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Substance-Related Disorders 

 

Please find below a list of disorders related to the diagnostic category, Substance-Related Disorders. The Substance-Related Disorders Work Group has been responsible for addressing these disorders. Among the work group’s proposals is the recommendation that the diagnostic category include both substance use disorders and non-substance addictions. Gambling disorder has been moved into this category and there are other addiction-like behavioral disorders such as “Internet addiction” that will be considered as potential additions to this category as research data accumulate.  Further, the work group has proposed to tentatively re-title the category, Addiction and Related Disorders. The work group had extensive discussions on the use of the word “addiction.”  There was general agreement that “dependence” as a label for compulsive, out-of-control drug use has been problematic. It has been confusing to physicians and has resulted in patients with normal tolerance and withdrawal being labeled as “addicts.” This has also resulted in patients suffering from severe pain having adequate doses of opioids withheld because of fear of producing “addiction.” Accordingly, the word “dependence” is now limited to physiological dependence, which is a normal response to repeated doses of many medications including beta-blockers, antidepressants, opioids, anti-anxiety agents and other drugs. The presence of tolerance and withdrawal symptoms are not counted as symptoms to be counted for the diagnosis of substance use disorder when occurring in the context of appropriate medical treatment with prescribed medications. Finally, the work group is addressing the disorder pathological gambling, which is currently listed under the diagnostic category Impulse-Control Disorders Not Elsewhere Classified. We appreciate your review and comment on these disorders.


 *Substance-Related Disorders Not Currently Listed in DSM-IV
 R 25 Cannabis Withdrawal
 R Substance Use Disorder
 R 00 Alcohol Use Disorder
 R 01 Amphetamine Use Disorder
 R 02 Cannabis Use Disorder
 R 03 Cocaine Use Disorder
 R 04 Hallucinogen Use Disorder
 R 05 Inhalant Use Disorder
 R 09 Tobacco Use Disorder
 R 06 Opioid Use Disorder
 R 10 Other (or Unknown) Substance Use Disorder
 R 07 Phencyclidine Use Disorder
 Polysubstance-Use Disorder
 R 08 Sedative, Hypnotic, or Anxiolytic Use Disorder

 *Substance-Related Disorders Proposed to be Subsumed Under Other Diagnoses (No DSM-5 Criteria Proposed)
303.90 Alcohol Dependence
304.40 Amphetamine Dependence
304.30 Cannabis Dependence
304.20 Cocaine Dependence
304.50 Hallucinogen Dependence
305.00 Alcohol Abuse
305.70 Amphetamine Abuse
304.20 Cannabis Abuse
304.60 Cocaine Abuse
305.30 Hallucinogen Abuse
304.60 Inhalant Dependence
305.90 Inhalant Abuse
305.1 Nicotine Dependence
304.00 Opioid Dependence
305.5 Opioid Abuse
304.60 Phencyclidine Dependence
305.90 Phencyclidine Abuse
304.80 Polysubstance Dependence
304.10 Sedative, Hypnotic, or Anxiolytic Dependence
305.40 Sedative, Hypnotic, or Anxiolytic Abuse
304.90 Other (or Unknown) Substance Dependence
305.90 Other (or Unknown) Substance Abuse

 *Substance-Related Disorders with No Changes Currently Proposed from DSM-IV
 R 13 Caffeine Intoxication
 R 11 Alcohol Intoxication
 R 22 Alcohol Withdrawal
 S 01 - 10 Substanced-Induced Delirium
 S 11 Alcohol Withdrawal Delirium
291.1 Alcohol-Induced Persisting Amnestic Disorder
292.89 Caffeine-Induced Anxiety Disorder
292.85 Caffeine-Induced Sleep Disorder
292.9 Caffeine-Induced Disorder Not Otherwise Specified
291.5 Alcohol-Induced Psychotic Disorder - With Delusions
291.3 Alcohol-Induced Psychotic Disorder - With Hallucinations
 Substance-Induced Mood Disorder
291.89 Alcohol-Induced Anxiety Disorder
291.89 Alcohol-Induced Sexual Dysfunction
291.82 Alcohol-Induced Sleep Disorder
291.9 Alcohol-Related Disorder Not Otherwise Specified
 R 12 Amphetamine Intoxication
 R 23 Amphetamine Withdrawal
292.81 Amphetamine Intoxication Delirium
 B 07-14 Substance-Induced Psychotic Disorder
292.12 Amphetamine-Induced Psychotic Disorder with Hallucinations
292.84 Amphetamine-Induced Mood Disorder
292.89 Amphetamine-Induced Anxiety Disorder
292.89 Amphetamine-Induced Sexual Dysfunction
292.85 Amphetamine-Induced Sleep Disorder
292.9 Amphetamine-Related Disorder Not Otherwise Specified
 R 14 Cannabis Intoxication
292.81 Cannabis Intoxication Delirium
292.11 Cannabis-Induced Psychotic Disorder with Delusions
292.12 Cannabis-Induced Psychotic Disorder with Hallucinations
292.89 Cannabis-Induced Anxiety Disorder
292.9 Cannabis-Related Disorder Not Otherwise Specified
 R 15 Cocaine Intoxication
 R 26 Cocaine Withdrawal
292.81 Cocaine Intoxication Delirium
292.11 Cocaine-Induced Psychotic Disorder with Delusions
292.12 Cocaine-Induced Psychotic Disorder with Hallucinations
292.84 Cocaine-Induced Mood Disorder
292.89 Cocaine-Induced Anxiety Disorder
292.89 Cocaine-Induced Sexual Dysfunction
292.85 Cocaine-Induced Sleep Disorder
292.9 Cocaine-Related Disorder Not Otherwise Specified
 R 16 Hallucinogen Intoxication
292.89 Hallucinogen Persisting Perception Disorder
291.81 Hallucinogen Intoxication Delirium
292.11 Hallucinogen-Induced Psychotic Disorder with Delusions
292.12 Hallucinogen-Induced Psychotic Disorder with Hallucinations
292.84 Hallucinogen-Induced Mood Disorder
292.89 Hallucinogen-Induced Anxiety Disorder
292.9 Hallucinogen-Related Disorder NOS
 R 17 Inhalant Intoxication
292.81 Inhalant Intoxication Delirium
292.82 Inhalant-Induced Persisting Dementia
292.11 Inhalant-Induced Psychotic Disorder with Delusions
292.12 Inhalant-Induced Psychotic Disorder with Hallucinations
292.84 Inhalant-Induced Mood Disorder
292.89 Inhalant-Induced Anxiety Disorder
292.9 Inhalant-Related Disorder NOS
 R 29 Tobacco Withdrawal
292.9 Nicotine-Related Disorder NOS
 R 18 Opioid Intoxication
 R 27 Opioid Withdrawal
292.81 Opioid Intoxication Delirium
292.11 Opioid-Induced Psychotic Disorder with Delusions
292.12 Opioid-Induced Psychotic Disorder with Hallucinations
292.84 Opioid-Induced Mood Disorder
 N 07 Substance-Induced Sexual Dysfunction
 M 12-18 Substance-Induced Sleep Disorder
292.9 Opioid-Related Disorder NOS
 R 19 Phencyclidine Intoxication
292.81 Phencyclidine Intoxication Delirium
292.11 Phencyclidine-Induced Psychotic Disorder with Delusions
292.12 Phencyclidine-Induced Psychotic Disorder with Hallucinations
292.84 Phencyclidine-Induced Mood Disorder
 E 6-11 Substance-Induced Anxiety Disorder
292.9 Phencyclidine-Related Disorder NOS
 R 20 Sedative, Hypnotic, or Anxiolytic Intoxication
 R 28 Sedative, Hypnotic, or Anxiolytic Withdrawal
291.81 Sedative, Hypnotic, or Anxiolytic Intoxication Delirium
291.81 Sedative, Hypnotic, or Anxiolytic Withdrawal Delirium
292.82 Sedative-, Hypnotic-, or Anxiolytic-Induced Persisting Dementia
292.83 Sedative-, Hypnotic-, or Anxiolytic-Induced Persisting Amnestic Disorder
292.11 Sedative-, Hypnotic-, or Anxiolytic-Induced Psychotic Disorder with Delusions
292.12 Sedative-, Hypnotic-, or Anxiolytic-Induced Psychotic Disorder with Hallucinations
292.84 Sedative-, Hypnotic-, or Anxiolytic-Induced Mood Disorder
292.89 Sedative-, Hypnotic-, or Anxiolytic-Induced Anxiety Disorder
292.89 Sedative-, Hypnotic-, or Anxiolytic-Induced Sexual Dysfunction
292.89 Sedative-, Hypnotic-, or Anxiolytic-Induced Sleep Disorder
292.89 Sedative-, Hypnotic-, or Anxiolytic-Related Disorder NOS
 R 21 Other (or Unknown) Substance Intoxication
 R 30 Other (or Unknown) Substance Withdrawal
291.81 Other (or Unknown) Substance-Induced Delirium
292.82 Other (or Unknown) Substance-Induced Persisting Dementia
292.83 Other (or Unknown) Substance-Induced Persisting Amnestic Disorder
292.11 Other (or Unknown) Substance-Induced Psychotic Disorder with Delusions
292.12 Other (or Unknown) Substance-Induced Psychotic Disorder with Hallucinations
292.84 Other (or Unknown) Substance-Induced Mood Disorder
292.89 Other (or Unknown) Substance-Induced Anxiety Disorder
292.89 Other (or Unknown) Substance-Induced Sexual Dysfunction
 Other (or Unknown) Substance-Induced Sleep Disorder
292.89 Other (or Unknown) Substance-Related Disorder NOS
 Substance-Induced Persisting Dementia
 Substance-Induced Persisting Amnestic Disorder

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  American Psychiatric Association