Recurrent stimulant use resulting in a failure to fulfill major role obligations at work, school, or home.
sonal problems caused or exacerbated by the effects of the stimulant.
Important social, occupational. or recreational activities are given up or reduced be- cause of stimulant use.
Recurrent stimulant use in situations in which it is physically hazardous.
Stimulant use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the stimulant.
Tolerance. as defined by either of the following: a. A need for markedly increased amounts of the stimulant to achieve intoxication or desired effect.
b. A markedly diminished effect with continued use of the same amount of the stimulant.
Note: This criterion is not considered to be met for those taking stimulant medica- tions solely under appropriate medical supervision, such as medications for atten- tion-deficit/hyperactivity disorder or narcolepsy.
Withdrawal, as manifested by either of the following: a. The characteristic withdrawal syndrome tor the stimulant (refer to Criteria A and
B of the criteria set for stimulant withdrawal, p. 569).
b. The stimulant (or a closely related substance) is taken to relieve or avoid with- drawal symptoms.
Note: This criterion is not considered to be met for those taking stimulant medica- tions solely under appropriate medical supervision, such as medications for atten- tion-deficit/hyperactivity disorder or narcolepsy.
Specify if:
In early remission: After full criteria for stimulant use disorder were previously met, none of the criteria for stimulant use disorder have been met for at least 3 months but for less than 12 months (with the exception that Criterion A4, “Craving, or a strong de- sire or urge to use the stimulant," may be met).
In sustained remission: After full criteria for stimulant use disorder were previously met, none of the criteria for stimulant use disorder have been met at any time during a period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the stimulant," may be met).
Specify it:
In a controlled environment: This additional specifier is used it the individual is in an environment where access to stimulants is restricted.
Coding based on current severity: Note for |CD-10-CM codes: If an amphetamine in- toxication, amphetamine withdrawal, or another amphetamine-induced mental disorder is also present, do not use the codes below for amphetamine use disorder. Instead, the co- morbid amphetamine use disorder is indicated in the 4th character of the amphetamine- induced disorder code (see the coding note for amphetamine intoxication, amphetamine withdrawal, or a specific amphetamine-induced mental disorder). For example, if there is amine-type or other stimulant use disorder, only the amphetamine-type or other stimulant- induced depressive disorder code is given, with the 4th character indicating whether the comorbid amphetamine-type or other stimulant use disorder is mild, moderate, or severe: