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. No 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. 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. 7. Important social, occupational, or recreational activities are given up or reduced because of substance use. No 8. There is recurrent substance use in situations in which it is physically hazardous. No 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 10. * Tolerance, as defined by either of the following: Meets Criteria? Yes OR No Yes No Yes Roy feels that he is deserving of his increased drinking due to his responsibilities. He believes he is allowed to relax after working hard. Since he mentions doing this quite often, I believe Roy has developed a craving and strong desire for it. Yes No Evidence From the Case Client reports that he has recently increased the amount of alcohol he drinks. Roy is missing his son's soccer games due to him being drunk. Despite Roy's wife's concerns, he continues to drink.
Southern New Hampshire University a) A need for markedly increased amounts of the substance to achieve intoxication or desired effect b) Markedly diminished effect with continued use of the same amount of the substance 11. ** Withdrawal, as manifested by either of the following: No 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 syndromes. Severity: . Mild: 2-3 symptoms · Moderate: 4-5 symptoms · Severe: 6 or more symptoms Diagnosis: Alcohol Use Disorder - Moderate ICD-10-CM Diagnostic Code: F10.20 Signed: Date: Criteria taken from the following source: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.