Summary
Summary Alcohol Use Disorder DSM-5 Criteria
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- University Of South Africa (Unisa)
Diagnostic criteria for alcohol use disorder (substance abuse). It is clear and easy to read, as well as understand.
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Alcohol Use DisorderDiagnostic Criteria
A. A problematic pattern of alcohol use leading to clinically significant impairment or distress, as
manifested by at least two of the following, occurring within a 12-month period:
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or
recover from its effects.
4. Craving, or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school,
or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal
problems caused or exacerbated by the effects of alcohol.
7. Important social, occupational, or recreational activities are given up or reduced because
of alcohol use.
8. Recurrent alcohol use in situations in which it is physically hazardous.
9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or
psychological problem that is likely to have been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of alcohol to achieve intoxication or desired
effect.
b. A markedly diminished effect with continued use of the same amount of alcohol.
11. Withdrawal, as manifested by either of the following:
a. The characteristic withdrawal syndrome for alcohol (refer to Criteria A and B of the
criteria set for alcohol withdrawal, pp. 499-500).
b. Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve
or avoid withdrawal symptoms.
Specify if:
In early remission: After full criteria for alcohol use disorder were previously met, none of the criteria
for alcohol use disorder have been met for at least 3 months but for less than 12 months (with the
exception that Criterion A4, “Craving, or a strong desire or urge to use alcohol,” may be met).
In sustained remission: After full criteria for alcohol use disorder were previously met, none of the
criteria for alcohol use disorder have been met at any time during a period of 12 months or longer
(with the exception that Criterion A4, “Craving, or a strong desire or urge to use alcohol,” may be met).
Specify if:
In a controlled environment: This additional specifier is used if the individual is in an environment
where access to alcohol is restricted.
Palane Mohlala
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