Podcast
Questions and Answers
Harmful use in ICD-10 is synonymous with use disorder in DSM-5.
Harmful use in ICD-10 is synonymous with use disorder in DSM-5.
False
Both DSM-5 and ICD-10 classify intoxication as a consistent syndrome that persists until the substance is metabolized completely.
Both DSM-5 and ICD-10 classify intoxication as a consistent syndrome that persists until the substance is metabolized completely.
False
There is a clear distinction between dependence and harmful use in ICD-10.
There is a clear distinction between dependence and harmful use in ICD-10.
True
Tolerance is defined as the need to increase doses of a drug to maintain the same effect.
Tolerance is defined as the need to increase doses of a drug to maintain the same effect.
Signup and view all the answers
Opioids, stimulants, and hallucinogens are all considered in the same classification framework in DSM-5 and ICD-10.
Opioids, stimulants, and hallucinogens are all considered in the same classification framework in DSM-5 and ICD-10.
Signup and view all the answers
Anxiety disorders are not classified as related psychiatric disorders in either DSM-5 or ICD-10.
Anxiety disorders are not classified as related psychiatric disorders in either DSM-5 or ICD-10.
Signup and view all the answers
Residual and late-onset psychotic disorder is a category unique to DSM-5.
Residual and late-onset psychotic disorder is a category unique to DSM-5.
Signup and view all the answers
Withdrawal is recognized in both DSM-5 and ICD-10 as a state requiring clinical intervention.
Withdrawal is recognized in both DSM-5 and ICD-10 as a state requiring clinical intervention.
Signup and view all the answers
A pattern of psychoactive substance use that is causing damage exclusively to physical health qualifies as harmful use.
A pattern of psychoactive substance use that is causing damage exclusively to physical health qualifies as harmful use.
Signup and view all the answers
The DSM-5 does not have a separate category for 'dependence' but includes all symptoms associated with harmful use and dependence from ICD-10.
The DSM-5 does not have a separate category for 'dependence' but includes all symptoms associated with harmful use and dependence from ICD-10.
Signup and view all the answers
A diagnosis of dependence requires at least two of the six specified criteria to be met within the last year.
A diagnosis of dependence requires at least two of the six specified criteria to be met within the last year.
Signup and view all the answers
Experiencing a strong desire or compulsion to take a substance is a potential indicator of substance dependence.
Experiencing a strong desire or compulsion to take a substance is a potential indicator of substance dependence.
Signup and view all the answers
In DSM-5, a moderate substance use disorder is indicated by the endorsement of 4-5 symptoms.
In DSM-5, a moderate substance use disorder is indicated by the endorsement of 4-5 symptoms.
Signup and view all the answers
Tolerance refers to the diminished effect of a psychoactive substance following a period of heavy substance use.
Tolerance refers to the diminished effect of a psychoactive substance following a period of heavy substance use.
Signup and view all the answers
The nature of withdrawal symptoms is completely uniform across all classes of substances.
The nature of withdrawal symptoms is completely uniform across all classes of substances.
Signup and view all the answers
Persisting with substance use despite knowledge of its harmful consequences is one of the criteria for dependence.
Persisting with substance use despite knowledge of its harmful consequences is one of the criteria for dependence.
Signup and view all the answers
Cross-tolerance refers to using one substance to alleviate withdrawal from another substance with similar pharmacological properties.
Cross-tolerance refers to using one substance to alleviate withdrawal from another substance with similar pharmacological properties.
Signup and view all the answers
Withdrawal symptoms can last indefinitely if the substance use is completely ceased.
Withdrawal symptoms can last indefinitely if the substance use is completely ceased.
Signup and view all the answers
ICD-10 classifies substance use disorders under a single category, similar to DSM-5.
ICD-10 classifies substance use disorders under a single category, similar to DSM-5.
Signup and view all the answers
The DSM-5 classification system includes distinct categories for drug-induced psychosis.
The DSM-5 classification system includes distinct categories for drug-induced psychosis.
Signup and view all the answers
Both DSM-5 and ICD-10 recognize withdrawal states in their classification of substance use disorders.
Both DSM-5 and ICD-10 recognize withdrawal states in their classification of substance use disorders.
Signup and view all the answers
The primary diagnostic category in DSM-5 is determined by the most significant substance used.
The primary diagnostic category in DSM-5 is determined by the most significant substance used.
Signup and view all the answers
Hallucinogens are recognized to have a significant withdrawal syndrome in ICD-10.
Hallucinogens are recognized to have a significant withdrawal syndrome in ICD-10.
Signup and view all the answers
ICD-10 and DSM-5 both utilize a continuum rating system to classify substance use severity.
ICD-10 and DSM-5 both utilize a continuum rating system to classify substance use severity.
Signup and view all the answers
Substance use disorders can only be diagnosed if a single substance is involved.
Substance use disorders can only be diagnosed if a single substance is involved.
Signup and view all the answers
The assessment of the most significant substance used is always straightforward in diagnosing substance use disorders.
The assessment of the most significant substance used is always straightforward in diagnosing substance use disorders.
Signup and view all the answers
Study Notes
Introduction
- Alcohol and drug misuse is not limited to one particular specialty.
- Alcohol and drug use are relevant to psychiatric practice.
- Relevant in cases of patients with acute confusion or emergencies, elderly patients, or troubled adolescents.
- Includes cases of patients with self care deterioration, or disturbed children inhaling volatile substances.
Classification of Substance Use Disorders
- DSM-5 and ICD-10 use similar categories for substance use disorders.
- Both systems categorize substance use disorders, intoxication, and withdrawal states.
- ICD-10 has separate categories for "harmful use" and "dependence".
- DSM-5 combines "harmful use" and "dependence" into one category called "use disorder".
- Severity of substance use disorder is based on a number of features, not separate categories for "drug dependence".
- Drug-induced psychotic states and amnestic states are coded in the other mental and behavioral disorders in ICD-10 but not in DSM-5.
- Alcohol-induced psychotic disorders are also coded differently in ICD-10 than DSM-5.
- The most important substance use is the basis for diagnosis.
- "Disorder due to multiple drug use" is a category used in ICD-10.
- The relevant disorder is added to the substance misuse description.
- Some drugs (hallucinogens) do not have a recognized withdrawal syndrome.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Explore the classification and implications of alcohol and drug misuse in psychiatric practice. This quiz delves into the DSM-5 and ICD-10 categorizations of substance use disorders, examining their definitions, acute cases, and treatment nuances. Gain insights into how these issues affect diverse populations, including adolescents and the elderly.
