WELCOME
SUBSTANCE USE DISORDER-
MEANING AND CRITERIA
PRESENTED BY:
FATHIMATH SANAA KK
2ND SEM. M.Sc. COUNSELLING PSYCHOLOGY
MEANING
• Substance use disorder is a pattern of long-term maladaptive behaviors
and reactions brought about by repeated use of a substance.
• People with a substance use disorder may come to crave a particular
substance and rely on it excessively, resulting in damage to their
family and social relationships, poor functioning at work, and/or
danger to themselves or others.
• In many cases, people with such a disorder also become physically
dependent on the substance, developing a tolerance for it and
experiencing withdrawal reactions.
• The essential feature of a substance use disorder is a cluster of
cognitive, behavioral, and physiological symptoms indicating that the
individual continues using the substance despite significant substance-
related problems.
• An important characteristic of substance use disorders is an underlying
change in brain circuits that may persist beyond detoxification,
particularly in individuals with severe disorders.
CRITERIA
• The diagnosis of a substance use disorder is based on a pathological
pattern of behaviors related to use of the substance.
• Criterion A criteria can be considered to fit within overall groupings of
impaired control, social impairment, risky use, and pharmacological
criteria.
Impaired control over substance use
Criterion 1: The individual may take the substance in larger amounts or over a
longer period than was originally intended.
Criterion 2: The individual may express a persistent desire to cut down or regulate
substance use and may report multiple unsuccessful efforts to decrease or
discontinue use.
Criterion 3 :The individual may spend a great deal of time obtaining the substance,
using the substance, or recovering from its effects .
Criterion 4: Craving is manifested by an intense desire or urge for the drug that
may occur at any time but is more likely when in an environment where the drug
previously was obtained or used.
Social impairment
Criterion 5:
Recurrent Criterion 6: The
substance use may individual may Criterion 7: Important
result in a failure continue substance social, occupational, or
to fulfill major role use despite having recreational activities
obligations at persistent or recurrent may be given up or
work, school, or social or interpersonal reduced because of
home. problems caused or substance use.
exacerbated by the
effects of the
substance.
Risky use
Criterion 9: The individual may
continue substance use despite
Criterion 8: This may take the
knowledge of having a
form of recurrent substance use
persistent or recurrent physical
in situations in which it is
physically hazardous. or psychological problem that is
likely to have been caused or
exacerbated by the substance.
Pharmacological criteria
Criterion 10: Tolerance is Criterion 11: Withdrawal is a
signaled by requiring a markedly syndrome that occurs when blood
increased dose of the substance to or tissue concentrations of a
achieve the desired effect or a substance decline in an individual
markedly reduced effect when the who had maintained prolonged
usual dose is consumed. heavy use of the substance.
REFERENCES
American Psychiatric Association (2013). Diagnostic and Statistical Manual of
mental disorder (DSM 5). Washington DC, American Psychiatric
Publication.
Comer, R.J (2015). Abnormal Psychology (9th ed.). New York, Worth Publishers.
THANK YOU
