Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Alcohol Intoxication[1]
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- A. Recent ingestion of alcohol.
AND
- B. Clinically significant problematic beliavioral or psychological changes (e.g., inappropriate sexual or aggressive behavior, mood lability, impaired judgment) that developed
during, or shortly after, alcohol ingestion.
AND
- C. One (or more) of the following signs or symptoms developing during, or shortly after,
alcohol use:
AND
- D. The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication with another substance.
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DSM-V Diagnostic Criteria for Alcohol Use Disorder[1]
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- A. A problematic pattern of alcohol use leading to clinically significant impairment or distress,as manifested by at least two of the following, occurring within a 12-month period:
- 1. Alcohol is often taken in larger amounts or over a longer period than was intended.
- 2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
- 3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol,or recover from its effects.
- 4. Craving, or a strong desire or urge to use alcohol.
- 5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work,school, or home.
- 6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
- 7. Important social, occupational, or recreational activities are given up or reduced because of alcohol use.
- 8. Recurrent alcohol use in situations in which it is physically hazardous.
- 9. Alcohol 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 alcohol.
- 10. Tolerance, as defined by either of the following:
- a. A need for markedly increased amounts of alcohol to achieve intoxication or desired effect.
- b. A markedly diminished effect with continued use of the same amount of alcohol.
- 11. Withdrawal, as manifested by either of the following:
- a. The characteristic withdrawal syndrome for alcohol.
- b. Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve or avoid withdrawal symptoms.
Specify if:
- In early remission: After full criteria for alcohol use disorder were previously met,none of the criteria for alcohol use disorder have been met for at least 3 months but for
less than 12 months (with the exception that Criterion A4, “Craving, or a strong desire or urge to use alcohol,” may be met).
- In sustained remission: After full criteria for alcohol use disorder were previously met, none of the criteria for alcohol use disorder have been met at any time during a
period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge to use alcohol,” may be met).
Specify if:
- In a controlled environment: This additional specifier is used if the individual is in an environment where access to alcohol is restricted.
Specify current severity:
- Mild: Presence of 2-3 symptoms.
- Moderate: Presence of 4-5 symptoms.
- Severe: Presence of 6 or more symptoms.
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References
- ↑ 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.