Substance Use Disorders: Assessment and Treatment, 2nd Edition _ ___________________________________
Stages of Change for Alcohol Problems
From Western Schools, 2018.
Figure 3
• The substance often taken in larger amounts or over a longer period than was intended • Tolerance, as defined either by a need for increased amounts of a substance to achieve a desired effect or diminished effect with use of the same quantity of the substance • Withdrawal, as characterized by specific withdrawal syndromes defined for each substance or using a substance to relieve or avoid withdrawal symptoms • A persistent desire or unsuccessful efforts to cut down or control substance use
According to DSM-5-TR , to diagnose an individual with a SUD requires that he or she have a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by two or more of the following, occurring within a 12-month period: • 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 • Continued substance use despite having persistent or recurrent social or interpersonal problems
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