Cannabis Use Disorder

DSM V Criteria for Cannabis Use Disorder

 A problematic pattern of cannabis use leading to clinically significant impairment or distress as manifested by at least two of the following occurring in the last 12 months:

  1. Cannabis is often taken in larger amounts over a longer period than was intended.
  2. There is a persistent desire or unsuccessful efforts to cut down or control cannabis use.
  3. A great deal of time is spent in activities necessary to obtain cannabis, use cannabis, or recover from its effects.
  4. Craving, or a strong desire or urge to use cannabis
  5. Recurrent cannabis use resulting in failure to fulfill major role obligations at work, school, or home
  6. Continued cannabis use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of cannabis.
  7. Important social, occupational, or recreational activities are given up or reduced because of cannabis use.
  8. Recurrent cannabis use in situations in which it is physically hazardous.
  9. Cannabis use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exasperated by cannabis.
  10. Tolerance, as defined by either a (1) need for markedly increased cannabis to achieve intoxication or desired effect or (2) markedly diminished effect with continued use of the same amount of the substance
  11. Withdrawal*
* Three or more of the following signs and symptoms develop within approxamately 1 week after cessation of heavy, prolonged use:
  1. Irritability, anger, or aggression
  2. Nervousness or anxiety
  3. Sleep difficulties (ie, insomnia, disturbing dreams)
  4. Decreased appetite or weight loss
  5. Restlessness
  6. Depressed mood
  7. At least one of the following physical symptoms causing significant discomfort: abdominal pain, shakiness/tremors, sweating, fever, chills, or headache

The severity of the disorder depends on the number of symptoms

  • Mild – two or three symptoms
  • Moderate – four or five symptoms
  • Severe – six or more symptoms