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DSM-IV & DSM-IV-TR:

Cocaine Withdrawal


The brain adapts to use of cocaine in such a way that symptoms may result when the substance is reduced or discontinued, leading to diagnosis of this Substance-Related Disorder.

Diagnostic criteria for 292.0 Cocaine Withdrawal
(cautionary statement)  

A. Cessation of (or reduction in) cocaine use that has been heavy and prolonged. 

B. Dysphoric mood and two (or more) of the following physiological changes, developing within a few hours to several days after Criterion A: 

(1) fatigue 
(2) vivid, unpleasant dreams 
(3) Insomnia or Hypersomnia
(4) increased appetite 
(5) psychomotor agitation or retardation

C. The symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. 

D. The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

 
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