Substance Use Disorders in DSM-V

How to Use DSM-V for Substance Use Disorders?

1. Substance-Use Disorders in DSM-V Muhammad Talha Khalid Ph.D . (Scholar) International Certified Addiction Professional (ICAP-I) Presented by:

2. Addiction Definition Addiction is defined as a chronic, relapsing disorder characterized by compulsive drug seeking, continued use despite harmful consequences, and long-lasting changes in the brain (NIDA ).

3. SUDs in DSM-V In May 2013, APA updated the DSM . Replacing the categories of substance abuse and substance dependence with a single category: substance use disorder.

4. What’s New? Restructuring of substance use disorders for consistency and clarity.

5. Categories of SUDs in DSM-V 10 separate classes of drugs : Alcohol ; Caffeine ; C annabis ; Inhalants ; O pioids ; Sedatives, H ypnotics , and anxiolytics; S timulants T obacco ; and O ther (or unknown) substances.

6. Non-Substance-Related Disorders Gambling Disorder Behavioral Addictions (excessive & repetitive behavioral Patterns ) Not Included in DSM as Substance use Disorder ; Internet gaming sex addiction exercise addiction shopping addiction etc.

7. Substance-use disorders are patterns of symptoms resulting from the use of a substance that individual continue to take, despite experiencing problems as a result . Substance-induced disorders, including intoxication , withdrawal, and other substance/medication-induced mental disorders, are detailed alongside substance use disorders. Groups Of Substance-related Disorders

8. Diagnostic criteria: Taking the substance in larger amounts or for longer than you're meant to. Wanting to cut down or stop using the substance but not managing to. Spending a lot of time getting, using, or recovering from use of the substance. Cravings and urges to use the substance. Not managing to do what you should at work, home, or school because of substance use. Continuing to use, even when it causes problems in relationships. How to Diagnose?

9. Diagnostic criteria: (cont…) Giving up important social, occupational, or recreational activities because of substance use. Using substances again and again, even when it puts you in danger. Continuing to use, even when you know you have a physical or psychological problem that could have been caused or made worse by the substance. Needing more of the substance to get the effect you want (tolerance). Development of withdrawal symptoms, which can be relieved by taking more of the substance.

10. Severity and Specifiers Severity: Mild: 2-3 Symptoms Moderate: 4-5 Symptoms Severe: 6 or More Grouping: Impaired control (1-4) Social impairment (5-7) Risky use (8-9) Pharmacological criteria (10-11)

11. Specifiers : In early remission: (min. 3 months to less than 12 months) In sustained remission: (min.12 months or more) On maintenance therapy In a controlled environment Tentative Diagnosis : Example According to DSM; (F11.20) Severe Opioid Use Disorder Current Severity: Severe Specify with: In a controlled Environment