Substance Use Disorders

Question 1

DSM-5 criteria of substance use disorder

Answer 1

2/11 w/in past year:
- EXCESS USE:
- Using in larger amounts / longer period
of time than intended
- Excess time to obtain/use/recover from
substance
- Tolerance

• PROBLEMATIC USE:
  
  • Functional impairment in social domain
    (failure to fulfill major role obligations at
    work/school/home)
  • Giving up social activities
  • Persistent use despite social functional
    impairment
  • Persistent use despite physical/mental
    health problems
  • Use in physically hazardous conditions
    (e.g. drunk driving)
• PROBLEMS QUITTING:
  
  • Persistent desire / repeated failures to
    cut down
  • Withdrawal symptoms
  • Cravings

Question 2

Specifiers for substance use disorder

Answer 2

In early remission or in sustained remission

• In a controlled environment
• Mild, moderate, severe

Question 3

Definition of early vs sustained remission specifier for substance use disorder

Answer 3

Early remission = 3-12 mo

Sustained remission = 12+ mo

Question 4

Definition of mild, moderate, vs severe SUD

Answer 4

Mild = 2-3 criteria
Moderate = 4-5 criteria
Severe = 6+ criteria