ICD-10 Diagnostic Criteria for the Dependence Syndrome

Are you evaluating a patient for the dependence syndrome?

Yes

Have the following occurred together or for significant periods during the past year ...

• a strong desire to take the substance (sense of compulsion)?

Yes

• difficulty controlling substance-taking behavior such as starting, stopping, and/or level of use?

Yes

• occurrence of a physiological withdrawal state if the drug is stopped?

Yes

• continuing to take the substance or a related substance in order to relieve a withdrawal state?

Yes

• tolerance?

Yes

• a progressive neglect of alternative pleasures or interests?

Yes

• continuing to use the substance despite clear evidence of overtly harmful consequences?

Yes

Criteria for Dependence Syndrome