Central Connecticut State University
    

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Could I have a substance dependence? 
Adapted from the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, 2000

Substance dependence is more than abuse.  It could indicate an addiction.     A diagnosis of substance (drug) dependence requires at least three of the following:

Tolerance:  getting less effect with continued use of the same amount of the drug, or needing higher doses to get the same effect, or both.

Suffering withdrawal symptoms, and using the drug to relieve them.

Taking more of the drug than intended or for a longer time than intended.

Persistently want to - or unsuccessfully trying to - cut down or control drug use.

Spending a great deal of time obtaining the drug, using it, or recovering from its effects.

Giving up other important activities as a result or for the sake of drug use.

Continuing to use the drug even though it causes serious physical or psychological harm.

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