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Substance Related Disorders

The disorders range from the taking of a drug of abuse (including alcohol), to the side effects of a medication, and to toxin exposure.  In the DSM-IV-TR the Substance-Related Disorders are divided into two groups:
  

A.  The Substance Use Disorders

1. Substance Dependence
2. Substance Abuse

1. Substance Intoxication
2. Substance Withdrawal
3. Substance-Induced Delirium
4. Substance-Induced Persisting Dementia
5. Substance-Induced Persisting Amnesic Disorder
6. Substance-Induced Psychotic Disorder
7. Substance-Induced Mood Disorder
8. Substance-Induced Anxiety Disorder
9. Substance-Induced Sexual Dysfunction
10. Substance-Induced Sleep Disorder

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The Substance Use Disorder classified as Dependence can be applied to every class of substance except caffeine. Dependence is defined as a cluster of cognitive, behavioral, and physiological symptoms indicating the individual continues use of the substance despite significant substance related problems. There is a pattern of repeated self-administration that usually results in tolerance, withdrawal and compulsive drug taking behavior. Where as abuse is a maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related to the repeated use of substances. These problems must occur recurrently during the same 12-month period (as does dependence). Unlike dependence, substance abuse criteria does not include tolerance, withdrawal, or a pattern of compulsive use.

The preceding has been a very brief summary of “Substance-Related Disorders.” Please refer to the DSM-IV-TR for the specific criteria for each disorder and the specifiers, or the following Internet resources:

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Author:Steven Batton, DO
Associate Medical Director-Value Options