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Oud Criteria

The document outlines the DSM-5 criteria for diagnosing Opioid Use Disorder (OUD), requiring a problematic pattern of opioid use with at least two symptoms occurring within a 12-month period. Symptoms include taking larger amounts than intended, unsuccessful efforts to cut down, and continued use despite problems. Severity is categorized as mild, moderate, or severe based on the number of symptoms present.

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28 views1 page

Oud Criteria

The document outlines the DSM-5 criteria for diagnosing Opioid Use Disorder (OUD), requiring a problematic pattern of opioid use with at least two symptoms occurring within a 12-month period. Symptoms include taking larger amounts than intended, unsuccessful efforts to cut down, and continued use despite problems. Severity is categorized as mild, moderate, or severe based on the number of symptoms present.

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ruben
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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DSM-5 OUD Criteria*

A problematic pattern of opioid use leading to clinically significant impairment or distress, as manifested by at
least two of the following, occurring within a 12-month period.

CHECK ALL THAT APPLY:


☐ 1. Opioids are often taken in larger amounts or over a longer period of time than was intended.

☐ 2. There is a persistent desire or unsuccessful efforts to cut down or control opioid use.

☐ 3. A great deal of time is spent in activities to obtain the opioid, use the opioid, or recover from its effects.

☐ 4. Craving, or a strong desire or urge to use opioids.

☐ 5. Recurrent opioid use resulting in a failure to fulfill major role obligations at work, school, or home.

☐ 6. Continued opioid use despite having persistent or recurrent social or interpersonal problems caused by
or exacerbated by the effects of opioids.

☐ 7. Important social, occupational, or recreational activities are given up or reduced because of opioid use.

☐ 8. Recurrent opioid use in situations in which it is physically hazardous.

☐ 9. Continued opioid use despite knowledge of having a persistent or recurrent physical or psychological
problem that’s likely to have been caused or exacerbated by the substance.

☐ 10. Tolerance, as defined by either of the following:


a. A need for markedly increased amounts of opioids to achieve intoxication or desired effect
b. A markedly diminished effect with continued use of the same amount of an opioid
Note: This criterion is not met for individuals taking opioids solely under appropriate medical supervision.

☐ 11. Withdrawal, as manifested by either of the following:


a. The characteristic opioid withdrawal syndrome
a. The same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms
Note: This criterion is not met for individuals taking opioids solely under appropriate medical supervision.

Total number of symptoms: ________

☐ Mild = 2–3 symptoms ☐ Moderate = 4–5 symptoms ☐ Severe = 6 or more symptoms

*Criteria from American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition,
Washington, DC, American Psychiatric Association page 541.

February 2022 © Oregon Pain Guidance © Dr. Anna Lembke 13

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