icd-10 classification of substance-use disorders mrcpsych addiction psychiatry seminars dr stuart...
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ICD-10 classification of substance-use disorders
MRCPsych addiction psychiatry seminars
Dr Stuart Mclaren 2nd March 2012
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Block F10-F19
Mental and behavioural disorders due to:
F10 alcohol F17 tobaccoF11 opioids F18 volatile solventF12 cannabinoids F19 multiple andF13 sedatives otherF14 cocaineF15 stimulantsF16 hallucinogens
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1. Clinical conditions resulting from substance use
F1x.0 acute intoxicationF1x.1 harmful useF1x.2 dependence syndromeF1x.3 withdrawal stateF1x.4 withdrawal state with delirium
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2. Clinical conditions resulting from substance use
F1x.5 psychotic disorderF1x.6 amnesic disorderF1x.7 residual and late-onset psychotic
disorderF1x.8 other mental or behavioural
disordersF1x.9 unspecified mental and
behavioural disorder
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ICD-10 Dependence syndrome
3 or more evident some time in the previous year:
• Desire or compulsion to use the substance• Difficulties in controlling use behaviour• Withdrawal states• Tolerance• Neglect of other pleasures or interests
‘salience’• Persistent use despite harm
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Classification of dependence syndrome
F1x.20 currently abstinentF1x.21 currently abstinent, but in protected
environmentF1x.22 on clinically supervised maintenanceF1x.23 currently abstinent on aversive drugF1x.24 currently using the substanceF1x.25 continuous useF1x.26 episodic use
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Residual and late-onset psychotic disorder F1x.7
F1x.70 flashbacksF1x.71 personality or behavioural disorderF1x.72 residual affective disorderF1x.73 dementiaF1x.74 other persisting cognitive impairmentF1x.75 late-onset psychotic disorder
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Problem of the majority or minority?
Cigarettes SexAlcohol ExerciseIllicit drug use WorkEating ShoppingGamblingInternetLove
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Definitions of addiction
‘Addiction is not an elephant!’
From ‘Theory of addiction’ by Robert West (2006)