ALCOHOL & OTHER DRUG SERVICES
DSM-5 SUD Diagnosis Reference Guide CCCAODS pg. 1
DIAGNOSIS REFERENCE GUIDE
A. Diagnostic Criteria for Substance Use Disorder
See DSM-5 for criteria specific to the drugs identified as primary, secondary or tertiary.
P S T (P=Primary, S=Secondary, T=Tertiary)
1. Substance is often taken in larger amounts and/or over a longer period than the patient
intended.
2. Persistent attempts or one or more unsuccessful efforts made to cut down or control substance
use.
3. A great deal of time is spent in activities necessary to obtain the substance, use the substance,
or recover from effects.
4. Craving or strong desire or urge to use the substance
5. Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or
home.
6. Continued substance use despite having persistent or recurrent social or interpersonal problem
caused or exacerbated by the effects of the substance.
7. Important social, occupational or recreational activities given up or reduced because of
substance use.
8. Recurrent substance use in situations in which it is physically hazardous.
9. Substance use is continued despite knowledge of having a persistent or recurrent physical or
psychological problem that is likely to have been caused or exacerbated by the substance.
10. Tolerance, as defined by either of the following:
a. Markedly increased amounts of the substance in order to achieve intoxication or desired effect;
Which:__________________________________________
b. Markedly diminished effect with continued use of the same amount;
Which:___________________________________________
11. Withdrawal, as manifested by either of the following:
a. The characteristic withdrawal syndrome for the substance;
Which:___________________________________________
b. The same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms;
Which: ___________________________________________
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition – Diagnostic Codes
Alcohol Use Disorder (ICD 10)
305.00 (F10.10) Mild 2-3 symptoms present
303.90(F10.20) Moderate 4-5 symptoms present
303.90(F10.20) Severe 6+ symptoms present
Phencyclidine Use Disorder
305.90 (F16.10) Mild 2-3 symptoms present
304.60 (F16.20) Moderate 4-5 symptoms present
304.60 (F16.20) Severe 6+ symptoms present
Inhalant Use Disorder:
305.90 (F18.10) Mild 2-3 symptoms present
304.60 (F18.20) Moderate 4-5 symptoms present
304.60 (F18.20) Severe 6+ symptoms present
