Substance-related disorders were originally subcategorized into "
substance use disorders" (SUD) and "substance-induced disorders" (SID). Though
DSM-IV makes a firm distinction between the two, SIDs often occur in the context of SUDs.
Substance-induced disorder Substance-induced disorders include medical conditions that can be directly attributed to the use of a substance. These conditions include
substance intoxication,
substance withdrawal, and substance/medication-induced mental disorders (e.g.,
substance-induced delirium,
substance-induced psychosis, and
substance-induced mood disorders).
Substance use disorder In the
DSM-IV, it was formally divided in substance use and in
substance dependence, but in the
DSM-5-TR both were combined into a single condition called "Substance-use disorder". In this new revision more presenting symptoms are required before a diagnosis is made. It also considers each different substance as its own separate disorder, based upon the same basic criteria. The DSM-5-TR also defines the term "drug addiction" as because of its uncertain definition and its potentially negative connotation. Long-term use has been linked to personality changes such as
depression,
paranoia, and
anxiety, which can be related to psychiatric disorders. It is often reported that substance use coincides with
personality disorders, such as
borderline personality disorder. It has also now been linked to severe brain damage leading to an inability to control behaviours, which could explain why many people who use substances go on to develop addictions. Substance use is often regarded as negative in society and therefore those who engage in such behaviours can often be subject to social discrimination. The use of many drugs can lead to criminal convictions, whether the drug itself is illegal or people who use them use unlawful methods to fund their substances. It is also more likely that someone will partake in criminal or anti-social behaviour when they are under the influence of a drug. ==See also==