Substance Abuse Vs. Substance Dependence

Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home.

Recurrent substance use in situations in which it is physically hazardous

Recurrent substance related legal problems

Continued use of a substance despite having persistent or recurrent social or interpersonal problems caused by it.

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three of the following in a 12 month period
1. tolerance as defined by
a) a need for markedly increased amounts of the substance to achieve desired effect
b) markedly diminished effect with the continued use of the same amount

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three of the following in a 12 month period
2. withdrawal, as manifested by either of the following:
a) the charactoristic withdrawal syndrome for the substance
b) the same or a similar substance is taken to relieve or avoid withdrawal symptoms.

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three of the following in a 12 month period:
A3The substance is taken in larger amounts or over a longer period than intended

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three of the following in a 12 month period:
A4There is a persistent desire or unsuccessful efforts
to CUT DOWN

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three of the following in a 12 month period
A5 A great deal of TIME is spent in obtaining or using or recovering

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three of the following in a 12 month period
A6 Important social, occupational or recreational activities are GIVEN UP or reduced because of substance

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three of the following in a 12 month period
A7 The substance is continued despite knowledge of having a persistent physical or psychological problem caused by it , such as a peptic ulcer with alcohol.

A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a 12 month period:
A1 a failure to fulfill major role obligations at work, school, or home due to recurrent substance use

A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a 12 month period:
A2 recurrent substance use in sin physically hazardous situations such as driving

A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a 12 month period:
A3 recurrent substance related legal problems

A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a 12 month period:
A4 continued use despite havinin persistent or recurrent social or interpersonal problems caused or worsened by the effects of the substance , such as DV
continued substance use despite