Substance Abuse/Addiction

is a condition in which the body must have a drug to avoid physical and psychological withdrawal symptoms. Addiction’s first stage is dependence, during which the search for a drug dominates an individual’s life. An addict eventually develops tolerance, which forces the person to consume larger and larger doses of the drug to get the same effect.


Do you have repeated absences or poor work performance related to substance use; substance-related absences, suspensions, or expulsions from school; neglect of children or household?

Put yourself in physically hazardous situations, like driving while impaired?

Have recurrent legal problems, such as arrests for alcohol or disorderly conduct?

Persistent or recurrent social problems, such as arguments with spouse, physical fights, etc?

Characterized by a manipulative pattern of alcohol or substance use leading to significant impairment or distress, as manifested by 1 or more of the following, occurring within a one year period:

  • Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home
  • Recurrent alcohol or substance use in situations in which it is physically hazardous (e.g., driving an automobile or operating a machine when impaired by substance use)
  • Recurrent alcohol or substance-related legal problems (e.g., arrests for alcohol or substance-related disorderly conduct)
  • Continued alcohol or substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol or substance use (e.g., arguments with spouse about consequences of intoxication, physical fights)


The symptoms must also have never met the criteria for Alcohol/Substance Dependence for this class of substance or alcohol.


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