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DSM-IV & DSM-IV-TR:

Opioid Intoxication


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.*

Diagnostic criteria for 292.89 Opioid Intoxication
(cautionary statement)
 

A. Recent use of an opioid

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

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

Books and Other Media:
Follow the hypertext link to purchase items.

  • Burroughs, William S: Naked Lunch Paperback 1992 This is a brutally graphic account of heroin addiction on the streets of New York.
  • Candy DVD Abbie Cornish, Heath Ledger 2005
  • Lady Sings the Blues Diana Ross 1972
  • Pure Molly Parker, Keira Knightley, Harry Eden, and David Wenham 2005
  • Ray DVD Jamie Foxx 2004
  • Requiem for a Dream DVD Ellen Burstyn, Jared Leto 2000
  • Trainspotting DVD Ewan McGregor 1995 Could this be the Naked Lunch of heroin addiction in '90's Edinburgh?

*Excerpt with permission from Graham, Allan W. & Schultz, Terry K. (Editors) Principles of Addiction Medicine, 2nd Edition Hardcover 1998 (American Society of Addiction Medicine)



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