Southern New Hampshire University HSE 350 Worksheet for DSM-5 Criteria for Diagnosis of Substance Use Disorder Note: Substance use disorder requires that at least two criteria be met within a 12-month period. Diagnostic Criteria 1. Substance is often taken in larger amounts or over a longer period of time than intended. 2. There is a persistent desire or there are unsuccessful efforts to cut down or control substance use. Yes 3. A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects. 4. There is a craving or a strong desire to use the substance. No 5. Recurrent substance use results in failure to fulfill major role obligations at work, school, or home. Yes 6. Substance use continues despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance. No 7. Important social, occupational, or recreational activities are given up or reduced because of substance use. 8. There is recurrent substance use in situations in which it is physically hazardous. No Joe states that he does use clean needles. He does not have insurance which causes him to not seek medical treatment, so he is not aware if he has any medical concerns 9. There is continued use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance. No Joe does not state he has any physical or psychological problems that he is aware of 10. * Tolerance, as defined by either of the following: a) A need for markedly increased amounts of the substance to achieve intoxication or desired effect Meets Criteria? Yes OR No Yes Yes Yes No Joe does not state any increase in use due to tolerance Evidence From the Case Joe states he started on opioids then progressed to heroin Joe states he has attempted sobriety with no success Joe states that he has sold drugs and spends much of his time with others who use Joe does not state any craving or strong desire to use Joe has been unable to keep employment or relationships Joe has lost relationships with family, unable to trust counselors, and placed on probation Joe doesn't state missing any important functions due to his usage
Southern New Hampshire University b) Markedly diminished effect with continued use of the same amount of the substance 11. ** Withdrawal, as manifested by either of the following: Yes Joe states that he uses to avoid having withdrawal symptoms a) The characteristic (specific substance) withdrawal syndrome b) The same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms * This criterion is not considered to be met for those individuals taking the substance solely under appropriate medical supervision. ** The DSM-5 contains separate criteria lists for each type of substance. However, all use the same 11 criteria except for criterion 11(a). Refer to the DSM-5 for specific withdrawal