Dysfunctional changes in physiological functioning, psychological
functioning, mood state, cognitive process, or all of these, as a
consequence of consumption of [an opioid]; usually disruptive, and
often stemming from central nervous system impairment.*
B. Clinically significant maladaptive behavioral or psychological changes (e.g., initial
euphoria followed by apathy, dysphoria,
psychomotor agitation or retardation, impaired judgment, or impaired social or occupational functioning) that developed during, or shortly after, opioid use.
C. Pupillary constriction (or pupillary dilation due to anoxia from severe overdose) and one (or more) of the following signs, developing during, or shortly after, opioid use:
(1) drowsiness or coma
(2) slurred speech
(3) impairment in attention or memory
D. The symptoms are not due to a general medical condition and are not better accounted for by another
mental disorder.
Specify if:
With Perceptual Disturbances