Substance Flashcards

1
Q

• Problematic pattern of ____ leading to
impairment or distress manifested by ≥2 with

1 year:

  1. More/longer than intended
  2. Unable to cut down
  3. Time to obtain/use/recover
  4. Cravings/urges
  5. Missing obligations
  6. Social / Interpersonal problems
  7. Giving up activities
  8. Physically hazardous situations
  9. Continued despite problems
  10. Tolerance
  11. Withdrawal

• Specify:

  1. In early remission (3-12 months) or In
    sustained remission (>1 year:
  2. In a controlled environment

• Code based on current severity (# symptoms):
1. Mild (2-3), moderate (4-5), severity (>6)

A

_________ Use Disorder

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2
Q

Alcohol Use Disorder

A

• As above

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3
Q

Cannabis Use Disorder

A

• As above

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4
Q

Phencyclidine Use Disorder

A

• As above without withdrawal as a symptom

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5
Q

Other Hallucinogen Use Disorder

A

• As above without withdrawal as a symptom

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6
Q

Inhalant Use Disorder

A

• As above without withdrawal as a symptom

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7
Q

Opioid Use Disorder

A

• As above without withdrawal as a symptom
• Specify: on maintenance therapy

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8
Q

Sedative, Hypnotic, or Anxiolytic Use Disorder

A

As above
• Note: tolerance/withdrawal not met if under
medical supervision

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9
Q

Stimulant Use Disorder

A

• As above
• Note: tolerance/withdrawal not met if under
medical supervision

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10
Q

Tobacco Use Disorder

A

• As above

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11
Q

Other (or Unknown) Use Disorder

A

• As above

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12
Q

• ≥4 of the following within 1 year

  1. Increasing money, Restless/irritable when cutting down,
    unsuccessful efforts to cut back, preoccupied, gambles when distressed, “chases” losses, lies to conceal amount, impacts relationships or jobs, and relies on others for money.

• Specify if:

episodic OR persistent

A

Non-Substance Related Disorders: Gambling Disorder

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13
Q

• After stopping hallucinogen, re-experiencing ≥1 perceptual symptoms that
occur while on the drug

A

Hallucinogen Persisting Perception Disorder

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14
Q

• Recent ingestion of alcohol

• Problematic behavior/psychological changes after ingestion

• ≥1 sign / symptom
1. Slurred speech, incoordination, unsteady gait, nystagmus, impairment in attention or memory, stupor or coma

A

Alcohol Intoxication

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15
Q

• ≥5 symptoms:

  1. restless, nervous, excitement, insomnia, flushed face, diuresis, GI issues, muscle twitching, rambling thought/speech, tachy or cardiac arrhythmia, inexhaustibility, psychomotor agitation
A

Caffeine Intoxication

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16
Q

• ≥2 within 2 hours of use:

conjunctival injection, increased appetite, dry mouth, tachycardia

Specify:
1. with perceptual disturbances

A

Cannabis Intoxication

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17
Q

• ≥2 within 1 hour of use

  1. Vertical or horizontal
    nystagmus, htn or tachycardia,
    numbness, ataxia, dysarthria,
    muscle rigidity, seizures or
    coma, hyperacusis
  2. Dizzy, nystagmus,
    incoordination, slurred speech,
    unsteady gait, lethargy,
    depressed reflexes,
    psychomotor retardation,
    tremor, blurred vision,
    stupor/coma, euphoria
A

Phencyclidine Use
Intoxication

18
Q

• Pupillary constriction and ≥1 of
the following:

  1. Drowsy, slurred, memory

• Specify:
1. with perceptual disturbance

A

Opioid Intoxication

19
Q

• ≥2 symptoms

  1. Pupillary dilation, tachycardia,
    sweating, palpitations, blurry
    visions, tremors, incoordination
A

Other Use Intoxication

20
Q

• Recent short-term, high dose, with ≥2

A

Inhalant Intoxication

21
Q

• ≥1 of the following:

  1. Slurred speech, incoordination,
    unsteady gait, nystagmus,
    cognitive impairment, stupor or
    coma
A

Sedative, Hypnotic, or Anxiolytic Intoxication

22
Q

• ≥2 of the following:

  1. 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:

  1. the specific intoxicant
A

Stimulant Intoxication

23
Q

• Intoxication of other substances

A

Other (or Unknown) Intoxication

24
Q

• Reduction in prolonged heavy use

• ≥2 developing hours-days after cessation

  1. Autonomic hyperactivity
  2. Hand tremor
  3. Insomnia
  4. Nausea or vomiting
  5. Hallucinations or illusions
  6. Psychomotor agitation
  7. Anxiety
  8. Generalized tonic-clonic seizures
  9. Specify: with perceptual disturbance
A

Alcohol Withdrawal

25
Q

• Abrupt cessation followed within 1 day of ≥3
symptoms:

  1. Headache, fatigue, dysphoria, concentration, flulike symptoms
A

Caffeine Withdrawal

26
Q

• Heavy near daily use for at least a few months

• ≥3 symptoms of: Irritability, Anxiety, sleep difficulty, decreased appetite, restlessness, depression, physical symptom causes discomfort

A

Cannabis Withdrawal

27
Q

• Either cessation of heavy use or admin of opioid
antagonist

• ≥3 symptoms of:

  1. Dysphoria, nausea or vomiting, muscle aches, lacrimation, pupillary
    dilation/piloerection/sweating, diarrhea, yawning, fever, insomnia
A

Opioid Withdrawal

28
Q

• ≥2 symptoms of:

  1. Autonomic hyperactivity, hand tremor, insomnia,
    nausea or vomiting, hallucinations/illusions,
    psychomotor agitation, anxiety, grand mal seizures

• Specify:
1. with perceptual disturbances

A

Sedative, Hypnotic, or Anxiolytic Withdrawal

29
Q

• Dysphoric mood and ≥2 of the following:

  1. Fatigue, unpleasant dreams, insomnia/hypersomnia, increased appetite, psychomotor retardation or agitation
A

Stimulant Withdrawal

30
Q

• ≥4 of the following:

  1. Irritability/frustration/anger, anxiety, concentrating, increased appetite, restlessness, depressed mood, insomnia
A

Tobacco Withdrawal

31
Q

• Withdrawal from other substances

A

Other (or Unknown) Withdrawal

32
Q

Unspecified _______ Related Disorder

A

• __ disorder causing significant distress or impairment but doesn’t meet the criteria

33
Q

Unspecified Alcohol Related Disorder

A

• As above

34
Q

Unspecified Cannabis-Related Disorder

A

As above

35
Q

Unspecified Phencyclidine Related Disorder

A

• As above

36
Q

Unspecified Hallucinogen-Related Disorder

A

• As above

37
Q

Unspecified Inhalant Related Disorder

A

As above

38
Q

Unspecified Opioid Related Disorder

A

• As above

39
Q

Unspecified Sedative-Hypnotic or Anxiolytic Related Disorder

A

• As above

40
Q

Unspecified Stimulant Related Disorder

A

• As above

41
Q

Unspecified Tobacco Related Disorder

A

As above

42
Q

Unspecified Other (or Unknown)-Related Disorder

A

• As above