The Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) made significant changes in how substance use problems are classified. For example, the terms “substance use” and “substance dependence” that we used on a daily basis have been dropped. Do you feel confused about the terminology? I know I was. Below, I explain the basic structure of the relevant set of diagnoses.
Title of the chapter of DSM-5
In DSM-5, substance use problems are classified in the chapter on;
“Substance-Related and Addictive Disorders.”
The reason the title includes the words “and Addictive” is because Gambling disorder is included in this chapter as well.
This chapter has two parts: Substance-related disorders and Non-substance-related disorders.
Substance-related disorders are divided into two groups: Substance use disorders and Substance-induced disorders.
Which substances are covered?
The following groups of substances are covered under Substance-related disorders:
4. Hallucinogens or Phencyclidine or Other hallucinogens (these three are listed separately)
7. Sedatives, hypnotics, and anxiolytics
10. Other or unknown.
Substance-use disorder is a diagnosis that can be applied to any of the ten categories of substances described above, except caffeine.
Substance-induced disorders are divided into three categories:
C. Other substance/medication-induced mental disorders.
These “other” include psychotic disorders, bipolar and related disorders, depressive disorders, anxiety disorders, obsessive-compulsive and related disorders, sleep disorders, sexual dysfunctions, delirium, and neurocognitive disorders.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013.
Copyright © 2018, Simple and Practical Mental Health. All rights reserved. May not be reproduced in any form without express written permission.
Disclaimer: The content on this website is provided as general education for medical professionals. It is not intended or recommended for patients or other laypersons or as a substitute for medical advice, diagnosis, or treatment. Patients must always consult a qualified health care professional regarding their diagnosis and treatment. Healthcare professionals should always check this website for the most recently updated information.