
in attention
or memory
Behavioral or
psychological changes:
Inappropriate
sexual or
aggressive
behavior
Mood lability
Impaired
judgment
1 or more:
1.Slurred
speech
2.Incoordination
3.Unsteady gait
4.Nystagmus
5.Impairment in
cognition
(attention,
memory)
6.Stupor or
coma
alporquia

2. speech
10.Tachychardia or
cardiac arrythmia
11.Periods of
inexhaustibility
12.Psychomotor
agitation
5.Dysarthria
(difficulty
speaking,
muscles used to
speak are
weak)
6.Muscle rigidity
7.Seizures or
coma
8.Hyperacusis
(oversensitive
to sounds)
weakness
10.Blurred vision
or diplopia
11.Stupor or
coma
12.Euphoria
Specify:
With perceptual
disturbances
Alcohol Caffeine Cannabis Phencyclidine Other hallucinogen Inhalant Opioid Sedative, Hypnotic,
Anxiolytic
Withdrawal2 or more
1.Autonomic
hyperactivity
2.Increased hand
tremor
3.Insomnia
4.Nausea or
vomiting
5.Transient visual,
tactile, or
auditory
3 or more
1.Headache
2.Marked
fatigue or
drowsiness
3.Dysphoric
mood,
depressed
mood or
irritability
4.difficulty
3 or more
1.Irritability,
anger,
aggression
2.Nervousness or
anxiety
3.Sleep difficulty
(insomnia,
disturbing
dreams)
4.Decreased
3 or more:
1.Dysphoric
mood
2.Nausea or
vomiting
3.Muscle
aches
4.Lacrimation
or
rhinorrhea
(runny nose)
2 or more:
1.Autonomic
hyperactivity
(sweating,
pulse rate
greater than
100 bpm)
2.Hand tremor
3.Insomnia
4.Nausea or
vomiting
alporquia

3. hallucinations or
illusions
6.Psychomotor
agitations
7.Anxiety
8.Generalized
tonic-clonic
seizures
Specify:
With perceptual
disturbances
concentrating
5.flu-like
symptoms
(nausea,
vomiting, or
muscle
pain/stiffness)
appetite or
weight loss
5.Restlessness
6.Depressed
mood
7.Physical
symptoms
5.Pupillary
dilation,
piloerection,
sweating
6.Diarrhea
7.Yawning
8.Fever
9.Insomnia
5.Transient
visual, tactile
or auditory
hallucinations
or illusions
6.Psychomotor
agitation
7.Anxiety
8.Grand mal
seizures
Specify:
With perceptual
disturbances
alporquia