DSM 5 Criteria for Substance Use Disorder

Opioid Use Disorder Criteria:

A minimum of 2-3 criteria is required for a mild substance use disorder diagnosis, while 4-5 is moderate, and 6-7 is severe (APA, 2013). Opioid Use Disorder is specified instead of Substance Use Disorder, if opioids are the drug of abuse. Note: A printable checklist version is linked below

  1. Taking the opioid in larger amounts and for longer than intended
  2. Wanting to cut down or quit but not being able to do it
  3. Spending a lot of time obtaining the opioid
  4. Craving or a strong desire to use opioids
  5. Repeatedly unable to carry out major obligations at work, school, or home due to opioid use
  6. Continued use despite persistent or recurring social or interpersonal problems caused or made worse by opioid use
  7. Stopping or reducing important social, occupational, or recreational activities due to opioid use
  8. Recurrent use of opioids in physically hazardous situations
  9. Consistent use of opioids despite acknowledgment of persistent or recurrent physical or psychological difficulties from using opioids
  10. *Tolerance as defined by either a need for markedly increased amounts to achieve intoxication or desired effect or markedly diminished effect with continued use of the same amount. (Does not apply for diminished effect when used appropriately under medical supervision)
  11. *Withdrawal manifesting as either characteristic syndrome or the substance is used to avoid withdrawal (Does not apply when used appropriately under medical supervision)

*This criterion is not considered to be met for those individuals taking opioids solely under appropriate medical supervision.

Related Resources: 
Description: 
The APA's breakdown on changes to substance-related addictive disorder diagnoses introduced by DSM-5. The document goes over substance use disorder, addictive disorders and briefly states the APA's position on caffeine use disorder.
Source: 
APA DSM-5
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Description: 
Describes the substance use disorders as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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Physician stage in practice: 
Description: 
Brief critique and explanation of the changes in terminology and classification for substance use disorder as described in DSM-5. The author highlights the impact of the changes in vocabulary as well as the potential fallacies created by them.
Source: 
Join Together
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Description: 
Form for use in the clinic to support evaluation for possible opioid use disorder based on DSM-5 diagnostic criteria.
Source: 
APA
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