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. 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. Yes Joe reports, "I don't really 'deal' with stress-it's life, you know. Life is hard. Life is disappointing. If feelings get too heavy, I'll definitely use more, but I don't even know if that's true, 5. Recurrent substance use results in failure to fulfill major role obligations at work, school, or home. Yes Joe states that he stayed at the job at Dunkin Donuts for two months and was eventually fired for coming in late, falling asleep on the job, and overall poor performance. "I just didn't try hard. Like I said before, I knew I could be much more successful on the street selling, and it would take less time. fi. 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. Meets Criteria? Yes OR No Yes Yes No Yes Joe reports that he is currently "couch surfing at friends houses because he has no where else to go. Joe reports having no real solid friendships. "I have people around me all the time, but they're not friends. They need stuff from me, and I need stuff from them. I get them drugs, they give me money, housing, or sex. I don't know that I've ever really had a relationship with anyone without exchange for something No Evidence From the Case Joe reports using 8 to 10 bags of heroin daily, intravenously. Joe states, "My life is unmanageable. I need to get myself together so I can have a normal life." Joe states he just need a chance at sobriety." because I used to not get sick, out of boredom, for acceptance, and sometimes when I feel like crap.
Southern New Hampshire University 8. There is recurrent substance use in situations in which it is physically hazardous. 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. 10. * Tolerance, as defined by either of the following: Yes aff A need for markedly increased amounts of the substance to achieve intoxication or desired effect bff Markedly diminished effect with continued use of the same amount of the substance 11. ** Withdrawal, as manifested by either of the following: