_________ Use Disorder Non-Substance
• Problematic pattern of ____ leading to Related Disorders:
impairment or distress manifested by ≥2 with Gambling Disorder
1 year:
o More/longer than intended • ≥4 of the following within 1
year
o Unable to cut down
o Time to obtain/use/recover o Increasing money,
Restless/irritable when
o Cravings / urges
cutting down,
o Missing obligations unsuccessful efforts to cut
o Social / Interpersonal problems back, preoccupied,
o Giving up activities gambles when distressed,
o Physically hazardous situations “chases” losses, lies to
o Continued despite problems conceal amount, impacts
o Tolerance relationships or job, relies
o Withdrawal on others for money
• Specify: • Specify if: episodic OR
o In early remission (3-12 months) or In persistent
sustained remission (>1 year: Hallucinogen
o In a controlled environment Persisting Perception
• Code based on current severity (# symptoms):
o Mild (2-3), moderate (4-5), severity (>6) Disorder
Alcohol Use Disorder • After stopping hallucinogen,
re-experiencing ≥1
• As above perceptual symptoms that
Cannabis Use Disorder occurs while on the drug
• As above Alcohol Intoxication
Phencyclidine Use Disorder
• Recent ingestion of alcohol
• As above without withdrawal as a symptom • Problematic
Other Hallucinogen Use Disorder behavior/psychological
changes after ingestion
• As above without withdrawal as a symptom
• ≥1 sign / symptom
Inhalant Use Disorder o Slurred speech,
incoordination, unsteady
• As above without withdrawal as a symptom gait, nystagmus,
Opioid Use Disorder impairment in attention
or memory, stupor or
• As above without withdrawal as a symptom coma
• Specify: on maintenance therapy Caffeine Intoxication
Sedative, Hypnotic, or Anxiolytic
• ≥5 symptoms:
Use Disorder o restless, nervous,
• As above excitement, insomnia,
flushed face, diuresis, GI
• Note: tolerance/withdrawal not met if under issues, muscle twitching,
medical supervision
rambling thought/speech,
Stimulant Use Disorder tachy or cardiac
arrhythmia,
• As above inexhaustibility,
• Note: tolerance/withdrawal not met if under psychomotor agitation
medical supervision Cannabis Intoxication
Tobacco Use Disorder
• ≥2 within 2 hours of use:
• As above conjunctival injection,
Other (or Unknown) Use Disorder increased appetite, dry
mouth, tachycardia
• As above o Specify: with perceptual
disturbances
Phencyclidine Use
Intoxication
• ≥2 within 1 hour of use
o Vertical or horizontal
nystagmus, htn or tachycardia,
numbness, ataxia, dysarthria,
muscle rigidity, seizures or
coma, hyperacusis
o Dizzy, nystagmus,
incoordination, slurred speech,
unsteady gait, lethargy,
depressed reflexes,
psychomotor retardation,
tremor, blurred vision,
stupor/coma, euphoria
Opioid Intoxication
• Pupillary constriction and ≥1 of
the following
o Drowsy, slurred, memory
• Phencyclidine Related
Specify: with perceptual
disturbance
Other Use Intoxication
• ≥2 symptoms
o Pupillary dilation, tachycardia,
sweating, palpitations, blurry
visions, tremors, incoordination
Inhalant Intoxication
• Recent short-term, high dose, with
≥2
Sedative, Hypnotic, or
Anxiolytic Intoxication
• ≥1 of the following:
o Slurred speech, incoordination,
unsteady gait, nystagmus,
cognitive impairment, stupor or
coma
Stimulant Intoxication
• ≥2 of the following:
o Tachycardia/bradycardia,
pupillary dilation,
elevated/lowered bp,
perspiration/chills,
nausea/vomiting, evidence of
weight loss, psychomotor
agitation/retardation, muscular
weakness/resp
depression/chest pain,
confusion/seizures/dyskinesia
• Specify: the specific intoxicant
Other (or Unknown)
Intoxication
• Intoxication of other substance
Alcohol Withdrawal
• Reduction in prolonged heavy use
DSM Substance-Related
• ≥2 developing hours-days after cessation
o Autonomic hyperactivity Unspecified _______
Related Disorder
o Hand tremor
o Insomnia
• __ disorder causing significant
o Nausea or vomiting
distress or impairment but
o Hallucinations or illusions doesn’t meet criteria
o Psychomotor agitation
o Anxiety Unspecified Alcohol
o Generalized tonic-clonic seizures Related Disorder
o Specify: with perceptual disturbance
• As above
Caffeine Withdrawal
• Abrupt cessation followed within 1 day of ≥3 Unspecified Cannabis
symptoms: Related Disorder
o Headache, fatigue, dysphoria, concentration, flu-
• As above
like symptoms
Cannabis Withdrawal Unspecified
• Heavy near daily use for at least a few months
• ≥3 symptoms of: Irritability, Anxiety, sleep difficulty, Disorder
decreased appetite, restlessness, depression,
• As above
physical symptom causes discomfort
Opioid Withdrawal Unspecified
Hallucinogen-Related
• Either cessation of heavy use or admin of opioid Disorder
antagonist
• ≥3 symptoms of: • As above
o Dysphoria, nausea or vomiting, muscle aches, Unspecified Inhalant-
lacrimation, pupillary
Related Disorder
dilation/piloerection/sweating, diarrhea, yawning,
fever, insomnia
• As above
Sedative, Hypnotic, or Anxiolytic Unspecified Opioid-
Withdrawal Related Disorder
• ≥2 symptoms of: • As above
o Autonomic hyperactivity, hand tremor, insomnia,
nausea or vomiting, hallucinations/illusions, Unspecified Sedative-,
psychomotor agitation, anxiety, grand mal seizures Hypnotic- or Anxiolytic-
• Specify: with perceptual disturbances Related Disorder
Stimulant Withdrawal
• As above
• Dysphoric mood and ≥2 of the following: Unspecified Stimulant-
o Fatigue, unpleasant dreams,
Related Disorder
insomnia/hypersomnia, increased appetite,
psychomotor retardation or agitation
• As above
Tobacco Withdrawal Unspecified Tobacco-
Related Disorder
• ≥4 of the following:
o Irritability/frustration/anger, anxiety,
concentrating, increased appetite, restlessness, • As above
depressed mood, insomnia Unspecified Other (or
Other (or Unknown) Withdrawal Unknown)-Related
• Withdrawal from other substance Disorder
• As above