Quizlet which of the following conditions is associated with substance use disorders?

A problematic pattern of substance use leading to clinically significant impairment or distress as manifested by at least two of the eleven criteria listed below occurring in a 12-month period:

Impaired Control:
- Larger amounts/longer period of time
- Persistent desire, cannot cut down or control use
-Significant time spent to obtain, use, recover
-Cravings
Social Impairment:
- Failure to meet obligations
- Continued use despite social or interpersonal problems
- Reduction in important activities

Risky Use:
- Use is physically hazardous
- Continued use despite knowledge of substance use disorder

Pharmacological Criteria:
- Tolerance
-Withdrawal

A 35 year old man with opioid use disorder is being treated with 16mg of buprenorphine daily. He is abstinent from opioids, which has been confirmed by negative urine toxicology results, however his urines are intermittently positive for benzodiazepines and he notes drinking alcohol two days per week. When asked about his benzodiazepine use the patient says he has been buying xanax (alprazolam) 2mg pills "sticks" from dealers who previously sold him heroin. At first he was taking one half pill per day at bedtime, to help with sleep and anxiety. However, the effect gradually diminished and his use has increased over the past several months to 2 pills per day. He denies any impairment in his marriage, work or social life from the alprazolam. He wants to quit because he is spending a lot of time seeking out dealers, and experiences heroin cravings when meeting with them. He has tried to quit and cannot, experiencing cravings for alprazolam. On occasions when he has not used alprazolam for several days, he experiences sweating, shaking, worsened anxiety and insomnia. What is the most appropriate DSM-5 diagnosis

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