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
Students also viewed Recommended textbook solutionsHDEV5
6th EditionSpencer A. Rathus
380 solutions
Social Psychology
10th EditionElliot Aronson, Robin M. Akert, Timothy D. Wilson
525 solutions
A Concise Introduction to Logic
13th EditionLori Watson, Patrick J. Hurley
1,967 solutions
Myers' Psychology for the AP Course
3rd EditionC. Nathan DeWall, David G Myers
956 solutions
Recommended textbook solutionsSocial Psychology
10th EditionElliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson
525 solutions
Consumer Behavior: Buying, Having, Being
13th EditionMichael R Solomon
449 solutions
HDEV5
6th EditionSpencer A. Rathus
380 solutions
Myers' Psychology for the AP Course
3rd EditionC. Nathan DeWall, David G Myers
956 solutions
Recommended textbook solutionsSocial Psychology
10th EditionElliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson
525 solutions
HDEV5
6th EditionSpencer A. Rathus
380 solutions
Psychology
1st EditionArlene Lacombe, Kathryn Dumper, Rose Spielman, William Jenkins
580 solutions
Introduction to Psychology: Gateways to Mind and Behavior
16th EditionDennis Coon, John O Mitterer, Tanya S. Martini
581 solutions