According to the DSM-IV, a diagnosis of<unk>  must include a person who has used at least three different substances (not including caffeine or nicotine) indiscriminately, but does not have a preference to any specific one. In addition they must show a minimum of three of the following symptoms listed below, all within the past twelve months. There is a distinct difference between a person having three separate<unk>  issues and having<unk>  the main difference is<unk>  means that they are not specifically addicted to one particular substance. This is often confused with multiple specific<unk> s present at the same time. To elaborate, if a person is addicted to three separate substance such as cocaine, methamphetamines and alcohol and is dependent on all three then they would be diagnosed with three separate<unk>  disorders existing together (cocaine<unk> , methamphetamine<unk>  and alcohol<unk> ,) not<unk> . In addition to using three different substances without a preference to one, there has to be a certain level of dysfunction in a person’s life to qualify for a diagnosis of<unk> . One of the bigger challenges that often occurs when trying to diagnose is the fact that people don't always report what they are taking because they are afraid of getting into legal trouble. When coding<unk>  in a DSM-IV it would be a multiaxial diagnosis 304.80-<unk> ", next to the classification, it is accompanied by a list of other types of Substance<unk>  (e.g. "305.00 Alcohol Abuse" or "305.60 Cocaine Abuse"). The DSM-IV requires at least three of the following symptoms present during a 12-month period for a diagnoses of<unk> . * Tolerance: Use of increasingly high amounts of a substance or they find the same amount less and less effective ( the amount has to be at least 50% more of the original amount needed.) * Withdrawal: Either withdrawal symptoms when the substance stops being used or the substance is used to prevent withdrawal symptoms. * Loss of control: Repeated use of more substance than was initially planned or use of the substances over longer periods of time than was planned. * Inability to stop using: Either unsuccessfully attempted to cut down or stop using the substances or a persistent desire to stop using. * Time: Spending a lot of time studying substances, obtaining substances, using substances, being under the influence of subtances, and recovering from the effects of substances. * Interference with activities: Give up or reduce the amount of time involved in recreational activities, social activities, and/or occupational activities because of the use of substances. * Harm to self: Continuous use of substances despite having a physical or psychological problem caused by or made worse by the use of substances. DSM-5 eliminated<unk>  disorder; there the substances must be specified, among other related changes.
Polysubstance dependence
Benzodiazepine dependence
Amphetamine dependence
Substance dependence
Nicotine dependence
Cocaine dependence
Addiction
Benzodiazepine use disorder