Place a check in front of each symptom that is present
o Substance is taken in larger amounts or for longer periods than intended
o A persistent desire or unsuccessful attempts to cut down or regulate substance use
o A great deal of time spent obtaining the substance, using the substance, or recovering from substance use
o An intense desire or urge for the substance
o Use results in failure to fulfill major obligations at work, home, or school
o Continued use in spite of social or interpersonal problems caused or exacerbated by the substance use
o Important social, occupational, or recreational activities are given up or reduced because of the substance use
o Recurrent use in situations where it is physically hazardous
o Continued use in spite of persistent or recurrent physical or psychological problems that occur as a result of or exacerbated by substance use
o Tolerance o Need for more of the substance to achieve desired effect
o Markedly diminished effect when using the same amount of the substance
o Withdrawal o Presence of characteristic withdrawal syndrome when the substance is not present
o Using the substance to alleviate withdrawal symptoms
(Note: Criteria of tolerance and withdrawal are not considered to be met for those individuals taking medications under appropriate medical supervision)
Two or more checks on this list = substance use disorder
Reference
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
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