DSM 5-TR DIAGNOSTIC CRITERIA FOR OPIOID USE DISORDER
F11.20 OPIOID USE DISORDER
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Diagnostic Criteria Presen
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A. A problematic pattern of opioid use leading to
clinically significant impairment or distress, as
manifested by at least two of the following,
occurring within a 12-month period:
1. Opioids are 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 opioid use.
3. A great deal of time is spent in activities necessary
to obtain the opioid, use the opioid, or recover from
its effects.
4. Craving, or a strong desire or urge to use opioids.
5. Recurrent opioid use resulting in a failure to fulfil
major role obligations at work, school, or home.
6. Continued opioid use despite having persistent or
recurrent social or interpersonal problems caused or
exacerbated by the effects of opioids.
7. Important social, occupational, or recreational
activities are given up or reduced because of opioid
use.
8. Recurrent opioid use in situations in which it is
physically hazardous.
9. Continued opioid use despite knowledge of having
a persistent or recurrent physical or psychological
problem that is likely to have been caused or
exacerbated by the substance.
10. Tolerance, as defined by either of the folowing:
a. A need for markedly increased amounts of opioids
to achieve intoxication or desired effect.
b. A markedly diminished effect with continued use
of the same amount of an opioid.
Note: This criterion is not considered to be met for
those taking opioids solely under appropriate
medical supervision.
11. Withdrawal, as manifested by either of the
following:
a. The characteristic opioid withdrawal syndrome
(refer to Criteria A and B of the criteria set for opioid
withdrawal).
b. Opioids (or a closely related substance) are taken
to relieve or avoid withdrawal symptoms.
Specify if:
In sustained remission: After full criteria for opioid
use disorder were previously met, none of the criteria
for opioid 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 opioids,” may be met).
Specify if:
In a controlled environment: This additional specifier
is used if the individual is in an environment where
access to opioids is restricted.
Specify current severity:
Mild: 4–5 criteria met.
Moderate: 6–7 criteria met.
Severe: 8–9 criteria met.