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DSM-IV & DSM-IV-TR:

Nicotine Withdrawal


The brain adapts to use of nicotine 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 Nicotine Withdrawal
(cautionary statement)
 

A. Daily use of nicotine for at least several weeks. 

B. Abrupt cessation of nicotine use, or reduction in the amount of nicotine used, followed within 24 hours by four (or more) of the following signs: 

(1) dysphoric or depressed mood
(2) Insomnia 
(3) irritability, frustration, or anger 
(4) anxiety 
(5) difficulty concentrating 
(6) restlessness 
(7) decreased heart rate 
(8) increased appetite or weight gain 

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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