Addiction Awareness OSCA 11-036 response - REDACTED.pdf
Addiction Awareness OSCA 11-036 response - REDACTED.pdf
Addiction Awareness OSCA 11-036 response - REDACTED.pdf
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02/28/20<strong>11</strong> ENTER SITE NAME HERE<br />
Page 9 of 10<br />
DSM-IV Dependence Diagnostic Criteria<br />
Listed below are seven questions related to the DSM-IV criteria for the diagnosis "Substance Dependence."<br />
Dependence is a maladaptive pattern of substance use leading to clinically significant impairment or distress.<br />
Each question is answered separately for alcohol and any drug other than alcohol that the patient has used, and<br />
may require further follow-up if answered YES.<br />
1. During the past year, did you ever notice that the same amounts of drugs or<br />
alcohol didn't have the same effect as they used to or that you had to drink more<br />
alcohol or use more drugs to get the same effect?<br />
2. During the past year, have you experienced physical distress when you quit<br />
drinking or taking drugs or have you found yourself taking alcohol or a drug to<br />
avoid withdrawal symptoms?<br />
3. During the past year, have you used more alcohol or drugs or used over a longer<br />
period of time than you had originally planned?<br />
4. During the past year, have you wanted or tried unsuccessfully to cut down or<br />
control your substance use?<br />
5. During the past year, have you spent a great deal of time either obtaining, using<br />
or recovering from the effects of alcohol or drugs?<br />
6. During the past year, have you given up any work, family or leisure activities<br />
because of your use of substances?<br />
7. During the past year, have you continued to use alcohol or drugs despite<br />
knowing that you have a physical or emotional problem that is either caused by or<br />
made worse by your substance use?<br />
Alcohol<br />
NO<br />
NO<br />
NO<br />
NO<br />
NO<br />
NO<br />
NO<br />
Other<br />
Substances<br />
YES<br />
YES<br />
NO<br />
YES<br />
YES<br />
NO<br />
NO<br />
If three or more of the seven questions are answered "YES", criteria for DSM-IV Diagnosis of Substance<br />
Dependence have been met. Alcohol and Other Substances are evaluated separately. If either question 1 or<br />
question 2 is answered "YES", there is possible evidence of tolerance and/or withdrawal. This suggests the<br />
likelihood of Physiological Dependence and may necessitate a medical referral.<br />
Number of Questions<br />
Answered Yes<br />
Question 1 or 2<br />
Answered Yes<br />
Alcohol<br />
0<br />
Alcohol<br />
NO<br />
Other Substances<br />
4<br />
Other Substances<br />
YES
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