Drug Abuse
Labor Management/Sexual Harassment
October 1, 2002 8:00 a.m.-5:00 p.m. Function Room, CEZ Administration Bldg.


DSM-IV Diagnostic Criteria for Substance Dependence


A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period:


1)       Tolerance, as defined by either of the following:


a)  A need for markedly increased amounts of the substance to achieve intoxication or desired effect.

b)  Markedly diminished effect with continues use of the same amount of the substance.


2)       withdrawal, as manifested by either of the following:


3)       the substance Is often taken in larger amounts or over a longer period than was intended


4)       there is a persistent desire or unsuccessful efforts to cut down or control substance use.


5)      a great deal of time is spent in activities necessary to obtain the substance (e.g. visiting multiple doctors or driving long distances), use the substance (e.g. chain-smoking), or recover from its effects


6)       important social, occupational, or recreational activities are given up or reduced because of substance use


7)       the substance use is continued despite knowledge of having persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance (e.g. current cocaine use despite recognition of cocaine-induced depression, or continued drinking despite recognition that an ulcer was made worse by alcohol consumption)


Specify if:


with physiological dependence: evidence of tolerance or withdrawal (i.e. either item 1 or 2 is present) without physiological dependence: no evidence of tolerance or withdrawal (i.e. neither item 1 nor 2 is present)


Course specifiers:


Early full remission

Early partial remission

Sustained full remission

Sustained partial remission

On agonist therapy

In a controlled environment


Most of us realized that in our addiction we were slowly committing suicide, but addiction is such a cunning enemy of life that we had lost power to do anything about it. Many of us ended in jail, or sought help through medicine, religion and psychiatry. None of these methods was sufficient for us. Our disease always resurfaced or continued to progress until in desperation, we sought help from each other in Narcotic Anonymous.


After coming to N.A. we realized we were sick people. We suffered from a disease from which there is no known cure. It can, however, be arrested at some point, and recovery is then possible.