section name header

Table 19-1

DSM-5 Criteria for Substance Use Disorder

A problematic pattern of use leading to clinically significant impairment or distress is manifested by two or more of the following within a 12-mo period:
  • Substance is often taken in larger amounts or over a longer period than was intended.

  • A persistent desire or unsuccessful efforts to cut down or control use of the substance

  • A great deal of time is spent in activities necessary to obtain, use, or recover from the substance's effects

  • Craving or a strong desire or urge to use the substance

  • Recurrent use of the substance resulting in a failure to fulfill major role obligations at work, school, or home

  • Continued use of the substance despite having persistent or recurrent social or interpersonal problems caused or exacerbated by its effects

  • Important social, occupational, or recreational activities are given up or reduced because of use of the substance

  • Recurrent use in situations in which it is physically hazardous

  • 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

  • Tolerance

  • Withdrawal

Mild = 2-3 criteria; moderate = 4-5; severe = 6 or more

Abbreviation: DSM-5, Diagnostic and Statistical Manual of Mental Disorders (5th ed.).