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    SUDs in DSM-V

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    talha.khalid

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    SUDs in DSM-V

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    talha.khalid
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    6 views13 pages

    SUDs in DSM-V

    Uploaded by

    talha.khalid

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    Substance-Use Disorders in

    DSM-V

    Presented by:
    Muhammad Talha Khalid, PhD
    International Certified Addiction Professional
    (ICAP-I)
    National Trainer (UNODC)
    Addiction
    Definition
     Addiction is defined as a chronic, relapsing disorder
    characterized by compulsive drug seeking, continued use
    despite harmful consequences, and long-lasting changes in
    the brain (NIDA).
    SUDs in DSM-V

     In May 2013, APA updated the DSM.


     Replacing the categories of
    substance abuse and substance
    dependence with a single category:
    substance use disorder.
    What’s New?

     Restructuring of substance use disorders for


    consistency and clarity.
    Categories of SUDs in DSM-V

    10 separate classes of drugs:


    1. Alcohol;
    2. Caffeine;
    3. Cannabis;
    4. Inhalants;
    5. Opioids;
    6. Sedatives,
    7. Hypnotics, and anxiolytics;
    8. Stimulants
    9. Tobacco; and
    10.Other (or unknown) substances.
    Non-Substance-Related Disorders
     Gambling Disorder

    Behavioral Addictions (excessive & repetitive behavioral


    Patterns) Not Included in DSM as Substance use Disorder;
     Internet gaming
     sex addiction
     exercise addiction
     shopping addiction etc.
    Groups Of Substance-related Disorders

     Substance-use disorders are patterns of symptoms


    resulting from the use of a substance that individual
    continue to take, despite experiencing problems as a
    result.
     Substance-induced disorders, including intoxication,
    withdrawal, and other substance/medication-induced
    mental disorders, are detailed alongside substance use
    disorders.
    How to Diagnose?
    Diagnostic criteria:

    1. Taking the substance in larger amounts or for longer


    than you're meant to.
    2. Wanting to cut down or stop using the substance but
    not managing to.
    3. Spending a lot of time getting, using, or recovering
    from use of the substance.
    4. Cravings and urges to use the substance.
    5. Not managing to do what you should at work, home, or
    school because of substance use.
    6. Continuing to use, even when it causes problems in
    relationships.
    Diagnostic criteria: (cont…)

    7. Giving up important social, occupational, or


    recreational activities because of substance use.
    8. Using substances again and again, even when it puts
    you in danger.
    9. Continuing to use, even when you know you have a
    physical or psychological problem that could have
    been caused or made worse by the substance.
    10.Needing more of the substance to get the effect you
    want (tolerance).
    11.Development of withdrawal symptoms, which can be
    relieved by taking more of the substance.
    Severity and Specifiers

    Severity:
     Mild: 2-3 Symptoms
     Moderate: 4-5 Symptoms
     Severe: 6 or More

    Grouping:
     Impaired control (1-4)
     Social impairment (5-7)
     Risky use (8-9)
     Pharmacological criteria (10-11)
    Specifiers:
     In early remission: (min. 3 months to less than 12 months)
     In sustained remission: (min.12 months or more)
     On maintenance therapy
     In a controlled environment

    Tentative Diagnosis: Example


    According to DSM;
    (F11.20) Severe Opioid Use Disorder
    Current Severity: Severe
    Specify with: In a controlled Environment

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