Substance Use Disorders & Diagnostic Criteria Flashcards

A patient continues to drink heavily despite being told by their physician that it is worsening their liver disease. Which DSM-5 SUD criterion does this illustrate?

Answer: Continued use despite knowledge of a persistent physical problem

Continued use despite knowledge of a persistent or recurrent physical problem caused or exacerbated by the substance is a core DSM-5 criterion.

Which specifier would be used for a patient with severe alcohol use disorder who has been incarcerated for 8 months and remains abstinent in that setting?

Answer: In a controlled environment

The 'in a controlled environment' specifier applies when the patient is in a setting where access to substances is restricted.

Cannabis withdrawal syndrome in DSM-5 requires cessation or reduction in cannabis use that was heavy and prolonged, plus at least how many symptoms within one week?

Answer: 3

DSM-5 cannabis withdrawal requires at least 3 of the specified symptoms (irritability, anxiety, sleep difficulty, etc.) developing within approximately one week of cessation.

According to DSM-5, which substance does NOT have a clinically recognized withdrawal syndrome listed as a disorder?

Answer: Phencyclidine (PCP)

Phencyclidine (PCP) does not have a formally recognized withdrawal disorder in DSM-5, unlike alcohol, caffeine, and opioids.

A patient with stimulant use disorder reports that activities they once enjoyed, like playing guitar, no longer interest them. Which DSM-5 criterion is this?

Answer: Important activities given up or reduced

Giving up or reducing important social, occupational, or recreational activities because of substance use is a key DSM-5 SUD criterion reflecting anhedonia and life narrowing.

Which of the following best describes the DSM-5 concept of 'early remission' for substance use disorder?

Answer: No criteria met for 1-3 months except craving

Early remission in DSM-5 is defined as a period of 3 to less than 12 months during which none of the SUD criteria (except craving) are met.

Which DSM-5 criterion describes a patient whose marriage has deteriorated because of their methamphetamine use, yet they continue to use?

Answer: Continued use despite persistent social or interpersonal problems caused by substance use

Continued use despite persistent or recurrent social or interpersonal problems caused or exacerbated by the substance captures use continuing despite relationship damage.