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No Evidence of Dependence

The document discusses screening and diagnosing alcohol use and alcohol use disorder. It begins by stating that if a CAGE screening questionnaire is positive, further assessment is needed to distinguish between problem drinking and alcohol use disorder. It then defines 5 categories: abstinence, low risk drinking, at risk drinking, alcohol use disorder, and the medical diagnosis of severe alcohol use disorder or AUD. To be diagnosed with AUD, an individual must meet 2 of 11 specified criteria within a 12-month period, with the severity determined by the number of criteria met. The document concludes by listing the 11 diagnostic criteria.

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86 views2 pages

No Evidence of Dependence

The document discusses screening and diagnosing alcohol use and alcohol use disorder. It begins by stating that if a CAGE screening questionnaire is positive, further assessment is needed to distinguish between problem drinking and alcohol use disorder. It then defines 5 categories: abstinence, low risk drinking, at risk drinking, alcohol use disorder, and the medical diagnosis of severe alcohol use disorder or AUD. To be diagnosed with AUD, an individual must meet 2 of 11 specified criteria within a 12-month period, with the severity determined by the number of criteria met. The document concludes by listing the 11 diagnostic criteria.

Uploaded by

mago1961
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CAGE: screening questionnaire

If positive CAGE, then assess further to distinguish between problem drinking and alcohol use
disorder

A. Abstinence
B. Low Risk Drinking
 <2 Standard Drink /d
 <10 drinks/week for women / <15 drinks/week for men
C. At Risk Drinking
Consumption above low-risk level but no alcohol-related physical or social problems
D. Alcohol Use Disorder
1. Physical or social problems
2. Continued use despite consequences
3. Inability to fulfill life roles
4. Legal problems
5. No evidence of dependence

Problem drinking that becomes severe is given the medical diagnosis of “alcohol use disorder”
or AUD

To be diagnosed with AUD, individuals must meet any two of the 11 criteria during the same
12-month period. The severity of AUD—mild, moderate, or severe—is based on the number of
criteria met.

In the past year, have you ever:

1. Had times when you ended up drinking more, or longer than you intended?
2. More than once wanted to cut down or stop drinking, or tried to, but couldn’t?
3. Spent a lot of time drinking? Or being sick or getting over the aftereffects?
4. Experienced craving — a strong need, or urge, to drink?
5. Found that drinking — or being sick from drinking — often interfered with taking care of
your home or family? Or caused job troubles? Or school problems?
6. Continued to drink even though it was causing trouble with your family or friends?
7. Given up or cut back on activities that were important or interesting to you, or gave you
pleasure, in order to drink?
8. More than once gotten into situations while or after drinking that increased your
chances of getting hurt (such as driving, swimming, using machinery, walking in a
dangerous area, or having unsafe sex)?
9. Continued to drink even though it was making you feel depressed or anxious or adding
to another health problem? Or after having had a memory blackout?
10. Had to drink much more than you once did to get the effect you want? Or found that
your usual number of drinks had much less effect than before?
11. Found that when the effects of alcohol were wearing off, you had withdrawal
symptoms, such as trouble sleeping, shakiness, irritability, anxiety, depression,
restlessness, nausea, or sweating? Or sensed things that were not there?

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